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Forms: Numeric List - CFS
Division of Children and Family Services
Form Number Form Title Form Type Other Location Language
CFS-0019 Court Inquiry on Declaration of Paternal Interest PDF - Fillable Form Center English
CFS-0019A Declaration of Paternal Interest PDF - Fillable Form Center English
CFS-0019B Declaration of Paternal Interest Revocation PDF - Fillable Form Center English
CFS-0052 Vehicle Safety Inspection PDF - Fillable Form Center English
CFS-0053 Staff Record - Child Care Centers PDF - Print None English
CFS-0053A Staff Continuing Education Record - Child Care Centers* PDF - Fillable Form Center English
CFS-0054 Provider Staff Health Report - Child Care Centers* PDF - Fillable Form Center English
CFS-0055 Accident Report - Child Care Centers* PDF - Fillable Form Center English
CFS-0055 Accident Report - Child Care Centers* Word - Fillable None English
CFS-0056 Transportation Permission - Child Care Centers PDF - Fillable Form Center English
CFS-0057 Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers* PDF - Fillable Form Center English
CFS-0058 Field Trip or Other Activity Notification / Permission Slip - Child Care Centers* PDF - Fillable Form Center English
CFS-0058R Field Trip or Other Activity Notification / Permission - Child Care Centers (Russian) PDF - Fillable None Russian
CFS-0058S Autorización / Notificación de Excursión Escolar u Otra Actividad De Guarderias PDF - Fillable Form Center Spanish
CFS-0059 Authorization to Administer Medication - Child Care Centers PDF - Fillable Form Center English
CFS-0059R Authorization to Administer Medication - Child Care Centers (Russian) PDF - Fillable None Russian
CFS-0059S Autorizacion Para Administrar Medicamentos - Centros De Cuidado Infantil PDF - Fillable Form Center Spanish
CFS-0060 Child Health Report - Child Care Centers* PDF - Fillable Form Center English
CFS-0060R Child Health Report - Child Care Centers (Russian) PDF - Fillable None Russian
CFS-0060S Informe Medico Del Nino - Centros De Cuidado Infantil PDF - Fillable Form Center Spanish
CFS-0061 Intake for Child Under 2 Years - Child Care Centers PDF - Print None English
CFS-0061R Intake for Child Under 2 Years - Child Care Centers (Russian) PDF - Fillable None Russian
CFS-0061S Admision Para Ninos menores de 2 Anos - Guarderias PDF - Fillable Form Center Spanish
CFS-0062 Child Care Enrollment PDF - Print Form Center English
CFS-0062 Child Care Enrollment Word - Fillable Form Center English
CFS-0062R Child Care Enrollment (Russian) PDF - Fillable None Russian
CFS-0062S Inscripción En El Servicio De Cuidado Infantil PDF - Print None Spanish
CFS-0062S Inscripción En El Servicio De Cuidado Infantil Word - Fillable None Spanish
CFS-0063 Licensing Checklist - Group Child Care Centers HFS 46 PDF - Print Form Center English
CFS-0069 Licensing Checklist - Family Child Care Centers HFS 45 PDF - Print None English
CFS-0070 Licensing Checklist - Day Camps for Children PDF - Print None English
CFS-0072 Adoption Assistance Program Application and Decision PDF - Print None English
CFS-0074 Adoption Assistance Agreement* PDF - Fillable eWiSACWIS English
CFS-0074 Adoption Assistance Agreement Word - Fillable None English
CFS-0075 Adoption Assistance Child, Family and Payment Summary Information PDF - Fillable eWiSACWIS English
CFS-0075 Adoption Assistance Child, Family and Payment Summary Information Word - Fillable None English
CFS-0078 Child Care Staff - To - Child Ratio Worksheet Group Child Care Center PDF - Print None English
CFS-0100A ICPC Placement Request* PDF - Fillable eWiSACWIS English
CFS-0100A ICPC Placement Request Word - Fillable None English
CFS-0100B ICPC Report on Child's Placement Date or Change of Placement* PDF - Fillable eWiSACWIS English
CFS-0100B ICPC Report on Children's Placement Word - Fillable None English
CFS-0101 ICPC Sending State Priority Home Study Request* PDF - Fillable Form Center English
