Forms

This page includes all DCFS forms available online. Forms are available for view in either or both of the following formats:

• Adobe Acrobat (pdf)
• MS Word for Windows (doc)

Tenga en cuenta que los formularios enumerados están en inglés. Si necesita un formulario en español, haga clic aquí.

CANTS Forms

• CANTS 2A Suspected Abuse Injury Notesheet - Infant
• CANTS 2B Suspected Abuse Injury Notesheet - Child
• CANTS 4 Written Confirmation of Suspected Child Abuse/Neglect Report: Medical Professionals
• CANTS 5 Written Confirmation of Suspected Child Abuse/Neglect Report: Mandated Reporters
• CANTS 8 Notification of a Report of Suspected Child Abuse and/ or Neglect
• CANTS 8-Polish ZGŁOSZENIE DONIESIENIA O PODEJRZENIU O ZNĘCANIU SIĘ / ZANIEDBYWANIU DZIECI
• CANTS 9 Notification of Intent to Indicate Child Care Worker for Report of Child Abuse and/or Neglect
• CANTS 10 Notification of Intent to Indicate Child Care Worker for Report of Child Abuse and/or Neglect Questions and Answers
• CANTS 11 Notification of Decision in an Employment Related Report of Child Abuse and/or Neglect
• CANTS 22 Acknowledgment of Mandated Reporter Status Form
• CANTS 22-A Acknowledgment of Mandated Reporter Status (Clergy) Form
• CANTS 22-B Acknowledgement of Mandated Reporter Status
• CANTS 23 Acknowledgement of Non-Disclosure of Information
• CANTS 33 Formal Request for State’s Attorney to File a Petition for Juvenile Court Intervention
• CANTS 65-A Referral Form for Medical Evaluation of a Physical Injury to a Child
• CANTS 65-B Evaluation of Medical Neglect of a Child
• CANTS 101 DCFS and ISBE Joint Letter

FFH Packet

CFS Forms

• CFS 108 Request for Forms
• CFS 119-A Unusual Incident Disposition Form
• CFS 123 Electronic Mail Communication and Distribution Certificate of Understanding
• CFS 151 Notice of Decision
• CFS 151-B, Notice of Change of Placement Form
• CFS 151-C, Placement Review Summary Form
• CFS 151-D, Placement Review: Action Plan
• CFS 151-E Summary of Clinical Placement Review
• CFS 151-G Notice of Critical Decision
• CFS 151-H Notice to Relatives of Child Entering Substitute Care
• CFS 151-J Grandparent Visitation with Youth in Care
• CFS 152 Disability Related Services Report
• CFS 152A Children's Account Unit Assessment Form
• CFS 152B Children's Account Unit Disbursement Request Form
• CFS 230 ACR Feedback Response and Action Plan (FRAP)for Critical Issues
• CFS 231 ACR Critical Feedback Communication Notice
• CFS 250 Guiding the Caregiver Through Self-Assessment for Reunification Support
• CFS 250-A Discussion Questions to Consider with Caregivers Before Self-Assessment
• CFS 301-80 Waiver of Exception to Placement Restriction for Unlicensed Homes
• CFS 307 Indian Child Welfare Advocacy Program Intake Form
• CFS 356 ACR Satisfaction Survey (fillable)
• CFS 370-1 Norman Class Certification For Reunification or Intact Family Cases
• CFS 370-4 Notice to Norman Class Members
• CFS 370-5 Norman Cash Assistance or Housing Advocacy Referral
• CFS 370-5C Monthly Budget Form
• CFS 370-5Y Monthly Budget Form for Youth
• CFS 370-5YHAP Youth Housing Assistance Program Request for Cash Assistance and/or Housing Advocacy
• CFS 374 Transition Funding Application and Disbursement Plan
• CFS 375-1 ILO TLP Request for Extension of Services (Fillable)
• CFS 375-1 ILO TLP Request for Extension of Services (With lines to complete by hand)
• CFS 375-2 ILO TLP Quarterly Transition Discharge Launch Plan (password protected Word document)
• CFS 375-4 Notice to Norman Class Members
