DCYF Forms

Find brochures & other publications on the DCYF publications library.
Number Sort descending Form Name Revision Date File Format Digital Format
07-110A Child Care Stabilization Grant Spend Period Extension Request English (Word)
Somali (PDF)
Spanish (PDF)
Spanish (Word)
07-110B Stabilization Grant Receipt Verification Form Program and Add-On Amounts English (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
07-110C Stabilization Grant Receipt Verification Form Workforce Amounts English (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
07-112 Spring 2021 Child Care COVID -19 Grant Receipt Verification English (Word)
Somali (PDF)
Spanish (PDF)
Spanish (Word)
07-112a Early Achievers Needs-Based Grant Spending Report

07-2025

English (Word)
Somali (Word)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
07-115 School Enrollment/Attendance Verification

04/2024

English (Word)
English (PDF)
Spanish (Word)
Spanish (PDF)
09-007 Petition for Review of Initial Decision (Appeal) English (Word)
English (PDF)
09-008 Victim/Witness Notification Program Enrollment (save to your computer before filling out) English (PDF)
09-010 Child Welfare History English (Word)
09-012 Request for Certificate of Parental Improvement (CPI)

02-2022

English (Word)
English (PDF)
Amharic (PDF)
Chinese (PDF)
Korean (PDF)
Russian (PDF)
Somali (PDF)
Spanish (PDF)
Spanish (Word)
Vietnamese (PDF)
09-013 Vendor Affidavit of Lost, Stolen or Destroyed Warrant

10-2023

English (Word)
English (PDF)
Portuguese (PDF)
Spanish (Word)
Spanish (PDF)
09-026 DSO & Jail Removal Data Form English (Word)
09-031 Authorization By Subject of Records Requested English (Word)
English (PDF)
09-041 Office of Tribal Relations Request for Qualified Expert Witness (QEW)

09-041

English (Word)
09-042 Verification of Tribal Status: ECEAP Applicant

06-2025

English (PDF)
09-043 Local Indian Child Welfare Advisory Committee (LICWAC) Checklist

04-2025

English (PDF)
09-054 Waiver of Notice of Further Hearing English (Word)
English (PDF)
09-056 Dependent/Ward of the Court Verification English (Word)
English (PDF)
09-082 Five Day Notification to Move English (Word)
English (PDF)
09-093 School Notification

08-2024

English (Word)
Special Education Decision Make Flowchart
09-100 Hiring Education Affidavit Request (Early Learning) English (Word)
English (PDF)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
09-101 Hiring Education Affidavit Request (School Age) English (Word)
English (PDF)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
09-102 Hiring Education Affidavit Request (Outdoor Nature-Based) English (Word)
English (PDF)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
09-111 Continuous Quality Improvement Confidentiality Agreement English (Word)
English (PDF)
09-121 Waiver of Right to Receive Written Information on Adoption Support Program Limitation English (Word)
English (PDF)
09-126 Local Indian Child Welfare Advisory Committee Confidentiality Agreement English (Word)
English (PDF)
09-127 Rights of Children and Youth in Foster Care

05-2025

English (PDF)
Spanish (Word)
09-132 Employee Background Check Request/Decision English (Word)
English (PDF)
09-133 Group Care, CPA and RPS Background Check Request/Decision Form

09-2024

English (Word)
English (PDF)
Somali (PDF)
Spanish (Word)
Spanish (PDF)
09-154 NCIC Purpose Code C Background Check Summary