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Form ID	Form Name	Form	Instructions	Owner

English: N/A Spanish: N/A Penalty for Harboring Notice CS-0749 Civil Rights English: <a href="https://public.powerdms.com/TNDCS/documents/2072634" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072649" target=_blank">Click to open file.</a> Staffing Plan Assessment Program Agreement - BSW-BSSW Tuition Assistance Program CS-0982 Daily Rate Child Placement Contract Between DCS, TN Baptist Children's Homes and Foster Parents CS-0998 English: <a href="https://public.powerdms.com/TNDCS/documents/2072088" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072985" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072552" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072576" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072120" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072903" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072916" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072819" target=_blank">Click to open file.</a> Spanish: N/A Foster Care English: <a href="https://public.powerdms.com/TNDCS/documents/2071920" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072769" target=_blank">Click to open file.</a> Spanish: N/A Youth Acknowledgement and Notification of PREA CS-0939 Relative Caregiver Program Stipend Agreement (Non-Custodial) CS-4236 English: <a href="https://public.powerdms.com/TNDCS/documents/2072981" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2073019" target=_blank">Click to open file.</a> Spanish: N/A Independent Living English: <a href="https://public.powerdms.com/TNDCS/documents/2072846" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072858" target=_blank">Click to open file.</a> Spanish: Not found on Power DMS List Clinical Service Provider Qualifications CS-1231 English: <a href="https://public.powerdms.com/TNDCS/documents/2072169" target=_blank">Click to open file.</a> Spanish: N/A Request for Foster Home Transfer CS-0985 Tier II Request for Appeal CS-1062 Foster Parent Applicant Questionnaire CS-0962 0727-1 0496 English: <a href="https://public.powerdms.com/TNDCS/documents/2072612" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072867" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072871" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071600" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072583" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072989" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072033" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072021" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072842" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072911" target=_blank">Click to open file.</a> Spanish: N/A Foster Home Approval CS-0702 Waiver of Training and Education CS-0921-4 Drug Screen Consent/Refusal and Results CS-0831 English: <a href="https://public.powerdms.com/TNDCS/documents/2072654" target=_blank">Click to open file.</a> Spanish: Not found on Power DMS List English: <a href="https://public.powerdms.com/TNDCS/documents/2072925" target=_blank">Click to open file.</a> Spanish: N/A Waiver Agreement and Statement for Criminal History Checks CS-1221 English: <a href="https://public.powerdms.com/TNDCS/documents/2072665" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072680" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072153" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072940" target=_blank">Click to open file.</a> Spanish: N/A Authorization for Routine Health Services for Minors CS-0206 English: <a href="https://public.powerdms.com/TNDCS/documents/2072913" target=_blank">Click to open file.</a> Spanish: N/A Special Needs Justification CS-0934 English: <a href="https://public.powerdms.com/TNDCS/documents/2072406" target=_blank">Click to open file.</a> Spanish: N/A Water Hazard/Pool Safety Assessment Tool CS-4203 Record of Training Participation CS-0752 English: <a href="https://public.powerdms.com/TNDCS/documents/2072236" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072072" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072834" target=_blank">Click to open file.</a> Spanish: N/A Foster Care & JJ 0158 English: <a href="https://public.powerdms.com/TNDCS/documents/2072864" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071886" target=_blank">Click to open file.</a> Psychotropic Medication Evaluation CS-0629 English: <a href="https://public.powerdms.com/TNDCS/documents/2072161" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072244" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072080" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072811" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072786" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072584" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072609" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072620" target=_blank">Click to open file.