Provider Forms & Documents

Search all data

Select a Tag

Form ID	Form Name	eForms	Instructions	Word Doc Forms	internet	intranet	other	Owner

English: <a href="https://files.dcs.tn.gov/intranet/forms/1135.doc">Click to Open</a> Spanish: n/a Conditions of Custody - YDC CS-1075 English: <a href="https://files.dcs.tn.gov/intranet/forms/0114.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0980.pdf">Click to Open</a> Spanish: n/a ICJ Form I - Requisition for Runaway Juvenile English: <a href="https://files.dcs.tn.gov/intranet/forms/0800.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0800S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0861I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1006I.doc">Click to Open</a> Spanish: n/a 0128 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJIAVI.pdf">Click to Open</a> Spanish: n/a Surrender of an Inmate of a State or Federal Penitentiary CS-0847 0129 English: <a href="https://files.dcs.tn.gov/forms/1053.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0764.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0234.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0209.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0739.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0930.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0930S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0080FA.pdf">Click to Open</a> Spanish: n/a Tier II Request for Appeal CS-1062 Foster Parent Applicant Questionnaire CS-0962 English: <a href="https://files.dcs.tn.gov/intranet/forms/0888I.doc">Click to Open</a> Spanish: n/a Memo - Guidelines for Smoking and Non-Tobacco Products English: <a href="https://files.dcs.tn.gov/intranet/forms/0058.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0058S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0987.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0403.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0403S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0479.doc">Click to Open</a> Spanish: n/a Prior Authorization for Non-Preferred Medication CS-0854 English: n/a Spanish: n/a Abnormal Involuntary Movement Scale (AIMS) CS-0849 Acknowledgement - Employee Handbook and Personnel Resource Manuals Hot Sheet - Termination Assessment CS-0861 English: <a href="https://files.dcs.tn.gov/intranet/forms/0153.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0977.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0676I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0676SI.doc">Click to Open</a> X English: <a href="https://files.dcs.tn.gov/intranet/forms/1210.doc">Click to Open</a> Spanish: n/a Voluntary Placement Agreement for Transitioning Young Adults CS-0968 English: <a href="https://files.dcs.tn.gov/forms/0669I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0618.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0618S.doc">Click to Open</a> Consent to Adopt CS-0815 AWS Door Sign English: <a href="https://files.dcs.tn.gov/intranet/forms/0251.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0875.doc">Click to Open</a> Spanish: n/a Record of Training Participation CS-0752 English: <a href="https://files.dcs.tn.gov/intranet/forms/0742.pdf">Click to Open</a> Spanish: n/a Educational Summary CS-0889 English: <a href="https://files.dcs.tn.gov/intranet/forms/1040.doc">Click to Open</a> Spanish: n/a Fitness for Duty Medical Packet English: <a href="https://files.dcs.tn.gov/intranet/forms/PedSymScore17.doc">Click to Open</a> Spanish: n/a Detainer Notification CS-0557 English: <a href="https://files.dcs.tn.gov/intranet/forms/0476I.doc">Click to Open</a> Spanish: n/a 0158 0159 Youth Work Application - YDC CS-1072 x English: <a href="https://files.dcs.tn.gov/intranet/forms/0867.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0867S.doc">Click to Open</a> Post-Adoptions English: <a href="https://files.dcs.tn.gov/intranet/forms/1099.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/DetTriAffLtr.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0763.doc">Click to Open</a> Spanish: n/a CPS-SIU Notification of Case Initiation and Closure CS-0826 Sub-Contract Request with Non-Performance-Based (PBC) Entities CS-0971 English: <a href="https://files.dcs.tn.gov/intranet/forms/1090.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1090S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0629.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0629S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0211.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0778I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0778SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0972.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0678I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0678SI.doc">Click to Open</a> Child Death/Systems Analysis Review: Attendance and Confidentiality Agreement CS-0993 English: <a href="https://files.dcs.tn.gov/intranet/forms/0892.doc">Click to Open</a> Spanish: n/a Centralized Perm. Services 0185 Juvenile Justice Community Risk Tool CS-1210 English: <a href="https://files.dcs.tn.gov/intranet/forms/0081I.doc">Click to Open</a> Spanish: n/a 0184 Hold Harmless Agreement CS-0717 English: <a href="https://files.dcs.tn.gov/intranet/forms/0370.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0940I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0749.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0749S.doc">Click to Open</a> Confidentiality Agreement for Child and Family Service Review (CFSR) CS-1146 OCS Hotline Quality Call Review QIP CS-1114 English: <a href="https://files.dcs.tn.gov/intranet/forms/BridgeFamStab.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0870I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1071.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1071S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0958I.doc">Click to Open</a> Spanish: n/a Individual Sub-Contract CS-0970 English: <a href="https://files.dcs.tn.gov/intranet/forms/0600.doc">Click to Open</a> Spanish: n/a 0194 0193 English: <a href="https://files.dcs.tn.gov/intranet/forms/0898.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1157.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0760I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0760SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0900I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0900SI.doc">Click to Open</a> 0189 English: <a href="https://files.dcs.tn.gov/forms/CaseRecRevNot.doc">Click to Open</a> Spanish: n/a Fingerprint Card Information CS-0691 English: <a href="https://files.dcs.tn.gov/forms/0909.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0712I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0717.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1208.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1103.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0159.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0852I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1045.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0978.pdf">Click to Open</a> Spanish: n/a Refusal of Extension of Foster Care Services Notification: Youth Leaving Custody CS-0759 Request for Tennessee Certification/Verification of Birth, Death, Marriage or Divorce CS-0528 Caregiver Prescribed Medication Log CS-1155 English: <a href="https://files.dcs.tn.gov/intranet/forms/NotInvTermVolLtr.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0117I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0948.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0968.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0968S.doc">Click to Open</a> Family Permanency Plan CS-0577 English: <a href="https://files.dcs.tn.gov/intranet/forms/NotVolTermVolLtr.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0757I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0166.pdf">Click to Open</a> Spanish: n/a Authorization to Furnish Information for Quality Service Review and Release from Liability CS-1011 English: <a href="https://files.dcs.tn.gov/intranet/forms/0430.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0598.doc">Click to Open</a> Spanish: n/a Employee Drug Free Workplace Acknowledgement PR-0278 English: <a href="https://files.dcs.tn.gov/intranet/forms/0906I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1006.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1128.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0121.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1110I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0328.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0795.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0712.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1120.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/DCSMemo.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0623.pdf">Click to Open</a> Spanish: n/a Student Reference Recommendation - DCS BSW/BSSW Tuition Assistance Program CS-0984 Incident Report CS-0496 English: <a href="https://files.dcs.tn.gov/intranet/forms/0966.pdf">Click to Open</a> Spanish: n/a Visitation Approval for Critical Illness or Death CS-1102 Determinate Commitment Monthly Report CS-0005 English: <a href="https://files.dcs.tn.gov/forms/0627.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0627S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1130.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1209.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0854.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0624.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0624S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0869I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0869SI.doc">Click to Open</a> Relative Caregiver Program Action Plan CS-0620 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/intranet/forms/1094.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0599I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0599SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/AWSacknowledgement.doc">Click to Open</a> Spanish: n/a Transportation Report CS-0350 English: <a href="https://files.dcs.tn.gov/forms/0677I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0879I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0129.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0081.pdf">Click to Open</a> Spanish: n/a CPS Case Transition Checklist CS-1031 English: <a href="https://files.dcs.tn.gov/intranet/forms/0888.pdf">Click to Open</a> Spanish: n/a English: <a href="https://stateoftennessee.formstack.com/forms/request_for_curriculum_development">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1106.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0819.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0756I.doc">Click to Open</a> Spanish: n/a Motion to Review Institutional Placement Pursuant to Article VI Medical/Social History for Child and Child's Family upon Surrender or Termination of Parental Rights CS-0649 Interstate Compact Report on Child's Placement Status (ICPC 100B) CS-0523 English: <a href="https://files.dcs.tn.gov/intranet/forms/0747.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0747S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0933.doc">Click to Open</a> Spanish: n/a Grievance Disposition Appeal CS-0159 English: <a href="https://files.dcs.tn.gov/intranet/forms/1111I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0883.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0702.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0990.pdf">Click to Open</a> Spanish: n/a Education Child's Medical Record CS-0427 English: <a href="https://files.dcs.tn.gov/intranet/forms/0889I.doc">Click to Open</a> Spanish: n/a Permanency English: <a href="https://files.dcs.tn.gov/intranet/forms/1032I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0526.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1125.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0809I.doc">Click to Open</a> Spanish: n/a Request for Payment for Non-Recurring/Legal Expenses for DCS Custodial Children Ineligible for Adoption Subsidy CS-1203 Non-Custodial Expedited Placement Assessment Summary CS-1005 English: <a href="https://files.dcs.tn.gov/intranet/forms/VolCertLtr.docm">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0080FA.xls">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0561.doc">Click to Open</a> Spanish: n/a Independent Living Allowance Agreement CS-0762 English: <a href="https://files.dcs.tn.gov/intranet/forms/0721I.doc">Click to Open</a> Spanish: n/a OIT English: <a href="https://files.dcs.tn.gov/forms/0158.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0158S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0513.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0513S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1016.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1113.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1018.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0583.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1155I.doc">Click to Open</a> Spanish: n/a Power of Attorney for Care of a Minor Child CS-0817 Consultation Record CS-0081 English: <a href="https://files.dcs.tn.gov/forms/0422I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1009.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0319.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0720I.doc">Click to Open</a> Spanish: n/a New Employee Orientation Administrative Policies and Procedures Acknowledgement CS-0739 Volunteer File Cover Sheet CS-1067 Pediatric Symptom Scoring 17 English: <a href="https://files.dcs.tn.gov/intranet/forms/0640.pdf">Click to Open</a> Spanish: n/a ICPC Reg #7 Expedited Placement Decision Order DCS Volunteer Certification Letter and Instructions English: <a href="https://files.dcs.tn.gov/intranet/forms/0642.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1011.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1011S.pdf">Click to Open</a> ICJ Form VII - Out of State Travel Permit and Agreement to Return Medication Disposal Record CS-0712 English: <a href="https://files.dcs.tn.gov/intranet/forms/1068.pdf">Click to Open</a> Spanish: n/a 72 Hour Health Screening Report CS-1097 English: <a href="https://files.dcs.tn.gov/forms/0761.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0761S.doc">Click to Open</a> Interstate Compact on the Placement of Children (ICPC) Packet English: <a href="https://files.dcs.tn.gov/intranet/forms/1071.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1071S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0069.pdf">Click to Open</a> Spanish: n/a Non-Custodial Consent for Transport CS-0827 English: <a href="https://files.dcs.tn.gov/intranet/forms/0807.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0966I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0559I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0559SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1118.doc">Click to Open</a> Spanish: n/a Internal Affairs Supervisor Certification - Individual Learning Plan English: <a href="https://files.dcs.tn.gov/intranet/forms/1013.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1145I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0941I.doc">Click to Open</a> Spanish: n/a Title IV-E Unemployed Parent Worksheet CS-0966 Trust Fund Transmittal CS-0020 English: <a href="https://files.dcs.tn.gov/intranet/forms/0957I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0126.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0781I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0350.