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Form No. Date Title
DCF-F-CFS-52 12/08 Vehicle Safety Inspection (PDF)
HFS-64A (F82064) 01/09 Background Information Disclosure (PDF)
HFS-64AH (F82064H) 01/09 LUS QHIA UA TXOG DAIM NTAWV QHIA TAWM TXOG KEEB KWM (PDF)
HFS-64AS (F82064S) 01/09 Instrucciones Para Divulgar Informacion de Antecedentes (PDF)
DCF-F-CFS-74-E 03/10 Adoption Assistance Agreement (PDF)
DCF-F-CFS-74-E 03/10 Adoption Assistance Agreement (Word)
DCF-F-CFS-100A 11/11 ICPC Placement Request (PDF)
DCF-F-CFS-100A 11/11 ICPC Placement Request (Word)
DCF-F-CFS-100B 07/09 ICPC Report on Child's Placement Date or Change of Placement (PDF)
DCF-F-CFS-100B 07/09 ICPC Report on Child's Placement Date or Change of Placement (Word)
DCF-F-CFS-103 04/10 Child's Personal Record (PDF)
DCF-F-CFS-107-E 03/11 Foster Home Agreement Child Placed In Out-of-Home Care by Agency (PDF)
DCF-F-CFS-116 02/10 Foster Parent Insurance Program Claim of Loss or Damage (PDF)
DCF-F-CFS-117-E 06/10 Foster Parent Insurance Program Verification of Claims (PDF)
DCF-F-CFS-0140 05/10 Adoptive Family Placement Agreement 
DCF-F-CFS-142 01/09 Affidavit (PDF)
DCF-F-CFS-251-E 11/11 License Application - Residential Care Centers for Children and Youth 
DCF-F-419-E 06/12 Rehabilitation Review Application and Instructions (DOC)
DCF-F-CFS-297-E 10/09 Request for Exception (PDF)
DCF-F-CFS-353 04/10 Sanitation Checklist - Residential Care Centers (PDF)
DCF-F-CFS-354 12/11 Licensing Checklist - Residential Care Centers (PDF)
DCF-F-CFS-357 03/12 Fire Safety Inspection - Residential Care Centers (PDF)
DCF-F-CFS-358 04/12  Licensing Checklist - Group Homes (PDF)
DCF-F-CFS-361 04/10 Licensing Checklist - Shelter Care Facilities (PDF)
DCF-F-CFS-362 12/11 Licensing Checklist - Child Placing Agencies (PDF)
DCF-F-CFS-367-E 04/10 Community Advisory Committee Documentation (PDF)
DCF-F-CFS-369 11/11 Personnel Record Checklist - Child Placing Agencies (PDF)
CFS-375 11/11 License Application - Group Homes
DCF-F-CFS-379 02/12 Child Record Checklist - Group Homes (PDF)
DCF-F-CFS-380 11/11 Child Placing Agency Foster Child Record Checklist (PDF)
DCF-F-CFS-381 12/11 Foster Home Record Checklist - Child Placing Agencies (PDF)
DCF-F-CFS-383 03/12 Personnel Record Checklist - Group Homes (PDF)
DCF-F-CFS-384 04/10 Staff Health Report - Child Welfare Facilities (PDF)
CFS-395 11/11 License Application - Child Placing Agency
CFS-786 11/11 License Application - Shelter Care Facility
DCF-F-CFS-847-E 02/11 Application to DCF Exceptions Panel for Exception to Ch. DCF 56 or DCF 38 (PDF)
CFS-872A 01/02 Information for Foster Parents - Part A (PDF)
CFS-872B 08/02 Information for Foster Parents - Part B (PDF)
DCF-F-CFS-909 03/12 Fire Safety Inspection - Group Homes (PDF)
DCF-F-CFS-786 11/11 Licensing Application - Shelter Care Facility
DCF-F-CFS-787 07/10 Child Foster Care Licensing Checklist (PDF)
DCF-F-CFS-997 07/10 Medical Services Consent (PDF)
DCF-F-CFS-997S 07/10 Medical Services Consent - Spanish (PDF)
DCF-F-CFS-1590 08/12 Voluntary Placement Agreement (PDF)
JD-1710 10/07 Temporary Physical Custody Request (PDF)
DCF-F-CFS-2020 04/12 Residential Care Center Type 2 Designation Request
DCF-F-CFS-2029-E 05/10 Exceptions Panel Placement of a Non-Treatment Child (WORD)
DCF-F-CFS-2029-E 05/10 Exceptions Panel Placement of a Non-Treatment Child  (PDF)
DCF-F-CFS-2114 03/09 Continuing Education Record - Independent Reading / Video Viewing (PDF)
DCF-F-CFS-2139-E 01/11 Resident Record Checklist - Residential Care Centers for Children and Youth (PDF)
DCF-F-CFS-2140 03/12 Residential Care Center General Personnel Record Checklist (PDF)
DCF-F-CFS-2142 04/10 Staff Continuing Education and Training Record Child Welfare Programs (PDF)
DCF-F-CFS-2146-E 01/11 Serious Incident Report (PDF)
DCF-F-CFS-2146-E 01/11 Serious Incident Report (Word)
DCF-F-CFS-2149 03/11 Exceptions Panel Second License Application (PDF)
DCF-F-CFS-2155 06/11 Adoptive Placement Checklist - Child Placing Agency International (PDF)
DCF-F-CFS-2168 07/12 Residential Care Center Policy / Procedure Checklist (PDF)
DCF-F-CFS-2168 07/12 Residential Care Center Policy / Procedure Checklist (Word)
DCF-F-CFS-2172 04/10 Residential Care Center Child Abuse and Neglect Reporting and Confidentiality Responsibilities (PDF)