</a> Spanish: N/A PAR English: <a href="https://public.powerdms.com/TNDCS/documents/2072590" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072598" target=_blank">Click to open file.</a> Sub-Contract Request with Non-Performance-Based (PBC) Entities CS-0971 Curriculum Development Request English: <a href="https://public.powerdms.com/TNDCS/documents/2425080" target=_blank">Click to open file.</a> Spanish: N/A 0921-4 0921-3 Safe Housing Assessment CS-1236 0921-2 0921-1 Current Description of Child CS-1033 English: <a href="https://public.powerdms.com/TNDCS/documents/2071412" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071389" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072355" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072363" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072619" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072644" target=_blank">Click to open file.</a> Centralized Perm. Services Fiscal English: <a href="https://public.powerdms.com/TNDCS/documents/2072885" target=_blank">Click to open file.</a> Spanish: N/A Research Request Electronic Record System Access Request for Providers CS-0944 Individual Conflict of Interest Statement CS-0972 English: <a href="https://public.powerdms.com/TNDCS/documents/2257971" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071955" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072536" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071487" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072673" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072689" target=_blank">Click to open file.</a> Individual Sub-Contract CS-0970 English: <a href="https://public.powerdms.com/TNDCS/documents/2072562" target=_blank">Click to open file.</a> Spanish: N/A Subsidized Permanent Guardianship Eligibility CS-4199 Incident Report - DCS Tuition Assistance Program CS-0980 English: <a href="https://public.powerdms.com/TNDCS/documents/2072440" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072448" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072937" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071632" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071597" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071337" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072652" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2796112" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071858" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072919" target=_blank">Click to open file.</a> Fingerprint Card Information CS-0691 Foster Parent Individual TN KEYS Training Plan CS-1158 English: <a href="https://public.powerdms.com/TNDCS/documents/2072600" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072626" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072887" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072899" target=_blank">Click to open file.</a> Monthly Family Income and Expenditures CS-0431 Family Eco-Map CS-0782 English: <a href="https://public.powerdms.com/TNDCS/documents/2072096" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072866" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072870" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072855" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072863" target=_blank">Click to open file.</a> 0083 English: <a href="https://public.powerdms.com/TNDCS/documents/2072035" target=_blank">Click to open file.</a> Spanish: N/A Foster Child/Youth Bill of Rights Acknowledgement English: <a href="https://public.powerdms.com/TNDCS/documents/2072881" target=_blank">Click to open file.</a> Spanish: N/A Foster Parent Elective Training Documentation CS-1000 Title VI/Title IX Complaint CS-0636 Recovery Checklist for Absconders/Runaways/Escapees CS-0705-1 English: <a href="https://public.powerdms.com/TNDCS/documents/2072624" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072779" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071661" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072775" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072703" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071698" target=_blank">Click to open file.</a> Relative Caregiver Program Brochure English: <a href="https://public.powerdms.com/TNDCS/documents/2072253" target=_blank">Click to open file.</a> Spanish: N/A Foster Family Reference Letter and Questionnaire CS-0963 English: <a href="https://public.powerdms.com/TNDCS/documents/2072638" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072662" target=_blank">Click to open file.</a> Medication for Pass/Respite CS-0836 English: <a href="https://public.powerdms.com/TNDCS/documents/2071970" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2073023" target=_blank">Click to open file.</a> Spanish: N/A HR English: <a href="https://public.powerdms.com/TNDCS/documents/2072013" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072037" target=_blank">Click to open file.