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0851.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0428.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0428S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0653.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0653S.doc">Click to Open</a> Child Protective Services Appeal Summary Guidelines English: <a href="https://files.dcs.tn.gov/intranet/forms/0939.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0939S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0789.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0789S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0636.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0636S.pdf">Click to Open</a> Adoptions English: <a href="https://files.dcs.tn.gov/intranet/forms/VolCertLtrI.doc">Click to Open</a> Spanish: n/a Family Needs Scale CS-0616 Survey of Alleged PREA Incidents CS-0995 Informed Consent for Psychotropic Medication CS-0627 PQI Referral CS-0945 English: <a href="https://files.dcs.tn.gov/intranet/forms/0638.pdf">Click to Open</a> Spanish: n/a Due Process Single Team-Single Plan Model Approach Plan of Care English: <a href="https://files.dcs.tn.gov/forms/1033I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0826.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0691.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0691S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/1033.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0055.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0055S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0851I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1108.doc">Click to Open</a> Spanish: n/a Case Intake Packet Documents and Native American Heritage Verification CS-0050 English: <a href="https://files.dcs.tn.gov/intranet/forms/1072I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1072SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1101.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1017.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0707I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0707SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0185.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0556I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0901.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1056.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0431.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0431S.doc">Click to Open</a> Approval of Participation-Employee Graduate Tuition Reimbursement Program Sick Call CS-0084 English: <a href="https://files.dcs.tn.gov/intranet/forms/0747-1.doc">Click to Open</a> Spanish: n/a Regulations: Liability Statement CS-1065 English: <a href="https://files.dcs.tn.gov/forms/0921.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0885.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1038.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0834.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1030.doc">Click to Open</a> Spanish: n/a Extended Use of Dispatch Vehicle Memo Mental Health Referral CS-1022 Consent by Guardian Ad Litem to Adoption of Mentally Disabled Minor Who is Fourteen Years or Older CS-0647 English: <a href="https://files.dcs.tn.gov/intranet/forms/1091.doc">Click to Open</a> Spanish: n/a Health Screening for Youth in a Youth Development Center CS-0114 English: <a href="https://files.dcs.tn.gov/intranet/forms/0497.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0497S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0606I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0687I.doc">Click to Open</a> Spanish: n/a Runaway Intake - Tennessee Interstate Compact for Juveniles CS-1094 English: <a href="https://files.dcs.tn.gov/forms/0628.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0373.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/PedSymCkLst17.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/PedSymCkLstS.doc">Click to Open</a> Families First Kinship Care Payment Agreement CS-0662 Notice of Removal of a Child from a Foster Home CS-0450 English: <a href="https://files.dcs.tn.gov/intranet/forms/0846I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0846SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0636I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0636SI.doc">Click to Open</a> ICJ Form IA/VI - Application for Services and Waiver Child Protective Investigative Team Review and Form Instructions CS-0561 English: <a href="https://files.dcs.tn.gov/intranet/forms/0764I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1011.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1011S.doc">Click to Open</a> 0619 English: <a href="https://files.dcs.tn.gov/intranet/forms/RelCareProgBrochure.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1013I.doc">Click to Open</a> Spanish: n/a 0618 English: <a href="https://files.dcs.tn.gov/intranet/forms/0602.doc">Click to Open</a> Spanish: n/a Background Check History and IV-E Eligibility Checklist CS-0687 English: <a href="https://files.dcs.tn.gov/intranet/forms/1086I.doc">Click to Open</a> Spanish: n/a Acknowledgment of Donation CS-0531 English: <a href="https://files.dcs.tn.gov/intranet/forms/0898I.doc">Click to Open</a> Spanish: n/a Title IV-E Initial Eligibility CS-0521 English: <a href="https://files.dcs.tn.gov/forms/1096.doc">Click to Open</a> Spanish: n/a Contingency Plan - Foster Homes CS-1014 English: <a href="https://files.dcs.tn.gov/intranet/forms/0882.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSConNot.doc">Click to Open</a> Spanish: n/a Conservator Request and Worksheet CS-1009 English: <a href="https://files.dcs.tn.gov/intranet/forms/0475I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1087.doc">Click to Open</a> Spanish: n/a Administrative Request for Access to Sealed Adoption Records/Release of Information CS-1025 English: <a href="https://files.dcs.tn.gov/intranet/forms/1028.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0702I.doc">Click to Open</a> Spanish: n/a Program Agreement - MSW-MSSW Tuition Assistance Program CS-0983 English: <a href="https://files.dcs.tn.gov/intranet/forms/0055.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0055S.doc">Click to Open</a> OCS Quality Review for Investigations QIP CS-1112 English: <a href="https://files.dcs.tn.gov/intranet/forms/0880.doc">Click to Open</a> Spanish: n/a 0628 0629 English: <a href="https://files.dcs.tn.gov/intranet/forms/1026.doc">Click to Open</a> Spanish: n/a OCS Quality Review for Investigations CS-1111 English: <a href="https://files.dcs.tn.gov/intranet/forms/0849.pdf">Click to Open</a> Spanish: n/a HART Referral English: <a href="https://files.dcs.tn.gov/intranet/forms/0652I.doc">Click to Open</a> Spanish: n/a Pre-Service - Juvenile Justice RCM Individual Learning Plan English: <a href="https://files.dcs.tn.gov/intranet/forms/0558.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0630.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0630S.doc">Click to Open</a> 0639 0638 English: <a href="https://files.dcs.tn.gov/intranet/forms/0093.pdf">Click to Open</a> Spanish: n/a Aid to Families with Dependent Children (AFDC) Budget Sheet CS-0634 Initial Approval of Participation Request CS-1103 n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0653I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0653SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0422.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0194.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0349.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0377.doc">Click to Open</a> Spanish: n/a Training Notification to Service Provider of a DCS Case Closure English: <a href="https://files.dcs.tn.gov/intranet/forms/1067.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1014I.doc">Click to Open</a> Spanish: n/a Adoption Assistance - Subsidized Permanent Guardianship Re-negotiations CS-0936 0648 English: <a href="https://files.dcs.tn.gov/forms/1100.doc">Click to Open</a> Spanish: n/a 0649 English: <a href="https://files.dcs.tn.gov/intranet/forms/0630.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0630S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0856.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0427.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0427S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0278PR.doc">Click to Open</a> Spanish: n/a DCS Filed or Authorized TennCare Appeal for You Letter English: <a href="https://files.dcs.tn.gov/intranet/forms/0084I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0084SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1069I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1069SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0953I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0953SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0435.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0435S.doc">Click to Open</a> Authorization for DCS Custodial Child to Travel Out-of-State/Out-of-Country CS-0679 Notification of Release Processing Checklist CS-1108 Relative Caregiver 0669 English: <a href="https://files.dcs.tn.gov/intranet/forms/1085I.doc">Click to Open</a> Spanish: n/a Visitation Supervisor Background Checks CS-1078 Volunteer Job Description CS-0551 0680 English: <a href="https://files.dcs.tn.gov/intranet/forms/1148I.doc">Click to Open</a> Spanish: n/a 0681 Genogram Contact Sheets CS-0774 English: <a href="https://files.dcs.tn.gov/intranet/forms/0117.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1019.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0873.doc">Click to Open</a> Spanish: n/a CFTM Invitation Template for Single Team Single Plan Model English: <a href="https://files.dcs.tn.gov/intranet/forms/0619I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0619SI.doc">Click to Open</a> 0678 Affidavit CS-0798 English: <a href="https://files.dcs.tn.gov/intranet/forms/0647.doc">Click to Open</a> Spanish: n/a Education/JJ Immunization/TB Control Record CS-0121 English: <a href="https://files.dcs.tn.gov/intranet/forms/0870.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1062.doc ">Click to Open</a> Spanish: n/a Incident Debriefing CS-0890 0679 English: <a href="https://files.dcs.tn.gov/intranet/forms/0565.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0565S.doc">Click to Open</a> Tuberculosis Risk Assessment for YDC Youth CS-0924 English: <a href="https://files.dcs.tn.gov/intranet/forms/0394.doc">Click to Open</a> Spanish: n/a Referral for Legal Representation on a TennCare Appeal CS-1095 0691 Orientation Checklist for Youth in a Youth Development Center CS-0176 0692 Local Forms Justification and Approval CS-0718 English: <a href="https://files.dcs.tn.gov/intranet/forms/0561I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0628I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0628SI.doc">Click to Open</a> 0688 0689 0686 English: <a href="https://files.dcs.tn.gov/intranet/forms/0587.pdf">Click to Open</a> Spanish: n/a Youth Transportation Checkout Log for Wilder CS-1117 0687 0684 English: <a href="https://files.dcs.tn.gov/intranet/forms/1065.doc">Click to Open</a> Spanish: n/a 0682 Local Administrative Procedures and Protocols CS-0251 English: <a href="https://files.dcs.tn.gov/forms/0513I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0513SI.doc">Click to Open</a> 0209 English: <a href="https://files.dcs.tn.gov/intranet/forms/0634.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1083I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0836I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0836SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0855.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/Notice-InVolTerm.doc">Click to Open</a> Spanish: n/a OCS Quality Review for Special Investigations CS-1110 English: <a href="https://files.dcs.tn.gov/intranet/forms/0165.doc">Click to Open</a> Spanish: n/a CWBC English: <a href="https://files.dcs.tn.gov/intranet/forms/0851.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0644.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0644S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1064.doc">Click to Open</a> Spanish: n/a Employee Payroll Attendance Leave Adjustment PR-0050 0699 English: <a href="https://files.dcs.tn.gov/intranet/forms/0913.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0913S.pdf">Click to Open</a> Volunteer Annual Assessment CS-0933 English: <a href="https://files.dcs.tn.gov/intranet/forms/0850.doc">Click to Open</a> Spanish: n/a 0693 Border Agreement Non-Custodial Consent for Transportation CS-0929 English: <a href="https://files.dcs.tn.gov/intranet/forms/1060.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0705I.doc">Click to Open</a> Spanish: n/a Educational Placement Evaluation CS-0772 English: <a href="https://files.dcs.tn.gov/intranet/forms/0579.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1052.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/TobaccoSmokingMemo.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/TobaccoSmokingMemoS.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0630I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0630SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0773I.doc">Click to Open</a> Spanish: n/a ICJ Form III - Consent for Voluntary Return by Runaway, Escapee, or Absconder English: <a href="https://files.dcs.tn.gov/forms/1079.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0973I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0553.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0553S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0858.doc">Click to Open</a> Spanish: n/a Application for Service as a Volunteer CS-0319 English: <a href="https://files.dcs.tn.gov/intranet/forms/0058.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0058S.doc">Click to Open</a> Application for Re-establishment of Foster Care Services CS-0778 English: <a href="https://files.dcs.tn.gov/intranet/forms/1058.doc">Click to Open</a> Spanish: n/a HIPAA Request for an Accounting of Disclosures of Protected Health Information CS-0754 English: <a href="https://files.dcs.tn.gov/intranet/forms/1055.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0400.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0849.doc">Click to Open</a> Spanish: n/a Notice of Voluntary Termination for Volunteer Service English: <a href="https://files.dcs.tn.gov/intranet/forms/0358.doc">Click to Open</a> Spanish: n/a In-Out Guide for Records CS-0776 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/intranet/forms/0557I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0518.dot">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0681.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1086.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0877I.doc">Click to Open</a> Spanish: n/a 0249 Uniform Replacement Request CS-0602 English: <a href="https://files.dcs.tn.gov/intranet/forms/0004.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0185.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1025.doc">Click to Open</a> Spanish: n/a Treatment Record CS-0856 Verification of Policy Understanding for Interns and Volunteers CS-1056 Foster Care English: <a href="https://files.dcs.tn.gov/intranet/forms/0050.docx">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0050S.doc">Click to Open</a> ICJ Form II - Requisition for Escapee or Absconder English: <a href="https://files.dcs.tn.gov/intranet/forms/0899.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0369.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0754.doc">Click to Open</a> Spanish: n/a HIPAA Request for Amendment of Protected Health Information CS-0755 English: <a href="https://files.dcs.tn.gov/intranet/forms/0184-1.