Provider Forms & Documents

Having trouble viewing the latest version?

Search all data

Owner

Form ID	Form Name	eForms	Instructions	Word Doc Forms	Owner

Penalty for Harboring Notice CS-0749 English: <a href="https://files.dcs.tn.gov/forms/0629I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0629SI.doc" target="blank">Click to Open</a> Civil Rights English: <a href="https://files.dcs.tn.gov/forms/0994.pdf" target="_blank">Click to Open</a> Spanish: n/a Staffing Plan Assessment Program Agreement - BSW-BSSW Tuition Assistance Program CS-0982 Daily Rate Child Placement Contract Between DCS, TN Baptist Children's Homes and Foster Parents CS-0998 English: <a href="https://files.dcs.tn.gov/forms/0984.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0813I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0813SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1103.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0403.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0403S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0559I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0559SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0780.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0749.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0749S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0813.pdf" target="_blank">Click to Open</a> Spanish: n/a Foster Care English: <a href="https://files.dcs.tn.gov/forms/0702I.doc" target="blank">Click to Open</a> Spanish: n/a Youth Acknowledgement and Notification of PREA CS-0939 Relative Caregiver Program Stipend Agreement (Non-Custodial) CS-4236 Waiver of Criminal Convictions, Pre and In-Service Training Requirements, Non-Safety Issues, CPS Substantiations and Education Requirement CS-0921 English: <a href="https://files.dcs.tn.gov/forms/0422I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0017.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0017S.pdf" target="_blank">Click to Open</a> Independent Living English: <a href="https://files.dcs.tn.gov/forms/0206.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0206S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0620.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0620S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0431.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0431S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0583.docx" target="blank">Click to Open</a> Spanish: n/a Health Services Confirmation and Follow-Up Notification CS-0689 English: <a href="https://files.dcs.tn.gov/forms/1017.pdf" target="_blank">Click to Open</a> Spanish: n/a Clinical Service Provider Qualifications CS-1231 Request for Foster Home Transfer CS-0985 Tier II Request for Appeal CS-1062 Foster Parent Applicant Questionnaire CS-0962 0727-1 0496 English: <a href="https://files.dcs.tn.gov/forms/1019.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0702.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1221.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1221S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/4233I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0727I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0727SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0961-1.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961-1S.docx" target="blank">Click to Open</a> Foster Home Approval CS-0702 English: <a href="https://files.dcs.tn.gov/forms/0946I.doc" target="blank">Click to Open</a> Spanish: n/a Drug Screen Consent/Refusal and Results CS-0831 English: <a href="https://files.dcs.tn.gov/forms/0976.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0707.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0707S.docx" target="blank">Click to Open</a> Waiver Agreement and Statement for Criminal History Checks CS-1221 English: <a href="https://files.dcs.tn.gov/forms/1123.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/4233.pdf" target="_blank">Click to Open</a> Spanish: n/a Authorization for Routine Health Services for Minors CS-0206 Special Needs Justification CS-0934 English: <a href="https://files.dcs.tn.gov/forms/0460I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0460SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0435I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0435SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0946.docx" target="blank">Click to Open</a> Spanish: n/a Water Hazard/Pool Safety Assessment Tool CS-4203 English: <a href="https://files.dcs.tn.gov/forms/1097.docx" target="blank">Click to Open</a> Spanish: n/a Record of Training Participation CS-0752 English: <a href="https://files.dcs.tn.gov/forms/0636I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0636SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0782.docx" target="blank">Click to Open</a> Spanish: n/a Foster Care & JJ 0158 Psychotropic Medication Evaluation CS-0629 English: <a href="https://files.dcs.tn.gov/forms/0961.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1158.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0422.docx" target="blank">Click to Open</a> Spanish: n/a PAR English: <a href="https://files.dcs.tn.gov/forms/0705I.doc" target="_blank">Click to Open</a> Spanish: n/a Sub-Contract Request with Non-Performance-Based (PBC) Entities CS-0971 English: <a href="https://files.dcs.tn.gov/forms/0778I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0778SI.doc" target="blank">Click to Open</a> Curriculum Development Request Safe Housing Assessment CS-1236 Application - DCS Tuition Assistance Program BSW-BSSW Program CS-0975 English: <a href="https://files.dcs.tn.gov/forms/1017.docx" target="blank">Click to Open</a> Spanish: n/a Current Description of Child CS-1033 English: <a href="https://files.dcs.tn.gov/forms/0831.