DCYF Forms
Find brochures & other publications on the DCYF publications library.
| Number Sort descending | Form Name | Revision Date | File Format | Digital Format | |
|---|---|---|---|---|---|
| 09-160 | Background Check Hearing Request Form | 07-2026 |
English (PDF)
Spanish (fillable PDF) |
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| 09-162 | Background Check Reconsideration Request |
English (Word)
English (PDF) |
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| 09-164 | Request for Early Learning Background Check Results | 03-2024 |
English (Word)
English (PDF) Somali (PDF) Spanish (PDF) Spanish (Word) |
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| 09-165 | Portable Background Check Application | 03-2024 |
English (PDF)
Somali (PDF) Spanish (Word) Spanish (PDF) |
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| 09-200 | Education Affidavit for Group Care | 05-2026 |
English (PDF) | ||
| 09-201 | Extended Foster Care (EFC) – Consent for Virtual Health and Safety Visits | 01-2026 |
English (PDF)
Spanish (fillable PDF) |
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| 09-539 | Inquiry to Indian Tribe |
English (Word)
English (PDF) Spanish (Word) Spanish (PDF) |
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| 09-611 | Release and Consent for Child Specific Recruitment |
English (Word)
English (PDF) Spanish (PDF) Spanish (Word) |
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| 09-653 | Background Check Authorization | 07-2025 |
English (Word)
English (PDF) Amharic (PDF) Armenian (PDF) Bosnian (PDF) Burmese (PDF) Cambodian (PDF) Chinese (PDF) Chinese (PDF) Dari (PDF) Haitian-Creole (PDF) Korean (PDF) Laotian (PDF) Maay Maay (PDF) Pashtu (PDF) Punjabi (PDF) Russian (PDF) Somali (PDF) Spanish (PDF) Trukese (PDF) Vietnamese (PDF) |
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| 09-761 | Indian Identity Request | 12-2025 |
English (PDF)
አማርኛ (fillable Amharic) عربي (fillable Arabic) កម្ពុជា។ (fillable Cambodian) 中文 (fillable Chinese) Dari (fillable PDF) 日本語 (fillable Japanese) Kajinَ Majōlَ (Marshallese fillable PDF) 한국인 (fillable Korean) русскийَ (Russian fillable PDF) Samoa (Samoan fillable PDF) Af-Soomaali (fillable Somali) Español (Spanish fillable PDF) Fosun/Kapasen Chuuk (fillable Trukese) Tiếng Việt (fillable Vietnamese) Português (fillable Portuguese) Українська (Ukrainian fillable PDF) |
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| 09-765 | Declaration of Adoption Facilitator - Indian Child | 04-2023 |
English (Word)
English (PDF) Spanish (Word) Spanish (PDF) |
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| 09-837 | Disclosure of Confidential HIV / AIDS Information |
English (Word)
English (PDF) |
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| 09-966 | Authorization to Release Information to the Court |
English (Word)
English (PDF) |
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| 09-997 | Adoption Support Worksheet |
English (Word)
Somali (PDF) Spanish (Word) Spanish (PDF) Ukrainian (PDF) Vietnamese (PDF) |
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| 09-998 | Application for the Adoption Support Program and/or Reimbursement of Adoption Finalization Costs |
English (Word)
English (PDF) Ukrainian (PDF) Vietnamese (PDF) |
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| 10-002 | Incident Report | 11-2025 |
English (Word) | ||
| 10-005 | Group Receiving Center Checklist for Group Care | 05-2026 |
English (Word) | ||
| 10-011 | Staff Roster for Child Placing Agency (CPA) | 07-2024 |
English (Word) | ||
| 10-012A | Personnel File Checklist for CPA: Executive Director/Administrator | 09-2025 |
English (Word) | ||
| 10-012B | Personnel File Checklist for CPA: Program Manager | 09-2025 |
English (Word) | ||
| 10-012C | Personnel File Checklist for CPA: Licensor | 09-2025 |
English (Word) | ||
| 10-012D | Personnel File Checklist for CPA: Case Manager | 09-2025 |
English (Word) | ||
| 10-012E | Personnel File Checklist for CPA: Case Aide | 09-2025 |
English (Word) | ||
| 10-012F | Personnel File Checklist for CPA: Consultant | 09-2025 |
English (Word) | ||
| 10-012G | Personnel File Checklist for CPA: Volunteer/Interns working directly with children | 09-2025 |
English (Word) | ||
| 10-013 | Group Care Facility File Checklist | 05-2026 |
English (Word) | ||
| 10-016 | File Checklist and Certification for License of Foster Home | 06-2026 |
English (Word) | ||
| 10-016A | File Checklist and Certification for License of Kinship Home | 06-2025 |
English (PDF) | ||
| 10-018 | Kinship Home Study | 05-2025 |
English (Word)
Spanish (Word) |
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| 10-018b | Kinship Home Study Update | 06-2025 |
English (Word)
Spanish (Word) |