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0754I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0850I.doc">Click to Open</a> Spanish: n/a Health Services Confirmation and Follow-Up Notification CS-0689 English: <a href="https://files.dcs.tn.gov/intranet/forms/0924.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSAppSumGuide.doc">Click to Open</a> Spanish: n/a PATH Participant Assessment CS-1038 Accident/Incident/Injury Report CS-0166 English: <a href="https://files.dcs.tn.gov/forms/1093.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0058I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0058SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0296.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0528.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0160.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0160S.doc">Click to Open</a> Notice of Grievance Disposition CS-0160 Special Education Referral Tracking Sheet CS-0880 Authorization for Routine Health Services for Minors CS-0206 English: <a href="https://files.dcs.tn.gov/intranet/forms/1022.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0669.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1016.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1069.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1069S.doc">Click to Open</a> Electronic Monitoring Equipment Liability Acceptance CS-0823 English: <a href="https://files.dcs.tn.gov/intranet/forms/0732.doc">Click to Open</a> Spanish: n/a Daily Rate Child Placement Contract for Special/Extraordinary Rates and Regular, KEEP, and Kinship Foster Parents Approved to Provide Temporary Care CS-0565 Spanish CPS Intro Letter with Translation English: <a href="https://files.dcs.tn.gov/forms/0979.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0691.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0691S.doc">Click to Open</a> 0278 English: <a href="https://files.dcs.tn.gov/intranet/forms/0599.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0599S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1014.doc">Click to Open</a> Spanish: n/a Transportation Request CS-0351 Voluntary Placement Agreement Regional Request for Unique Care Agreement CS-0873 English: <a href="https://files.dcs.tn.gov/intranet/forms/0787.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1159.doc">Click to Open</a> Spanish: n/a PAR Diabetic Record CS-0851 0296 English: <a href="https://files.dcs.tn.gov/intranet/forms/0721.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0857.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0982.pdf">Click to Open</a> Spanish: n/a Application - DCS Tuition Assistance Program BSW-BSSW Program CS-0975 English: <a href="https://files.dcs.tn.gov/intranet/forms/1133.doc">Click to Open</a> Spanish: n/a Current Description of Child CS-1033 Community Service Work Activity Report CS-0807 TN Early Intervention System (TEIS) Referral CS-0811 Medications Returned to Pharmacy CS-0526 Acknowledgment of Payroll Deduction Authorization for Reimbursement of Assigned State Property CS-0600 English: <a href="https://files.dcs.tn.gov/intranet/forms/0957.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0891.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0881I.doc">Click to Open</a> Spanish: n/a Disclosure of Confidential Information CS-0882 English: <a href="https://files.dcs.tn.gov/intranet/forms/0568.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0619.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0619S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0377.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0740I.doc">Click to Open</a> Spanish: n/a Sexual Assault Response Team (SART) Checklist CS-1032 ICPC English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSSIUUnSubstanLtr.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0620.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0620S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0867I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0867SI.doc">Click to Open</a> Child Safety Plan CS-1044 English: <a href="https://files.dcs.tn.gov/intranet/forms/1137.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0991.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1062.pdf">Click to Open</a> Spanish: n/a Limited Activity Notice CS-0194 English: <a href="https://files.dcs.tn.gov/intranet/forms/0888.doc">Click to Open</a> Spanish: n/a Graduation Requirements-Student Test Record CS-0877 English: <a href="https://files.dcs.tn.gov/intranet/forms/0618I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0618SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/CFTMInvSTSP.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSRemPacket.docx">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0693.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0693S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0210.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0210S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0327.pdf">Click to Open</a> Spanish: n/a Employee Notification of Conditions of Employment CS-0185 English: <a href="https://files.dcs.tn.gov/intranet/forms/0734.pdf">Click to Open</a> Spanish: n/a Employee Conflict of Interest Statement CS-0748 English: <a href="https://files.dcs.tn.gov/intranet/forms/1069.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1069S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0741.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0128I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0763I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1148.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1012I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0776.doc">Click to Open</a> Spanish: n/a Family Eco-Map CS-0782 CPS-SIU Foster Parent Advocate Form Letter English: <a href="https://files.dcs.tn.gov/forms/0836.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0836S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0687.pdf">Click to Open</a> Spanish: n/a 0577-1 Audiogram CS-0850 0747-1 English: <a href="https://files.dcs.tn.gov/intranet/forms/0834.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1206.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0971.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1144.doc">Click to Open</a> Spanish: n/a Urinalysis Report CS-0858 English: <a href="https://files.dcs.tn.gov/intranet/forms/0557.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1070.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1070S.doc">Click to Open</a> Title VI/Title IX Complaint CS-0636 English: <a href="https://files.dcs.tn.gov/intranet/forms/1124.xls">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0223I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/QuartDepComSigMemo.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0946.doc">Click to Open</a> Spanish: n/a Background Criminal History - Expedited/Emergency Purpose Code CS-0750 English: <a href="https://files.dcs.tn.gov/intranet/forms/0995.docx">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0189.pdf">Click to Open</a> Spanish: n/a Electronic Case File Checklist CS-1202 Notification of Restrictive Behavior Management Practices CS-1046 Non-Custodial Permanency Plan CS-0787 Child Care Assistance Referral and Authorization CS-0556 English: <a href="https://files.dcs.tn.gov/forms/1079I.doc">Click to Open</a> Spanish: n/a Determinate Commitment Release Notification CS-0004 English: <a href="https://files.dcs.tn.gov/intranet/forms/0917.doc">Click to Open</a> Spanish: n/a Personal Property Inventory for a YDC CS-0162 Notice of Child Welfare Benefits Summary for a Custodial Child CS-0508 Foster Parent/Other Adult Medical Report CS-0678 Home Language and Migrant Survey CS-0878 English: <a href="https://files.dcs.tn.gov/intranet/forms/0847I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0847SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0987I.doc">Click to Open</a> Spanish: n/a Video Authorization CS-0879 Child and Family Team Meeting Summary (Handwritten) CS-0747-1 English: <a href="https://files.dcs.tn.gov/intranet/forms/1021.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/SupDirDepAuth.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0774I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0774SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0075I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1143I.doc">Click to Open</a> Spanish: n/a Americans with Disability Act (ADA) Employee Request for Accommodation CS-1092 CPS Intake CS-0680 English: <a href="https://files.dcs.tn.gov/intranet/forms/0663.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0772.pdf">Click to Open</a> Spanish: n/a Adoption Record Face Sheet (Closed) CS-0677 Business Cards English: <a href="https://files.dcs.tn.gov/forms/0553.pdf">Click to Open</a> Spanish: n/a Youth Development Center Shift Roster CS-0242 English: <a href="https://files.dcs.tn.gov/intranet/forms/0823.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1010.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0709.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1008I.doc">Click to Open</a> Spanish: n/a Waiver of Interest and Notice CS-0794 Employee Professional Development Plan CS-0965 Family Intervention Services Application CS-0498 English: <a href="https://files.dcs.tn.gov/intranet/forms/0551.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0993.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0427.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0427S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1104.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0991I.doc">Click to Open</a> Spanish: n/a Child with Special Health Care Needs CS-0716 Profile of Parenting Study Tool English: <a href="https://files.dcs.tn.gov/intranet/forms/MemoCellPhAuth.doc">Click to Open</a> Spanish: n/a Waiver Request for Adoption and Guardianship Preparation Training CS-1118 English: <a href="https://files.dcs.tn.gov/intranet/forms/0906.doc">Click to Open</a> Spanish: n/a Surrender of Child by a Parent or Guardian in Another State or Territory to the Department of Children's Services CS-0653 English: <a href="https://files.dcs.tn.gov/forms/0961I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1055.pdf">Click to Open</a> Spanish: n/a Performance Based Contracting Formal Committee Review CS-0960 English: <a href="https://files.dcs.tn.gov/intranet/forms/0519.pdf">Click to Open</a> Spanish: n/a CPS/Non-Custodial Case File Documentation and Organization Checklist CS-0726 Discipline Policy CS-0553 English: <a href="https://files.dcs.tn.gov/intranet/forms/0809.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0309.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0231TR.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0801.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0234.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0760.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0760S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0377I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/PedSymCkLst17.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/PedSymCkLst17S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0798.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0128.doc">Click to Open</a> Spanish: n/a CQI HIPAA Request for Access to Protected Health Information CS-0753 English: <a href="https://files.dcs.tn.gov/intranet/forms/0577.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0577S.doc">Click to Open</a> Records English: <a href="https://files.dcs.tn.gov/intranet/forms/0816.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1122.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0827I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0827SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0559.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0559S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1126.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0854I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0223.doc">Click to Open</a> Spanish: n/a Tasks and Tools Checklist/Timeline Vehicle Reservation Request CS-0990 Foster Family Home Study CS-0961 Child and Family Team Meeting Confidentiality Agreement CS-0624 English: <a href="https://files.dcs.tn.gov/intranet/forms/0073.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0921I.doc">Click to Open</a> Spanish: n/a DCS Did Not File or Authorize TennCare Appeal for You Letter Certification of Eligibility for Subsidized Permanent Guardianship CS-0917 Employee Acknowledgement of Prior Health Insurance Coverage CS-0742 English: <a href="https://files.dcs.tn.gov/forms/0439.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0439S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0111.doc">Click to Open</a> Spanish: n/a TennCare Immediate Eligibility English: <a href="https://files.dcs.tn.gov/intranet/forms/1111.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0875.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0900.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0900S.doc">Click to Open</a> PREA - Sexual Abuse Critical Incident Review CS-1123 Adoption of a Mentally Disabled Adult CS-0644 English: <a href="https://files.dcs.tn.gov/intranet/forms/1115.doc">Click to Open</a> Spanish: n/a Family Intervention Services Case Closure CS-0819 Certification of Completion of Legal Counseling CS-0643 Youth PREA CS-0939 English: <a href="https://files.dcs.tn.gov/intranet/forms/AutVen.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0705.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0820I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1007.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0679I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0679SI.doc">Click to Open</a> Systems Analysis Review: Team Member Commitment Agreement CS-0992 English: <a href="https://files.dcs.tn.gov/intranet/forms/VS-AnnualUpdateLetter.doc">Click to Open</a> Spanish: n/a Predisposition Investigation CS-0153 English: <a href="https://files.dcs.tn.gov/intranet/forms/0166I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/RevInstPlace.doc">Click to Open</a> Spanish: n/a Visitation Observation Checklist CS-0594 English: <a href="https://files.dcs.tn.gov/intranet/forms/1119.doc">Click to Open</a> Spanish: n/a Suicide Monitoring Cover Sheet/Log for a YDC CS-1109 Checklist for Preparing Adoptive Parents CS-0900 English: <a href="https://files.dcs.tn.gov/intranet/forms/0117.doc">Click to Open</a> Spanish: n/a Intent to Adopt Placement Agreement CS-0460 English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSAppSumGuideI.doc">Click to Open</a> Spanish: n/a Individual Program Plan Monthly Review CS-0388 English: <a href="https://files.dcs.tn.gov/forms/0817I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0817SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0986.doc">Click to Open</a> Spanish: n/a Advance Notice Registry CS-1027 0961-1 Custody Intake Packet English: <a href="https://files.dcs.tn.gov/intranet/forms/0940.doc">Click to Open</a> Spanish: n/a Foster Home Disaster Plan CS-0871 English: <a href="https://files.dcs.tn.gov/intranet/forms/0827.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0827S.doc">Click to Open</a> Dental Record CS-0120 Student Seclusion Placement CS-0165 Foster Parent Oath to Abide CS-0670 English: <a href="https://files.dcs.tn.gov/intranet/forms/0533.doc">Click to Open</a> Spanish: n/a Interstate Compact on the Placement of Children (ICPC) Financial-Medical Plan CS-0795 English: <a href="https://files.dcs.tn.gov/intranet/forms/0521.dot">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0669.pdf">Click to Open</a> Spanish: n/a Youth Education-Training Record CS-0888 English: <a href="https://files.dcs.tn.gov/intranet/forms/0792.