0000002815 00000 n Speed up your businesss document workflow by creating the professional online forms and legally-binding electronic signatures. - a copy of a valid picture ID, and hbb``b``H` W endstream endobj 161 0 obj <>/Metadata 125 0 R/Pages 121 0 R/StructTreeRoot 127 0 R/Type/Catalog/ViewerPreferences<>>> endobj 162 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 163 0 obj <> endobj 164 0 obj <> endobj 165 0 obj <> endobj 166 0 obj <> endobj 167 0 obj <> endobj 168 0 obj <> endobj 169 0 obj <> endobj 170 0 obj <>stream 0000003679 00000 n Create your signature, and apply it to the page. IDHS Updates Regarding Provider Payments. The whole procedure can last less than a minute. Keep a copy of all forms for your records. To help us serve you better, please make sure forms are filled out completely and legibly. State of Illinois Department of Human Services - Bureau of Child Care and DevelopmentREQUEST FOR CHILD CARE PROVIDER CHANGE IL444-3455G (R-8-11)Page # of ##To be completed by the Applicant and the Provider Parents or stepparents cannot be paid to provide child care for any children in the home.SECTION 2 - CHILD CARE PROVIDER INFORMATIONTOGETHER (Please print clearly in blue or black ink). There are three variants; a typed, drawn or uploaded signature. And because of its cross-platform nature, signNow works well on any gadget, personal computer or mobile phone, irrespective of the operating system. Go to the Chrome Web Store and add the signNow extension to your browser. - a completed License Exempt Child Care Center Self-Certification form * license-exempt home providers must also provide: - a completed CANTS form. SIGN PAGES 1, 2 AND 3. illinois child care change of provider form. Share your form with others. Draw your signature or initials, place it in the corresponding field and save the changes. Long-term high blood pressure, however, is a major risk factor for stroke, coronary artery disease, heart failure, atrial fibrillation, peripheral arterial disease, vision . CHILD CARE ASSISTANCE PROGRAM FORMS. 0000004201 00000 n Client Name: Address: City: State: Zip: Date of Request: Child Care Case #: Family Size: (Only children under the age of 13 are eligible to receive child care benefits, unless they are. 0000006626 00000 n Families are responsible for paying their original co-payment amount effective 7/1/2020. Parents are required to make a monthly co-payment to the provider to help in the cost of care. Use a illinois child care application 2011 template to make your document workflow more streamlined. With that in mind, our goal is to create a just system for child care and early education that ensures racially and economically equitable outcomes for all children. Install the signNow application on your iOS device. The provider must be approved by the State of Illinois to be compensated for services. Go to the Chrome Web Store and add the signNow extension to your browser. CFS 123 Electronic Mail Communication and Distribution Certificate of Understanding. Child Care Application - To apply for child care assistance. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. You have already flagged this document.Thank you, for helping us keep this platform clean.The editors will have a look at it as soon as possible. CFS 151-C, Placement Review Summary Form. Click, Child Care Application Illinois 2011-2023, illinois action for child application or save, Rate Child Care Application Illinois as 5 stars, Rate Child Care Application Illinois as 4 stars, Rate Child Care Application Illinois as 3 stars, Rate Child Care Application Illinois as 2 stars, Rate Child Care Application Illinois as 1 stars, illinois action for child care application, child care assistance illinois income guidelines 2019, illinois child care change of provider form, Employee of the month criteria checklist form, Boehringer ingelheim patient assistance form pdf, Select the document you want to sign and click. Decide on what kind of signature to create. If you need assistance in completing the application or other documents please contact us for help. 401: Standards for Chilld Welfare Agencies, 377: Facilities and Programs Exempt from Licensure, 381: Advertising by Unlicensed Facilities, Optional State of Illinois Email Encryption Process, Interim Conditional Early Childhood Teacher Policy, CFS 428 Application/Record of Child Information, 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, CANTS 22 Acknowledgment of Mandated Reporter Status, CFS 508 Report of Persons Employed in a Childcare Facility, CFS 508-01 Info on a Person Employed in a Childcare Facility, CFS 583-A Certificate of Inspection for Unsafe Childrens Products (FACILITIES), CFS 583-B Certificate of Inspection for Unsafe Childrens Products (HOME), CFS 597 Application for child care facility license, CFS 602 Medical Report on an Adult in a Childcare Facility, CFS 671 Childcare Facility Driver Application, CFS 718-B Authorization for Background Check For Childcare, CFS 718-B Spanish Authorization for Background Check For Childcare, CFS 689 Authorization for Background Checks for Programs NOT Licensed by DCFS, CFS 2026 Home Safety Checklist for Parents. Due to its universal nature, signNow is compatible with any gadget and any operating system. Begin automating your signature workflows right now. Handling documents with our extensive and intuitive PDF editor is easy. 0000000736 00000 n 03. 