Florida's Center for

CHILD WELFARE

Information and Training Resources for Child Welfare Professionals

FSFN Guides, Topic Papers, Data, Templates, and Notifications

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Adoption Assistance Agreement (5/27/15) Adoption Finalization Adoption Subsidy Title IV-E Eligibility/Screening Adoption Subsidy TANF Worksheet/Application Adoption Subsidy Termination Notice Adult Institutional Investigative Summary (11/10/13) Adult Institutional Investigative Summary w/Mapping (11/10/13) Adult Institutional Investigative Summary w/Reporter Info (11/10/13) Adult Institutional Investigative Summary w/Reporter Info w/Mapping (11/10/13) Adult Investigative Summary (11/10/13) Adult Investigative Summary w/ Mapping (11/10/13) Adult Investigative Summary w/ Reporter (11/10/13) Adult Investigative Summary w/ Reporter w/Mapping (11/10/13) Affidavit & Acknowledgment of Surrender Consent & Waiver of Notice Assessment Summary -Special Conditions (11/10/13) Assessment Summary - Special Conditions w/Mapping (11/10/13) Assessment Summary - Special Conditions w/Reporter (11/10/13) Assessment Summary - Special Conditions w/Reporter w/Mapping (11/10/13) Assessment- Child on Child (11/10/13) Assessment- Child on Child w/Mapping (11/10/13) Assessment Summary- Child on Child (11/10/13) Assessment Summary- Child on Child w/Mapping(11/10/13) Assessment Summary - Child on Child w/Reporter (11/10/13) Assessment Summary - Child on Child w/Reporter w/Mapping(11/10/13) Assessment Summary - Request for Information Assessment Summary - Request for Assistance (w/ Reporter Information) Child Care Application and Authorization Authorization for Release of Health and Medical Information Authorization for Comprehensive Behavioral Health Assessment Capacity to Consent Case Chronological Notes Report Case Plan Summary - Father Case Plan Summary - Mother Case Plan- Non-Judicial In-Home (11/10/13) Case Plan - Non-Judicial In-Home w/Mapping(11/10/13) Case Plan- Non-Judicial Out-of-Home (11/10/13) Case Plan- Non-Judicial Out-of-Home w/Mapping(11/10/13) Case Transfer Staffing Change in Placement Child Closure Letter (existing) (11/10/13) Child Closure Letter w/Mapping (existing) (11/10/13) Child Closure Letter (new) (11/10/13) Child Closure Letter w/Mapping (new) (11/10/13) Child In Care Eligibility Review and Change Report Form Child in Care Medicaid Application Child Initial Institutional Safety Assessment (existing) (11/10/13)
Child Initial Institutional Safety Assessment w/Mapping (existing) (11/10/13) Child Initial Institutional Safety Assessment (new) (11/10/13) Child Initial Institutional Safety Assessment w/Mapping (new) (11/10/13) Child Placement Agreement w/Mapping (5/12/17) Child Updated Institutional Safety Assessment (existing) (11/10/13) Child Updated Institutional Safety Assessment w/Mapping (existing) (11/10/13) Child Updated Institutional Safety Assessment (new) (11/10/13) Child Updated Institutional Safety Assessment w/Mapping (new) (11/10/13) Child Institutional Investigative Summary (existing) (11/10/13) Child Institutional Investigative Summary w/Mapping(existing) (11/10/13) Child Institutional Investigative Summary (new) (11/10/13) Child Institutional Investigative Summary w/Mapping (new) (11/10/13) Child Institutional Investigative Summary w/ Reporter (existing) (11/10/13) Child Institutional Investigative Summary w/Reporter w/Mapping (existing) (11/10/13) Child Institutional Investigative Summary w/Reporter (new) (11/10/13) Child Institutional Investigative Summary w/Reporter w/Mapping (new) (11/10/13) Child Investigative Summary (existing) (11/10/13) Child Investigative Summary w/Mapping(Other) (11/11/16) Child Investigative Summary w/Mapping(existing) (11/10/13) Child Investigative Summary (new) 11/10/13) Child Investigative Summary w/Mapping (new) (11/10/13) Child Investigative