DMCPS Forms
Forms listed below are for the DMCPS (Division of Milwaukee Child Protective Service) Initial Assessment's and Ongoing Case Management's use. Use the search bar (below right) to find the form you are looking. If you can't find the form you are looking for, check the DCF Internet Forms Repository.
| Title | Number | When Used: |
|---|---|---|
| Adult Long Term Care Referral Form (Milwaukee County) Part I and Part II | Ongoing | |
| Functional Assessment Screening Tool | DCF-F-5277-E | IA, Ongoing |
| After Hours Alert | DCF-F-CFS2050 | IA, Ongoing |
| After-Hours On-Call Verification Form | DCF-F-2970-E | IA |
| Birth-to-Three Referral Form, Consent Form, Consent Form Spanish, Directions for form, QA for Parents, Parent/Child Rights, (Milwaukee County DHHS documents) | IA, Ongoing | |
| Confidential Information Release Authorizations (general) | DCF-F-369-E | IA |
| Confidential Information Release Authorizations (general), Spanish | DCF-F-369-E-S | IA |
| Confidential Information Release Authorizations (general), Hmong | DCF-F-369-E-H | IA |
| Informal Dispositional Agreement (IDA) (In Need of Protection or Services) | JC-1607 | IA, Ongoing |
| Open Records Request for Police Records | DCF-F-2922-E | IA |
| Schools: Request for MPS Information/Pupil Records Pursuant to Interagency Agreement Regarding Information Sharing By Milwaukee Public Schools During a Child Maltreatment Investigation | Joint protocol | IA, Ongoing |
| Schools: MPS-Parent Consent To the Disclosure of Pupil Records to Members of the Multidisciplinary Team (MDT) | Joint protocol | IA, Ongoing |
| Schools - West Milwaukee/West Allis Release of Information to MDT | Joint protocol | IA, Ongoing |
| Schools - Request for West Allis West Milwaukee Schools Information/Pupil Records Pursuant to Interagency Agreement Regarding Information Sharing | Joint protocol | IA, Ongoing |
| Adolescent Assessment/Stabilization Center Admission | DCF-F-CFS2152 | TPC |
| Acknowledgement of Notice of Rights and Obligations | JD-1716 | TPC |
| Authorization to Consent to Medical Treatment | DCF-F-2503 | TPC |
| Authorization to Consent to Medical Treatment, Spanish | DCF-F-2503-S | TPC |
| Authorization to Consent to Medical Treatment, Hmong | DCF-F-2503-H | TPC |
| Care4Kids Template for DMCPS | IA | |
| Child Placing Agency/Treatment Foster Care Program Consent to Transport | DCF-F-2629 | TPC |
| Information to Foster Parents Part A | CFS-F-CFS872A | TPC |
| Kinship Relationship Verification | DCF-F-2604 | IA, Ongoing |
| Kinship Relationship Verification, Hmong | DCF-F-2604-H | IA, Ongoing |
| Kinship Relationship Verification, Spanish | DCF-F-2604-S | IA, Ongoing |
| Request to Change Placement, Revise or Extend Dispositional Order, Review Permanency Plan, or Terminate Dispositional Order | JD-1766 | IA, Ongoing |
| Notice of Change of Placement (Court Hearing Notice) | JD-1754 | TPC, Ongoing |
| Notice to Foster Parents Regarding Confidentiality of Records | DCF-CFS-2186 | TPC |
| Notice to Foster Parents Regarding Confidentiality of Records, Spanish | DCF-F-CFS2186-S | TPC |
| Notification of Court Hearing, (available printed in 3 ply) | DCF-F-CFS2150 | TPC |
| Notification of Court Hearing, Spanish (available printed in 3 ply) | DCF-F-CFS2150S | TPC |
| Notification of Court Hearing, Hmong | DCF-F-CFS2150H | TPC |
| Placement Checklist | DCF-F-CFS2238 | TPC |
| Temporary Physical Custody Request | JC-1608 | TPC |
| Request for Approval for Foster Care Maintenance Rate Over $2,000 per Month | DCF-F-2827-E | Ongoing |
| Badger Care Referral Form | DHS-F10185 | Ongoing |
| Examining Psychologist's Report | GN-3130 | Ongoing |
| Fast Notification of Change | DCF-F-CFS2120-E | Ongoing |