01. Usted puede descargar e imprimir una solicitud en papel aqu, Acuerdo para Facturacin por Telfono del Cuidado de Nios, Formulario Opcin de Pago con Tarjeta Dbito MasterCard de Illinois, schedule a consultation phone appointment. Appeal for Termination or Denial of Child Care . All rights reserved. Wage Verification Form: This form is used to verify income for families paid in cash or have just begun a new job and are waiting for two consecutive check stubs. If you have a question about a form in particular, please contact your licensing representative. Two-parent families include those with 2 or more adults living in the home, such as the applicant and his or her spouse or parents of a common child in the home. Below are links to some commonly-used forms. Grace B. Hou, Secretary IDHS Office Locator. AUTHORIZATION FOR BACKGROUND CHECK for Unlicensed/License Exempt Child Care READ INSTRUCTIONS ON PAGE 2. If you want to share the illinois action for child care application with other parties, you can easily send the file by electronic mail. With signNow . Choose the correct version of the editable PDF form from the list and get started filling it out. CFS 151-D, Placement Review: Action Plan. Make sure all forms are filled out completely and legibly. Wage Verification Form - Verify wages and hours until check stubs are available. Click on the fillable fields and include the required info. All rights reserved. Get, Create, Make and Sign il child provider change form Get Form . The signNow extension offers you a variety of features (merging PDFs, including numerous signers, and so on) to guarantee a better signing experience. Read through the recommendations to find out which data you need to provide. Get Form Fill illinois provider change get: Try Risk Free. Forms are available for view in either or both of the following formats: Application Packet Initial Foster Family Home License: Related Caregivers, Office of Inspector General Request for Investigation form. For any questions about your Child Care Assistance Program (CCAP) case, please call 312.823.1100 or schedule a consultation phone appointment. To qualify for the Illinois Department of Human Services Child Care Assistance program: Use the Eligibility Calculator to see if you are eligible for child care assistance. TO CHILD CARE CASE. IAFCs Family Resource team can help eligible families access financial assistance to pay for child care. Families must then choose a child care provider who meets CCDF provider eligibility standards. The Department of Human Services (DHS) Licensing Division has a critical role in monitoring and supporting health and safety in approximately 10,600 licensed child care programs in Minnesota. Once the child care provider has received your case file they will be able to complete an Eligibility Review for Child Care Assistance and an Application for Child Care Assistance. We understand the impact this has on the families and providers we serve and are working diligently to process all client eligibility documents as quickly and efficiently as possible. Submit a completed Application for Child Care Assistanceto our office. With signNow, you are able to design as many documents in a day as you require at a reasonable price. Open the email you received with the documents that need signing. To request an application, redetermination, provider change, Jun 18, 2020 The Minnesota Child Care Assistance Program Redetermination Form DHS-5274 (PDF) is used to redetermine eligibility. Open the doc and select the page that needs to be signed. In order to expedite processing of your application it is important that you read all documents in detail. Licensure provides the necessary oversight mechanisms to ensure child care is provided in a healthy and safe . All you have to do is download it or send it via email. Office of Inspector General Request for Investigation form. We know, with scientific certainty, that the earliest years of life are the most important for educational achievement, social productivity, economic stability, emotional wellbeing, and lifelong health. Usted puede descargar e imprimir una solicitud en papel aqu. If yes, list all child care provider names and registration numbers (if assigned) you seek assistance in paying: List all other child care provider(s) such as Head Start, Pre-K or Child Care at a provider not on this application. The Child Care Application is used when initially applying for child care or when a previous child care case is no longer active. A caregiver who provides child care services pursuant to an EEC voucher provider services agreement. check stubs, school schedule). Select our signature tool and forget about the old times with security, efficiency and affordability. %PDF-1.4 % 0000003412 00000 n REQUEST FOR CHILD CARE PROVIDER CHANGE. Child Care Application: The application is used when initially applying for child care or when a previous child care case is no longer active.The application can be completed online or printed off. (INSTRUCTIONS ON PAGE 7. You can now request a Child Care Assistance Program form be sent to the parents home address. If you want to share the child care provider change form with other parties, you can send it by email. Suite 1700, Edit your illinois action for children redetermination form online. A Wage Verification Form is used to verify a parents employment. 160 22 Use professional pre-built templates to fill in and sign documents online faster. 