• CFS 387 Adoption and Safe Families Act (ASFA) Survey for ACR - Fillable
• CFS 399-1 Clinical Referral Form
• CFS 399-2 Help Unit Face Sheet
• CFS 399-6 Specialty Services Case Consultation Referral Form
• CFS 402-1 Waiver Of Licensing Standards For Foster Family Homes - Instructions
• CFS 402-1 Waiver Of Licensing Standards For Foster Family Homes
• CFS 403 Final And Irrevocable Consent To Adoption By A Specified Person Or Persons-DCFS Case
• CFS 403 Polish OSTATECZNA I NIEODWOŁALNA ZGODA NA ADOPCJĘ PRZEZ WSKAZANĄ OSOBĘ LUB OSOBY: SPRAWA PROWADZONA PRZEZ DEPARTAMENT DS. DZIECI I SPRAW RODZINNYCH (DCFS)
• CFS 403-B Affidavit of Identification
• CFS 403-C Birth Parents' Rights and Responsibilities in Illinois for Final and Irrevocable Consents to Adoption by a Specified Person or Persons - DCFS Cases
• CFS 403-C/P PRAWA I OBOWIĄZKI RODZICÓW BIOLOGICZNYCH W STANIE ILLINOIS W KONTEKŚCIE OSTATECZNEJ I NIEODWOŁALNEJ ZGODY NA ADOPCJĘ PRZEZ WSKAZANĄ OSOBĘ LUB OSOBY - SPRAWY PROWADZONE PRZEZ DEPARTAMENT DS. DZIECI I SPRAW RODZINNYCH (DEPARTAMENT DCFS)
• CFS 403-D Adoptive Parents' Rights and Responsibilities in Illinois
• CFS 403-D/P PRAWA I OBOWIĄZKI RODZICÓW ADOPCYJNYCH W STANIE ILLINOIS
• CFS 403-E Birth Parents' Right and Responsibilities in Illinois
• CFS 403-E/P PRAWA I OBOWIĄZKI RODZICÓW BIOLOGICZNYCHW STANIE ILLINOIS
• CFS 407-3 Community College Payment Program (Fillable)
• CFS 407-4 Education Profile (Assessment)
• CFS 407-6 NIU Educational Access Project for DCFS Referral Form for Education Assistance (Fillable)
• CFS 407-7 Request for DCFS Guardian’s Approval for Home Schooling
• CFS 411-A Report of Investigation for Adoption
• CFS 411-G Report of Investigation for Guardianship
• CFS 414 Letter to the Judge-Costs Incurred during a Child Custody Investigation (Fillable)
• CFS 415 Consent for Ordinary and Routine Medical and Dental Care
• CFS 417 Psychology Department Testing Referral Form
• CFS 417-B Psychological or Neuropsychological Testing/Parenting Capacity Assessment Feedback Reimbursement Form
• CFS 417-D Comprehensive Diagnostic Assessment
• CFS 417-E Request for Psychiatric Evaluation Following Therapy
• CFS 418 Levels of Care Assessment Form
• CFS 418-J Checklist for Children at Initial Placement
• CFS 418-L Pre-Screen for DCFS Youth in Care with Intellectual Disabilities
• CFS 426-4 Legal Risk Placement Agreement
• CFS 427 Affidavit of Agency
• CFS 428 Application/Record of Child Information
• CFS 431 Consent of Guardian to Medical-Surgical Treatment
• CFS 431-1 Consent of Guardian to Mental Health Treatment (Fillable)
• CFS 431-2 Outpatient Psychiatry Request Form
• CFS 431-A Psychotropic Medication Request
• CFS 431-A Psychotropic Medication Request Fax Cover Sheet
• CFS 431-D Request for Copy of Psychotropic Medication (or Other*) Consent
• CFS 433-1 Waiver of Religious Faith and Preference in Adoptive Placement
• CFS 435 Final and Irrevocable Surrender to an Agency for Purposes of Adoption of a Born Child
• CFS 435-2 Surrender To An Agency For Purposes Of Adoption Of An Unborn Child(ren)
• CFS 436-1-A Consent by an Agency for the Adoption of a Minor Child
• CFS 437-3A Denial of Paternity with Entry of Appearance and Consent to Adoption
• CFS 438 Scholarship Program Student Application
• CFS 438-A Tuition and Mandatory Fee Waiver Program (Fillable)
• CFS 440-4 Guide to Risk Factors for Substance Affected Families & Substance Exposed Infants
• CFS 440-5 Adult Substance Abuse Screen
