Care History Summary Statement Request Form

I would like to apply for my Care History Summary Statement. This will assist me to register with the Forde Foundation and to access other services and resources available to care leavers.

Care History Summary Statement Request Form

  • eg. Mother's maiden name, Names of brothers and/or sisters, Name of foster family
    Upon submitting this form, please send an email to fordefoundation@csyw.qld.gov.au with certified proof of identification (e.g., a certified copy of your driver’s licence, passport, birth certificate or prisoner’s identity card certified by a Corrective Services Officer) to validate your submitted Care History Summary Request form.
  • This field is for validation purposes and should be left unchanged.

Privacy Notice

The Forde Foundation is collecting your personal information for the purposes of assisting you obtain your care history summary statement from the Department of Child Safety, Youth and Women to enable you to register with the Forde Foundation and access resources available to care leavers.