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0831S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0674I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0780.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0921.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/4197.docx" target="blank">Click to Open</a> Spanish: n/a Centralized Perm. Services English: <a href="https://files.dcs.tn.gov/forms/0636.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0636S.pdf" target="_blank">Click to Open</a> Fiscal English: <a href="https://files.dcs.tn.gov/forms/4203.docx" target="blank">Click to Open</a> Spanish: n/a Individual Conflict of Interest Statement CS-0972 Border Agreement Kinship Home Placement Checklist and Consent for Medical Treatment CS-0927 Child Safety Plan CS-1044 Individual Sub-Contract CS-0970 Subsidized Permanent Guardianship Eligibility CS-4199 Incident Report - DCS Tuition Assistance Program CS-0980 English: <a href="https://files.dcs.tn.gov/forms/0761I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0761SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1000I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0660.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0660S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0976.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/4236.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/4236S.docx" target="blank">Click to Open</a> Fingerprint Card Information CS-0691 Foster Parent Individual TN KEYS Training Plan CS-1158 English: <a href="https://files.dcs.tn.gov/forms/4233.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://stateoftennessee.formstack.com/forms/request_for_curriculum_development" target="_blank">Click to Open</a> Spanish: n/a Monthly Family Income and Expenditures CS-0431 English: <a href="https://files.dcs.tn.gov/forms/0628.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0628S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0871I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0871SI.doc" target="blank">Click to Open</a> Family Eco-Map CS-0782 English: <a href="https://files.dcs.tn.gov/forms/4238.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/4238S.docx" target="blank">Click to Open</a> Independent Living Program Review Request CS-0761 English: <a href="https://files.dcs.tn.gov/forms/0972I.doc" target="blank">Click to Open</a> Spanish: n/a Border Agreement Non-Custodial Immediate Safety Plan CS-0928 English: <a href="https://files.dcs.tn.gov/forms/1000.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0678I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0678SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0705-1.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0450.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0450S.docx" target="blank">Click to Open</a> Supplier Direct Deposit Authorization (ACH) 0083 English: <a href="https://files.dcs.tn.gov/forms/0628.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0618.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0618S.docx" target="blank">Click to Open</a> Foster Parent Elective Training Documentation CS-1000 Title VI/Title IX Complaint CS-0636 English: <a href="https://files.dcs.tn.gov/forms/0978.docx" target="blank">Click to Open</a> Spanish: n/a Recovery Checklist for Absconders/Runaways/Escapees CS-0705-1 English: <a href="https://files.dcs.tn.gov/forms/1039.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1039S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0934.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1045.docx" target="blank">Click to Open</a> Spanish: n/a Relative Caregiver Program Brochure Foster Family Reference Letter and Questionnaire CS-0963 English: <a href="https://files.dcs.tn.gov/forms/0773.pdf" target="_blank">Click to Open</a> Spanish: n/a Medication for Pass/Respite CS-0836 English: <a href="https://files.dcs.tn.gov/forms/0982.docx" target="blank">Click to Open</a> Spanish: n/a HR English: <a href="https://files.dcs.tn.gov/forms/0705-1I.doc" target="_blank">Click to Open</a> Spanish: n/a 0093 Plan of Study - DCS Tuition Assistance BSW/BSSW Program CS-0981 English: <a href="https://files.dcs.tn.gov/forms/0934I.doc ">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0553.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0553S.docx" target="blank">Click to Open</a> Foster Parent/Other Adult Medical Report CS-0678 English: <a href="https://files.dcs.tn.gov/intranet/forms/0093.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0689I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0689SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1093.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0981.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0630I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0630SI.doc" target="blank">Click to Open</a> Foster Family Home Study Recommendations and Signature Page Student Reference Recommendation - DCS BSW/BSSW Tuition Assistance Program CS-0984 Incident Report CS-0496 Application for Subsidized Permanent Guardianship CS-4201 English: <a href="https://files.dcs.tn.gov/forms/0871.pdf" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0935I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0983.docx" target="blank">Click to Open</a> Spanish: n/a Application for Child Welfare Case Management Certification CS-0994 JJ English: <a href="https://files.dcs.tn.gov/forms/1228.