DCF forms by subject
Interstate placements (ICPC, ICAMA)40 forms
NE Region 0006
Northeast Region Florida-Georgia Border Agreement Placement Memorandum
–––
NE Region 0007
Northeast Region Florida-Georgia Border Agreement Home Study Request
–––
NE Region 0008
Northeast Region Florida-Georgia Border Agreement Preliminary Home Study
–––
ICAMA 7.5
ICAMA Information Exchange - Cases Opened with ICAMA 6.01
–––
ICAMA 6.01
ICAMA Notice of Medicaid Eligibility/Case Activation
–––
ICAMA 7.02
ICAMA Notice To Families
–––
ICAMA 7.02b
ICAMA Important Information for Families
–––
CF 0791
ICP Financial Medical Plan
–––
CF 0792
ICPC Receiving State Priority Home Study (ICPC 102)
–––
CF 0793
ICPC Priority Community Based Care Transmittal
–––
CF 0794
ICPC Placement Request (ICPC 100A)
–––
CF 0795
ICPC Report of Placement Status (ICPC 100B)
–––
CF 0797
ICPC Community Based Care Transmittal
–––
CF 0798
ICPC Sending State Priority Home Study Request (ICPC 101)
–––
CF-FSP 5275
ICPC Motion for Order of Compliance under Regulation 2
–1–
CF-FSP 5276
ICPC Order of Compliance and for Expedited Placement Decision Pursuant to Regulation 7
–1–
CF-FSP 5277
ICPC Motion for Order of Compliance and Expedited Placement under Regulation 7
–1–
CF-FSP 5280
ICPC Order of Compliance with Regulation 2
–1–
CF-FSP 5281
ICPC Public Agency Adoption Checklist - Incoming To Florida (Regulation 2)
–––
CF-FSP 5282
ICPC Public Agency Adoption Checklist - Outgoing From Florida to another state (Regulation 2)
–––
CF-FSP 5283
ICPC Private Adoption Entity Checklist - To Florida from other state
–––
CF-FSP 5284
ICPC Private Adoption Entity Checklist - From Florida to other state
–––
CF-FSP 5285
ICPC Parent/Relative/Foster Care Checklist - Incoming To Florida (Regulation 2)
–––
CF-FSP 5286
ICPC Parent/Relative/Foster Care Checklist - Outgoing From Florida to another state (Regulation 2)
–1–
CF-FSP 5287
ICPC Reg. 7 Checklist for Expedited Placement - Incoming To Florida
–––
CF-FSP 5288
ICPC Reg 7 Checklist for Expedited Placement - Outgoing From Florida to another state
–––
CF-FSP 5359
ICPC Parent/Relative/Foster Care Checklist - Outgoing from Florida to another state (Regulation 1)
–––
CF-FSP 5360
ICPC Public Agency Adoption Checklist - Outgoing from Florida to another state (Regulation 1)
–––
CF-FSP 5361
ICPC Motion for Order of Compliance under Regulation 1
–1–
CF-FSP 5362
ICPC Order of Compliance with Regulation 1
–1–
CF-FSP 5363
ICPC Statement of Case Manager/Potential Placement Party under ICPC Regulation 2
–1–
CF-FSP 5364
ICPC Statement of Case Manager/Potential Placement Party under ICPC Regulation 7
–1–
CF-FSP 5365
ICPC Parent/Relative/Foster Care Checklist - Incoming To Florida (Regulation 1)
–––
CF-FSP 5366
ICPC Public Agency Adoption Checklist - Incoming To Florida (Regulation 1)
–––
CF-FSP 5367
ICPC Residential Treatment Checklist - Incoming To Florida from another state (Regulation 4) (Public Agency Request)
–––
CF-FSP 5368
ICPC Residential Treatment Checklist - Outgoing From Florida to another state (Regulation 4) (Public Agency Request)
–1–
CF-FSP 5369
ICPC Residential Treatment Checklist - Incoming To Florida from another state (Regulation 4) (Relative/Parent/Guardian Request)
–––
CF-FSP 5370
ICPC Residential Treatment Checklist - Outgoing From Florida to another state (Regulation 4) (Relative/Parent/Guardian Request)
–––
CF-FSP 5371
ICPC Residential Treatment Checklist - Incoming To Florida from another state (Regulation 4) (Delinquency Request under Article VI) (Microsoft ord)
–––
CF-FSP 5372
ICPC Residential Treatment Checklist - Outgoing From Florida to another state (Regulation 4) (Delinquency Request under Article VI)
–––
Hearings and due process7 forms
CFPI 140-43
Due Process Rights for Adult Services Client
13–
CF/PI 175-74
Due Process Rights for Child Welfare Client
6––
CF-FSP 5303
Independent Living Program Oral Request for Fair Hearing
–––
CF-FSP 5380
Request for Fair Hearing for Child Welfare Client
4––
CF-FSP 5381
