This form contains 17 fields organized into 7 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Client Name and Address
Client Name and Address	Text	Provide the full name and complete mailing address of the client.
Seek Termination of Parental Rights	Checkbox	Check this box if the critical decision is to seek the termination of parental rights and an alternative permanent home.
Date of Notice
Date of Notice	Date	Please provide the date of the notice.
Recommend Return of Children	Checkbox	Check this box if the critical decision is to recommend the return of children to the home of their parents or primary parent figure from a placement away from them.
Decision Effective Date
Effective Date	Date	Provide the date when this critical decision becomes effective.
General
Text7	Text
Text8	Text
Text9	Text
Text10	Text
Text11	Text
Text12	Text
Text13	Text
Text14	Text
Page 2
Worker's Telephone Number	Text	Please provide your worker's telephone number.
TDD Telephone Number	Text	Please provide the TDD telephone number for hearing impaired assistance.
Reason for Decision
Reasons for Decision	Text	Provide the detailed reason(s) for the critical decision being made.
Salutation
Recipient Name	Text	Enter the full name of the person or entity to whom this notice is addressed.

OCFS-4001, Notice of Critical Decision Instructions