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0924.pdf">Click to Open</a> Spanish: n/a Subsidized Permanent Guardianship Subsidy Renewal Affidavit CS-0459 English: <a href="https://files.dcs.tn.gov/intranet/forms/0479.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0176I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0176SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0982.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0781.doc">Click to Open</a> Spanish: n/a Release to Home Placement Request CS-0130 0709 English: <a href="https://files.dcs.tn.gov/forms/0930I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0930SI.doc">Click to Open</a> Notice and Motion - Unruly CS-0483 English: <a href="https://files.dcs.tn.gov/intranet/forms/1146.pdf">Click to Open</a> Spanish: n/a Juvenile Justice Youth Placement Referral Checklist CS-1143 English: <a href="https://files.dcs.tn.gov/intranet/forms/0939.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0939S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0557.doc">Click to Open</a> Spanish: n/a ICJ - Petition for Hearing on Requisition for Runaway Juvenile English: <a href="https://files.dcs.tn.gov/forms/0705.pdf">Click to Open</a> Spanish: n/a Immediate Protection Agreement CS-0701 English: <a href="https://files.dcs.tn.gov/intranet/forms/0660.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0660S.doc">Click to Open</a> 0708 English: <a href="https://files.dcs.tn.gov/forms/0971.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0249.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0012.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0012S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0309.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0886.pdf">Click to Open</a> Spanish: n/a OCS Child Abuse Hotline Quality Call Review CS-1115 English: <a href="https://files.dcs.tn.gov/intranet/forms/0856I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0948.pdf">Click to Open</a> Spanish: n/a PQI English: <a href="https://files.dcs.tn.gov/intranet/forms/0946.pdf">Click to Open</a> Spanish: n/a Developing Quality Research and Surveys English: <a href="https://files.dcs.tn.gov/intranet/forms/0193.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0193S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJI.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0623.xls">Click to Open</a> Spanish: n/a 0718 0719 Notice of Apprehension CS-0296 English: <a href="https://files.dcs.tn.gov/intranet/forms/0703.doc">Click to Open</a> Spanish: n/a Suspension/Expulsion Documentation CS-0655 English: <a href="https://files.dcs.tn.gov/intranet/forms/0759.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0759S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0899.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0657I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0928I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0928SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1074.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1074S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1066.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1066S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0813I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0813SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0427I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0427SI.doc">Click to Open</a> Pre-Service - Permanency Individual Learning Plan English: <a href="https://files.dcs.tn.gov/intranet/forms/ConNativeAmHerLtr.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0853.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0853S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0531.doc">Click to Open</a> Spanish: n/a 0728 Release from Medical Responsibility CS-0093 English: <a href="https://files.dcs.tn.gov/forms/0959I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/VolAccRejLtrI.doc">Click to Open</a> Spanish: n/a Tool Inventory Log CS-1138 English: <a href="https://files.dcs.tn.gov/intranet/forms/0924I.doc">Click to Open</a> Spanish: n/a Confidential Court Report CS-0816 DCS Statewide Travel Optimizer English: <a href="https://files.dcs.tn.gov/intranet/forms/0075.doc">Click to Open</a> Spanish: n/a Medication Transfer CS-0813 0739 English: <a href="https://files.dcs.tn.gov/forms/0450I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0450SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0732.pdf">Click to Open</a> Spanish: n/a Legal English: <a href="https://files.dcs.tn.gov/intranet/forms/0957.pdf">Click to Open</a> Spanish: n/a TFACTS Access Request for Providers CS-0944 English: <a href="https://files.dcs.tn.gov/intranet/forms/0528I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0955.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0508.pdf">Click to Open</a> Spanish: n/a 0749 0748 Subsidized Permanent Guardianship Agreement CS-0721 Youth Community Employment Contract CS-1068 English: <a href="https://files.dcs.tn.gov/intranet/forms/0772.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1140.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0718.doc">Click to Open</a> Spanish: n/a Payment Disclosure for Use in Petition for Adoption CS-0639 English: <a href="https://files.dcs.tn.gov/intranet/forms/0716.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJIV.pdf">Click to Open</a> Spanish: n/a Procurement Request CS-0249 English: <a href="https://files.dcs.tn.gov/forms/0083BI.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/AbGuideCklst.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0488I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0488SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1202.doc">Click to Open</a> Spanish: n/a Confirmation of Review of Runaway Prevention Plan CS-0910 English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSCONNotReg.doc">Click to Open</a> Spanish: n/a Deferral Request - DCS Tuition Assistance Program CS-0979 English: <a href="https://files.dcs.tn.gov/forms/0977.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0975.pdf">Click to Open</a> Spanish: n/a Incident Report for Damaged, Lost, Missing or Stolen State Property and Equipment CS-0986 English: <a href="https://files.dcs.tn.gov/forms/0973.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0979.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0960.doc">Click to Open</a> Spanish: n/a Physician's Order Sheet CS-0948 Family Intervention Service Juvenile Family Certification CS-0499 HIPAA Request for Restriction of Uses and Disclosures CS-0757 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJIX.pdf">Click to Open</a> Spanish: n/a 0759 English: <a href="https://files.dcs.tn.gov/forms/0962.doc">Click to Open</a> Spanish: n/a IV-D Worksheet CS-0870 Employee Acknowledgement Unexcused Absences CS-0734 English: <a href="https://files.dcs.tn.gov/intranet/forms/0718.pdf">Click to Open</a> Spanish: n/a Recreation and Religious Preference Assessment - YDC CS-1074 English: <a href="https://files.dcs.tn.gov/intranet/forms/1025I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0949I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0769.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0540.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0837I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0006.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0878.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0878S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0499.doc">Click to Open</a> Spanish: n/a Placement Step-Down Request CS-1076 Employee Code of Conduct CS-0732 Facilitator Certification Candidate Request CS-1205 English: <a href="https://files.dcs.tn.gov/intranet/forms/0885I.doc">Click to Open</a> Spanish: n/a 0769 English: <a href="https://files.dcs.tn.gov/intranet/forms/0046.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0460I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0460SI.doc">Click to Open</a> 0768 Emergency Exit Drill CS-0234 English: <a href="https://files.dcs.tn.gov/intranet/forms/0858I.doc">Click to Open</a> Spanish: n/a Foster Home Addendum CS-0773 English: <a href="https://files.dcs.tn.gov/intranet/forms/0060.doc">Click to Open</a> Spanish: n/a 0780 Adoption and Safe Families Act (ASFA) Utilization Review CS-0606 English: <a href="https://files.dcs.tn.gov/intranet/forms/0750.doc">Click to Open</a> Spanish: n/a Family Notification Letter English: <a href="https://files.dcs.tn.gov/intranet/forms/0526.doc">Click to Open</a> Spanish: n/a YDC Visitation Survey CS-1066 English: <a href="https://files.dcs.tn.gov/intranet/forms/0475.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0993.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0741.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/STSPPOC.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/STSPPOCS.doc">Click to Open</a> Child Specific Recruitment Case File Review Tool (Archaeological Dig) CS-0769 0778 English: <a href="https://files.dcs.tn.gov/intranet/forms/0901I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1131.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1131S.doc">Click to Open</a> State of Tennessee Photo Identification Justification Affidavit CS-1007 English: <a href="https://files.dcs.tn.gov/intranet/forms/VS-AppPendingLetter.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0966.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1155.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSSIUFPA.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0917.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0073.doc">Click to Open</a> Spanish: n/a 0787 English: <a href="https://files.dcs.tn.gov/forms/0975.doc">Click to Open</a> Spanish: n/a 0781 0782 0309 English: <a href="https://files.dcs.tn.gov/intranet/forms/0020.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0973.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0745.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0745S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1142.pdf">Click to Open</a> Spanish: n/a 0789 Program Agreement - DCS Employee Graduate Tuition Reimbursement Program CS-1019 English: <a href="https://files.dcs.tn.gov/intranet/forms/0498.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0498S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0734.doc">Click to Open</a> Spanish: n/a Request for Access to Sealed Adoption Records/Release of Information and Other Services CS-1026 Consent to Serve As Conservator CS-1008 TN Bureau of Investigation (TBI) Missing Child Report BI-0083 0798 0796 0797 0794 0795 OCS CPIT Presentation Evaluation CS-1116 0792 English: <a href="https://files.dcs.tn.gov/intranet/forms/0682I.doc">Click to Open</a> Spanish: n/a 0318 0319 English: <a href="https://files.dcs.tn.gov/intranet/forms/1094I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0716.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0878I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0878SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0796I.doc">Click to Open</a> Spanish: n/a ICJ - Order Setting Hearing for the Requisition for a Runaway Juvenile English: <a href="https://files.dcs.tn.gov/intranet/forms/0526I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0508.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0933.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1074.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1074S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0648.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0648S.doc">Click to Open</a> Family Service Worker Absconder Guide Checklist English: <a href="https://files.dcs.tn.gov/forms/0944.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0060I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0756.doc">Click to Open</a> Spanish: n/a 0328 English: <a href="https://files.dcs.tn.gov/intranet/forms/0736.doc">Click to Open</a> Spanish: n/a Notification of Courtesy Request English: <a href="https://files.dcs.tn.gov/intranet/forms/0680I.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0750I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0727.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0984.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0980.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1063.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1063S.doc">Click to Open</a> Data Analysis Request CS-1159 Foster Home Extension Request CS-1018 English: <a href="https://files.dcs.tn.gov/intranet/forms/0394I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1027I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0928.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0928S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0868I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0868SI.doc">Click to Open</a> Appointment of Health Care Agent English: <a href="https://files.dcs.tn.gov/forms/0017.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0017S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0249.pdf">Click to Open</a> Spanish: n/a Notice of Denial, Termination or Change in Adoption Assistance CS-0686 English: <a href="https://files.dcs.tn.gov/intranet/forms/0565I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0565SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0629I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0629SI.doc">Click to Open</a> Notice of Placement Pursuant to ICPC (DCS) English: <a href="https://files.dcs.tn.gov/intranet/forms/1004I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0719.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0719S.doc">Click to Open</a> Transfer, Mail and Acknowledgment of Case Records, Record Materials and Forms CS-0422 English: <a href="https://files.dcs.tn.gov/intranet/forms/DCSTravelOpt.xlsx">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0883I.doc">Click to Open</a> Spanish: n/a 0349 Interstate Compact Placement Request (ICPC 100A) CS-0525 English: <a href="https://files.dcs.tn.gov/intranet/forms/CPSRemPacketI.doc">Click to Open</a> Spanish: n/a Determinate Commitment: Individual Youth Commitment Reduction Credits CS-0955 Foster Parent Exit Interview CS-0693 Review of Eligibility for Subsidized Permanent Guardianship for Child Turning 18 CS-0949 English: <a href="https://files.dcs.tn.gov/intranet/forms/0703.pdf">Click to Open</a> Spanish: n/a 0358 English: <a href="https://files.dcs.tn.gov/intranet/forms/0519.doc">Click to Open</a> Spanish: n/a Authorization for the Use of Mechanical Restraints and Procedures for Inoperable Mechanical Restraints CS-1083 Policy Division Criteria and Procedures for TPR CS-0745 English: <a href="https://files.dcs.tn.gov/intranet/forms/0775.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1017.doc">Click to Open</a> Spanish: n/a Civil Rights English: <a href="https://files.dcs.tn.gov/intranet/forms/0877.xls">Click to Open</a> Spanish: n/a Staffing Plan Assessment English: <a href="https://files.dcs.tn.gov/intranet/forms/0349I.doc">Click to Open</a> Spanish: n/a 0369 English: <a href="https://files.dcs.tn.gov/intranet/forms/0223.pdf">Click to Open</a> Spanish: n/a Waiver of Criminal Convictions, Pre and In-Service Training Requirements, Non-Safety Issues, CPS Substantiations and Education Requirement CS-0921 Independent Living English: <a href="https://files.dcs.tn.gov/intranet/forms/0075.