Oral Request for Fair Hearing for Child Welfare Client
2––
CF-FSP 5399
Notice of ActionAdopted in Rule 65C-28.008; not on DCF's forms page
11–
CF-FSP5489
Review of Maltreatment Findings
–––
Human trafficking and sexually exploited children7 forms
CF-FSP 5403
Application for Certification as a Safe Foster Home or Safe House
2––
CF-FSP 5404
Prudent Parenting Partnership Plan for Sexually Exploited Children or Young Adults
1––
CF-FSP 5405
Services Plan for Sexually Exploited Children and Young Adults
–1–
CF-FSP 5406
Human Trafficking Screening Tool and Administration Guide
21–
CF-FSP 5413
Screening, Placement and Services for Sexually Exploited Children and Young Adults Reporting Checklist
11–
CF-FSP 5460
Level of Human Trafficking Placement Tool
11–
CF-FSP 5461
Human Trafficking (HT) MDT Staffing
11–
Abuse hotline and protective investigations16 forms
CF/PI 175-17
Child Abuse and Neglect in Florida - A Guide for Professionals
–––
CF/PI 175-32
Child Protection, Your Rights and Responsibilities
–2–
CF/PI 175-66
Child Protection: Your Rights and Responsibilities
–1–
CF/PI 175-73
Child Protective Investigations Involving Foster Parents Information Sheet
–––
CF 1651
Central Abuse Hotline Record Search
12–
CF 1651D
Child Abuse History Record Request for Employment
–––
CF 1654
Florida Abuse Hotline Fax Transmittal (to report abuse/neglect/threatened harm/exploitation)
–––
CF 1959
Incident Report
1––
CF-FSP 4014
Child (Abuse) File Closure Checklist
–––
CF-FSP 5262
Statewide Critical Incident Report
–1–
CF-FSP 5314
Emergency Intake for Protective Investigations
11–
CF-FSP 5341
Psychiatric Evaluation Referral for Child Protective Services
–1–
CF-FSP 5354
Investigators Review of Foster Parent
–––
CF-FSP 5355
Foster Parents Review of Investigator
–––
CF-FSP 5491
Statewide Missing Child Debriefing Form
–––
CF-FSP 5492
Statewide Missing Child Staffing Form
–––
Guardianship assistance6 forms
CF/PI 175-76
Guardianship Assistance Program Brochure
–1–
CF-FSP 5434
Extension of Guardianship Assistance Agreement Between DCF, Young Adult and Guardians Regarding Payments and Services
12–
CF-FSP 5437
Guardianship Assistance Agreement Between DCF and Guardians Regarding Payments and Services
22–
CF-FSP 5440
Guardianship Assistance Payment Approval
1––
CF-FSP 5441
Guardianship Assistance Program Eligibility Redetermination
11–
CF-FSP 5442
Application for Guardianship Assistance Program
1––
Young adults: extended foster care and independent living24 forms
CF/PI 175-77
Youth in Foster Care - Rights, Laws, and Requirements
–––
CF-FSP 5024
Application for Aftercare Services (Relative/Non-Relative/Guardianship/Adoption)
2––
CF-FSP 5220
Tuition and Fee Exemption for Students in Foster Care/Independent Living/Adoption
–––
CF-FSP 5292
Transitional Support Eligibility or Education Training Vouchers (ETV) Funds Application
–––
CF-FSP 5293
Transitional Plan for Recipient of Transitional Support Services
–––
CF-FSP 5296
Road to Independence Program Funds Renewal Checklist
–––
CF-FSP 5297
Road to Independence Program Reinstatement Application
–––
CF-FSP 5302
Request for Road to Independence Program Documentation
–––
CF-FSP 5375
My Decision To Leave Extended Foster Care
21–
CF-FSP 5376
Notice of Discharge from Extended Foster Care
2––
CF-FSP 5377
Extended Foster Care Voluntary Placement Agreement
31–
CF-FSP 5382
Postsecondary Education Services and Support (PESS) and Education and Training Voucher (ETV) Initial, Renewal and Reinstatement Application
1––
CF-FSP 5391
Application for Aftercare Services
4––
CF-FSP 5400
Aftercare Services Plan for Child Welfare Client
–––
CF-FSP 5402
Notice of Termination or Reduction of Aftercare Services and Support
1––
CF-FSP 5407
Notice of Termination of Postsecondary Education Services and Support (PESS)
1––
CF-FSP 5410
Notice of Denial for Readmission into Extended Foster Care
2––
CF-FSP 5425
My Pathway To Success Plan
21–
CF-FSP 5430
Shared Living Plan for Extended Foster Care
2––
CF-FSP 5431
