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Form_Number Title Language Type
CFS-0019 Court Inquiry on Declaration of Paternal Interest EnglishPDF
CFS-0019A Declaration of Paternal InterestEnglishPDF
CFS-0019B Declaration of Paternal Interest RevocationEnglishPDF
CFS-0057 Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers* EnglishPDF
CFS-0058H Field Trip or other Activity Notification/Permission - Child Care CenterHmongPDF
CFS-0058R Field Trip or Other Activity Notification / Permission - Child Care Centers (Russian) RussianPDF
CFS-0058S Autorización / Notificación de Excursión Escolar u Otra Actividad De Guarderias SpanishPDF
CFS-0059H Authorization to Administer Medication - Child Care CentersHmongPDF
CFS-0059R Authorization to Administer Medication - Child Care Centers (Russian) RussianPDF
CFS-0059S Autorizacion Para Administrar Medicamentos - Centros De Cuidado Infantil SpanishPDF
CFS-0060S Informe Medico Del Nino - Centros De Cuidado Infantil SpanishPDF
CFS-0061H Intake for Child Under 2 Years - Child Care CentersHmongPDF
CFS-0061R Intake for Child Under 2 Years - Child Care Centers (Russian) RussianPDF
CFS-0061S Admision Para Ninos menores de 2 Anos - Guarderias SpanishPDF
CFS-0062H Child Care Enrollment - HmongHmongPDF
CFS-0062R Child Care Enrollment (Russian) RussianPDF
CFS-0062S Inscripción En El Servicio De Cuidado Infantil SpanishPDF
CFS-0062S Inscripción En El Servicio De Cuidado Infantil SpanishDOC
CFS-0072 Adoption Assistance Program Application and Decision EnglishPDF
CFS-0075 Adoption Assistance Child, Family and Payment Summary Information EnglishDOC
CFS-0075 Adoption Assistance Child, Family and Payment Summary Information EnglishPDF
CFS-0107 Foster Home Agreement Child Placed in Out-of-Home Care by Agency* EnglishPDF
CFS-0107 Foster Home Agreement Child Placed in Out-of-Home Care by Agency EnglishDOC
CFS-0116 Foster Parent Insurance Program - Claim of Loss or Damage EnglishPDF
CFS-0117 Foster Parent Insurance Program - Verification of Claim  EnglishPDF
CFS-0134 Court Report for Centralized Birth RecordEnglishDOC
CFS-0139 Record of Adoption*EnglishPDF
CFS-0140 Adoptive Family Placement Agreement EnglishPDF
CFS-0141 Recommendation for Adoption EnglishDOC
CFS-0142S DeclarcionSpanishPDF
CFS-0144S Solicitud Para Invstigacion De Adopcion SpanishPDF
CFS-0149AS Questionario De Historial Familiar - Medico/Genetic SpanishPDF
CFS-0201A Title IV-E Out-of Home Care Redetermination* EnglishPDF
CFS-0201A Title IV-E Out of Home Care Redetermination EnglishDOC
CFS-0353 Sanitation Checklist - Residential Care Centers EnglishPDF
CFS-0354 Licensing Checklist - Residential Care Centers HFS 52 EnglishPDF
CFS-0357 Fire Safety Inspection - Residential Care Centers EnglishPDF
CFS-0358 Group Foster Homes for Children Licensing Checklist EnglishPDF
CFS-0361 Licensing Checklist - Shelter Care FacilitiesEnglishPDF
CFS-0362 Licensing Checklist - Child Placing Agencies EnglishPDF
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If you have questions, please contact Jeannie Holtan or via 608-266-8002.