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