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1228S.docx" target="blank">Click to Open</a> Adoption Record Face Sheet (Closed) CS-0677 English: ] Spanish: n/a Notice of Intent to Claim Paternity or Acknowledgement of Paternity of a Child CS-0439 English: <a href="https://files.dcs.tn.gov/forms/1236.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1236S.docx" target="blank">Click to Open</a> Verification of Employment or Employment Readiness Training (AA/SPG ROE) CS-4239 Relative Caregiver Program Action Plan CS-0620 English: <a href="https://files.dcs.tn.gov/forms/0939I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0939SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0093.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0093S.docx" target="blank">Click to Open</a> EPSDT Screening Report CS-1096 Acknowledgement of Understanding Regarding Placement Acceptance CS-1217 English: <a href="https://files.dcs.tn.gov/forms/0630.pdf" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0630S.pdf" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1016.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0618I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0618SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0831I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0831SI.doc" target="blank">Click to Open</a> Foster Parent Waiver of Right to Appeal the Removal of a Child and Right to 14 Day Notice CS-0583 English: <a href="https://files.dcs.tn.gov/forms/0980.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0439.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0439S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1096.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1096S.docx" target="blank">Click to Open</a> Profile of Parenting Study Tool English: <a href="https://files.dcs.tn.gov/forms/1227.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1237.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1237S.docx" target="blank">Click to Open</a> Full Disclosure Statement: Permanency Options for Relative or Kin Caregivers CS-0660 English: <a href="https://files.dcs.tn.gov/intranet/forms/SupDirDepAuth.pdf" target="_blank">Click to Open</a> Spanish: n/a Performance Based Contracting Formal Committee Review CS-0960 English: <a href="https://files.dcs.tn.gov/forms/1229.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0921I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://stateoftennessee.formstack.com/forms/dcs_staff_supplemental">Click to Open</a> Spanish: n/a Discipline Policy CS-0553 English: <a href="https://files.dcs.tn.gov/forms/0435.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0435S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1100.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0890I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0687.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0929.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0929S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0450I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0450SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1019.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0928I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0928SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0427.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0427S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0670I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0670SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0939.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0939S.pdf" target="_blank">Click to Open</a> English: n/a Spanish: n/a Child's Medical Record CS-0427 Permanency Request for Name and/or Address of Father with Claim of Paternity CS-0435 English: <a href="https://files.dcs.tn.gov/forms/4239.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/4239S.docx" target="blank">Click to Open</a> Records English: <a href="https://files.dcs.tn.gov/forms/0985.docx" target="blank">Click to Open</a> Spanish: n/a Adoption Assistance Agreement Title IV-E Fostering Connections (Effective on or after January 1, 2023 for Youth 16 or older) CS-4237 English: <a href="https://files.dcs.tn.gov/forms/0773I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0158.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0158S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0981.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0684.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0761.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0761S.docx" target="blank">Click to Open</a> Request for Payment for Non-Recurring/Legal Expenses for DCS Custodial Children Ineligible for Adoption Subsidy CS-1203 English: <a href="https://files.dcs.tn.gov/forms/0959I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0984.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0890.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0982.pdf" target="_blank">Click to Open</a> Spanish: n/a Foster Family Home Study CS-0961 English: <a href="https://files.dcs.tn.gov/forms/1217.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1217S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0678.