• CFS 440-6 Referral for Adult Alcohol and Other Drug Treatment Services
• CFS 440-7 Consent for Disclosure of Information; Substance Abuse Assessment and/or Treatment
• CFS 440-8 Youth Alcohol and Other Drug Abuse Indicators
• CFS 440-9 Recovery Matrix - Placement Cases
• CFS 440-10 Recovery Matrix - Intact Cases
• CFS 440-11 Substance Affected Families Procedures Checklist
• CFS 440-12 Investigation/Intact Parental Mental Health Case Matrix
• CFS 444 Voluntary Placement Agreement
• CFS 444-2 Appointment of Short-Term Guardian
• CFS 448 Adoption Listing Service Family Registration Agreement
• CFS 449 Youth in College/Vocational Training Application (Fillable)
• CFS 449 Youth in College/Vocational Training Application (With lines to complete by hand)
• CFS 449-1 GPA Education Plan
• CFS 449-2 Employment Job Training Apprenticeship Incentive Program Application (Fillable)
• CFS 449-2 Employment Job Training Apprenticeship Incentive Program Application (With lines to complete by hand)
• CFS 449-3 Application for Education and Training Voucher Funds (Fillable)
• CFS 449-3 Application for Education and Training Voucher Funds (With lines to complete by hand)
• CFS 452 Well Water Agreement
• CFS 452-1 Water Temperature Agreement
• CFS 452-2 Foster Family Firearms Agreement
• CFS 452-3 Acknowledgement of Understanding Concerning Prohibition of Corporal Punishment
• CFS 452-4 Business or Employment Related Child Supervision Plan
• CFS 452-5 Safety Plan for Pools, Hot Tubs, Ponds, and Other Potential Water Hazards
• CFS 452-6 Request for Access to Social Security Number Foster Child(ren)
• CFS 452-7 Compassionate Use of Medical Marijuana Pilot Program Act - Child Care Facility
• CFS 452-A Acknowledgement of Compliance Part 402 Licensing Standards for Foster Family Homes
• CFS 452-B Non-Active Status Request
• CFS 452-C Re-Activation Status Agreement/Removal of Non-Active Status
• CFS 453-A Placement Alternative Contract Safety Checklist
• CFS 453-B Placement Alternative Contract Additional Safety Checklist for a Parenting Youth Whose Children Will Share or Visit the Placement
• CFS 453-C Placement Alternative Contract 90 Days Self-Sufficiency Plan [doc ]
• CFS 454 HMR Placement Safety Checklist
• CFS 454-A Relative Caretaker Information
• CFS 457 Confirmation of Family Meeting
• CFS 458 Relative Caregiver Placement Agreement
• CFS 458-A Statement of Relationship
• CFS 458-B Part I, Family Composition-Initial Family Finding-Household Income
• CFS 458-B Part II, Relative Resources and Positive Supports Worksheet
• CFS 458-C Let Me Tell You About My Child
• CFS 462-1 Cook County Temporary Custody Hearing Results Form
• CFS 467 Statement of Intent
• CFS 468-1 Adoption Listing Service (ALS) Child Registration Form
• CFS 468-1a Adoption Listing Service Listing Eligibility Form
• CFS 470-H Affidavit of Information Disclosure for Adoption
• CFS 483 Caseworker Permanency Planning Checklist
• CFS 483-1 Caregiver Permanency Planning Checklist
• CFS 485 Individualized Assessment of Child for Purposes of Adoption Form
• CFS 490 Interstate Compact Placement Request
• CFS 490-1 Interstate Compact Report on Child's Placement Status
• CFS 490-1A Out of State Placement Agency Application for Registration
• CFS 490-1B Out of State Adoptive Placement Adoption Attorney Application for Registration
• CFS 490-13 Interstate Home Study Outline
• CFS 490-14 Interstate Acknowledgement Form
• CFS 490-15 Interstate Placement Disruption Agreement
• CFS 490-16 Determination Notice