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/VolAccRejLtr.doc">Click to Open</a> Spanish: n/a Medical Report for Transfer or Release CS-0885 Request for Foster Home Transfer CS-0985 English: <a href="https://files.dcs.tn.gov/intranet/forms/0664I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0774.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0774S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0639.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0825.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0050PR.xls">Click to Open</a> Spanish: n/a Rules of Aftercare CS-0012 English: <a href="https://files.dcs.tn.gov/forms/0684.doc">Click to Open</a> Spanish: n/a Foster Home Approval CS-0702 0394 English: <a href="https://files.dcs.tn.gov/intranet/forms/1012.doc">Click to Open</a> Spanish: n/a Drug Screen Consent/Refusal and Results CS-0831 English: <a href="https://files.dcs.tn.gov/intranet/forms/0647I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0093I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0093SI.doc">Click to Open</a> Request for Disclosure of Protected Health Information CS-1058 0387 0388 English: <a href="https://files.dcs.tn.gov/forms/1039.doc">Click to Open</a> Spanish: n/a Review of Institutional Placement Order Pursuant to Article VI English: <a href="https://files.dcs.tn.gov/intranet/forms/0351.doc">Click to Open</a> Spanish: n/a ICPC Reg #7 Expedited Placement Decision Order Non-DCS English: <a href="https://files.dcs.tn.gov/intranet/forms/0602.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1028I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0616.doc">Click to Open</a> Spanish: n/a Exclusion of Weapons Procedures for a YDC CS-1087 English: <a href="https://files.dcs.tn.gov/intranet/forms/0730.doc">Click to Open</a> Spanish: n/a Facilities English: <a href="https://files.dcs.tn.gov/intranet/forms/1102.doc">Click to Open</a> Spanish: n/a Foster Care & JJ Psychotropic Medication Evaluation CS-0629 English: <a href="https://files.dcs.tn.gov/intranet/forms/0940.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0945.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0111.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0945I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0892I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0731.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0857I.doc">Click to Open</a> Spanish: n/a Curriculum Development Request English: <a href="https://files.dcs.tn.gov/intranet/forms/0881.doc">Click to Open</a> Spanish: n/a Surrender to Adoptive Parent CS-0652 English: <a href="https://files.dcs.tn.gov/intranet/forms/0820.doc">Click to Open</a> Spanish: n/a Application for Adoption Assistance CS-0930 Waiver Request for Placement with DCS Employee CS-1107 English: <a href="https://files.dcs.tn.gov/intranet/forms/0558.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0320.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0871I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0871SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1027.doc">Click to Open</a> Spanish: n/a Surrender Affidavit Part 1 CS-0868 English: <a href="https://files.dcs.tn.gov/forms/0629.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0681I.doc">Click to Open</a> Spanish: n/a Fiscal English: <a href="https://files.dcs.tn.gov/intranet/forms/0358I.doc">Click to Open</a> Spanish: n/a Request for Residential Services and Programs (RRSP) CS-0894 English: <a href="https://files.dcs.tn.gov/intranet/forms/0488.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0488S.doc">Click to Open</a> Youth Telephone Log CS-0327 Individual Conflict of Interest Statement CS-0972 Border Agreement Kinship Home Placement Checklist and Consent for Medical Treatment CS-0927 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICPCExpPlaceNonDCS.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0970I.doc">Click to Open</a> Spanish: n/a Receipt for Legal Service of Process for Employee CS-0663 English: <a href="https://files.dcs.tn.gov/forms/0594I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0736.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0894.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0886.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0551.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0813.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0813S.doc">Click to Open</a> Formal Count Report English: <a href="https://files.dcs.tn.gov/intranet/forms/0875I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0677.doc">Click to Open</a> Spanish: n/a Independent Living Program Review Request CS-0761 Border Agreement Non-Custodial Immediate Safety Plan CS-0928 English: <a href="https://files.dcs.tn.gov/intranet/forms/1124I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1063.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1063S.pdf">Click to Open</a> Signature Legend YDC Health Clinic CS-0184 English: <a href="https://files.dcs.tn.gov/intranet/forms/1146.doc">Click to Open</a> Spanish: n/a Transfer of State Equipment CS-0349 English: <a href="https://files.dcs.tn.gov/forms/0692I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0692SI.doc">Click to Open</a> Supplier Direct Deposit Authorization (ACH) English: <a href="https://files.dcs.tn.gov/intranet/forms/1204.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0176.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0176S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0636.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0636S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/AWSDoorSign.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/FamNotLtrI.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/FamNotLtrSI.doc">Click to Open</a> Foster Parent Elective Training Documentation CS-1000 English: <a href="https://files.dcs.tn.gov/intranet/forms/0699.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0699S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0628.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0628S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/POPSTool.doc">Click to Open</a> Spanish: n/a Facility Incident Report CS-0311 Title IV-E AFDC Relatedness Determination CS-0519 Affirmative Action Reporting CS-0580 English: <a href="https://files.dcs.tn.gov/intranet/forms/1098I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0901.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0439I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0439SI.doc">Click to Open</a> Seclusion Monitoring CS-1021 English: <a href="https://files.dcs.tn.gov/forms/1158.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/AbGuideCklst.pdf">Click to Open</a> Spanish: n/a Signature Legend YDC Post Orders CS-0184-1 Foster Family Reference Letter and Questionnaire CS-0963 HR English: <a href="https://files.dcs.tn.gov/intranet/forms/0855.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0634.pdf">Click to Open</a> Spanish: n/a Contact Veto CS-0728 English: <a href="https://files.dcs.tn.gov/forms/0961-1.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961-1S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0747I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0747SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0984.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0796.doc">Click to Open</a> Spanish: n/a Medication for Pass CS-0836 Personal Household Budget CS-0812 Verification of Fulltime School Attendance CS-0809 Off Campus Activities Agreement CS-1101 English: <a href="https://files.dcs.tn.gov/intranet/forms/0709I.doc">Click to Open</a> Spanish: n/a Supervised Independent Living (SIL) Annual Checklist of Placement Health and Safety Standards CS-1060 English: <a href="https://files.dcs.tn.gov/intranet/forms/0327.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0210.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0210S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0594.doc">Click to Open</a> Spanish: n/a Foster Family Home Study Recommendations and Signature Page English: <a href="https://files.dcs.tn.gov/forms/0959.doc">Click to Open</a> Spanish: n/a ICJ - Case Closure Notification English: <a href="https://files.dcs.tn.gov/intranet/forms/1139.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0206.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0206S.pdf">Click to Open</a> JJ Application for Child Welfare Case Management Certification CS-0994 Medical or Psychological Report and Affidavit CS-1010 English: <a href="https://files.dcs.tn.gov/intranet/forms/0165.pdf">Click to Open</a> Spanish: n/a ICJ Form III - Consent for Voluntary Return of Out-of-State Juvenile English: <a href="https://files.dcs.tn.gov/intranet/forms/0701.doc">Click to Open</a> Spanish: n/a Employee Separation Checklist CS-0736 English: <a href="https://files.dcs.tn.gov/intranet/forms/STSPApproachConsent.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/STSPApproachConsentS.doc">Click to Open</a> Interstate Compact on the Placement of Children (ICPC) 101 Sending State's ICPC Regulation #7 Expedited Decision and Border Agreement Home Study Request CS-0563 English: <a href="https://files.dcs.tn.gov/intranet/forms/0991.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0475.doc">Click to Open</a> Spanish: n/a Notice of Denial, Termination or Change in Independent Living Services CS-0760 English: <a href="https://files.dcs.tn.gov/intranet/forms/1129.doc">Click to Open</a> Spanish: n/a Volunteer's Activity Report CS-0320 English: <a href="https://files.dcs.tn.gov/intranet/forms/0278PR.pdf">Click to Open</a> Spanish: n/a Food Service Monthly Inspection CS-0073 Foster Parent Waiver of Right to Appeal the Removal of a Child and Right to 14 Day Notice CS-0583 Case Record Review Notice English: <a href="https://files.dcs.tn.gov/intranet/forms/0891I.doc">Click to Open</a> Spanish: n/a Legal & JJ English: <a href="https://files.dcs.tn.gov/intranet/forms/0400.pdf">Click to Open</a> Spanish: n/a Trust Fund Account-Personal Withdrawal Request CS-0173 English: <a href="https://files.dcs.tn.gov/intranet/forms/1095.doc">Click to Open</a> Spanish: n/a Youth Grievance Report Probation Aftercare CS-0328 Parent Response to Education Placement CS-0193 Payment Card - Transaction Log CS-0623 Volunteer Services Application Pending Letter English: <a href="https://files.dcs.tn.gov/intranet/forms/0587.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0194.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1052.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0533I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0387.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0387S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1114.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1133I.doc">Click to Open</a> Spanish: n/a Probation Intake Referral CS-0801 Application for Title IV-E Eligibility for Young Adults Requesting Extension or Re-establishment of Foster Care Services CS-0953 English: <a href="https://files.dcs.tn.gov/forms/0934.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1000I.doc">Click to Open</a> Spanish: n/a Youth's Belief of Physical Danger-Investigation CS-0881 English: <a href="https://files.dcs.tn.gov/intranet/forms/1067.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0651.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0651S.doc">Click to Open</a> Verification of Financial Responsibility for Adoption Assistance CS-0017 English: <a href="https://files.dcs.tn.gov/intranet/forms/0686.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0686S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0006.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1107.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0120.doc">Click to Open</a> Spanish: n/a Daily Population Report CS-1124 English: <a href="https://files.dcs.tn.gov/intranet/forms/0209I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0121I.doc">Click to Open</a> Spanish: n/a Confidentiality Agreement CS-0684 English: <a href="https://files.dcs.tn.gov/intranet/forms/HARTReferral.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0176.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0176S.pdf">Click to Open</a> Confidentiality Agreement for Full Disclosure CS-1039 Youth Work Agreement - YDC CS-1073 English: <a href="https://files.dcs.tn.gov/intranet/forms/MemoPermKeysAuth.doc">Click to Open</a> Spanish: n/a Authorization to Release Academic Information - DCS Tuition Assistance Programs CS-0978 Facilitator Certification Observation CS-1206 Contractor List of Owners and Board Members CS-0973 Safe Sleep Assessment CS-1209 English: <a href="https://files.dcs.tn.gov/forms/0910I.doc">Click to Open</a> Spanish: n/a PREA Refusal of Medical Treatment CS-0991 English: <a href="https://files.dcs.tn.gov/intranet/forms/1064.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0060.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1005.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJCaseCloNot.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0846.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0846S.doc">Click to Open</a> Child Safety English: <a href="https://files.dcs.tn.gov/intranet/forms/0349.doc">Click to Open</a> Spanish: n/a YDC Intake Checklist CS-1054 English: <a href="https://files.dcs.tn.gov/intranet/forms/0641.pdf">Click to Open</a> Spanish: n/a Adoption Assistance Agreement CS-0513 English: <a href="https://files.dcs.tn.gov/intranet/forms/0120I.doc">Click to Open</a> Spanish: n/a Accident Report TR-0231 English: <a href="https://files.dcs.tn.gov/intranet/forms/0936.XLS">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0936S.xlsx">Click to Open</a> Planned Permanent Living Arrangement Agreement CS-1006 English: <a href="https://files.dcs.tn.gov/intranet/forms/1117.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1112.doc">Click to Open</a> Spanish: n/a Workplace Harassment Intake Referral PR-0411 English: <a href="https://files.dcs.tn.gov/forms/0909I.doc">Click to Open</a> Spanish: n/a 0809 English: <a href="https://files.dcs.tn.gov/forms/0778.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0778S.doc">Click to Open</a> Staffing Participants CS-0387 0807 English: <a href="https://files.dcs.tn.gov/forms/0708.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICPCExpPlaceDCS.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0651I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0651SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0837.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0162.pdf">Click to Open</a> Spanish: n/a 0800 0801 Contract Monitoring Quality Team Referral English: <a href="https://files.dcs.tn.gov/intranet/forms/0898.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0866I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0866SI.doc">Click to Open</a> YDC Safety Plan for Youth CS-1140 English: <a href="https://files.dcs.tn.gov/intranet/forms/0891.doc">Click to Open</a> Spanish: n/a 0819 Foster Home Assessment or Re-Activation CS-0692 Self-Declaration of Sexual Abuse/Sexual Harassment for YDC Employees CS-1120 English: <a href="https://files.dcs.tn.gov/intranet/forms/0852.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0939I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0939SI.doc">Click to Open</a> CPS-SIU Safety and Risk Assessment CS-0825 English: <a href="https://files.dcs.tn.gov/intranet/forms/0371.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1073.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1073S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0043.