Supervised Living Arrangement Assessment for Extended Foster Care
2––
CF-FSP 5432
Extended Foster Care Agreement
2––
CF-FSP 5444
Life Skills Progress Documentation Log for Child Welfare Case
11–
CF-FSP 5485
Florida Youth Leadership Academy 2027 Mentor Application
–––
CF-FSP 5486
Florida Youth Leadership Academy 2027 Mentee Application
–––
Money: Master Trust, benefits, fees and claims15 forms
DOR CS-AP 80
Request for Authorization to Use State Parent Locator Service
–––
CF 285D
Notice of Fee Assessment And Rights of Foster ChildAdopted in Rule 65C-17.003; not on DCF's forms page
32–
CF 285E
Application for Review of Assessed Fee and Committee FindingsAdopted in Rule 65C-17.005; not on DCF's forms page
11–
CF-FSP 5222
Notarized Designation of Client Money and Property
11–
CF-FSP 5244
Request for TANF Funds/Eligibility Determination - 2026/2027
–1–
CF-FSP 5311
Notice of Changed Circumstances (for clients Master Trust Account)
–––
CF-FSP 5312
Master Trust Expenditure Plan
11–
CF-FSP 5313
Plan for Achieving Self-Support (Non-Disabled)
–––
CF-FSP 5398
Application for Nonrelative Caregiver Financial Assistance
11–
CF-FSP 5415
TANF Maintenance Adoption Subsidy Annual Eligibility Redetermination
–––
CF-FSP 5435
Sliding Fee Scale for Residential Services
–––
CF-FSP 5453
State Institutional Claims for Damages Recommendation
11–
CF-FSP 5459
Restitution Claim for Medical Expenses or Property Damage
2––
CF-FSP 5463
Master Trust Withdrawal Request and Authorization
11–
CF-FSP 5464
ABLE United Acknowledgement Form
–1–
Licensing: foster homes and agencies34 forms
CF 1649
Attestation of Good Moral Character
3––
CF 1785
Community Residential Homes Determination of Need and Licensing Status
–––
CF 1786
Community Residential Homes Local Ordinance Certification
1––
CF-FSP 5007
Application for License To Provide Out-of-Home Care for Dependent Children
11–
CF-FSP 5008
Agreeement to Provide Substitute Care for Dependent Children
–––
CF-FSP 5026
Closing of Licensed Home for Dependent Children
–––
CF-FSP 5027
Relicensing Summary - Foster Homes for Dependent Children (pages 1-5)
–––
CF-FSP 5087
Confidentiality Agreement for Foster Parent Application
1––
CF-FSP 5090
Release of Information for Foster/Adoptive Parent Application
1––
CF-FSP 5117
Personal Reference for Foster Care Application
–––
CF-FSP 5118
Substitute Care School Reference
–––
CF-FSP 5135
Master License Application for Accredited Child-Placing Agencies
1––
CF-FSP 5218
Affidavit of Compliance with Background Screening Requirements for Child Caring Personnel
–1–
CF-FSP 5218A
Attestation of Compliance with Background Screening Requirements for Child Care Personnel
1––
CF-FSP 5223
Case Manager - Case Worker Review of Foster Parent
2––
CF-FSP 5224
Foster Parent Review of Case Worker-Care Manager
1––
CF-FSP 5225
Quality of Licensed Caregivers Home - Community Input
1––
CF-FSP 5227
Child Service Agreement Between DCF and Foster Parent(s)
–––
CF-FSP 5230
Authorization for Release of Health & Medical Info for Prospective Foster/Adoptive Parents
–––
CF-FSP 5343
Acknowledgement of Firearms Safety Requirements
32–
CF-FSP 5353
Exit Interview with Foster Child about Foster Parents
1––
CF-FSP 5356
Memorandum of Agreement for Adoption of Attestation Model for Family Foster Home Licensing
1––
CF-FSP 5357
Attestation for Foster Home Licensure
1––
CF-FSP 5358
Initial Licensing Standards Checklist for 24-Hour Family Care
–––
CF-FSP 5397
Foster Home Inspection Checklist
1––
CF-FSP 5412
License Application for Child-Caring Agency
1––
CF-FSP 5414
Child Placement Agreement
1––
CF-FSP 5416
Re-Licensing Standards Checklist for 24-Hour Family Care
–––
CF-FSP 5436
Request for Fingerprinting Exemption
1––
CF-FSP 5443
Notice of Non-Participation in Licensure for Child Welfare Program
–1–
CF-FSP 5452
Application for Credential as a Qualified Residential Treatment ProgramAdopted in Rule 65C-46.021; not on DCF's forms page
1––
CF-FSP 5457
Percent of Directly Provided Child Welfare Services Calculation (Excel Spreadsheet)
–1–