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0678S.docx" target="blank">Click to Open</a> OIT Confidentiality Agreement CS-0684 English: <a href="https://files.dcs.tn.gov/intranet/forms/0093I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0093SI.doc" target="blank">Click to Open</a> Confidentiality Agreement for Full Disclosure CS-1039 Relative Caregiver Program Determination of Financial Eligibility CS-0614 Performance Based Contracting Formal Review Request CS-0959 English: <a href="https://files.dcs.tn.gov/forms/0983.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0688.pdf" target="blank">Click to Open</a> Spanish: n/a 0909 English: <a href="https://files.dcs.tn.gov/forms/1158.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0959.docx" target="blank">Click to Open</a> Spanish: n/a Authorization to Release Academic Information - DCS Tuition Assistance Programs CS-0978 PREA - Sexual Abuse Critical Incident Review CS-1123 English: <a href="https://files.dcs.tn.gov/forms/0627.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0627S.docx" target="blank">Click to Open</a> Foster Parent Training Sign-in Sheet CS-1157 Contractor List of Owners and Board Members CS-0973 English: <a href="https://files.dcs.tn.gov/forms/0705-1.docx" target="_blank">Click to Open</a> Spanish: n/a Power of Attorney for Care of a Minor Child CS-0817 Approval of Participation - DCS MSW/MSSW Tuition Assistance Program CS-0977 English: <a href="https://files.dcs.tn.gov/forms/0980.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0619.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0619S.docx" target="blank">Click to Open</a> Child Safety PME English: <a href="https://files.dcs.tn.gov/forms/1157.docx" target="blank">Click to Open</a> Spanish: n/a 72 Hour Health Screening Report CS-1097 Relative Caregiver Program Family Needs Scale CS-0616 Visitation Observation Checklist CS-0594 0705-1 Prison Rape Elimination Act (PREA) Risk Assessment CS-0946 English: <a href="https://files.dcs.tn.gov/forms/0773.docx" target="blank">Click to Open</a> Spanish: n/a 0910 Intent to Adopt Placement Agreement CS-0460 0929 English: <a href="https://files.dcs.tn.gov/forms/0017.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0017S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0206.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0206S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0460.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0460S.docx" target="blank">Click to Open</a> 0961-1 HIPAA Notice of Privacy Practices - Client Acknowledgement CS-0699 English: <a href="https://files.dcs.tn.gov/forms/0431.pdf" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0431S.pdf" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0929I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0929SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1062.docx">Click to Open</a> Spanish: n/a Foster Home Disaster Plan CS-0871 English: <a href="https://files.dcs.tn.gov/forms/0909.docx" target="blank">Click to Open</a> Spanish: n/a 0927 0928 English: <a href="https://files.dcs.tn.gov/forms/1221.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1221S.pdf" target="_blank">Click to Open</a> Foster Parent Oath to Abide CS-0670 English: <a href="https://files.dcs.tn.gov/forms/0961I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961SI.doc" target="blank">Click to Open</a> 0921 English: <a href="https://files.dcs.tn.gov/forms/0319I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1016.pdf" target="_blank">Click to Open</a> Spanish: n/a Foster Home Assessment or Re-Activation CS-0692 English: <a href="https://files.dcs.tn.gov/forms/0871.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0871S.docx" target="blank">Click to Open</a> Adoptions English: <a href="https://files.dcs.tn.gov/forms/0427I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0427SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0677.docx" target="blank">Click to Open</a> Spanish: n/a Informed Consent for Psychotropic Medication CS-0627 Relative Caregiver Program Letter of Understanding CS-0619 English: <a href="https://files.dcs.tn.gov/forms/0687.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0594.docx" target="blank">Click to Open</a> Spanish: n/a 0817 0939 0813 0934 0935 Tennessee KEY Mutual Assessment Process Questionnaire CS-1228 English: <a href="https://files.dcs.tn.gov/forms/0620I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0620SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1018.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0669.docx" target="blank">Click to Open</a> Spanish: n/a Medical Self-Report CS-0707 English: <a href="https://files.dcs.tn.gov/forms/0973.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0691.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0691S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0969.docx" target="blank">Click to Open</a> Spanish: n/a 0708 0946 English: <a href="https://files.dcs.tn.gov/forms/1033.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1033S.docx" target="blank">Click to Open</a> 0944 English: <a href="https://files.dcs.tn.gov/forms/0594I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0778.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0778S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0975.