Head Start Eligibility Verification Form

The Head Start Eligibility Verification Form complies with the eligibility final rule, Head Start Program Performance Standard 45 CFR 1305, released on Feb. 10, 2015. This form was first made available through ACF-PI-HS-10-02, which is currently under review. Programs may continue to use the form to determine eligibility in accordance with the final rule.


Health and Safety Screener

This health and safety screener will help organizations identify where they need to make changes and build capacity in order to ensure children are healthy and safe while in their care.

Screening Systems Review Tool

Use this tool to review your screening procedures and identify what areas may need more information.  Check the areas that are already addressed in your procedures.  Unchecked boxes indicate areas that may need more information to assure a comprehensive screening system.