CFS-0103 Child's Personal Record PAPER Form Center English
CFS-0104 Alternate Arrival / Release Agreement - Child Care Centers PDF - Fillable Form Center English
CFS-0107 Foster Home Agreement Child Placed in Out-of-Home Care by Agency* PDF - Fillable None English
CFS-0107 Foster Home Agreement Child Placed in Out-of-Home Care by Agency Word - Fillable None English
CFS-0111 Foster Home License PAPER Form Center English
CFS-0116 Foster Parent Insurance Program - Claim of Loss or Damage PDF - Print None English
CFS-0117 Foster Parent Insurance Program - Verification of Claim  PDF - Print None English
CFS-0123 Legal Documents Transmittal* PDF - Fillable None English
CFS-0123 Legal Documents Transmittal Word - Fillable None English
CFS-0134 Court Report for Centralized Birth Record PDF - Print None English
CFS-0137 Foreign Adoption Bond PAPER Form Center English
CFS-0139 Record of Adoption* PDF - Fillable Form Center English
CFS-0140 Adoptive Family Placement Agreement PDF - Print None English
CFS-0141 Recommendation for Adoption Word - Fillable Form Center English
CFS-0142 Affidavit* PDF - Fillable Form Center English
CFS-0142S Declarcion PDF - Fillable None Spanish
CFS-0144 Adoption Search Application PDF - Fillable Form Center English
CFS-0144S Solicitud Para Invstigacion De Adopcion PDF - Fillable None Spanish
CFS-0149 Family History Questionnaire Medical / Genetic  PDF - Print None English
CFS-0149A Family History Questionnaire Medical / Genetic - Pregnancy and Delivery Information PDF - Print None English
CFS-0149AS Questionario De Historial Familiar - Medico/Genetic PDF - Fillable None Spanish
CFS-0201 Title IV-E Out-of-Home Care Determination* PDF - Fillable None English
CFS-0201 Title IV-E Out of Home Care Determination Word - Fillable None English
CFS-0201A Title IV-E Out-of Home Care Redetermination* PDF - Fillable None English
CFS-0201A Title IV-E Out of Home Care Redetermination Word - Fillable None English
CFS-0205 Title IV-E Out-of-Home Care Income and Resource Determination* PDF - Fillable None English
CFS-0205 Title IV-E Out of Home Care Income and Resource Determination Word - Fillable eWISACWIS English
CFS-0286 Licensing / Certification Payment Report PAPER Form Center English
CFS-0294 Noncompliance Statement & Correction Plan PAPER Form Center English
CFS-0297 Request for Exception* PDF - Fillable Form Center English
CFS-0353 Sanitation Checklist - Residential Care Centers PDF - Print Form Center English
CFS-0354 Licensing Checklist - Residential Care Centers HFS 52 PDF - Print None English
CFS-0357 Fire Safety Inspection - Residential Care Centers PDF - Print None English
CFS-0358 Group Foster Homes for Children Licensing Checklist PDF - Print None English
CFS-0361 Licensing Checklist - Shelter Care Facilities PDF - Print None English
CFS-0362 Licensing Checklist - Child Placing Agencies PDF - Print Form Center English
CFS-0367 Community Advisory Committee Documentation* PDF - Fillable Form Center English
CFS-0369 Personnel Record Checklist - Child Placing Agencies PDF - Print None English
CFS-0379 Group Foster Home Child Case Record Checklist PDF - Print None English
CFS-0380 Child Placing Agency Foster Child Record Checklist PDF - Print None English
CFS-0381 Foster Home Record Checklist - Child Placing Agencies PDF - Print None English
CFS-0383 Group Foster Home Personnel Record Checklist PDF - Print None English
CFS-0384 Child Welfare Facility Staff Health Report PDF - Print None English
CFS-0459 Adoption of Children with Special Needs One Time Expense Reimbursement PDF - Fillable Form Center English
CFS-0460 Fire Safety and Emergency Response Documentation - Family Child Care Centers PDF - Fillable Form Center English
CFS-0497 Directory Listing / Mailing Labels Order* PDF - Fillable None English
CFS-0543 Fire Safety and Emergency Response Documentation - Group Child Care Centers PDF - Print None English