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0669I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0687I.doc" target="blank">Click to Open</a> Spanish: n/a 0831 English: <a href="https://files.dcs.tn.gov/forms/0707.pdf" target="blank">Click to Open</a> Spanish: n/a PQT English: <a href="https://files.dcs.tn.gov/forms/0628I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0628SI.doc" target="blank">Click to Open</a> Vaccine Exception Declaration for Foster Parents CS-4256 Approval of Participation-Employee Graduate Tuition Reimbursement Program 0959 English: <a href="https://files.dcs.tn.gov/forms/0319.pdf" target="_blank">Click to Open</a> Spanish: n/a 0836 English: <a href="https://files.dcs.tn.gov/forms/0985I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/4232.docx" target="blank">Click to Open</a> Spanish: n/a Initial Intake, Placement and Well-Being Information and History CS-0727 English: <a href="https://files.dcs.tn.gov/forms/0836.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0836S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0741.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://stateoftennessee.formstack.com/forms/course_id_request">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0960.docx" target="blank">Click to Open</a> Spanish: n/a 0963 Prior Approval of PRN Psychotropic Medication CS-0628 0961 0962 Relative Caregiver Family Information CS-0618 0960 English: <a href="https://files.dcs.tn.gov/forms/0699.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0699S.docx" target="blank">Click to Open</a> 0969 Child Health English: <a href="https://files.dcs.tn.gov/forms/0629.pdf" target="_blank">Click to Open</a> Spanish: n/a Release from Medical Responsibility CS-0093 English: <a href="https://files.dcs.tn.gov/forms/0975.docx" target="blank">Click to Open</a> Spanish: n/a Early Periodic Screening Diagnosis & Treatment (EPSDT) Physical Examination CS-0708 Investigation Outcome of Allegations of Sexual Abuse/Harassment CS-4232 English: <a href="https://files.dcs.tn.gov/forms/0970.docx" target="blank">Click to Open</a> Spanish: n/a Foster Home Application for Parenting CS-0688 English: <a href="https://files.dcs.tn.gov/forms/0670.pdf" target="blank">Click to Open</a> Spanish: n/a Notice of Removal of a Child from a Foster Home CS-0450 English: <a href="https://files.dcs.tn.gov/forms/4232I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1062.pdf" target="_blank">Click to Open</a> Spanish: n/a 0975 0972 0973 Foster Home Performance Improvement Plan CS-0909 0970 English: <a href="https://files.dcs.tn.gov/forms/4198.docx" target="blank">Click to Open</a> Spanish: n/a 0971 English: <a href="https://files.dcs.tn.gov/forms/0831.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0831S.docx" target="blank">Click to Open</a> 0619 English: <a href="https://files.dcs.tn.gov/forms/0813.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0813S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0688I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0688SI.doc" target="blank">Click to Open</a> Medication Transfer CS-0813 0618 English: <a href="https://files.dcs.tn.gov/forms/0559.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0559S.docx" target="blank">Click to Open</a> 0978 0979 0976 0977 English: <a href="https://files.dcs.tn.gov/forms/POPSTool.docx" target="blank">Click to Open</a> Spanish: n/a N/A Background Check History and IV-E Eligibility Checklist CS-0687 English: <a href="https://files.dcs.tn.gov/forms/0689.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0689S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0970I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0669.pdf" target="_blank">Click to Open</a> Spanish: n/a Legal English: <a href="https://files.dcs.tn.gov/forms/0431I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0431SI.doc" target="blank">Click to Open</a> TFACTS Access Request for Providers CS-0944 English: <a href="https://files.dcs.tn.gov/forms/0836.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0083BI.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0636.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0636S.docx" target="blank">Click to Open</a> 0985 0983 0984 English: <a href="https://files.dcs.tn.gov/forms/1227.docx" target="blank">Click to Open</a> Spanish: n/a 0981 0982 0980 Production Job Set Up CS-0935 Program Agreement - MSW-MSSW Tuition Assistance Program CS-0983 0749 0628 0629 English: <a href="https://files.dcs.tn.gov/forms/0961.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961S.pdf" target="_blank">Click to Open</a> Foster Home Prescription Medication Record CS-0630 Help Desk Ticket Request for Providers CS-0780 English: <a href="https://files.dcs.tn.gov/forms/0969.pdf" target="_blank">Click to Open</a> Spanish: n/a Application - DCS Tuition Assistance Program MSW-MSSW Program CS-0976 English: <a href="https://files.dcs.tn.gov/forms/0963I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0963SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0927I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0927SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1228.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1228S.pdf" target="_blank">Click to Open</a> Special or Extraordinary Rate Request CS-0674 English: <a href="https://files.dcs.tn.gov/forms/0670.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0670S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/4201.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/4201S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0973I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0979.