• CFS 490-17 Interstate Compact on Adoption and Medical Assistance (ICAMA) Referral Form
• CFS 492-L Contact License Entry Note [ doc ]
• CFS 496 Client Rights and Responsibilities
• CFS 496-1 Illinois Foster Child and Youth Foster Bill of Rights
• CFS 496-2 DCFS Advocacy Office Youth Issues and Concern
• CFS 496-3 DCFS Advocacy Office Youth Questions and Concerns During COVID-19 Pandemic
• CFS 506-A Foster Home Change Of Address Licensing Assessment
• CFS 506-F Foster Home Information
• CFS 506-F-Update Foster Family Home Information Update
• CFS 506-I Initial Foster Home Licensing Assessment
• CFS 506-R Foster Home Renewal Licensing Assessment
• CFS 507 Resource Referral Form
• CFS 507-FAC Family Advocacy Center Referral Form
• CFS 507-FAC-Instructions Instructions for the Completion of Form 507-FAC
• CFS 508 Report of Persons Employed in a Child Care Facility
• CFS 508-1 Information on Person Employed in a Child Care Facility
• CFS 531 DCFS Regional Nurse Referral Form
• CFS 531 Instructions for DCFS Regional Nurse Referral Form
• CFS 534 Medication Administration Log
• CFS 534-1 Behavior Log
• CFS 542 Initial Inquiry
• CFS 542 Initial Inquiry (with lines to complete by hand)
• CFS 543 Foster Parent Recruitment and Retention Plan (for POS)
• CFS 560 Child Support Certification
• CFS 583-A Certification of Inspection for Unsafe Children's Products (Facilities)
• CFS 583-B Certification of Inspection for Unsafe Children's Products (Homes)
• CFS 574 Foster Parent Training Credit Approval Form
• CFS 574-2 Agency Reporting Form For Adoptive Parent Training Curriculum (includes all 3 Curriculum Content Checklists)
• CFS 578-1 Confirmation of Interest in Foster Home Licensure
• CFS 578-2 New Relative Placement Practice Guide
• CFS 578-3 Payment Comparison Worksheet
• CFS 578-4 Request to Transfer Licensing Responsibility for HMR Home
• CFS 578-5 Comparison: Standard of Need vs. Foster Care Board Rate
• CFS 578-6 Rational For Not Submitting a License Renewal Application
• CFS 578-7 Reason For Expired Renewal Application
• CFS 583-A Certification of Inspection for Unsafe Children's Products for Facilities (Español)
• CFS 583-B Certification of Inspection for Unsafe Children's Products for Homes (Español)
• CFS 585 Documentation Of Inspection Of Smoke Detector In Foster Or Relative Caregiver Home
• CFS 585-1 Fire Evacuation Plan
• CFS 585-2 Certification of Radon Test
• CFS 591 Request for Expanded Capacity Foster Home License (Fillable)
• CFS 593 Consents to Day Care Providers
• CFS 594-A Certification of Re-Examination of Licensed Foster Home Following "Indicated" Child Abuse/Neglect Finding
• CFS 596-35 Confirmation of Reformation Plan
• CFS 596-36 Reformation Plan
• CFS 596-G-W Protective Plan Forwards With Criminal Histories And Indicated Abuse/Neglect Reports
• CFS 596-P Licensed Child Welfare Agency Management Self-Report
• CFS 596-Q Annual Report for Illinois Licensed Adoption Agencies
• CFS 596-R Accounting of Adoption Agency Payments Of Salaries and Other Compensation
• CFS 597 Application for Child Care Facility License
• CFS 597A Application for an Initial Foster Family Home License
• CFS 597-E Request For Assignment of License Personnel ID
• CFS 597-FFH Family Foster Home Licensing Monitoring Record
• CFS 597-R Application for Foster Family Home License for Relative Caregivers
• CFS 600 Certificate of Child Health Examination
• CFS 600-3 Consent for Release of Information
• CFS 600-4 Sharing Information with the Caregiver
• CFS 601 Dental Examination Form
