Connected Youth Initiative

Nebraska Older Youth Support Services Relief Fund

Youth and young adults in Nebraska may be eligible for a one-time financial stipend (amount to be determined) if you are between the ages of 22 and 27 and previously spent time in foster care after the age of 14. To learn if you are eligible, please complete this online form by September 24, 2021.
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Read before signing:
I understand and authorize the Nebraska Department of Children and Family Services to verify my former legal custody status and associated dates with the State Child Welfare System or Tribal Authority.

I understand that the information which I have authorized to be disclosed will be used for the purpose of determining my eligibility. I acknowledge that it is my responsibility to be aware of any rights of confidentiality which I may have regarding the information which I am releasing and that by signing this consent I am waiving my rights, if any, to confidentiality for purposes which I have approved.

If I have authorized the release of information to a person or agency providing independent living or foster care services under contract with my associated State Child Welfare System or Tribal Authority. I have also authorized release of the information to any person or agency providing that service under sub-contract.

This consent may be revoked in writing at any time prior to any action which has been taken in reliance upon it.

 

This authorization will expire on 9-30-2021.

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