CF-FSP 5490
CCA Health Inspection Checklist 2024
1––
CF-FSP 5494
Adoption or Foster Home Licensing Character ReferenceAdopted in Rule 65C-16.005; not on DCF's forms page
1––
Adoption20 forms
DH 0527
Certified Statement of Final Decree of Adoption
–––
CF 1490
Application for Adoption Registry Services
1––
CF-FSP 5071
Adoptive Home Application
3––
CF-FSP 5072
Memorandum of Agreement for Prospective Adoption
1––
CF-FSP 5073
Physician Report on Child Placed for Adoption
–––
CF-FSP 5074
Family, Social and Medical Information About Child To Be Adopted (Page 1 of 2)
–––
CF-FSP 5075
Subsidized Adoption Program - Childs Summary
–––
CF-FSP 5076
Birth and Delivery Information for Child Placed for Adoption
–––
CF-FSP 5077
Maintenance Adoption Subsidy Approval
21–
CF-FSP 5078
Subsidized Adoption Program Data Sheet
–––
CF-FSP 5079
Adoption Assistance Agreement Between DCF and Adoptive Parents Regarding Subsidy Payments and Services
21–
CF-FSP 5081
Recommendation for and Consent to Adoption
–––
CF-FSP 5172
Adoption Subsidy Disclaimer
–––
CF-FSP 5327
Application for Adoption Benefits for State Employees and Other Eligible Applicants
1––
CF-FSP 5328
Disclosure Information to Adoptive Parents
1––
CF-FSP 5433
Extension of Adoption Assistance Agreement Between DCF, Young Adult and Adoptive Parents Regarding Subsidy Payments and Services
12–
CF-FSP 5448
Request for Review by Adoption Applicant Review Committee
–1–
CF-FSP 5449
Adoption Applicant Review Committee Recommendation
11–
CF-FSP 5493
Adoption Revenue Maximization Eligibility Checklist
1––
CF-FSP 5498
Adoption Application Review Committee (AARC) Recommendation Cover LetterAdopted in Rule 65C-16.005; not on DCF's forms page
1––
Child care3 forms
Case management, placement and services30 forms
CF 0117
Interagency Sharing of Screening Results from DCF
–––
CF/PI 175-62
Relative Caregiver Program Brochure
–––
CF/PI 175-68
Caregivers and the Courts Brochure
–––
CF 1491
Form CF 1491 has been supereded by form CF 1490
–––
CF-FSP 4006
Consent for Treatment and Release of Medical Information for Family Safety Program
12–
CF-FSP 4008
Affidavit of Understanding for Person Receiving Child Welfare Records
–––
CF-FSP 5004
Voluntary Placement Agreement
21–
CF-FSP 5226
Partnership Plan for Children in Out-of-Home Care
3––
CF-FSP 5228
Psychotropic Medication Informed Consent Facilitation
–1–
CF-FSP 5233
Child Welfare Communication Form
–1–
CF-FSP 5291
Psychotherapeutic Medication Treatment Plan (Obsoleted by form CF-FSP 5339)
–––
CF-FSP 5322
Early Steps Referral Checklist
–––
CF-FSP 5323
Verification of Indian Child Welfare Act Eligibility
12–
CF-FSP 5339
Medical Report for Prescribing Psychotropic Medication to a Child in Out-of-Home Care
11–
CF-FSP 5411
Other Parent Home Assessment (OPHA)
11–
CF-FSP 5417
School Stability Checklist for Children in Out-of-Home Care
1––
CF-FSP 5423
Sworn Statement by the Childs Mother Regarding Identity or Location of Parent
–1–
CF-FSP 5424
Sworn Statement by Person Who Knew the Childs Mother Regarding Identity or Location of Parent
–1–
CF-FSP 5426
Records and Resources Exchanged
11–
CF-FSP 5438
Assessment for Levels of Care and Placement
1––
CF-FSP 5446
Partnership Plan for Unaccompanied Alien and Refugee Minor ChildrenAdopted in Rule 65C-46.022; not on DCF's forms page
1––
CF-FSP 5450
Qualified Residential Treatment Program (QRTP) Extended Placement Request FormAdopted in Rule 65C-28.021; not on DCF's forms page
1––
CF-FSP 5451
Intervention Best Interest Checklist
1––
CF-FSP 5455
Child Exit Interview for Child Welfare Case
1––
CF-FSP 5456
Permanent Guardianship Staffing Checklist
–––
CF-FSP 5462
Education Transition PlanAdopted in Rule 65C-28.018; not on DCF's forms page
1––
CF-FSP 5465
Sibling Placement Assessment Tool
1––
CF-FSP 5466
Placement Transition Plan
2––
CF-FSP 5487
Partnership Plan for Unaccompanied Refugee Minors
–––
CF-FSP 5488
Partnership Plan for Unaccompanied Alien Children
–––
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