</a> 0093 English: <a href="https://public.powerdms.com/TNDCS/documents/2072607" target=_blank">Click to open file.</a> Spanish: N/A Plan of Study - DCS Tuition Assistance BSW/BSSW Program CS-0981 English: <a href="https://public.powerdms.com/TNDCS/documents/2072144" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072932" target=_blank">Click to open file.</a> Spanish: N/A Grant and Letter of Support Request Foster Parent/Other Adult Medical Report CS-0678 Network Development English: <a href="https://public.powerdms.com/TNDCS/documents/2072712" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072736" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071616" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071581" target=_blank">Click to open file.</a> Student Reference Recommendation - DCS BSW/BSSW Tuition Assistance Program CS-0984 Incident Report CS-0496 Application for Subsidized Permanent Guardianship CS-4201 English: <a href="https://public.powerdms.com/TNDCS/documents/2071834" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072613" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072629" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072802" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072574" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072772" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072060" target=_blank">Click to open file.</a> Spanish: N/A Application for Child Welfare Case Management Certification CS-0994 JJ Notice of Intent to Claim Paternity or Acknowledgement of Paternity of a Child CS-0439 Verification of Employment or Employment Readiness Training (AA/SPG ROE) CS-4239 Relative Caregiver Program Action Plan CS-0620 English: <a href="https://public.powerdms.com/TNDCS/documents/2072774" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072789" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071978" target=_blank">Click to open file.</a> Spanish: N/A Acknowledgement of Understanding Regarding Placement Acceptance CS-1217 Application for Re-Establishment of Bright Futures Services CS-0778 English: <a href="https://public.powerdms.com/TNDCS/documents/2072896" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072991" target=_blank">Click to open file.</a> Spanish: N/A Foster Parent Waiver of Right to Appeal the Removal of a Child and Right to 14 Day Notice CS-0583 English: <a href="https://public.powerdms.com/TNDCS/documents/2072667" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072663" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072743" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072767" target=_blank">Click to open file.</a> Profile of Parenting Study Tool English: <a href="https://public.powerdms.com/TNDCS/documents/2071878" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071775" target=_blank">Click to open file.</a> Full Disclosure Statement: Permanency Options for Relative or Kin Caregivers CS-0660 Performance Based Contracting Formal Committee Review CS-0960 Discipline Policy CS-0553 Medical Report English: <a href="https://public.powerdms.com/TNDCS/documents/2071928" target=_blank">Click to open file.</a> Spanish: N/A Foster Family Profile CS-0961 Education Child's Medical Record CS-0427 Permanency Request for Name and/or Address of Father with Claim of Paternity CS-0435 Records Adoption Assistance Agreement Title IV-E Fostering Connections (Effective on or after January 1, 2023 for Youth 16 or older) CS-4237 Request for Payment for Non-Recurring/Legal Expenses for DCS Custodial Children Ineligible for Adoption Subsidy CS-1203 English: <a href="https://public.powerdms.com/TNDCS/documents/2072575" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072591" target=_blank">Click to open file.</a> Information Technology Systems Customer Request CS-0669 English: <a href="https://public.powerdms.com/TNDCS/documents/2072128" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071847" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072856" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072110" target=_blank">Click to open file.</a> Spanish: N/A OIT Foster Family Profile Recommendations and Signature Page CS-0961-1 Confidentiality Agreement CS-0684 Confidentiality Agreement for Full Disclosure CS-1039 Relative Caregiver Program Determination of Financial Eligibility CS-0614 English: <a href="https://public.powerdms.com/TNDCS/documents/2071461" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071469" target=_blank">Click to open file.</a> Performance Based Contracting Formal Review Request CS-0959 English: <a href="https://public.powerdms.com/TNDCS/documents/2030138" target=_blank">Click to open file.