• CFS 602 Medical Report on an Adult in a Child Care Facility
• CFS 604 Medical Evaluation of an Adult in a Foster and Adoptive Home
• CFS 604-1 Foster Home Utilization Assessment
• CFS 613 Family Assessment Consent Form
• CFS 613-1 Family Assessment
• CFS 613-2 Voluntary Family Enhancement Plan
• CFS 613-3 DR Request for Cash Assistance
• CFS 613-4 DR Cash Assistance Reconciliation Advance Request
• CFS 613-5 DR Final Cash Assistance Reconciliation
• CFS 671 Child Care Facility Driver Application
• CFS 672-5 License Exemption Request for School-aged Child Care Programs Non-CCAP
• CFS 672-6 License Exemption for School-aged Child Care Programs CCAP
• CFS 678-DC Day Care Services Eligibility - Verification of Employment Form
• CFS 678-SE Day Care Services Eligibility - Verification of Self-Employment Form
• CFS 680 Child Identification Form
• CFS 680-A Missing Child De-briefing Form
• CFS 685 Ward's Supervision Plan
• CFS 685-1 Adjudicated Sex Offender / Adult Registry Staffing Checklist
• CFS 687 Sexual Abuse Program Summary of Review and Screening
• CFS 688 Foster Home Motor Vehicle Insurance Certification
• CFS 689 Authorization For Background Check For Programs Not Licensed By DCFS
• CFS 690 Asthma Action Plan
• CFS 691 Identification of a Child Diagnosed With Asthma
• CFS 717-E Authorization For Background Checks For Direct Child Welfare Services Employee Licensure Board
• CFS 717-F Authorization For Background Checks For Child Welfare Services Employee Licensure Board
• CFS 717-G Direct Service Child Welfare Employee License Application
• CFS 718-3 Background Check Roster/Registro de Verificación de Antecedentes
• CFS 718-A Authorization for Background Checks for Foster Care and Adoption
• CFS 718-B-DC Authorization for Background Checks for Day Care
• CFS 718-B-AI Authorization for Background Check for Agencies and Institutions
• CFS 718-C Authorization for Background Check for Non Licensed Contract Staff (Fillable)
• CFS 718-D Authorization for Background Check for Unlicensed - Licensed-Exempt Child Care
• CFS 718-L Request for Updated background Check for a Licensed Provider
• CFS 718-4 Request For Transfer of Background Clearance Information
• CFS 731 Certification of Driver's License and Automotive Coverage (Fillable)
• CFS 744 ADA Grievance Form (Fillable)
• CFS 834-A Records Recall Request-Closed Records other than Child Welfare and Adoption Files (Fillable)
• CFS 834-B Records Recall Request-Closed Records Child Welfare and Adoption Files (Fillable)
• CFS 851 Foster Parent Reimbursement Program Claim Form
• CFS 855 Foster Parent/Relative Caregiver Notice of Disclosure of Identifying Information
• CFS 888-3 Case Action Form
• CFS 899-A Two Letter State Abbreviations
• CFS 902 Exceptional Payment Request
• CFS 906-1-E Placement-Payment Authorization Form (Private Agency, Institution, Group Home) (With Email Submit Buttons) (right click and select "Save Target as. " or "Save Link as. " to download to your pc)
• CFS 906-4 Special Service Fee and Payment Extension Form
• CFS 906-5 Residential Care Bed Hold Payment Request
• CFS 906-7 Children's Benefit Fund Request
• CFS 906-8 Youth in Care Transportation Reimbursement Invoice
• CFS 906-9 Initial Placement Start-Up Fund Prepaid Card Issuance and Acknowledgement Form
• CFS 912 Referral Form
• CFS 920 Statement of Money Paid by County
• CFS 921 Statement of Certification
• CFS 922 Statement of Money Received County
• CFS 968-54A Intensive Placement Stabilization (IPS) Referral Form
• CFS 968-62 LAN Program Tools