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0043S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJPetReqRetRunJuv.pdf">Click to Open</a> Spanish: n/a 0817 English: <a href="https://files.dcs.tn.gov/intranet/forms/0862.pdf">Click to Open</a> Spanish: n/a 0815 Modified Diet Order CS-0069 0816 Daily Dormitory Room Inspection CS-0898 0813 0811 0812 English: <a href="https://files.dcs.tn.gov/intranet/forms/0242.xls">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0130.doc">Click to Open</a> Spanish: n/a Affidavit of Reasonable Efforts CS-0797 English: <a href="https://files.dcs.tn.gov/intranet/forms/0858.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0369.pdf">Click to Open</a> Spanish: n/a Trial Home Visits Authorization CS-0568 CPS Removal Packet Interstate Compact on the Placement of Children (ICPC) Referral Checklist CS-0796 Affidavit of Reasonable Efforts to Place a Child for Adoption without Adoption Assistance CS-1122 English: <a href="https://files.dcs.tn.gov/intranet/forms/0012.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0012S.pdf">Click to Open</a> Bridge to Family Stability 0820 English: <a href="https://files.dcs.tn.gov/intranet/forms/0716I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0815.doc">Click to Open</a> Spanish: n/a 0826 0827 0825 0823 English: <a href="https://files.dcs.tn.gov/intranet/forms/1108I.doc">Click to Open</a> Spanish: n/a Child/Youth Specific Recruitment Plan CS-0768 Employee Confidentiality Statement CS-0744 English: <a href="https://files.dcs.tn.gov/intranet/forms/0114.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0746.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0746S.doc">Click to Open</a> Interstate Compact on the Placement of Children (ICPC) Statement of Confirmation - Regulation #2 CS-0958 0831 ICJ English: <a href="https://files.dcs.tn.gov/intranet/forms/0801.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1098.doc">Click to Open</a> Spanish: n/a Adoption Subsidy Renewal Affidavit CS-1004 Child and Adolescent Needs and Strengths Assessment CS-0899 0837 English: <a href="https://files.dcs.tn.gov/intranet/forms/0643.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0159.doc">Click to Open</a> Spanish: n/a 0836 0834 Reasonable Suspicion Checklist CS-1086 English: <a href="https://files.dcs.tn.gov/intranet/forms/0746I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0746SI.doc">Click to Open</a> Initial Intake, Placement and Well-Being Information and History CS-0727 English: <a href="https://files.dcs.tn.gov/forms/0687.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1053.doc">Click to Open</a> Spanish: n/a Receipt of Prosthesis CS-0853 ICJ Form V - Report of Sending State Upon Parolee or Probationer being sent to the Receiving State Employee-Volunteer-Contractor PREA CS-0940 English: <a href="https://files.dcs.tn.gov/intranet/forms/0328.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0006I.doc">Click to Open</a> Spanish: n/a Prior Approval of PRN Psychotropic Medication CS-0628 English: <a href="https://files.dcs.tn.gov/intranet/forms/0759I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0759SI.doc">Click to Open</a> 0840 Relative Caregiver Family Information CS-0618 Youth Worker Time Sheet - YDC CS-1069 English: <a href="https://files.dcs.tn.gov/intranet/forms/0853.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0853S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1040.pdf">Click to Open</a> Spanish: n/a 0849 Pediatric Symptom Checklist 17 0846 0847 Employee Acknowledgement HIPAA CS-0731 English: <a href="https://files.dcs.tn.gov/intranet/forms/0189.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0927I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0927SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0540I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0652.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1022.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0563.pdf">Click to Open</a> Spanish: n/a OCS Court Preparation and Presentation Evaluation CS-1113 Volunteer Acceptance or Rejection Letter and Instructions 0853 0854 0851 0852 Foster Home Performance Improvement Plan CS-0909 0850 English: <a href="https://files.dcs.tn.gov/intranet/forms/1076.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0670.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0670S.doc">Click to Open</a> 0857 Employee Resignation Notification CS-0730 0858 0855 0856 N/A ICJ Form X - Case Closure Notification English: <a href="https://files.dcs.tn.gov/intranet/forms/0606.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0400I.doc">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 English: <a href="https://files.dcs.tn.gov/intranet/forms/0935I.doc">Click to Open</a> Spanish: n/a Youth Grievance Report CS-0072 0862 English: <a href="https://files.dcs.tn.gov/intranet/forms/1085.doc">Click to Open</a> Spanish: n/a 0861 Production Job Set Up CS-0935 English: <a href="https://files.dcs.tn.gov/intranet/forms/0370.doc">Click to Open</a> Spanish: n/a 0868 0869 Help Desk Ticket Request for Providers CS-0780 0866 Application for Post Secondary Funding CS-0599 English: <a href="https://files.dcs.tn.gov/forms/0910.doc">Click to Open</a> Spanish: n/a 0867 Application - DCS Tuition Assistance Program MSW-MSSW Program CS-0976 English: <a href="https://files.dcs.tn.gov/forms/0674.doc">Click to Open</a> Spanish: n/a Summary of Hearing CS-0211 English: <a href="https://files.dcs.tn.gov/forms/1044.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0672.doc">Click to Open</a> Spanish: n/a Provider Performance Improvement Plan CS-1149 English: <a href="https://files.dcs.tn.gov/forms/1059.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0929I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0929SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1083.doc">Click to Open</a> Spanish: n/a 0875 Professional Development Course Waiver CS-0840 0873 0871 0870 English: <a href="https://files.dcs.tn.gov/intranet/forms/0153.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0840.pdf">Click to Open</a> Spanish: n/a 0879 English: <a href="https://files.dcs.tn.gov/intranet/forms/0646I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0646SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0889.doc">Click to Open</a> Spanish: n/a 0877 0878 Disciplinary Appeal Review CS-1148 English: <a href="https://files.dcs.tn.gov/intranet/forms/1032.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0128.pdf">Click to Open</a> Spanish: n/a 0890 Additional Employment Request CS-0129 Direct Surrender to Prospective Adoptive Parents CS-0937 English: <a href="https://files.dcs.tn.gov/intranet/forms/0069I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0883.doc">Click to Open</a> Spanish: n/a RA to RA Approval CS-1052 English: <a href="https://files.dcs.tn.gov/forms/1097.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0890.doc">Click to Open</a> Spanish: n/a 0886 0885 0882 0883 0880 0881 English: <a href="https://files.dcs.tn.gov/forms/1059.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0971I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0797.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0797S.doc">Click to Open</a> Consent to Adoption by Minor Who is Fourteen Years or Older CS-0646 Performance Based Contractor (PBC) Sub-Contractor CS-0969 Employment History Worksheet CS-1119 0888 Appeal for Fair Hearing by State Department CS-0403 0889 Quarterly Deputy Commissioner Signature Memo English: <a href="https://files.dcs.tn.gov/intranet/forms/0411PR.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0160.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0160S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0879.doc">Click to Open</a> Spanish: n/a Assessment, Checklist and Protocol for Behavior and Risk for Victimization in a YDC CS-0946 English: <a href="https://files.dcs.tn.gov/intranet/forms/0561.pdf">Click to Open</a> Spanish: n/a Facility Face Sheet CS-0060 English: <a href="https://files.dcs.tn.gov/intranet/forms/0853I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0853SI.doc">Click to Open</a> Review of Eligibility for Adoption Assistance for Child Turning 18, 19, 20 CS-0792 0898 English: <a href="https://files.dcs.tn.gov/intranet/forms/1078.doc">Click to Open</a> Spanish: n/a 0894 CPS Confidential Notification Letter Sent to Reporter 0891 0892 Case Transfer Checklist CS-0638 English: <a href="https://files.dcs.tn.gov/intranet/forms/0251I.doc">Click to Open</a> Spanish: n/a Food Service Inspection Report - YDC CS-0775 English: <a href="https://files.dcs.tn.gov/forms/0813.pdf">Click to Open</a> Spanish: n/a 0899 English: <a href="https://files.dcs.tn.gov/intranet/forms/0467PR.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0795.pdf">Click to Open</a> Spanish: n/a Contraband Disposition and Monthly Disposal Log CS-1098 Notice of Involuntary Termination for Volunteer Service English: <a href="https://files.dcs.tn.gov/intranet/forms/TasksToolsCkLst.doc">Click to Open</a> Spanish: n/a Referral for Home Study Service CS-1100 English: <a href="https://files.dcs.tn.gov/intranet/forms/AutVen.pdf">Click to Open</a> Spanish: n/a Information Services Customer Request CS-0669 Placement Exception Request CS-0664 0428 English: <a href="https://files.dcs.tn.gov/intranet/forms/0614.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1068.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0600.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0719I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0719SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0807.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0184.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/BusinessCardTemplate.dot">Click to Open</a> Spanish: n/a Claim for Travel Expenses FA-0080 English: <a href="https://files.dcs.tn.gov/intranet/forms/0762I.doc">Click to Open</a> Spanish: n/a Performance Quality Improvement Biannual Report CS-0883 CPS Case Summary and Classification Decision of Child Abuse/Neglect Referral CS-0740 Meeting Minutes CS-0987 English: <a href="https://files.dcs.tn.gov/forms/0972I.doc">Click to Open</a> Spanish: n/a 0439 English: <a href="https://files.dcs.tn.gov/intranet/forms/0598.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0868.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0868S.doc">Click to Open</a> AWS Acknowledgement Form Employee Name and/or Address Change CS-0358 English: <a href="https://files.dcs.tn.gov/intranet/forms/0849I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0862.doc">Click to Open</a> Spanish: n/a Monthly Hazardous Materials Inventory CS-0400 Database Search Results CS-0741 English: <a href="https://files.dcs.tn.gov/intranet/forms/0126.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0620I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0620SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0811.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0585.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0585S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/Notice-VolTerm.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0166.doc">Click to Open</a> Spanish: n/a Rights and Responsibilities to Receive Foster Care as an Adult CS-0488 TennCare Medical Appeal English: <a href="https://files.dcs.tn.gov/intranet/forms/0873I.doc">Click to Open</a> Spanish: n/a Shared Home Authorization CS-0672 English: <a href="https://files.dcs.tn.gov/intranet/forms/0130.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/DCSNotFileTNCareAppeal.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0727I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0727SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1061.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0854.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0638.doc">Click to Open</a> Spanish: n/a Oath of the Department of Children's Services CS-0126 English: <a href="https://files.dcs.tn.gov/intranet/forms/0162.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0823.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0450.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0450S.doc">Click to Open</a> 0459 English: <a href="https://files.dcs.tn.gov/intranet/forms/1070.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1070S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1073.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1073S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0861.doc">Click to Open</a> Spanish: n/a Home Safety Checklist CS-0676 English: <a href="https://files.dcs.tn.gov/intranet/forms/0953.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0953S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/NotifCourtReq.doc">Click to Open</a> Spanish: n/a Daily Temperature Log CS-0901 English: <a href="https://files.dcs.tn.gov/intranet/forms/0588.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJVicNotSupp.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0857.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0121.pdf">Click to Open</a> Spanish: n/a 0483 Employee Performance Briefing CS-0820 0479 CPS-SIU Unsubstantiated Letter English: <a href="https://files.dcs.tn.gov/intranet/forms/1056.doc">Click to Open</a> Spanish: n/a HIPAA Disclosures of Protected Health Information CS-0756 Social Counseling CS-0941 English: <a href="https://files.dcs.tn.gov/intranet/forms/1054.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0836.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0129.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0689I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0889SI.doc">Click to Open</a> Request for Permanency Goal of Planned Permanent Living Arrangement CS-0681 Foster Care Review Summary CS-0510 English: <a href="https://files.dcs.tn.gov/intranet/forms/SpanishCPSIntro.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICPCPacket.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0678.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0678S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0114I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0158.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0158S.doc">Click to Open</a> Request for Collective Fund Account Balances CS-0518 Tuberculosis Self Assessment for YDC Employees CS-0925 English: <a href="https://files.dcs.tn.gov/intranet/forms/0925I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0958.pdf">Click to Open</a> Spanish: n/a Facilitator Coaching Certification Observation CS-1208 Employee Acknowledgement - Valid Motor Vehicle License, Insurance and Registration CS-0733 0488 Expedited Placement Assessment Summary CS-0682 English: <a href="https://files.dcs.tn.gov/intranet/forms/0556.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0970.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1061.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1109.doc">Click to Open</a> Spanish: n/a Request for Public Notification of Release of Juvenile Offender CS-0587 Request for Legal Consultation CS-0318 ICJ - Victim Notification Supplement Meeting Notification CS-0746 English: <a href="https://files.dcs.tn.gov/forms/1038.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0049.pdf">Click to Open</a> Spanish: n/a Reimbursable Expense Statement FA-0081 English: <a href="https://files.dcs.tn.gov/intranet/forms/0311I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0072.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0072S.doc">Click to Open</a> 0499 0497 0498 0496 English: <a href="https://files.dcs.tn.gov/intranet/forms/0388.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0388S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0981.