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0496.docx" target="blank">Click to Open</a> Spanish: n/a Confirmation of Review of Runaway Prevention Plan CS-0910 English: <a href="https://files.dcs.tn.gov/forms/1044.docx" target="blank">Click to Open</a> Spanish: n/a Deferral Request - DCS Tuition Assistance Program CS-0979 English: <a href="https://files.dcs.tn.gov/forms/0909I.doc" target="blank">Click to Open</a> Spanish: n/a 0994 English: <a href="https://files.dcs.tn.gov/forms/1229.docx" target="blank">Click to Open</a> Spanish: n/a 0871 English: <a href="https://files.dcs.tn.gov/forms/0677I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0977.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0817I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0817SI.doc" target="blank">Click to Open</a> Sexual Abuse/Harassment Juvenile Notification Investigation Outcome CS-4233 0998 English: <a href="https://files.dcs.tn.gov/forms/0707I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0707SI.doc" target="blank">Click to Open</a> Initial Approval of Participation Request CS-1103 Notification of Equal Access to Programs CS-0158 0890 English: <a href="https://files.dcs.tn.gov/forms/1230.docx" target="blank">Click to Open</a> Spanish: n/a Training English: <a href="https://files.dcs.tn.gov/forms/1053.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0971I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0614.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0672.docx" target="blank">Click to Open</a> Spanish: n/a Verification of Medical/Mental Health Provider Visit (for Adoption Assistance) CS-4220 English: <a href="https://files.dcs.tn.gov/forms/0676I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0676SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0836I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0836SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0921.pdf" target="_blank">Click to Open</a> Spanish: n/a Performance Based Contractor (PBC) Sub-Contractor CS-0969 English: <a href="https://files.dcs.tn.gov/forms/0705.pdf" target="_blank">Click to Open</a> Spanish: n/a Appeal for Fair Hearing by State Department CS-0403 English: <a href="https://files.dcs.tn.gov/forms/0928.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0928S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0970.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1230I.doc" target="blank">Click to Open</a> Spanish: n/a Foster Home Addendum CS-0773 English: <a href="https://files.dcs.tn.gov/forms/0619.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0619S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0705.docx" target="_blank">Click to Open</a> Spanish: n/a 0780 English: <a href="https://files.dcs.tn.gov/forms/0973.docx" target="blank">Click to Open</a> Spanish: n/a Authorization of Release of Information and HIPAA PHI To or From DCS and Notification of Release CS-0559 English: <a href="https://files.dcs.tn.gov/forms/0962.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0692I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0692SI.doc" target="blank">Click to Open</a> 0778 English: <a href="https://files.dcs.tn.gov/forms/0553.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0553S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0972.docx" target="blank">Click to Open</a> Spanish: n/a Profile of Parenting Supervisor Review Checklist CS-4197 Child/Youth Placement and Well-Being Information CS-0727-1 English: <a href="https://files.dcs.tn.gov/forms/0630.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0630S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0971.docx" target="blank">Click to Open</a> Spanish: n/a Referral for Home Study Service CS-1100 English: <a href="https://files.dcs.tn.gov/forms/0674.docx" target="blank">Click to Open</a> Spanish: n/a Tennessee KEY Assessment CS-1227 Information Services Customer Request CS-0669 English: <a href="https://files.dcs.tn.gov/forms/0692.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0692S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0960I.doc" target="blank">Click to Open</a> Spanish: n/a 0782 Relative Caregiver English: <a href="https://files.dcs.tn.gov/forms/0627I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0627SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0817.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0817S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/RelCareProgBrochure.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0910.pdf" target="_blank">Click to Open</a> Spanish: n/a Program Agreement - DCS Employee Graduate Tuition Reimbursement Program CS-1019 English: <a href="https://files.dcs.tn.gov/forms/0927.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0927S.docx" target="blank">Click to Open</a> 0669 English: <a href="https://files.dcs.tn.gov/forms/0619I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0619SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0629.docx" target="blank">Click to Open</a> Spanish: ] English: <a href="https://files.dcs.tn.gov/forms/0979.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0962I.doc" target="blank">Click to Open</a> Spanish: n/a TN Bureau of Investigation (TBI) Missing Child Report BI-0083 English: <a href="https://files.dcs.tn.gov/forms/0676.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0676S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0660.