2023 airSlate Inc. All rights reserved. IAFCs Family Resource team can help eligible families access financial assistance to pay for child care. We, the Village seeks to ensure all Illinois children can receive the child care and early education they need, and parents want, from birth to kindergarten. Use a change of provider form 2011 template to make your document workflow more streamlined. CFS 151-B, Notice of Change of Placement Form. State of IllinoisDepartment of Human Services - Bureau of Child Care and DevelopmentCHANGE OF INFORMATIONCase Number:Parent/Guardian:Date of Notice:Return to:EFFECTIVE DATE OF CHANGE(S):Provider #1:Address:Provider ID#:Co-pay collected from this Prov.? Send action for children redetermination form via email, link, or fax. Child Care Assistance Program (CCAP) Parents and Providers. Choose the correct version of the editable PDF form from the list and get started filling it out. Keep to these simple guidelines to get IL HHS IL444-3455G prepared for sending: Select the form you will need in our collection of legal forms. Get access to thousands of forms. There are now two ways you can request forms electronically: Click the appropriate link below. This is the date the changes will take place.If you have MORE THAN ONE provider, please complete information for BOTH providers.If you are CHANGING providers, please use a Change of Provider form (3455G) from your local CCR&R or Site.If your provider has a DIFFERENT address, please use a Provider Address Change form (4339) from your local CCR . [ 0000001192 00000 n 7)New RateNumber of Children in Care (from to )Change in Site Location: Old Indicator New IndicatorFull Co-Pay Collected at Indicator:Fee Changes: Registration Field Trips Crafts/ExtraOther:IL444-3527 (N-3-11) Page 1 of 8. 03. Start automating your signature workflows today. Get access to thousands of forms. Please read all form instructions carefully. trailer <<750DBFA1310D437F9C055ACEAE955096>]/Prev 711449/XRefStm 1192>> startxref 0 %%EOF 181 0 obj <>stream * Please allow ten business days from the day of receipt for your application to be reviewed. 0000000016 00000 n Share your form with others. Visit brighterfuturesindiana.org; Or you may call 800-299-1627; Families must then have their provider fill out the provider information page. Start signing child care provider change form by means of tool and become one of the numerous happy clients whove already experienced the benefits of in-mail signing. Find a child care provider who will be willing to accept the child care assistance funding. 0000112211 00000 n 0000018414 00000 n We offer the tools and training providers need to perform at their best for the families and children they serve. IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY Are you sure you want to delete your template? Drop off - Our offices are currently closed. Licensing help for child care providers. Create an account using your email or sign in via Google or Facebook. com TRICARE West Region: Health Net Federal Services 1-844-866-9378 https://tricare-west. Parents and Providers may submit documents in a PDF format to our email address at CCAP@ywcachicago.org or by fax. Child Care Restoration Grants 2020. check stubs, school schedule) and keep a copy of all forms for your records. signNow makes signing easier and more convenient since it provides users with a range of additional features like Invite to Sign, Merge Documents, Add Fields, etc. All you have to do is download it or send it via email. Our office hours and phone lines open Monday-Thursday 8:00AM 4:00PM and Friday 8:00AM 1:30PM. 0000001934 00000 n YWCA Metropolitan Chicago Child Care Assistance Program serves parents and providers in the counties of DuPage, Kane and Lake. 0000003298 00000 n A Telephone Billing agreement allows providers to enter their Childcare payment through the Child Care Telephone Billing System, Providers can receive their Childcare Assistance Payments through an Illinois Debit Mastercard. In case of higher rates of any specific provider, parent (s) can contact CCR&Rs at 1 (800) 552-5526 or (815) 741-1179 for cheaper service providers. Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. *Please note that state authorized databases will be used to clarify information submitted to our offices. Type text, add images, blackout confidential details, add comments, highlights and more. CFS 108 Request for Forms. If you would like a list of providers in your area please call us at (630)790-6600. This page includes all DCFS forms available online. Type text, add images, blackout confidential details, add comments, highlights and more. Note The owner of this book is permitted to print one hardcopy of this e-manual These rules have been established to pr Attestation statement example for training, Request for Check of Driving Record - bsccoopbbcomb, 17 Station St., Ste 3 Brookline, MA 02445. A family is considered income-eligible when the combined gross monthly income of all family members is at or below the amounts listed below for the corresponding family size. Begin signing illinois action for child care application using our solution and join the numerous satisfied customers whove previously experienced the key benefits of in-mail signing. Create an account using your email or sign in via Google or Facebook. DZIECI I SPRAW RODZINNYCH (DCFS), 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 OBOWIZKI RODZICW BIOLOGICZNYCH W STANIE ILLINOIS W KONTEKCIE OSTATECZNEJ I NIEODWOALNEJ ZGODY NA ADOPCJ PRZEZ WSKAZAN OSOB LUB OSOBY - SPRAWY PROWADZONE PRZEZ DEPARTAMENT DS. 60602 Adhere to the instructions below to complete Child care redetermination form online easily and quickly: Benefit from DocHub, one of the most easy-to-use editors to promptly manage your documentation online! . All rights reserved. Child Care Assistance Program . 02. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. Sign it in a few clicks. 0000006740 00000 n 0000002349 00000 n ATTENTION! CFS 151 Notice of Decision. Connect to a strong connection to the internet and begin completing documents with a fully legitimate signature within minutes. Type text, add images, blackout confidential details, add comments, highlights and more. 0000111104 00000 n IDHS will end auto-extensions of eligibility effective June 30th. Welcome! It looks like your browser does not have JavaScript enabled. When you call, follow the prompts and select Early Childhood Services (Option 3). The application, in many cases, will replace the need for a current Provider to submit a paper HFS 2243, HFS 2306, HFS 2307 for change . Due to an increase in CCAP enrollment and a temporary staffing shortage, IAFC is currently processing two weeks behind schedule. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. DZIECI I SPRAW RODZINNYCH (DEPARTAMENT DCFS), CFS 403-D Adoptive Parents' Rights and Responsibilities in Illinois, CFS 403-D/P PRAWA I OBOWIZKI RODZICW ADOPCYJNYCH W STANIE ILLINOIS, CFS 403-E Birth Parents' Right and Responsibilities in Illinois, CFS 403-E/P PRAWA I OBOWIZKI RODZICW BIOLOGICZNYCHW STANIE ILLINOIS, CFS 407-3 Community College Payment Program (Fillable), CFS 407-6 NIU Educational Access Project for DCFS Referral Form for Education Assistance (Fillable), CFS 407-7 Request for DCFS Guardians 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-J Checklist for Children at Initial Placement, CFS 418-L Pre-Screen for DCFS Ward with Intellectual Disabilities, 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 pf Appearance and Consent to Adoption, CFS 438, Scholarship Application (Fillable), 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 440-6 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 444-2 Appointment of Short-Term Guardian, CFS 448 Adoption Listing Service Family Registration Agreement, CFS 449 Youth in College/Vocational Training Application, CFS 449-2 Employment Job Training Apprenticeship Incentive Program Application, CFS 449-3 Application for Education and Training Voucher Funds, 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-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, CFS 458 Relative Caregiver Placement Agreement, CFS 458-B Part I, Family Composition-Initial Family Finding-Household Income, CFS 458-B Part II, Relative Resources and Positive Supports Worksheet, CFS 462-1 Cook County Temporary Custody Hearing Results Form, 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 StateAdoptivePlacement Adoption AttorneyApplication for Registration, CFS 490-14 Interstate Acknowledgement Form, CFS 490-15 Interstate Placement Disruption Agreement, CFS 490-17 Interstate Compact on Adoption and Medical Assistance (ICAMA) Referral Form, 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 496-3DCFS Advocacy Office Youth Questionsand ConcernsDuring COVID-19Pandemic, CFS 506-A Foster Home Change Of Address Licensing Assessment, 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 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 542 Initial Inquiry (with lines to complete by hand), CFS 543 Foster Parent Recruitment and Retention Plan (for POS), 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 578-4 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, CFS 583-B Certification of Inspection for Unsafe Children's Products for Homes, CFS 585 Documentation Of Inspection Of Smoke Detector In Foster Or Relative Caregiver Home, CFS 591 Request for Expanded Capacity Foster Home License (Fillable), CFS 594-A Certification of Re-Examination of Licensed Foster Home Following "Indicated" Child Abuse/Neglect Finding, CFS 595-2 Consent for Installation of Smoke Alarm(s) Form (Fillable), 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 602 Medical Report on an Adult in a Child Care Facility, CFS 604 Medical Evaluation of an Adult in a Fosterand Adoptive Home, CFS 604-1 Foster Home Utilization Assessment, CFS 613-2 Voluntary Family Enhancement Plan, 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 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 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 Verificacin de Antecedentes, CFS 718-A Authorization for Background Checks for Foster Care and Adoption, CFS 718-B Authorization for Background Checks for Child Care, 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 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 906-1-E Placement-Payment Authorization Form (Private Agency, Institution, Group Home) (With Email Submit Buttons), 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 920 Statement of Money Paid by County, CFS 922 Statement of Money Received County, CFS 968-54A Intensive Placement Stabilization (IPS) Referral Form, CFS 968-62A Child and Family Team Member Signature Sheet, CFS 968-62B ILO/TLP Safety and Risk Management Plan, 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 1000-1 Hispanic Client Language Determination Form, CFS 1000-6 Notification to Mexican Consulate, CFS 1016ImmigrantServices 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.

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