CFS-0787 Child Foster Care Licensing Checklist PDF - Print None English
CFS-0828 Adoptive Parent Health Report PDF - Fillable None English
CFS-0834 Foster Care Uniform Rate Setting PDF - Fillable None English
CFS-0834 Foster Care Uniform Rate Setting Word - Fillable None English
CFS-0835 Face Sheet - Child Record PDF - Fillable None English
CFS-0835 Face Sheet - Child Record - Face Sheet Word - Fillable None English
CFS-0847 Application to DHFS Exceptions Panel for Exception to Ch. HFS 56 or Ch. HFS 38 PDF - Print None English
CFS-0847 Application to DHFS Exceptions Panel for Exception to Ch. HFS 56 or Ch. HFS 38 (Foster Home/Treatment Foster Home Licensing) Word - Fillable None English
CFS-0857 Adoption Investigation Report to Circuit Court PDF - Fillable eWISACWIS English
CFS-0857 Adoption Investigation Report to Circuit Court Word - Fillable None English
CFS-0865 Day Care Center Safety Checklist* PDF - Fillable Form Center English
CFS-0871 Treatment Foster Care License PAPER Form Center English
CFS-0872A Information for Foster Parents, Part A* PDF - Fillable eWISACWIS English
CFS-0872A Information for Foster Parents, Part A Word - Fillable None English
CFS-0872A1 Information For Foster Parents (Page 1) PAPER Form Center English
CFS-0872A2 Information For Foster Parents (Page 2) PAPER Form Center English
CFS-0872A3 Information For Foster Parents (Page 3) PAPER Form Center English
CFS-0872A4 Information For Foster Parents (Page 4) PAPER Form Center English
CFS-0872A5 Information For Foster Parents (Page 5) PAPER Form Center English
CFS-0872A6 Information For Foster Parents (Page 6) PAPER Form Center English
CFS-0872B Information for Foster Parents, Part B* PDF - Fillable Form Center English
CFS-0872B Information for Foster Parents, Part B Word - Fillable None English
CFS-0873 Independent Living Participant Data* PDF - Fillable None English
CFS-0873 Independent Living Participant Data* Word - Fillable None English
CFS-0873A Independent Living Participant Annual Summary Data* PDF - Fillable None English
CFS-0873A Independent Living Participant Annual Summary Data* Word - Fillable None English
CFS-0874 Foster Parent Identification Card PAPER Form Center English
CFS-0909 Group Foster Home Fire Inspection PDF - Print None English
CFS-0962 Adoption Assistance Changes and Requests PDF - Print None English
CFS-0962 Adoption Assistance Changes and Requests Word - Fillable None English
CFS-0976 Independent Living Participant 90-Day Follow-up* PDF - Fillable None English
CFS-0976 Independent Living 90-Day Follow-up Word - Fillable None English
CFS-0976A Independent Living Participant 90-Day Follow-up Annual Summary Data* PDF - Fillable None English
CFS-0976A Independent Living 90-Day Follow-up Annual Summary Data Word - Fillable None English
CFS-0984 Adoption Assistance High School Information* PDF - Fillable None English
CFS-0984 Adoption Assistance High School Information Word - Fillable None English
CFS-0997 Medical Services Consent PDF - Fillable None English
CFS-1552 Consent Of Guardian For Treatment & Surgery PAPER Form Center English
CFS-1590 Voluntary Placement Agreement* PDF - Fillable None English
CFS-1675 Child Record Checklist - Child Care Centers PDF - Print Form Center English
CFS-1675A Staff Record Checklist - Group Child Care Centers PDF - Print Form Center English
CFS-2016 Request for Confirmation of Child's Indian Status PDF - Print None English
CFS-2017 Notice of Involuntary Child Custody Proceeding Involving an Indian Child PDF - Print None English
CFS-2022 Child Care Inquiry Packet Request PDF - Print None English
CFS-2023 Kinship Care Payment Application* PDF - Fillable None English
CFS-2024 Kinship Care Payment Eligibility Determination* PDF - Fillable None English
CFS-2026 Staff Orientation Checklist - Group Child Care Centers PDF - Fillable Form Center English
CFS-2027 Volunteer Training Confirmation - Group Child Care Centers PDF - Fillable None English
