F O R Y O U R I N F O R M A T I O N
Issue / 10-04 / Date: / 01/07/10FORMS POSTING UPDATE
This is to provide staff with an update to the posting of new/revised forms to LA Kids and to the CWS/CMS (LA County specific templates) since the release of FYI 09-59 issued 11/04/09:
Posting to LA Kids Forms Page
DCFS 64T, Bus Token Reconciliation Report
DCFS 81, Administrative Freeze List
DCFS 174, Family Centered Referral Form
DCFS 5230, AB 429 - Family Reunification (FR) Notification Gram To DPSS Gain Services Workers
DCFS 5620, Comparison of Legal And Financial Benefits Adoption, Legal Guardianship and Planned Permanent Living Arrangement
DCFS 5555, Kinship Guardianship Assistance Payment (Kin-Gap) Fact Sheet
NA 1208, NOA- Kin-GAP Basic Approval
NA 1208 (SP), NOA- Kin-GAP Basic Approval (Spanish)
NA 1209, NOA-Kin-GAP Change in Payment Amount
NA 1209 (SP), NOA-Kin-GAP Change in Payment Amount (Spanish)
NA 1210, NOA-Kin-GAP Discontinue
NA 1210 (SP), NOA-Kin-GAP Discontinue (Spanish)
NA 1211, NOA-Kin-GAPDenial
NA 1211 (SP), NOA-Kin-GAPDenial (Spanish)
Application for Investigative Search Warrant /Order for WIC 324.5 Medical Examination
Application for Detention Search Warrant /Order for WIC 324.5 Medical Examination
Warrant Fact Sheet
DCFS - Return to Warrant
Medical Training Confirmation Form
Medical Hub Referral form
/ / If you have any questions regarding this release please
e-mail your question to:
|
Clerical Handbook: http://lacdcfs.org/Policy/Hndbook%20Clerical/Default.htm
Eligibility Handbook: http://lacdcfs.org/Policy/Hndbook%20FCE/TableofContents.htm
Child Welfare Services Handbook: http://lacdcfs.org/Policy/Hndbook%20CWS/default.htm
FYI’s: http://lacdcfs.org/Policy/FYI/TOCFYI.htm
Posting to LA Kids Forms Page (cont.)
KG1, Kin-GAP Mutual Agreement for 18 year olds
KG1 (SP), Kin-GAP Mutual Agreement for 18 year olds (Spanish)
KG2, Kin-GAP Statement of Facts Supporting Eligibility
KG2 (SP), Kin-GAP Statement of Facts Supporting Eligibility(Spanish)
NOA - Adoptions Notice of Action
NOA - Adoptions Notice of Action (SP)
Icebreaker All About Me Questionnaire
Sensitive and Sealed Case Access Security Form
CWS/CMS (LA County specific templates)
DCFS 174, Family Centered Referral Form
DCFS 1726, Request for School Report
DCFS 5122, Department of Children and Family Services (DCFS) Referral Notice
DCFS 5122, Department of Children and Family Services (DCFS) Referral Notice (Spanish)
DCFS DOJ SS 8583 Error Correction Request Form
Medical Hub Referral form