Annex No. 3

Foster Care Placement Agreement/Contract for Interim Care Arrangement

1. The *________________________ after a thorough social assessment agree to place:
_______________________________________________________________
in the care of:
_______________________________________________________________
presently residing in:
_______________________________________________________________

2. The placement took place on:_____________________________________

Mr/Mrs _____________________________________________________will

(a) Care for the child/children in the same way that they would for their own.

(b) Release the child/children without any problems in the event that the parents and/or family members come to reclaim the child/children.

(c) Under no circumstances place the child/children in the care of others including those who might claim right of custody without authorization from UNHCR.

(d) Ensure that the child/children receive the necessary medical follow up and vaccinations.

(e) Obtain prior authorization from UNHCR before moving the child/children to another location, including change of residence in and outside the present location.

3. *________________________________________________ on the other hand will:

(a) Provide supplementary assistance to ensure basic needs of child/children and assist family to meet gap related to needs of child/children.

(b) Undertake monitoring visits on a regular basis, i.e. once a week at the initial stage and once a month thereafter.

(c) Keep the family informed of the progress made to trace the parents and close family of the child/children.

4. NOTE: this is not an adoption agreement, but only a temporary placement agreement to ensure proper family-based care for the child/children while tracing efforts to find the family continue.

5. If family reunification is not accomplished within six months, this agreement will be reviewed by both parties to agree on medium-term care arrangements.

6. If family reunification is not accomplished within six months, this agreement will be reviewed by both parties to agree on medium-term care arrangements.

For	For Foster Parents:
Name:_______________________________________________________________
Signature:____________________________________________________________
Title:________________________________________________________________
Place:________________________________________________________________
Date:________________________________________________________________
This agreement is binding effective:_______________________________________

* Insert name of implementing partner for child welfare activities. In the absence of an implementing partner, UNHCR will sign the agreement with foster parents or other care providers.