CFS-2029 Exceptions Panel Placement of a Non-Treatment Child PDF - Fillable None English
CFS-2029 Exceptions Panel Placement of a Non-Treatment Child Word - Fillable None English
CFS-2048 Policy Checklist - Group Child Care Centers PDF - Print None English
CFS-2052 Initial Assessment Secondary / Non Caregivers SYSTEM None English
CFS-2054 Child Welfare Assessment SYSTEM None English
CFS-2055 Mandated / Relative Reporter Notice Outcome Of Initial Assessment SYSTEM None English
CFS-2060 Out-of-Home Safety Plan SYSTEM None English
CFS-2068 Referral To Out Of Home Child Characteristics / Needs SYSTEM None English
CFS-2071 Request For Emergency Detention / Pick Up Order SYSTEM None English
CFS-2073 Safety Assessment SYSTEM None English
CFS-2074 Safety Analysis And Plan SYSTEM None English
CFS-2077 Wisconsin National and Community Service Board AmeriCorps Member Eligibility Confirmation* PDF - Fillable None English
CFS-2081 Family Assessment SYSTEM None English
CFS-2082 Court Order Approving Permanency Plan* PDF - Fillable None English
CFS-2082 Court Order Approving Permanency Plan Word - Fillable None English
CFS-2085 Request To Transfer Legal Guardianship SYSTEM None English
CFS-2087 Family Interaction Plan SYSTEM None English
CFS-2088 Child to be Removed from Foster Home, Treatment Foster Home, or Group Home Word - Fillable None English
CFS-2089 Mandated Reporter Letter - Milwaukee SYSTEM None English
CFS-2090 Child Protective Service Report SYSTEM None English
CFS-2091 Child's Death, Serious Injury or Egregious Incident Notification* PDF - Fillable None English
CFS-2091 Child's Death, Serious Injury or Egregious Incident Notification* Word - Fillable None English
CFS-2092 Adoption Assistance Amendment Request* PDF - Fillable None English
CFS-2093 Kinship Care Good Cause Notice PDF - Print None English
CFS-2094 Kinship Care Good Cause Claim for Refusing to Cooperate in Obtaining Child and / or Medical Support PDF - Print None English
CFS-2095 Kinship Care Notice of Assignment Child Support and Medical Assistance PDF - Print None English
CFS-2096 Kinship Care Referral for Child Support Services PDF - Print None English
CFS-2097 Kinship Care Payment Termination Notice PDF - Print None English
CFS-2098 Family Risk Assessment - Future Abuse / Neglect SYSTEM None English
CFS-2099 Kinship Care Caretaker Application PAPER Form Center English
CFS-2099A Kinship Care Documentation Of Child's Residence PAPER Form Center English
CFS-2100 Kinship Care Case Data Collection* PDF - Fillable None English
CFS-2100A Kinship Care Case Data Collection Part B* PDF - Fillable None English
CFS-2104 Adoption Case Plan SYSTEM None English
CFS-2105 Adoption Placement Selection And Matching Word - Fillable None English
CFS-2106 Adoptive Family Support Plan SYSTEM None English
CFS-2108 Adoptive Home Assessment Results Word - Fillable None English
CFS-2109 Adoptive Home Assessment Suspension Word - Fillable None English
CFS-2110 Court Report For Extension Of Dispositional Order - Child In Out-Of-Home Care SYSTEM None English
CFS-2111 Court Report For Extension Of Dispositional Order - Child In Parental Home SYSTEM None English
CFS-2114 Continuing Education Record - Independent Reading / Video Viewing PDF - Fillable None English
CFS-2117 Court Report For Termination Of Parental Rights SYSTEM None English
CFS-2118 Original Disposition Report To The Court SYSTEM None English
CFS-2123W Financial Assessment Referral* PDF - Fillable eWISACWIS English
CFS-2123W Financial Assessment Referral* Word - Fillable None English
CFS-2126 Non - Emergency Chips Petition Word - Fillable None English
CFS-2129 Objection Notice SYSTEM None English
CFS-2130 Out-of-Home Care Support Plan Evaluation / Revision PDF - Fillable eWISACWIS English
CFS-2130 Out-of-Home Care Support Plan Evaluation / Revision Word - Fillable None English
CFS-2131 Out-of-Home Care Support Plan PDF - Fillable None English
CFS-2131 Out-of-Home Care Support Plan Word - Fillable None English