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0692.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0692S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0726.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0894I.doc">Click to Open</a> Spanish: n/a Permission to Use Photograph and/or Video CS-1147 Database Search Request from School System (LEA) CS-0837 English: <a href="https://files.dcs.tn.gov/forms/0963.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0963S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0840.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/MotionRevInstPlace.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0852.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJOrderReqEscAbsc.pdf">Click to Open</a> Spanish: n/a Inspection Checklist for Offices and Facilities CS-0117 Special Needs Justification CS-0934 ICJ - Order Setting Hearing for Requisition for Escapee, Absconder, or Accused Delinquent English: <a href="https://files.dcs.tn.gov/intranet/forms/0394.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0388.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0388S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0797I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0797SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0885.pdf">Click to Open</a> Spanish: n/a YDC Justification Letter or Waiver Request CS-0585 English: <a href="https://files.dcs.tn.gov/intranet/forms/0899I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0055I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0055SI.doc">Click to Open</a> Withdrawal of Complaint CS-0579 YDC Master File Review (Master, Medical, Education) CS-1144 English: <a href="https://files.dcs.tn.gov/intranet/forms/0518.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0311.pdf">Click to Open</a> Spanish: n/a ICJ Form IX - Quarterly Progress Report or Violation Report Tier II Request for Appeal Documentation and Communication CS-1061 English: <a href="https://files.dcs.tn.gov/forms/0921.pdf">Click to Open</a> Spanish: n/a Child and Family Team Meeting Summary CS-0747 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJVII.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/ICJVIIS.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0782.doc">Click to Open</a> Spanish: n/a Affidavit of Income and Resources for Waiver of Sealed Records CS-1028 0049 Determination of Tribal Affiliation Letter English: <a href="https://files.dcs.tn.gov/intranet/forms/0657.doc">Click to Open</a> Spanish: n/a Relative Caregivers Disclosure Statement Options/Available Services CS-0660 Rules of Probation CS-0043 Acknowledgment-Verification of Policy Review and Other Documents CS-0479 English: <a href="https://files.dcs.tn.gov/forms/0676.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0676S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0910.pdf">Click to Open</a> Spanish: n/a Hepatitis Vaccination Declination CS-0371 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJOrderReqRunawayJuv.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0084.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0084S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0811I.doc">Click to Open</a> Spanish: n/a Parent Packet for Wilder YDC CS-1090 0058 Youth Worker Job Plan - YDC CS-1070 English: <a href="https://files.dcs.tn.gov/intranet/forms/0577I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0577SI.doc">Click to Open</a> Consent/Refusal for Testing and Release of Information Due to Exposure Incident CS-0377 Penalty for Harboring CS-0749 English: <a href="https://files.dcs.tn.gov/intranet/forms/0664.doc">Click to Open</a> Spanish: n/a Employee Exit Process CS-0558 English: <a href="https://files.dcs.tn.gov/forms/0460.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0460S.doc">Click to Open</a> ICJ Form VIII - Home Evaluation Report Incident Report - DCS Tuition Assistance Program CS-0980 English: <a href="https://files.dcs.tn.gov/intranet/forms/1031.doc">Click to Open</a> Spanish: n/a Authorization for Release of Information to DCS: TennCare Eligibility and Authorization for DCS to Release of Information to TennCare CS-0789 English: <a href="https://files.dcs.tn.gov/intranet/forms/0941.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0912I.doc">Click to Open</a> Spanish: n/a Adjudication Notification to Schools CS-0703 Foster Home IVE Eligibility Checklist CS-0781 0069 Monthly Family Income and Expenditures CS-0431 English: <a href="https://files.dcs.tn.gov/intranet/forms/1075.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1075S.pdf">Click to Open</a> 0084 English: <a href="https://files.dcs.tn.gov/intranet/forms/VehExUseMemo.pdf">Click to Open</a> Spanish: n/a 0083 0080 0081 Family Advocacy and Support Tool CS-0906 English: <a href="https://files.dcs.tn.gov/intranet/forms/0660I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0660SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0917I.doc">Click to Open</a> Spanish: n/a ICJ - Petition for Hearing on Requisition for Escapee, Absconder, or Accused Delinquent English: <a href="https://files.dcs.tn.gov/intranet/forms/0986I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0886I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0761I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0761SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0976.pdf">Click to Open</a> Spanish: n/a Contraband Chain of Custody/Possession CS-1099 English: <a href="https://files.dcs.tn.gov/intranet/forms/0483.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0688.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0688S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0733.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1116.doc">Click to Open</a> Spanish: n/a Relative Caregiver Program Brochure English: <a href="https://files.dcs.tn.gov/intranet/forms/0476.doc">Click to Open</a> Spanish: n/a 0093 English: <a href="https://files.dcs.tn.gov/intranet/forms/0933I.doc">Click to Open</a> Spanish: n/a Plan of Study - DCS Tuition Assistance BSW/BSSW Program CS-0981 Waiver Request for Placement with Contract Agency Employee CS-1079 English: <a href="https://files.dcs.tn.gov/intranet/forms/1065.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/Vol-Accept-RejectLetter.docm">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0870.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0937I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0937SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0965I.doc">Click to Open</a> Spanish: n/a Sworn Statement for Access to Records CS-1030 English: <a href="https://files.dcs.tn.gov/intranet/forms/AWSack.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJIII.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/ICJIIIS.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1072.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1072S.pdf">Click to Open</a> Request for Human Resources Action CS-0189 Pre-Service - CPS Individual Learning Plan English: <a href="https://files.dcs.tn.gov/intranet/forms/0811.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0894.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0318.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0318S.doc">Click to Open</a> Crisis Intervention Resolution Plan CS-0497 English: <a href="https://na1.documents.adobe.com/public/esignWidget?wid=CBFCIBAA3AAABLblqZhDd1Zsp0me4WEqPPhsD-eWrZ50d_0R0W9pUUUQ_CA8uZ8KbKXFf8tyAt0ITrJiBceE">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0768I.doc">Click to Open</a> Spanish: n/a Surrender Affidavit Part 3 CS-0867 Surplus Equipment Request CS-0912 English: <a href="https://files.dcs.tn.gov/intranet/forms/0563.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0880I.doc">Click to Open</a> Spanish: n/a Family Permanency Plan Additional Need Record CS-0577-1 English: <a href="https://files.dcs.tn.gov/intranet/forms/1132.doc">Click to Open</a> Spanish: n/a ICJ Form A - Petition for Requisition to Return a Runaway Juvenile Order to Place Pursuant to ICPC (Non-DCS) Notice of Intent to Claim Paternity or Acknowledgement of Paternity of a Child CS-0439 English: <a href="https://files.dcs.tn.gov/intranet/forms/0794.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0794S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJPetReqEscAbsc.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0983.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0856.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/FamNotLtr.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/FamNotLtrS.doc">Click to Open</a> EPSDT Screening Report CS-1096 Foster Parent Individual PATH Training Plan and Addendum CS-1158 English: <a href="https://files.dcs.tn.gov/intranet/forms/1092.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1000.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1127.doc">Click to Open</a> Spanish: n/a DCS Field Shadow Training Experience CS-1106 Progress Notes CS-0075 English: <a href="https://files.dcs.tn.gov/intranet/forms/0679.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0679S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0744.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0889.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1105.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/DCSFiledTNCareAppeal.doc">Click to Open</a> Spanish: n/a Youth Handbook Acknowledgement Form CS-1063 English: <a href="https://files.dcs.tn.gov/intranet/forms/0866.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0866S.doc">Click to Open</a> Sleep Record CS-0852 English: <a href="https://files.dcs.tn.gov/forms/0206.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0206S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0934I.doc ">Click to Open</a> Spanish: n/a Temporary Supervision Agreement CS-0058 English: <a href="https://files.dcs.tn.gov/intranet/forms/0881.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1110.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0655.pdf">Click to Open</a> Spanish: n/a Employee Emergency Contact Information CS-0735 Voluntary Services Annual Update Letter English: <a href="https://files.dcs.tn.gov/intranet/forms/NotPlaceICPCDCS.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1008.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1004.doc">Click to Open</a> Spanish: n/a Request for Name and/or Address of Father with Claim of Paternity CS-0435 English: <a href="https://files.dcs.tn.gov/intranet/forms/1210I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/1019.doc">Click to Open</a> Spanish: n/a Occupational Exposure to Blood Borne Pathogen Follow-up CS-0370 English: <a href="https://files.dcs.tn.gov/intranet/forms/VolAnnUpdLtr.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0780.pdf">Click to Open</a> Spanish: n/a Aggression Replacement Training (ART) Overall Functioning Scale (OFS) CS-1085 English: <a href="https://files.dcs.tn.gov/intranet/forms/0521.pdf">Click to Open</a> Spanish: n/a Policy Deletion Justification and Approval Request CS-1040 Kinship Exception Request CS-1013 Youth Education Training Roster CS-0209 Academic and Vocational Teacher Qualification Sheet CS-0875 English: <a href="https://files.dcs.tn.gov/forms/0994.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/VolCertLtr.doc">Click to Open</a> Spanish: n/a Surrender of a Child to Tennessee Department of Children's Services or a Licensed Child-Placing Agency by a Parent or Guardian in Tennessee CS-0651 English: <a href="https://files.dcs.tn.gov/intranet/forms/0072.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0890I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0963I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0963SI.doc">Click to Open</a> Relative Caregiver Program Determination of Financial Eligibility CS-0614 English: <a href="https://files.dcs.tn.gov/intranet/forms/0649.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0649S.doc">Click to Open</a> Performance Based Contracting Formal Review Request CS-0959 0909 English: <a href="https://files.dcs.tn.gov/intranet/forms/0855I.doc">Click to Open</a> Spanish: n/a Request for Medical Records CS-1145 Foster Parent Training Sign-in Sheet CS-1157 English: <a href="https://files.dcs.tn.gov/intranet/forms/0789I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0789SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0755I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0682.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0680.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0912.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1075.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1075S.doc">Click to Open</a> Approval of Participation - DCS MSW/MSSW Tuition Assistance Program CS-0977 0906 English: <a href="https://files.dcs.tn.gov/intranet/forms/0751.pdf">Click to Open</a> Spanish: n/a 0901 DCS Memo English: <a href="https://files.dcs.tn.gov/intranet/forms/0508I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0918.doc">Click to Open</a> Spanish: n/a Request for Home Investigation - Juvenile Justice CS-0862 0900 English: <a href="https://files.dcs.tn.gov/intranet/forms/0005.doc">Click to Open</a> Spanish: n/a Permission to Place DCS Child in DCS Employee or Contract Provider Foster Home CS-0763 0918 English: <a href="https://files.dcs.tn.gov/intranet/forms/0987.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0689.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0889S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1144I.doc">Click to Open</a> Spanish: n/a Grievance Procedure Notice Probation and Aftercare Cases CS-0869 Background Clearance Check - Local Criminal History CS-0751 Child Welfare Benefits Application CS-0475 CPS Confidential Notification Letter for Reporter - For Regional Use ADA Accommodation Request PR-0333 Memo - Cell Phone Authorization 0917 English: <a href="https://files.dcs.tn.gov/forms/0773.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1078I.doc">Click to Open</a> Spanish: n/a 0912 0913 0910 English: <a href="https://files.dcs.tn.gov/intranet/forms/0742.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0251.doc">Click to Open</a> Spanish: n/a 0929 ICJ Form IV - Parole or Probation Investigation Request HIPAA Notice of Privacy Practices - Client Acknowledgement CS-0699 English: <a href="https://files.dcs.tn.gov/forms/1203.doc">Click to Open</a> Spanish: n/a 0927 English: <a href="https://files.dcs.tn.gov/intranet/forms/1147.doc">Click to Open</a> Spanish: n/a 0928 Memo - Permanent Keys Authorization Interstate Compact on the Placement of Children (ICPC) Statement of Confirmation - Regulation #7 and Border Agreement CS-0957 0925 English: <a href="https://files.dcs.tn.gov/forms/0431I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0431SI.doc">Click to Open</a> Absconder/Runaway/Escapee Recovery Checklist CS-0705 Approved Contact List CS-0111 0924 0921 English: <a href="https://files.dcs.tn.gov/intranet/forms/0753.doc">Click to Open</a> Spanish: n/a Quarterly Progress Report on Child in State Custody CS-0430 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJJuvRtsVolRet.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0840I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0834I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0831I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0831SI.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/1123.