Tribal Exit Interview

An Oklahoma Succesful Adulthood (OKSA) Guide

The Exit Interview is conducted by the youth's worker to gather information about a youth’s perception of the time he or she has spent in care, and a means of documenting the skills a youth learned and services a youth received while in care. All Tribal custody and OKDHS youth should complete an Exit Interview if he or she leaves care while in an out-of-home placement. Exit Interviews should be started during the youth's 90 Day Transition Plan meeting, and completed 2 months prior to a youth exiting care at age 18, or 2 months prior to exiting from Voluntary Care. Youth can potentially receive up to $300 for completing an Exit Interview.

Complete the Exit Interview

  • Prepare for the Exit Interview.
    • Email to request the following forms:
      • Independent Living Youth Exit interview form (04IL003E).
      • Intependent Living Incentive Payment form (04IL003E).
      • Independent Living Payment Claim (04IL005E).
  • Meet with the youth and their permanent connections.
    • Help the youth complete and sign the Independent Living Youth Exit Interview form (04IL003E).
    • Help the youth complete the Intependent Living Incentive Payment form (04IL003E).
      • The form must be signed by both the worker and youth.
    • Help the youth complete the Independent Living Payment Claim (04IL005E).
      • The form must be signed by both the worker and the youth.
      • Note: The Incentive Payment Check will be mailed to the youth's address listed on the Independent Living Claim.
    • Place a copy of all 3 completed docuemnts in the Tribal child welfare case files.

Mail or Fax the Exit Interview Forms

Child Welfare Services Division
Attn: Oklahoma Succesful Adulthood Program
PO Box 25352
Oklahoma City, OK 73125
Fax (405) 521-4373