CFS-2132 Permanency Plan SYSTEM None English
CFS-2133 Pro Se Court Report SYSTEM None English
CFS-2134 Foster Home Study Request SYSTEM None English
CFS-2135 Safety Case Closure SYSTEM None English
CFS-2136 Safety Cause Analysis SYSTEM None English
CFS-2137 Safety Services Staffing Results SYSTEM None English
CFS-2138 Court Report - Transfer Of Legal Guardianship SYSTEM None English
CFS-2139 Resident Record Checklist - Residential Care Centers for Children and Youth PDF - Print None English
CFS-2140 Residential Care Center General Personnel Record Checklist PDF - Print None English
CFS-2142 Staff Continuing Training Record Child Welfare Programs PDF - Print None English
CFS-2146 Serious Incident Report* PDF - Fillable None English
CFS-2146 Serious Incident Report Word - Fillable None English
CFS-2147 Kinship Care Application Denial* PDF - Fillable None English
CFS-2149 Exceptions Panel Second License Application PDF - Fillable None English
CFS-2149 Exceptions Panel Second License Application Word - Fillable None English
CFS-2150 Notification Of Court Hearing PAPER Form Center English
CFS-2150S Notification of Court Hearing (Spanish) PDF - Print None Spanish
CFS-2152 Adolescent Assessment / Placement Stabilization Center Admission PDF - Print None English
CFS-2155 Adoptive Placement Checklist - Child Placing Agencies International PDF - Print None English
CFS-2167 Kinship Care School Verification PDF - Print None English
CFS-2168 Residential Care Center Policy / Procedure Checklist PDF - Fillable Form Center English
CFS-2168 Residential Care Center Policy / Procedure Checklist Word - Fillable None English
CFS-2172 Residential Care Center Child Abuse and Neglect Reporting and Confidentiality Responsibilities PDF - Print None English
CFS-2173 Concurrent Planning Referrals PDF - Fillable None English
CFS-2173 Concurrent Planning Referral Word - Fillable None English
CFS-2179 Protective Plan SYSTEM None English
CFS-2180 Child Maltreatment Determination Appeal Request SYSTEM None English
CFS-2181 Adoption Assistance Forms Checklist / Routing Instructions PDF - Fillable None English
CFS-2183 Residential Care Centers Statutorily Reportable Death Word - Fillable None English
CFS-2185 Electronic Deposit Authorization for Provider Payment PDF - Print None English
CFS-2186 Notice to Foster Parents Regarding Confidentiality of Records PDF - Print None English
CFS-2187 Foster Home / Treatment Foster Home Licensure Notification* PDF - Fillable eWISACWIS English
CFS-2189 Out-of-Home Placement Notification or Recommended Placement Notification* PDF - Fillable None English
CFS-2190 Kinship Care Long Term Agreement PDF - Print None English
CFS-2191 HFS 12 Negative Action Notice PDF - Print None English
CFS-2193 Prelicensing Visit Noncompliance Statement PAPER Form Center English
CFS-2196 ICPC Wisconsin Financial / Medical Plan* PDF - Fillable None English
CFS-2197 DCFS Scholarship Application for Youth in Out-of-Home Care* PDF - Fillable None English
CFS-2197 DCFS Scholarship Application for Youth in Out-of-Home Care* Word - Fillable None English
CFS-2198 Foster Parent Insurance Program - Damage Claim Checklist*  PDF - Fillable None English
CFS-2198 Foster Parent Insurance Program - Damage Claim Checklist Word - Fillable None English
CFS-2202 Kinship Care Denial Of Payment And Appeal Rights SYSTEM None English
CFS-2203 Domestic Abuse Performance Targets and Milestones* PDF - Fillable None English
CFS-2205 Domestic Abuse Program Semi-Annual Results PDF - Fillable None English
CFS-2205 Domestic Abuse Program Semi-Annual Results Word - Fillable None English
CFS-2206 Domestic Abuse Support Services Grants Quarterly Client and Fiscal Reporting* PDF - Fillable None English
CFS-2207 Comprehensive Family Strengths & Needs Assessment SYSTEM None English
CFS-2208 Initial Assessment Narrative SYSTEM None English
CFS-2214 County Child Welfare Report SYSTEM None English