</a> Spanish: N/A 0909 English: <a href="https://stateoftennessee.formstack.com/forms/course_id_request" target=_blank">Click to open file. (Redirects to Formstack)</a> Spanish: N/A Authorization to Release Academic Information - DCS Tuition Assistance Programs CS-0978 PREA - Sexual Abuse Critical Incident Review CS-1123 Foster Parent Training Sign-in Sheet CS-1157 Contractor List of Owners and Board Members CS-0973 English: <a href="https://public.powerdms.com/TNDCS/documents/2072807" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072813" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2363392" target=_blank">Click to open file.</a> Spanish: N/A Power of Attorney for Care of a Minor Child CS-0817 English: <a href="https://public.powerdms.com/TNDCS/documents/2071451" target=_blank">Click to open file.</a> Spanish: N/A Approval of Participation - DCS MSW/MSSW Tuition Assistance Program CS-0977 English: <a href="https://public.powerdms.com/TNDCS/documents/2072966" target=_blank">Click to open file.</a> Spanish: N/A Child Safety English: <a href="https://public.powerdms.com/TNDCS/documents/2072577" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072601" target=_blank">Click to open file.</a> PME Appeal for Fair Hearing by Relative Caregiver CS-4311 English: <a href="https://public.powerdms.com/TNDCS/documents/2072623" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071758" target=_blank">Click to open file.</a> Spanish: N/A 72 Hour Health Screening Report CS-1097 Relative Caregiver Program Family Needs Scale CS-0616 English: <a href="https://public.powerdms.com/TNDCS/documents/2071588" target=_blank">Click to open file.</a> Spanish: N/A Visitation Observation Checklist CS-0594 English: <a href="https://public.powerdms.com/TNDCS/documents/2072698" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071654" target=_blank">Click to open file.</a> 0705-1 English: <a href="https://public.powerdms.com/TNDCS/documents/2072799" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072805" target=_blank">Click to open file.</a> Prison Rape Elimination Act (PREA) Risk Assessment CS-0946 English: <a href="https://public.powerdms.com/TNDCS/documents/2320233" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071868" target=_blank">Click to open file.</a> 0910 Intent to Adopt Placement Agreement CS-0460 English: <a href="https://public.powerdms.com/TNDCS/documents/2072852" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072859" target=_blank">Click to open file.</a> Physical Examination for Wilder Youth CS-0708 0961-1 HIPAA Notice of Privacy Practices - Client Acknowledgement CS-0699 English: <a href="https://public.powerdms.com/TNDCS/documents/2072793" target=_blank">Click to open file.</a> Spanish: N/A Foster Home Disaster Plan CS-0871 English: <a href="https://public.powerdms.com/TNDCS/documents/2072928" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071730" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2425633" target=_blank">Click to open file.</a> Spanish: N/A Foster Parent Oath to Abide CS-0670 English: <a href="https://public.powerdms.com/TNDCS/documents/2071460" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072878" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072797" target=_blank">Click to open file.</a> Spanish: N/A Foster Home Assessment or Re-Activation CS-0692 English: <a href="https://public.powerdms.com/TNDCS/documents/2072696" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071484" target=_blank">Click to open file.</a> Adoptions Informed Consent for Psychotropic Medication CS-0627 Relative Caregiver Program Letter of Understanding CS-0619 0817 0939 0813 0934 0935 Tennessee KEY Mutual Assessment Process Questionnaire CS-1228 English: <a href="https://public.powerdms.com/TNDCS/documents/2071734" target=_blank">Click to open file.</a> Spanish: N/A Medical Self-Report CS-0707 English: <a href="https://public.powerdms.com/TNDCS/documents/2072924" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072923" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072935" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072735" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071636" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072659" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072831" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072750" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2030127" target=_blank">Click to open file.</a> Spanish: N/A 0708 0946 0944 English: <a href="https://public.powerdms.com/TNDCS/documents/2221619" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071682" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071690" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072850" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072853" target=_blank">Click to open file.</a> 0831 English: <a href="https://public.powerdms.com/TNDCS/documents/2072931" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072939" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072817" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072821" target=_blank">Click to open file.</a> PQT English: <a href="https://public.powerdms.com/TNDCS/documents/2072670" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072694" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072422" target=_blank">Click to open file.