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0660S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0978.pdf" target="_blank">Click to Open</a> Spanish: n/a 0678 English: <a href="https://files.dcs.tn.gov/forms/4220.docx" target="blank">Click to Open</a> Spanish: n/a Profile of Parenting Home Study Writer CS-4198 English: <a href="https://files.dcs.tn.gov/forms/0741.docm" target="blank">Click to Open</a> Spanish: n/a 0439 0319 Incident Debriefing CS-0890 0559 English: <a href="https://files.dcs.tn.gov/forms/0977.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0158.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0158S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1230.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0963.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0963S.docx" target="blank">Click to Open</a> 0691 0692 Database Search Results CS-0741 0688 English: <a href="https://tennessee.na1.adobesign.com/public/esignWidget?wid=CBFCIBAA3AAABLblqZhCS9AnuEI0sTMBJ2Kwb6yxcoVkD1mdt7lAX-XbWCrVLOPk1difEgDxxiespmbCzVBU*" target="_blank">Click to Open</a> Spanish: n/a 0689 English: <a href="https://files.dcs.tn.gov/forms/4199.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.govforms/4199S.docx" target="blank">Click to Open</a> Training Course ID Request 0687 0684 English: <a href="https://files.dcs.tn.gov/forms/0691.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0691S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0727.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0727S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1053.pdf" target="_blank">Click to Open</a> Spanish: n/a Foster Parent Pre-Service Refresher Training Plan CS-1229 English: <a href="https://files.dcs.tn.gov/forms/1217.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1217S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0727-1I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1033I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/1033SI.doc" target="blank">Click to Open</a> Shared Home Authorization CS-0672 English: <a href="https://files.dcs.tn.gov/forms/4256.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1231I.doc" target="blank">Click to Open</a> Spanish: n/a 0699 English: <a href="https://files.dcs.tn.gov/forms/1203.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0971.pdf" target="_blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0994.docx" target="blank">Click to Open</a> Spanish: n/a Border Agreement Non-Custodial Consent for Transportation CS-0929 English: <a href="https://files.dcs.tn.gov/forms/0727-1.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0972.pdf" target="_blank">Click to Open</a> Spanish: n/a Foster Home Extension Request CS-1018 English: <a href="https://files.dcs.tn.gov/forms/0998.docx" target="blank">Click to Open</a> Spanish: n/a Subsidized Permanent Guardianship Agreement Title IV-E (Effective on or after January 1, 2023 for Youth 16 or older) CS-4238 Application - DCS Employee Graduate Tuition Reimbursement Program English: <a href="https://files.dcs.tn.gov/forms/0944.pdf" target="_blank">Click to Open</a> Spanish: n/a Safe Housing Re-Assessment CS-1237 Home Safety Checklist CS-0676 English: <a href="https://files.dcs.tn.gov/forms/4237.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/4237S.docx" target="blank">Click to Open</a> Relative Caregiver Program Referral CS-1230 English: <a href="https://files.dcs.tn.gov/forms/4236I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/4236SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0660I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0660SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1231.docx" target="blank">Click to Open</a> Spanish: n/a 0583 Verification of Financial Responsibility CS-0017 English: <a href="https://files.dcs.tn.gov/forms/0910.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0688.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0688S.docx" target="blank">Click to Open</a> Provider Case Manager Pre-Service Curriculum Review CS-1053 Transfer, Mail and Acknowledgment of Case Records, Record Materials and Forms CS-0422 English: <a href="https://na1.documents.adobe.com/public/esignWidget?wid=CBFCIBAA3AAABLblqZhDd1Zsp0me4WEqPPhsD-eWrZ50d_0R0W9pUUUQ_CA8uZ8KbKXFf8tyAt0ITrJiBceE">Click to Open</a> Spanish: n/a Application for Service as a Volunteer CS-0319 English: <a href="https://files.dcs.tn.gov/forms/0427.pdf" target="_blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0427S.pdf" target="_blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0939.docx" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0939S.docx" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0946.pdf" target="_blank">Click to Open</a> Spanish: n/a Application for Re-establishment of Foster Care Services CS-0778 English: <a href="https://files.dcs.tn.gov/forms/0616.docx" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0614I.doc" target="blank">Click to Open</a> Spanish: n/a Americans with Disability Act (ADA) Complaint CS-1093 English: <a href="https://files.dcs.tn.gov/forms/0319.docx" target="blank">Click to Open</a> Spanish: n/a Notification Checklist for Absconders/Runaways/Escapees CS-0705 0594 English: <a href="https://files.dcs.tn.gov/forms/0439I.doc" target="blank">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0439SI.doc" target="blank">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0910I.doc" target="blank">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0708.docx" target="blank">Click to Open</a> Spanish: n/a

This Page Last Updated: April 12, 2024 at 12:19 PM