• CFS 968-62A Child and Family Team Member Signature Sheet
• CFS 968-62B ILO/TLP Safety and Risk Management Plan
• CFS 968-62C ILO/TLP Wraparound Plan
• CFS 968-62D ILO/TLP Staffing Summary
• CFS 968-62E Caseworker Preparation Checklist for ILO/TLP Staffing
• CFS 968-62F ILO/TLP Provider Matching Acceptance Form
• CFS 968-75 Provider Matching Acceptance Form for Reach In
• CFS 968-90 Questions for Mental Health Professionals (Fillable)
• CFS 969-1 Understanding of Future Eligibility for the Enhanced Subsidized Guardianship and Adoption Services Program
• CFS 992-4 Delivery Receipt Form (Fillable)
• CFS 1000-1 Hispanic Client Language Determination Form
• CFS 1000-A Burgos Notification Form
• CFS 1000-6 Notification to Mexican Consulate
• CFS 1016 Immigrant Services Referral Form
• CFS 1042-L Family Reunification Support Special Service Fee Log
• CFS 1050-45 Post Adoption Guardian Services Manual
• CFS 1050-51 Summary of Licensing Standards for Day Care Homes
• CFS 1050-52 Summary of Licensing Standards for Day Care Centers
• CFS 1050-53 Summary of Licensing Standards for Group Day Care Homes
• CFS 1050-95 How to connect with your brothers and sisters. Information for youth, parents and caregivers
• CFS 1420 SACWIS Permanency Goal Form
• CFS 1425 Change of Status Form
• CFS 1425-L Legal History Maintenance Form
• CFS 1426 POS Approval for Case Transfer
• CFS 1427-SA Legal Screening Form Simplified Adoption
• CFS 1427-SG Legal Screening Form SG-KinGap
• CFS 1427-T Legal Screening Form Termination of Parent Rights
• CFS 1427-A-SA Legal Screening Checklist - Simplified Screening for Adoption
• CFS 1427-A-SG Legal Screening Checklist SG-KinGap
• CFS 1427-A-T Legal Screening Checklist - Termination of Parental Rights-Adoption
• CFS 1441 CERAP Safety Determination Form
• CFS 1441-A Safety Plan Form
• CFS 1441-B Safety Plan Termination Agreement
• CFS 1441-C Safety Plan Team Assessment Meeting Form
• CFS 1441-D Safety Plan Rights & Responsibilities for Parents and Guardians
• CFS 1441-E Safety Plan Rights & Responsibilities for Responsible Adult Caregiver & Safety Plan Participants
• CFS 1441-F Safety Plan Responsibilities for Child Protection Specialists and Caseworkers
• CFS 1443 Permanency Commitment By Foster Parent / Relative Caregiver
• CFS 1448 Extended Family Support Program Referral DCP-Intact
• CFS 1448-A EFSP Referral Received Confirmation
• CFS 1448-B EFSP Case Ineligible
• CFS 1448-C EFSP Case Accepted
• CFS 1448-D EFSP Case Withdrawn Billing Form
• CFS 1448-E EFSP Needs Assessment
• CFS 1448-F EFSP Tracking Form for Request for CANTS and LEADS Information
• CFS 1448-G EFSP Closing Report and CFS 1448-PA, EFSP Post Adoption Referral Form
• CFS 1448-PA EFSP Post Adoption Referral Form
• CFS 1452-1 Clinical Intervention For Placement Preservation (CIPP) Meeting Referral Form
• CFS 1452-2 Clinical Intervention For Placement Preservation (CIPP) Action Plan
• CFS 1452-3 Referral Packet Documentation Checklist
• CFS 1452-4 Documented Efforts to Prevent Emergency Shelter Placement
• CFS 1452-5 Documented Efforts to Transition Children and Youth From Shelter Placement
• CFS 1800-A-1 Adoption Assistance Eligibility for Children Not Under the Legal Responsibility of Illinois Department of Children and Family Services
• CFS 1800-A-A Adoption Assistance Eligibility Determination
• CFS 1800-A-G Subsidized Guardianship Eligibility Determination
• CFS 1800-B-A Adoption Assistance Application
• CFS 1800-B-G Subsidized Guardianship Application