</a> Spanish: N/A Vaccine Exception Declaration for Foster Parents CS-4256 Approval of Participation-Employee Graduate Tuition Reimbursement Program 0959 English: <a href="https://public.powerdms.com/TNDCS/documents/2072628" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071644" target=_blank">Click to open file.</a> 0836 English: <a href="https://public.powerdms.com/TNDCS/documents/2072841" target=_blank">Click to open file.</a> Spanish: N/A Initial Intake, Placement and Well-Being Information and History CS-0727 English: <a href="https://public.powerdms.com/TNDCS/documents/2072430" target=_blank">Click to open file.</a> Spanish: N/A Waiver of Criminal Convictions CS-0921-1 English: <a href="https://public.powerdms.com/TNDCS/documents/2072808" target=_blank">Click to open file.</a> Spanish: N/A Foster Home Medication Record CS-0630 English: <a href="https://public.powerdms.com/TNDCS/documents/2030171" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072957" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072810" target=_blank">Click to open file.</a> Spanish: N/A 0963 Prior Approval of PRN Psychotropic Medication CS-0628 0961 Bright Futures Plan 0962 Relative Caregiver Family Information CS-0618 0960 English: <a href="https://public.powerdms.com/TNDCS/documents/2030037" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072897" target=_blank">Click to open file.</a> 0969 Child Health Release from Medical Responsibility CS-0093 English: <a href="https://public.powerdms.com/TNDCS/documents/2072648" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072758" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072781" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071630" target=_blank">Click to open file.</a> Spanish: N/A Investigation Outcome of Allegations of Sexual Abuse/Harassment CS-4232 Foster Home Application for Parenting CS-0688 Notice of Removal of a Child from a Foster Home CS-0450 0972 0973 English: <a href="https://public.powerdms.com/TNDCS/documents/2072783" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072551" target=_blank">Click to open file.</a> Foster Home Performance Improvement Plan CS-0909 0970 0971 English: <a href="https://public.powerdms.com/TNDCS/documents/2072893" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072901" target=_blank">Click to open file.</a> 0619 English: <a href="https://public.powerdms.com/TNDCS/documents/2072943" target=_blank">Click to open file.</a> Spanish: N/A Medication Transfer CS-0813 0618 0978 0979 0976 0977 English: <a href="https://public.powerdms.com/TNDCS/documents/2071608" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072621" target=_blank">Click to open file.</a> N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072951" target=_blank">Click to open file.</a> Spanish: N/A Background Check History and IV-E Eligibility Checklist CS-0687 English: <a href="https://public.powerdms.com/TNDCS/documents/2072641" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072657" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072949" target=_blank">Click to open file.</a> Spanish: N/A Legal English: <a href="https://public.powerdms.com/TNDCS/documents/2072640" target=_blank">Click to open file.</a> Spanish: N/A Independent Living Program Appeal Request CS-0761 0985 English: <a href="https://public.powerdms.com/TNDCS/documents/2072804" target=_blank">Click to open file.</a> Spanish: N/A 0983 0984 English: <a href="https://public.powerdms.com/TNDCS/documents/2072718" target=_blank">Click to open file.</a> Spanish: N/A 0981 0982 0980 English: <a href="https://public.powerdms.com/TNDCS/documents/2072745" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072761" target=_blank">Click to open file.</a> Production Job Set Up CS-0935 Program Agreement - MSW-MSSW Tuition Assistance Program CS-0983 0749 0628 0629 Help Desk Ticket Request for Providers CS-0780 English: <a href="https://public.powerdms.com/TNDCS/documents/2072854" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072862" target=_blank">Click to open file.</a> Application - DCS Tuition Assistance Program MSW-MSSW Program CS-0976 Special or Extraordinary Rate Request CS-0674 Closed Adoption Record Checklist CS-0677 English: <a href="https://public.powerdms.com/TNDCS/documents/2072585" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072608" target=_blank">Click to open file.</a> Confirmation of Review of Runaway Prevention Plan CS-0910 English: <a href="https://public.powerdms.com/TNDCS/documents/2072446" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2425629" target=_blank">Click to open file.</a> Spanish: N/A Deferral Request - DCS Tuition Assistance Program CS-0979 0994 0871 Program Evaluation English: <a href="https://public.powerdms.com/TNDCS/documents/2072748" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071462" target=_blank">Click to open file.