CFS-2216 Case Closure Summary SYSTEM None English
CFS-2220 WiSACWIS Access Authorization* PDF - Fillable None English
CFS-2223 Independent Living Participant Forms Instructions PDF - Print None English
CFS-2224 Petition For Adoption Of A Child Under Guardianship SYSTEM None English
CFS-2225 Report To The Court On The Adoption Investigation SYSTEM None English
CFS-2228 Order For Hearing And Investigation Of Adoption Or Adoptive Placement SYSTEM None English
CFS-2229 Petition For Transfer Of Legal Custody SYSTEM None English
CFS-2230 Order For Return Of Legal Custody To County SYSTEM None English
CFS-2233 Envelope - Positive Parenting Kit PAPER Childrens Trust Fund English
CFS-2235 Foster Care Rate Setting Review Results SYSTEM None English
CFS-2236 Court Report - Extension Of Dispositional Order SYSTEM None English
CFS-2237 Foster Care or Treatment Foster Care License Revocation Word - Fillable None English
CFS-2238 Placement Checklist SYSTEM None English
CFS-2241 Initial Licensing Checklist - Family Child Care Centers PDF - Fillable None English
CFS-2242 Initial Licensing Checklist - Group Child Care Centers PDF - Fillable None English
CFS-2246 Kinship Care Referral SYSTEM None English
CFS-2251 Independent Living Services Checklist (Optional)* PDF - Fillable None English
CFS-2251 Independent Living Services Checklist (Optional)* Word - Fillable None English
CFS-2252 Parenting Interest Survey - Special Needs Adoption* PDF - Fillable None English
CFS-2252 Parenting Interest Survey - Special Needs Adoption Word - Fillable None English
CFS-2252S Encuesta Para Personas Interesadas En Ser Padres Adopcion De Ninos Con Necesidades Especiales PDF - Fillable None Spanish
CFS-2253 Foster Care Rate Setting Review Results Word - Fillable eWISACWIS English
CFS-2255 Staff Orientation Checklist - Family Child Care Centers PDF - Fillable Form Center English
CFS-2256 Independent Living Transition Plan* PDF - Fillable None English
CFS-2256 Independent Living Transition Plan* Word - Fillable None English
CFS-2257 Notice Of County's Intent Not To Pursue Extension Of SYSTEM None English
CFS-2259 Adoptive Placement Checklist - Child Placing Agency - Domestic PDF - Print None English
CFS-2260 Adoption Portfolio Contents Acknowledgement PDF - Print None English
CFS-2261 Caregiver Background Checks Substantially Related Investigation Report* PDF - Fillable None English
CFS-2261 Caregiver Background Checks Substantially Related Investigation Report Word - Fillable None English
CFS-2271 Payment Request - Special Needs Expenses* PDF - Fillable None English
CFS-2271 Payment Request - Special Needs Expenses Word - Fillable None English
CFS-2275 WiSACWIS User Agreement* PDF - Fillable None English
CFS-2276 Agency Agreement on Access to eWiSACWIS* PDF - Fillable None English
CFS-2276 Agency Agreement on Access to eWiSACWIS* Word - Fillable None English
CFS-2276A Tribal Agreement on Access to eWiSACWIS PDF - Fillable None English
CFS-2276A Tribal Agreement on Access to eWiSACWIS Word - Fillable None English
CFS-2285 Title IV-E Assessment Initial Referral Maximus Statewide Eligibility Unit* PDF - Fillable None English
CFS-2285 Title IV-E Assessment Initial Referral Maximus Statewide Eligibility Unit* Word - Fillable None English
CFS-2287 Authorization Letter For Child To Travel SYSTEM None English
CFS-2288 Acceptance Custody & Guardianship Of Child SYSTEM None English
CFS-2289 Authorization Letter For Childs Medical Treatment SYSTEM None English
CFS-2290 Authorization Letter For Child To Attend School Functions SYSTEM None English
CFS-2291 Relative Assessment - County SYSTEM None English
CFS-2292 Indian Child Welfare Cover Letter - Screened Out Report SYSTEM None English
CFS-2293 90 Day Court Review Report SYSTEM None English
CFS-2294 Administrative Review Hearing Letter SYSTEM None English
CFS-2295 Services Referral SYSTEM None English
CFS-2305 Mandated / Relative Reporter Notice - Screened Out SYSTEM