• CFS 1800-C-A Interim Adoption Assistance Agreement (doc)
• CFS 1800-C-A Adoption Assistance Agreement
• CFS 1800-C-G Subsidized Guardianship Agreement
• CFS 1800-C-G Interim Subsidized Guardianship Agreement
• CFS 1800-D Direct Payment to Attorney
• CFS 1800-E Welcome Letter
• CFS 1800-F Amendment to Agreement for Assistance
• CFS 1800-H Termination of Adoption/Guardianship Assistance
• CFS 1800-I Follow-up Letter to telephone call re change in child's needs
• CFS 1800-J Letter acknowledging receipt of written request
• CFS 1800-K Post Adoption/Guardianship Services Review Committee Request for Additional Services
• CFS 1800-L Decision Letter Re Change in Child's Needs Circumstance
• CFS 1800-M Notice of Intent to Discontinue Subsidy Payments on 18TH Birthday
• CFS 1800-M-1 Notice of Intent to Discontinue Subsidy Payments on 18th Birthday (Fillable)
• CFS 1800-M-1a Notice for Documentation to Continue Subsidy Payments Until Age 19 or 21 (Fillable)
• CFS 1800-M-2 Final Notice of Intent to Discontinue Subsidy Payments (Fillable)
• CFS 1800-N Dissolved Subsidized Adoption/Guardianship Checklist
• CFS 1800-O Termination of Interim Adoption and Guardianship Assistance
• CFS 1800-P Adoption/Guardianship Verification of Ongoing Monthly Subsidy Payment Amount
• CFS 1800-PAGS Post Adoption and Guardianship Services Acknowledgement
• CFS 1800-R Status of continued Medicaid eligibility
• CFS 1800-S Approved Subsidy Maintenance Form
• CFS 1800-SC Post Permanency Sibling Contact Agreement
• CFS 1800-SC Post Permanency Sibling Contact Agreement (with lines to complete by hand)
• CFS 1800-T-A Adoption Assistance Case Record Checklist
• CFS 1800-T-G Subsidized Guardianship (KINGAP) Case Record Checklist
• CFS 1800-U-60+ Subsidy Checklist
• CFS 1901 Emergency Shelter Approval Form (Fillable)
• CFS 2000 Day Care Service Eligibility Application
• CFS 2000 Instructions for Day Care Service Eligibility Application
• CFS 2000-A Intact Family Services Case - IDCFS-IDHS Child Care Services Referral Form
• CFS 2000-R Day Care Services - Eligibility Redetermination Application
• CFS 2003 On-Site Visit License-Exempt and Unlicensed DC Provider
• CFS 2012 Pre-placement Questionnaire
• CFS 2016 Child Clinical Summary
• CFS 2017 Child/Caregiver Matching Tool
• CFS 2018 Inter-Ethnic Placement Act Assessment Form
• CFS 2023 Special Needs Allowance Utilization Form
• CFS 2025 Home Safety Checklist for Intact and Permanency Workers
• CFS 2026 Home Safety Checklist for Parents and Caregivers
• CFS 2027 Home Safety Checklist for Child Protection Specialists
• CFS 2030-1 NYTD Baseline Survey
• CFS 2030-2 NYTD Follow-Up Survey
• CFS 2032-1 Youth Driven Transition Plan
• CFS 2032 2 Your Future, Your Health - Power of Attorney for Health Care
• CFS 2032-3 Certification of Receipt of Information & Education Regarding Health Care Options
• CFS 2032-5 Countdown to 21 - Quarterly and Annual Data Report
• CFS 2032-7 Re-Entry Alternative Contract Approval
• CFS 2034 Social Media/Mobile Technology for Youth in Care
• CFS 2040-1 Request for IFS Tier 2 Designation (Fillable)
• CFS 2040-2 Intact Family Service Extension Request
• CFS 2040-WR Intact Family Services Weekly Report (Excel File)(right click and select "Save Target as. " or "Save Link as. " to download to your pc)
• CFS 2050-Part A Request for Video Contact with a Parent in IDOC (Fillable)
• CFS 2050-Part B IDOC Video Contact Parental Participation Agreement (Fillable)
• CFS 2051 Ally-IL Participant Acknowledgement of Confidentiality (Fillable)