</a> Sexual Abuse/Harassment Juvenile Notification Investigation Outcome CS-4233 0998 Initial Approval of Participation Request CS-1103 Notification of Equal Access to Programs CS-0158 0890 English: <a href="https://public.powerdms.com/TNDCS/documents/2072036" target=_blank">Click to open file.</a> Spanish: N/A Training English: <a href="https://public.powerdms.com/TNDCS/documents/2072883" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072888" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072776" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071592" target=_blank">Click to open file.</a> Verification of Medical/Mental Health Provider Visit (for Adoption Assistance) CS-4220 English: <a href="https://public.powerdms.com/TNDCS/documents/2348930" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072825" target=_blank">Click to open file.</a> Spanish: N/A Performance Based Contractor (PBC) Sub-Contractor CS-0969 Appeal for Fair Hearing by State Department CS-0403 English: <a href="https://public.powerdms.com/TNDCS/documents/2072690" target=_blank">Click to open file.</a> Spanish: N/A Foster Home Addendum CS-0773 Profile of Parenting Home Study Writer Checklist CS-4198 0780 English: <a href="https://public.powerdms.com/TNDCS/documents/2071793" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071801" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072554" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072176" target=_blank">Click to open file.</a> Spanish: N/A Authorization of Release of Information and HIPAA PHI To or From DCS and Notification of Release CS-0559 English: <a href="https://public.powerdms.com/TNDCS/documents/2072570" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071754" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071745" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072602" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072664" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072681" target=_blank">Click to open file.</a> 0778 English: <a href="https://public.powerdms.com/TNDCS/documents/2072973" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072977" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072828" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072744" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072760" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072069" target=_blank">Click to open file.</a> Spanish: N/A Profile of Parenting Supervisor Review Checklist CS-4197 English: <a href="https://public.powerdms.com/TNDCS/documents/2072639" target=_blank">Click to open file.</a> Spanish: N/A Child/Youth Placement and Well-Being Information CS-0727-1 English: <a href="https://public.powerdms.com/TNDCS/documents/2072778" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072794" target=_blank">Click to open file.</a> Referral for Home Study Service CS-1100 English: <a href="https://public.powerdms.com/TNDCS/documents/2072909" target=_blank">Click to open file.</a> Spanish: N/A Tennessee KEY Assessment CS-1227 English: <a href="https://public.powerdms.com/TNDCS/documents/2071646" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2071662" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072566" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072582" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072839" target=_blank">Click to open file.</a> Spanish: N/A Relative Caregiver 0782 Placement Exception Request CS-0664 English: <a href="https://public.powerdms.com/TNDCS/documents/2425614" target=_blank">Click to open file.</a> Spanish: N/A Program Agreement - DCS Employee Graduate Tuition Reimbursement Program CS-1019 0669 English: <a href="https://public.powerdms.com/TNDCS/documents/2071476" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072729" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2073021" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072818" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072827" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072066" target=_blank">Click to open file.</a> Spanish: N/A TN Bureau of Investigation (TBI) Missing Child Report BI-0083 English: <a href="https://public.powerdms.com/TNDCS/documents/2072993" target=_blank">Click to open file.</a> Spanish: N/A 0678 English: <a href="https://public.powerdms.com/TNDCS/documents/2072918" target=_blank">Click to open file.</a> Spanish: N/A Waiver of CPS Substantiations CS-0921-2 English: <a href="https://public.powerdms.com/TNDCS/documents/2072814" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072822" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072875" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072879" target=_blank">Click to open file.</a> 0439 0319 Incident Debriefing CS-0890 0559 English: <a href="https://public.powerdms.com/TNDCS/documents/2072429" target=_blank">Click to open file.