State Seal of Colorado
Certification of Proposed Social Services Professional (SSP)
Colorado Office of the Child's Representative

When to use this form:
OCR Contract Attorneys can use this form to certify that a Social Services Professional (SSP) satisfies the OCR's qualifications for the SSP payment rate in accordance with OCR's SSP Policy.


Proposed Social Services Professional (SSP):

If this SSP is approved, s/he will be added to CARES.  Please provide an email address for CARES which belongs to this SSP only (never used by anyone else) and is exclusive to his/her relationship with your office (e.g. jdoe@myoffice.com). This is to ensure your office's confidential CARES data remains secure.
 

I certify that this proposed SSP satisfies the Office of the Child’s Representative’s (OCR’s) qualifications for the SSP payment rate because s/he meets the following qualifications:
(Select all that apply.) *

If no License or Master's above:
This proposed SSP has at least two years of professional experience and direct involvement with children/and or families(Select all that apply.) *

Signature
Type your name and date below to further certify that you will use the proposed SSP to assist in your investigation and advocacy as as required by CJD 04-06 and as consistent with the terms of your OCR contract (including but not limited to the completion of all CBI background checks).  Typed signature shall suffice as if original.
 
Click "Submit" to complete your request.