{"id":454,"date":"2025-02-25T16:39:56","date_gmt":"2025-02-25T16:39:56","guid":{"rendered":"https:\/\/dhss.delaware.gov\/otsa\/reqforms\/"},"modified":"2025-02-28T06:54:32","modified_gmt":"2025-02-28T11:54:32","slug":"reqforms","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/otsa\/actmanagement\/reqforms\/","title":{"rendered":"actmanagement\/reqforms ~ Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n\r\n\r\n\r\n  <br>\r\n\r\n  \r\n\r\n  <div class=\"container\" id=\"main_header\">\r\n\r\n    <!-- BEGIN readspeaker div -->\r\n\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n\r\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/actmanagement\/reqforms.html\" title=\"Listen to this page using ReadSpeaker\">\r\n\r\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n\r\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n\r\n      <\/a>\r\n\r\n    <\/div>\r\n\r\n    <!-- END readspeaker div -->\r\n\r\n\r\n\r\n    <header class=\"pull-left\">\r\n\r\n      <h1><!--[type=EDIT name=\"Page Title\"]--><!--[END]--><\/h1>\r\n\r\n    <\/header>\r\n\r\n  <\/div><br>\r\n\r\n \r\n\r\n  <div class=\"container\">\r\n\r\n    <div class=\"row\">\r\n\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n\r\n          <div class=\"panel sectionmenu_panel\">\r\n\r\n            <div class=\"panel-heading\">\r\n\r\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Office of the Secretary &#8211; Administration Menu<\/strong><\/a><\/p>\r\n\r\n            <\/div>\r\n\r\n\r\n\r\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\r\n\r\n              <div class=\"panel-body\" id=\"clf_nav\">\r\n\r\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\r\n    <li><a href=\"\/otsa\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\r\n    <li>\r\n      <a href=\"\/otsa\/about.html\">About Office of the Secretary &#8211; Administration<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/sections.html\">Sections &#038; Programs<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/faq.html\">FAQs<\/a>\r\n    <\/li>\r\n   \r\n    <li>\r\n      <a href=\"\/otsa\/contact.html\">Contact Information<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/ofclocations.html\">Office Locations<\/a>\r\n    <\/li>\r\n  <\/ul><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \r\n\r\n   <!-- <li>\r\n      <a href=\"\/rfp\/dhssrfp.htm\">Funding Opportunities<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/rfp\/dhssrfp.htm\">Requests for Proposals<\/a>\r\n    <\/li>-->\r\n    <li>\r\n      <a href=\"\/otsa\/arms\/reportfraud.html\">Reporting Fraud<\/a>\r\n    <\/li>\r\n  <\/ul><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\r\n    <li>\r\n      <a href=\"\/otsa\/epqc\/hsrbservice.html\">Human Subject Review Board<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/pubs.html\">Publications &#038; Forms<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/repstats.html\">Reports &#038; Statistics<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/itpubs.html\">Information Technology Publications<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/otsa\/actmanagement\/actcasemanagement.html\">ACT Case Management<\/a>\r\n    <\/li>\r\n  <\/ul><\/li>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<!-- INFORMATION LINKS: When adding a link, make sure to include the hyperlink tag <a> around the text-->\r\n\r\n\r\n<!--    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\r\n  <ul id=\"SocialMenu\">\r\n    <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" title=\"Division of Public Health Facebook Page\" target=\"_blank\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\r\n    <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" title=\"Delaware Health and Social Services Twitter Account\" target=\"_blank\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\r\n    <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\r\n    <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\r\n    <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\r\n    <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\r\n    <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\r\n    <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> \r\n  <\/ul>\r\n<\/li>  -->\r\n<\/ul>\r\n\r\n\r\n\r\n              <\/div>\r\n\r\n            <\/div>\r\n\r\n          <\/div>\r\n\r\n        <\/div><br>\r\n\r\n      <\/div>\r\n\r\n\r\n\r\n      <div class=\"col-md-9\" id=\"main_content\"> \r\n\r\n  <!