| Joint Court Ordered Kinship Care and Foster Care Application | DCF-F-2483-E | Ongoing |
| Joint Court Ordered Kinship Care and Foster Care Application-Hmong | DCF-F-2483-E-H | Ongoing |
| Joint Court Ordered Kinship Care and Foster Care Application-Spanish | DCF-F-2483-E-S | Ongoing |
| Independent Living Transition to Discharge Contact Information | DCF-F-2546-E | Ongoing |
| Independent Living Transition to Discharge Planning Checklist | DCF-F-2547-E | Ongoing |
| Independent Living Transition to Discharge (ILTD) Final Checklist | DCF-F-2548-E | Ongoing |
| Independent Living Transition to Discharge (ILTD) Plan | DCF-F-2549-E | Ongoing |
| Supervised Independent Living (SIL) Registration | DCF-F-2911-E | Ongoing |
| Supervised Independent Living Placement Referral | DCF-F-406-E | Ongoing |
| Independent Living Services Checklist (Optional) | DCF-F-CFS2251-E | Ongoing |
| Independent Living Transition Plan* | DCF-F-CFS2256-E | Ongoing |
| Information to Foster Parents Part B | DCF-F-CFS872B | Ongoing |
| Intensive In-Home Services Extension Request | DCF-F-2755-E | IIH |
| MDT Case Submission Template | Submission Form | IA |
| Order for Change of Placement (Out-of-Home Care to In-Home Placement Only) | JD-1792 | Ongoing |
| Order for Change of Placement (In-Home to Out of Home Placement Only) | JD-1789 | Ongoing |
| Order for Change of Placement (Out-of-Home Care placement only.) | JD-1790 | Ongoing |
| Request for Emergency Detention or Pick-up Orders | DCF-F-CFS2071 | IA, Ongoing |
| Required Central Staffing Information | DCF-F-CFS2422 | Ongoing |
| Consent to Termination of Parental Rights (Affidavit) | JC-1636 | Ongoing |
| Consent to Termination of Parental Rights (Judicial) | JC-1637 | Ongoing |
| DMCPS Consent Request Form | DCF-F-5237-E | IA, Ongoing |
| DMCPS Out-of-State Higher Level of Care Staffing Form | DCF-F-5287-E | Ongoing |
| DMCPS Permanent Guardianship Request | DCF-F-5238-E | Ongoing |
| Notice and Request for Trial Reunification/Extension or Revocation of Trial Reunification | JD-1801 | Ongoing |
| Order for Trial Reunification | JD-1802 | Ongoing |
| Order for Adoption | JC-1647 | |
| Order for Adoptive Placement | JC-1642 | |
| Order for Hearing and Investigation - Adoptive Placement/Adoption | JC-1641 | |
| Petition for Adoption | JC-1645 | |
| Petition for Adoptive Placement | JC-1640 | |
| Petition for Appointment of Relative as Guardian/Notice of Plea Hearing | JC-1605 | |
| Temporary Guardianship, Order on Petition | GN 3520 | IA, Ongoing |
| Request For Emergency Services Funds for DMCPS Families, Protocol | DCF-F-2606-E | |
| Goodwill Voucher (pdf) (electronic document) and (store list) | IA, Ongoing | |
| Kinship Care Caretaker Application (for Milwaukee County Residents) | DCF-F-CFS2023 | IA, Ongoing |
| Kinship Care Caretaker Application (for Milwaukee County Residents), Hmong | DCF-F-CFS2023H | IA, Ongoing |
| Kinship Care Caretaker Application (for Milwaukee County Residents), Spanish | DCF-F-CFS2023S | IA, Ongoing |
| Loving Me First household resources for those starting over. Referral form . | IA, Ongoing | |
| Robyn's Nest Resource Request | IA, Ongoing | |
| SAIL, Milwaukee Cty. Behavioral Health Referral form | IA, Ongoing | |
| Service Access to Independent Living (SAIL) enrollment form | Ongoing | |
| Closed Records Request Form (DMCPS and agency use only) | DCF-F-424-E | IA, Ongoing |
| Closed Records Return Form | DCF-F-429- E | IA, Ongoing |
| Consent to use Mother’s name in Publication | JC-1634 | |
| Records Request | DCF-F-CFS2347 | IA, Ongoing |
| Request for Child Protective Services Background Check, DMCPS | DCF-F-2609 | IA, Ongoing |
| Wraparound Referral Form | Ongoing |