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0664.pdf">Click to Open</a> Spanish: n/a Relative Caregiver Program Letter of Understanding CS-0619 0930 Termination of Parental Rights Referral CS-1091 English: <a href="https://files.dcs.tn.gov/intranet/forms/0525I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0925.doc">Click to Open</a> Spanish: n/a 0939 0936 English: <a href="https://files.dcs.tn.gov/forms/0727.docx">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0727S.docx">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/TNCareMedAppeal.pdf">Click to Open</a> Spanish: n/a 0937 English: <a href="https://files.dcs.tn.gov/forms/0817.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0817S.doc">Click to Open</a> 0934 0935 0933 English: <a href="https://files.dcs.tn.gov/forms/1038I.doc">Click to Open</a> Spanish: n/a Medical Self-Report CS-0707 English: <a href="https://files.dcs.tn.gov/intranet/forms/1136.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0764.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0981.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1134.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0049.doc">Click to Open</a> Spanish: n/a 0941 0940 English: <a href="https://files.dcs.tn.gov/intranet/forms/OrdPlaceNonDCS.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ClRtsPstr.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/ClRtSstrS.pdf">Click to Open</a> Health Services Authorization for Non-TennCare Eligible CS-0533 English: <a href="https://files.dcs.tn.gov/forms/0831.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0831S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0958.doc">Click to Open</a> Spanish: n/a 0949 0948 English: <a href="https://files.dcs.tn.gov/intranet/forms/VolAppPendLtr.doc">Click to Open</a> Spanish: n/a 0945 0946 0944 English: <a href="https://files.dcs.tn.gov/intranet/forms/1022I.doc">Click to Open</a> Spanish: n/a Weight and Blood Pressure Record CS-0857 English: <a href="https://files.dcs.tn.gov/intranet/forms/0193I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0193SI.doc">Click to Open</a> Disciplinary Report Notice of Hearing CS-0055 English: <a href="https://files.dcs.tn.gov/intranet/forms/0748.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0773.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0093.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0093S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0731.doc">Click to Open</a> Spanish: n/a Exposure Incident Evaluation CS-0369 0953 English: <a href="https://files.dcs.tn.gov/forms/0978.doc">Click to Open</a> Spanish: n/a Hepatitis B Vaccine Consent CS-0373 Resource Linkage Assistance Request Form CS-0764 English: <a href="https://files.dcs.tn.gov/intranet/forms/1119I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0871.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0871S.doc">Click to Open</a> 0958 0959 0957 0955 English: <a href="https://files.dcs.tn.gov/intranet/forms/0882I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0735.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0173.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0173S.pdf">Click to Open</a> Youth Pass CS-0394 English: <a href="https://files.dcs.tn.gov/intranet/forms/0753I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0435I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0435SI.doc">Click to Open</a> Revocation of Power of Attorney of a Minor Child CS-0913 English: <a href="https://files.dcs.tn.gov/intranet/forms/0333PR.pdf">Click to Open</a> Spanish: n/a 0963 English: <a href="https://files.dcs.tn.gov/intranet/forms/0577-1.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0577-1S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0969.doc">Click to Open</a> Spanish: n/a 0961 English: <a href="https://files.dcs.tn.gov/forms/0976.doc">Click to Open</a> Spanish: n/a 0962 Vendor Tool Inventory Log CS-1139 0960 Notice of Denial Termination or Change in Subsidized Guardianship CS-0720 English: <a href="https://files.dcs.tn.gov/intranet/forms/1099I.doc">Click to Open</a> Spanish: n/a 0969 Child Health Petition for Violation of Probation/Aftercare CS-1105 English: <a href="https://files.dcs.tn.gov/intranet/forms/0728.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0728S.doc">Click to Open</a> 0968 0965 English: <a href="https://files.dcs.tn.gov/intranet/forms/1149.doc">Click to Open</a> Spanish: n/a 0966 Confirmation of Parental Consent Filed with Adoption CS-0648 English: <a href="https://files.dcs.tn.gov/intranet/forms/1209.doc">Click to Open</a> Spanish: n/a Early Periodic Screening Diagnosis & Treatment (EPSDT) Physical Examination CS-0708 English: <a href="https://files.dcs.tn.gov/forms/0961.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0662.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0081FA.pdf">Click to Open</a> Spanish: n/a Foster Home Application for Parenting CS-0688 English: <a href="https://files.dcs.tn.gov/intranet/forms/0869.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0869S.pdf">Click to Open</a> Youth Commitment Reduction Credits CS-0006 0975 English: <a href="https://files.dcs.tn.gov/forms/0496.doc">Click to Open</a> Spanish: n/a Research, Survey, and Grant Request Form CS-1059 0972 0973 English: <a href="https://files.dcs.tn.gov/intranet/forms/1007I.doc">Click to Open</a> Spanish: n/a 0970 0971 English: <a href="https://files.dcs.tn.gov/intranet/forms/0992.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1138.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0319I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0768.doc">Click to Open</a> Spanish: n/a 0978 0979 English: <a href="https://files.dcs.tn.gov/intranet/forms/0739.pdf">Click to Open</a> Spanish: n/a 0976 0977 Contractor/Vendor Agreement Training and Acknowledgement CS-1137 Employee Recognition and Appreciation Program Nomination Form CS-0892 English: <a href="https://files.dcs.tn.gov/intranet/forms/0043.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0043S.doc">Click to Open</a> Roster of Graduates CS-0886 English: <a href="https://files.dcs.tn.gov/intranet/forms/0720.doc">Click to Open</a> Spanish: n/a 0985 Youth Work Performance Evaluation - YDC CS-1071 0986 0983 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJII.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0388I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0388SI.doc">Click to Open</a> 0984 0981 English: <a href="https://files.dcs.tn.gov/intranet/forms/0311.doc">Click to Open</a> Spanish: n/a 0982 0980 Clothing Purchase Authorization CS-0540 English: <a href="https://files.dcs.tn.gov/intranet/forms/1030I.doc">Click to Open</a> Spanish: n/a 0508 English: <a href="https://files.dcs.tn.gov/intranet/forms/0459.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0459S.doc">Click to Open</a> Foster Home Prescription Medication Record CS-0630 0987 English: <a href="https://files.dcs.tn.gov/intranet/forms/0946I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1207.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0686GS.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1205.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0775.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0847.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0847S.doc">Click to Open</a> Special or Extraordinary Rate Request CS-0674 ICJ - Juvenile Rights Form for Consent for Voluntary Return of Out of State Juvenile English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJVIII.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0972.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1145.doc">Click to Open</a> Spanish: n/a Hazardous Materials Bin Card CS-0223 English: <a href="https://files.dcs.tn.gov/forms/0970.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1143.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0646.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0646S.doc">Click to Open</a> 0994 0995 English: <a href="https://files.dcs.tn.gov/intranet/forms/0945.doc">Click to Open</a> Spanish: n/a 0992 0993 English: <a href="https://files.dcs.tn.gov/intranet/forms/0081.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1090.pdf">Click to Open</a> Spanish: n/a 0990 0991 Child Health & JJ English: <a href="https://files.dcs.tn.gov/intranet/forms/0949.doc">Click to Open</a> Spanish: n/a 0518 Program Evaluation 0519 English: <a href="https://files.dcs.tn.gov/intranet/forms/0523I.doc">Click to Open</a> Spanish: n/a 0998 English: <a href="https://files.dcs.tn.gov/intranet/forms/1072.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1072S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0812.xls">Click to Open</a> Spanish: n/a Confirmation of Native American Heritage Letter English: <a href="https://files.dcs.tn.gov/forms/0707.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0707S.doc">Click to Open</a> Notification of Equal Access to Programs CS-0158 English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJIII.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ConNativeAmHerLtrI.doc">Click to Open</a> Spanish: n/a Notification of Program Transfer CS-0309 English: <a href="https://files.dcs.tn.gov/forms/0969.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0069.doc">Click to Open</a> Spanish: n/a Notice of Action CS-0800 English: <a href="https://files.dcs.tn.gov/intranet/forms/0580.xls">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/CustIntakePacket.docx">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0333PR.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0242.pdf">Click to Open</a> Spanish: n/a 0528 English: <a href="https://files.dcs.tn.gov/forms/0688I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0688SI.doc">Click to Open</a> Employee Acknowledgement of Essential Personnel for 24-Hour Facilities CS-1064 Detainer Release Notification CS-0834 English: <a href="https://files.dcs.tn.gov/forms/0998.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0960I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0173.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0173S.doc">Click to Open</a> Aggression Replacement Training (ART) Roster Authorization to Vendor 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/intranet/forms/0525.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0985.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0927.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0927S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0780.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJV.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0762.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/ICJX.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0869.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0869S.doc">Click to Open</a> Facilitator Certification Trainer Observation CS-1207 English: <a href="https://files.dcs.tn.gov/intranet/forms/0005.pdf">Click to Open</a> Spanish: n/a Surrender Affidavit Medical-Social History CS-0866 Disclosure Statement Supervisory-Personal References and Telephone Reference Check CS-0891 English: <a href="https://files.dcs.tn.gov/intranet/forms/0751I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0937.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0937S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0319.doc">Click to Open</a> Spanish: n/a Log of Long Distance Telephone Calls GS-0686 English: <a href="https://files.dcs.tn.gov/intranet/forms/1159I.doc">Click to Open</a> Spanish: n/a Provider Quality Referral Form CS-0918 English: <a href="https://files.dcs.tn.gov/intranet/forms/0757.doc">Click to Open</a> Spanish: n/a Pre-Service - Juvenile Justice Individual Learning Plan YDC Notice of Youth Reception CS-1055 English: <a href="https://files.dcs.tn.gov/intranet/forms/0735.doc">Click to Open</a> Spanish: n/a Notification of Change of Circumstance CS-0476 English: <a href="https://files.dcs.tn.gov/intranet/forms/0733.doc">Click to Open</a> Spanish: n/a Single Team Single Plan Approach Consent Foster Home Monthly Recording CS-0709 Facilitator Certification Assessment CS-1204 Clients' Rights Poster 0558 0559 English: <a href="https://files.dcs.tn.gov/intranet/forms/0744.doc">Click to Open</a> Spanish: n/a Surrender of Child by a Parent or Guardian Residing in a Foreign Country CS-0846 English: <a href="https://files.dcs.tn.gov/intranet/forms/0748.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0965.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0740.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0929.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0929S.doc">Click to Open</a> Trainee Sign-in Verification Sheet CS-0598 Drug Administration Record CS-0128 0568 Training Course ID Request 0184-1 Declaration of Existing Attorney-Client Relationship CS-0588 Juvenile Justice Case Closure - Discharge CS-0046 English: <a href="https://files.dcs.tn.gov/forms/0831.pdf">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0831S.pdf">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0614I.doc">Click to Open</a> Spanish: n/a Licensed Child-Placing Agency or Licensed Clinical Social Worker Fee Disclosure Statement CS-0642 English: <a href="https://files.dcs.tn.gov/intranet/forms/0755.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1026I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0948I.doc">Click to Open</a> Spanish: n/a Step 1 Appeal PR-0467 0580 English: <a href="https://files.dcs.tn.gov/intranet/forms/0751.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/TNCareImmediateEligibility.pdf">Click to Open</a> Spanish: n/a 0579 Intent to Obtain Permanent Guardianship Placement Agreement (Part 1) and Application for Subsidized Permanent Guardianship (Part 2) CS-0719 English: <a href="https://files.dcs.tn.gov/intranet/forms/0925.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/forms/0674I.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0523.doc">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/0476.pdf">Click to Open</a> Spanish: n/a English: <a href="https://files.dcs.tn.gov/intranet/forms/1046.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/1046S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0983.doc">Click to Open</a> Spanish: n/a Education Passport-School Enrollment Letter CS-0657 English: <a href="https://files.dcs.tn.gov/intranet/forms/0194I.doc">Click to Open</a> Spanish: n/a Affidavit of Diligent Search for a Proposed Conservator Application - DCS Employee Graduate Tuition Reimbursement Program Columbia Suicide Severity Rating Scale CS-1104 Consent by a Licensed Child-Placing Agency CS-0641 English: <a href="https://files.dcs.tn.gov/forms/0994.doc">Click to Open</a> Spanish: n/a 0587 0588 0585 0583 English: <a href="https://files.dcs.tn.gov/forms/0985I.doc">Click to Open</a> Spanish: n/a Medical Summary for Classification CS-0855 AdoptUSKids Registration CS-1012 English: <a href="https://files.dcs.tn.gov/forms/0627I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0627SI.doc">Click to Open</a> Attorney Fee Disclosure Affidavit CS-0640 Contract Agency Curriculum Review CS-1053 English: <a href="https://files.dcs.tn.gov/intranet/forms/0510.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0510S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/forms/0961.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0961S.doc">Click to Open</a> English: <a href="https://files.dcs.tn.gov/intranet/forms/0968I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/intranet/forms/0968SI.doc">Click to Open</a> 0598 0599 Americans with Disability Act (ADA) Complaint CS-1093 Notice of Disciplinary Appeal CS-0210 English: <a href="https://files.dcs.tn.gov/forms/0962I.doc">Click to Open</a> Spanish: n/a 0594 English: <a href="https://files.dcs.tn.gov/forms/0670I.doc">Click to Open</a> Spanish: <a href="https://files.dcs.tn.gov/forms/0670SI.doc">Click to Open</a>

Provider Forms & Documents

Social Media