</a> Spanish: N/A 0691 0692 English: <a href="https://public.powerdms.com/TNDCS/documents/2072752" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072768" target=_blank">Click to open file.</a> Database Search Results CS-0741 English: <a href="https://public.powerdms.com/TNDCS/documents/2072674" target=_blank">Click to open file.</a> Spanish: N/A 0688 English: <a href="https://public.powerdms.com/TNDCS/documents/2328478" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2334837" target=_blank">Click to open file.</a> Training Course ID Request 0687 0684 English: <a href="https://public.powerdms.com/TNDCS/documents/2072737" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072753" target=_blank">Click to open file.</a> Child/Youth Safety Plan CS-1044 English: <a href="https://public.powerdms.com/TNDCS/documents/2334841" target=_blank">Click to open file.</a> Spanish: N/A Foster Parent Pre-Service Refresher Training Plan CS-1229 English: <a href="https://public.powerdms.com/TNDCS/documents/2072185" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072838" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072660" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072677" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072697" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072721" target=_blank">Click to open file.</a> Waiver of Non-Safety Issues CS-0921-3 Shared Home Authorization CS-0672 English: <a href="https://public.powerdms.com/TNDCS/documents/2072216" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072263" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072869" target=_blank">Click to open file.</a> 0699 English: <a href="https://public.powerdms.com/TNDCS/documents/2362055" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2367734" target=_blank">Click to open file.</a> 1059-2 English: <a href="https://public.powerdms.com/TNDCS/documents/2072950" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071855" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072860" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2071678" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072788" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072435" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2071713" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072581" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072604" target=_blank">Click to open file.</a> 1059-1 English: <a href="https://public.powerdms.com/TNDCS/documents/2072136" target=_blank">Click to open file.</a> Spanish: N/A Foster Home Extension Request CS-1018 English: <a href="https://public.powerdms.com/TNDCS/documents/2072112" target=_blank">Click to open file.</a> Spanish: N/A Subsidized Permanent Guardianship Agreement Title IV-E (Effective on or after January 1, 2023 for Youth 16 or older) CS-4238 Parents and Relatives/Kin Visitation Home Safety Checklist CS-4261 Application - DCS Employee Graduate Tuition Reimbursement Program Safe Housing Re-Assessment CS-1237 Home Safety Checklist CS-0676 Relative Caregiver Program Referral CS-1230 English: <a href="https://public.powerdms.com/TNDCS/documents/2072865" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072877" target=_blank">Click to open file.</a> 0583 English: <a href="https://public.powerdms.com/TNDCS/documents/2314345" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072349" target=_blank">Click to open file.</a> Verification of Financial Responsibility CS-0017 English: <a href="https://public.powerdms.com/TNDCS/documents/2072615" target=_blank">Click to open file.</a> Spanish: N/A Provider Case Manager Pre-Service Curriculum Review CS-1053 Transfer, Mail and Acknowledgment of Case Records, Record Materials and Forms CS-0422 English: <a href="https://public.powerdms.com/TNDCS/documents/2072126" target=_blank">Click to open file.</a> Spanish: N/A Application for Service as a Volunteer CS-0319 Free Appropriate Public Education (FAPE) Spreadsheet English: <a href="https://public.powerdms.com/TNDCS/documents/2072711" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072784" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072960" target=_blank">Click to open file.</a> Spanish: N/A English: <a href="https://public.powerdms.com/TNDCS/documents/2072686" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072702" target=_blank">Click to open file.</a> English: <a href="https://public.powerdms.com/TNDCS/documents/2072874" target=_blank">Click to open file.</a> Spanish: N/A Americans with Disability Act (ADA) Complaint CS-1093 Notification Checklist for Absconders/Runaways/Escapees CS-0705 English: <a href="https://public.powerdms.com/TNDCS/documents/2072801" target=_blank">Click to open file.</a> Spanish: N/A 0594 English: <a href="https://public.powerdms.com/TNDCS/documents/2071534" target=_blank">Click to open file.</a> Spanish: <a href="https://public.powerdms.com/TNDCS/documents/2072561" target=_blank">Click to open file.</a>

This Page Last Updated: July 17, 2026 at 11:47 AM