--[type=HTMLEDIT name=\"Content\"]-->\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<h1> Required Forms<\/h1>\r\n\r\n\r\n\r\n<p><strong>Employees are required to complete a <u>Parental Leave Request Form.<\/u> <\/strong><\/p>\r\n\r\n\r\n\r\n<p><strong>Employees must also provide legal documentation of birth or adoption of a child within 30 days of the birth or adoption or as soon as it is available.<\/strong><\/p>\r\n\r\n\r\n\r\n<p><strong> Legal documents include:<strong><\/p>\r\n\r\n\r\n\r\n<ul style=\"font-weight: 700;\">\r\n\r\n\r\n\r\n<li>Birth Certificate \r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n<li>A Birth Certificate is provided by the State&#8217;s Office of Vital Records.<\/li>\r\n\r\n\r\n\r\n<\/ul><\/li>\r\n\r\n\r\n\r\n<li><u>OR<\/u> Consular Report of Birth Abroad\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n<li>A Consular Report of Birth Abroad of a Citizen of the United States of America (CRBA) serves as proof of U.S. citizenship. If your child was born abroad, you should apply for a CRBA by contacting the nearest U.S. embassy or consulate.<\/li>\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n<\/li>\r\n\r\n\r\n\r\n<li>Adoption Order\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n<li>An Adoption Order may be accessed via the State&#8217;s Office of the Courts. <\/li>\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n<\/li><\/ul>\r\n\r\n\r\n\r\n<p><strong>Certification of Birth<\/strong><\/p>\r\n\r\n\r\n\r\n<img decoding=\"async\" alt=\"birthcertif\" pull-center=\"pull-center\" src=\"\/wp-content\/uploads\/sites\/7\/otsa\/img\/birthcertificate.jpg\"><br><br>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><strong>Parental Leave Request Form<\/strong><\/p>\r\n\r\n\r\n\r\n<img decoding=\"async\" alt=\"parentleavefrm\" pull-center=\"pull-center\" src=\"\/wp-content\/uploads\/sites\/7\/otsa\/img\/parentallvereqfrm.jpg\"><br><br>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><strong>Adoption Order<\/strong><br><i>SAMPLE ONLY<\/i>\r\n\r\n\r\n\r\n<\/p><img decoding=\"async\" class=\"img-responsive pull-center\" src=\"\/wp-content\/uploads\/sites\/7\/otsa\/img\/adoptionorder.jpg\">\r\n\r\n\r\n\r\n<br> <br>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<!--<p><strong> Consular Report of Birth Abroad<\/strong><br\/><I>SAMPLE ONLY<\/I>\r\n\r\n\r\n\r\n<\/p>\r\n\r\n\r\n\r\n<img decoding=\"async\"  src=\"\/wp-content\/uploads\/sites\/7\/otsa\/img\/repofbirth.jpg\" class=  \"img-responsive pull-center\">\r\n\r\n\r\n\r\n<br\/> <br\/>-->\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n  <!--[END]-->\r\n\r\n  \r\n\r\n      <\/div>\r\n\r\n    <\/div>\r\n\r\n  <\/div><!-- \/container -->\r\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Office of the Secretary &#8211; Administration Menu Home About About Office of the Secretary &#8211; Administration Sections &#038; Programs FAQs Contact Information Office Locations Services Reporting Fraud Information Human Subject Review Board Publications &#038; Forms Reports &#038; Statistics Information Technology Publications ACT Case Management Required Forms Employees are required to complete a Parental Leave [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":427,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-454","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/comments?post=454"}],"version-history":[{"count":3,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/454\/revisions"}],"predecessor-version":[{"id":631,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/454\/revisions\/631"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/pages\/427"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/otsa\/wp-json\/wp\/v2\/media?parent=454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}