DCF-F-CFS-2183 02/05 Residential Care Center Statutorily Reportable Death (Word)
DCF-F-CFS-2186 04/10 Notice to Foster Parents Regarding Confidentiality of Records (PDF)
DCF-F-CFS-2186S 04/10 Aviso Para Padres de Crianza en Referencia a la Confidencialidad de los Registros (PDF)
DCF-F-CFS-2187-E 11/11 Foster Home Licensure Notification (PDF)
DCF-F-CFS-2189 11/11 Out-of-Home Placement Notification or Recommended Placement Notification (PDF)
DCF-F-CFS-2191 08/11 DHS 12 Negative Action Notice (PDF)
DCF-F-CFS-2198-E 02/10 Foster Parent Insurance Program Damage Claim Checklist (PDF)
DCF-F-CFS-2259 06/11 Adoptive Placement Checklist - Child Placing Agency - Domestic (PDF)
DCF-F-CFS-2261 05/10 Caregiver Background Checks Substantially Related Investigation Report (PDF)
DCF-F-CFS-2261 05/10 Caregiver Background Checks Substantially Related Investigation Report (Word)
DCF-F-CFS-2338 07/12 Medication Administration Record - Group Homes for Children (PDF)
DCF-F-CFS-2378 07/12 Policy/Procedure Checklist - Group Homes for Children (PDF)
DCF-F-CFS-2378 07/12 Policy/Procedure Checklist - Group Homes for Children  (Word)
DCF-F-CFS-2379-E 04/10 Medical Services Consent - Child Welfare Facilities (PDF)
DCF-F-CFS-2380-E 08/12 Staff / Volunteer Orientation Documentation - Group Homes (PDF)
DCF-F-CFS-2381-E 08/12 Resident Orientation Documentation - Group Homes (PDF)
DCF-F-CFS-2382A-E 08/12 Intake Information - Group Home Resident (PDF)
DCF-F-CFS-2382A-E 08/12 Intake Information - Group Home Resident (Word)
DCF-F-CFS-2382B-E 08/12 Intake Information - Group Home Resident Under 6 Years of Age (PDF)
DCF-F-CFS-2382B-E 08/12 Intake Information - Group Home Resident Under 6 Years of Age (Word)
DCF-F-CFS-2383 04/10 Fire Safety and Emergency Response Documentation - Residential Care Centers for Children and Youth (PDF)
DCF-F-CFS-2384 08/12 Fire Safety and Emergency Response Documentation - Group Homes (PDF)
DCF-F-CFS-2385 04/10 Fire Safety and Emergency Response Documentation - Shelter Care Facility (PDF)
DCF-F-CFS-2386 03/11 Foster Home Information for WiSACWIS (PDF)
DCF-F-CFS-2386 03/11 Foster Home Information for WiSACWIS (Word)
DCF-F-CFS-2389-E 04/10 Child Record - Shelter Care Facilities (PDF)
DCF-F-CFS-2389-E 04/10 Child Record - Shelter Care Facilities (Word)
DCF-F-CFS-2399 10/11 Personnel Record Checklist - Shelter Care Facilities (PDF)
DCF-F-CFS-2414 04/10 Child Record Checklist - Shelter Care Facilities (PDF)
DCF-F-CFS-2430 07/12 Assessment, Treatment Plan and Discharge Plan - Group Homes for Children (PDF)
DCF-F-CFS-2430 07/12 Assessment, Treatment Plan and Discharge Plan - Group Homes for Children (Word)
DCF-F-2440 01/09 Assessment and Treatment Plan - Residential Care Centers for Children and Youth (PDF)
DCF-F-2440 01/09 Assessment and Treatment Plan - Residential Care Centers for Children and Youth (Word)
DCF-F-2491 07/12 Ordering Information - Child Welfare Licensing Inquiry Packets (PDF)
DCF-F-2573-E 11/10 Nonmedical Consents  (PDF)
DCF-F-2801 02/12 Supplemental Licensing Checklist - Child Placing Agencies (DCF 54)  (PDF)
DCF-F-2802 02/12 Supplemental Licensing Checklist - Residential Care Centers (DCF-52)  (PDF)
DCF-F-2803 02/12 Supplemental Licensing Checklist - Group Homes  (DCF-57 )  (PDF)
DCF-F-2831 05/12 Assessment and Discharge Summary - Respite Group Homes  (WORD)
DCF-F-2850-E 07/12 Policy / Procedure Checklist - Child Placing Agency  (PDF)
DCF-F-2850-E 07/12 Policy / Procedure Checklist - Child Placing Agency  (Word)
Publication No. Date Title
DCF-P-PFS-101 06/10 It Shouldn't Hurt to be a Child (PDF)
DCF-P-PFS-101H 07/10 Ua ib tug me nyuam yuav tsum tsis txhob raug mob (PDF)
DCF-P-PFS-101S 07/10 Ser niño no debería doler (PDF)
P-20470A 12/08 Rights of Minors in Inpatient Community Mental Health Facilities (PDF)
DCF-P-2498 04/10 Child Welfare Applicant / Licensee Rights and Responsibilities (PDF)
DCF-P-PFS-4088 04/10 Use of 10+ Passenger Vans To Transport Children To and From Schools (PDF)
DCF-P-PFS4098 08/12 How to Access Forms for Child Welfare Facilities (PDF)
DCF-P-PFS-4100 07/12 Personnel Requirements - Group Homes for Children (PDF)

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