Summary w/Reporter (existing) (11/10/13) Child Investigative Summary w/Reporter w/Mapping (Other) (11/11/16) Child Investigative Summary w/Reporter w/Mapping (existing) (11/10/13) Child Investigative Summary w/Reporter (new) 11/10/13) Child Investigative Summary w/Reporter w/Mapping (new) (11/10/13) Child Protection Team Services Exception Report Closure Letter - Adult Court Involved Case Plan (existing) (11/10/13) Court Involved Case Plan w/Mapping (existing) (11/10/13) Court Involved Case Plan (new) (11/10/13) Court Involved Case Plan w/Mapping (new) (3/17/17) Court Involved Case Plan (Spanish) (existing) (11/10/13) Court Involved Case Plan (Spanish) w/Mapping (existing) (11/10/13) CRM Intake Report (11/10/13) CRM Intake Report w/Mapping (11/10/13) CRM Intake Report w/Reporter Narrative (11/10/13) CRM Intake Report w/Reporter Narrative w/Mapping (11/10/13) Family Assessment Family Functioning Assessment-Investigations (11/11/16) Family Functioning Assessment-Investigations w/Mapping (11/11/16) Family Functioning Assessment-Ongoing (12/22/13) Family Functioning Assessment-Ongoing w/Mapping (3/17/17)
Family Referral Form (existing) (11/10/13) Family Referral Form w/Mapping(existing) (11/10/13) Family Referral Form (new) (11/10/13) Family Referral Form w/Mapping (new) (11/10/13) Family, Social and Medical History of Child to be Adopted (CF-FSP 5074) (11/10/13) Family, Social and Medical History of Child to be Adopted w/Mapping (CF-FSP 5074) (11/10/13) Foster Home Packet High Risk Screening ICPC 100A (11-10-13) ICPC 100A w/Mapping (11-10-13) ICPC 100B (11-10-13) ICPC 100B w/Mapping (11-10-13) ICPC Parent/Relative/Foster Care Checklist-(from Florida)(2012) Parent/Relative/Foster Care Checklist (to Florida) (2012) Parent/Relative - Priority Reg 7 Checklist -(from Florida) (10/11) Independent Living Program Referral Individual Referral (existing) (11/10/13) Individual Referral w/Mapping (existing) (11/10/13) Individual Referral (new) (11/10/13) Individual Referral w/Mapping (new) (11/10/13) In Home Safety Assessment - Adult (Updated) Initial In Home Safety Assessment - Child Institutional Safety Assessment - Adult (Updated) Intake Report (11/10/13) Intake Report w/Mapping(11/10/13) Intake Report w/Reporter Narrative(11/10/13) Intake Report w/Reporter Narrative w/Mapping(11/10/13) Invoice Investigation Participant Profile (11/10/13) Investigation Participant Profile w/Mapping (11/10/13) Investigation Participant Profile w/Reporter (11/10/13) Investigation Participant Profile w/Reporter w/Mapping (11/10/13) Judicial Review (existing) (11/10/13) Judicial Review w/Mapping (existing) (11/10/13) Judicial Review (new) (11/10/13) Judicial Review w/Mapping (new) (3/17/17) Judicial Review - Simplified (11/10/13) Judicial Review - Simplified w/Mapping (11/10/13) Judicial Review (existing) (Spanish) (11/10/13) Judicial Review w/Mapping (existing) (Spanish) (11/10/13) Judicial Review Notice and JRSSR Enclosure JRSSR to Child JRSSR to Guardian ad Litem JRSSR to Out-of-Home Caregivers JRSSR to Parents’ Attorney(s) JRSSR to Parents – Legal Guardians JRSSR to Tribe Letter for Diligent Search (Info on Missing Parents) License License Letter Child-placing Agency License Letter Child Caring Agency
Master Trust Expenditure Plan Master Trust SSA Application Memorandum of Agreement Milestone Events List Missing Child Report (11/10/13) Missing Child Report w/Mapping (11/10/13) Predisposition Study Report (existing) (11/10/13) Predisposition Study Report w/Mapping (existing) (11/10/13) Predisposition Study Report (new) (11/10/13) Predisposition Study Report w/Mapping (new) (11/10/13) Present Danger Assessment (11/10/13) Present Danger Assessment w/Mapping (11/10/13) Prior Intakes and Service Records Progress Update (11/10/13) Progress Update w/Mapping (3/17/17) Provider Notes Psychiatric Evaluation Referral (Child) (CF-FSP 5341)(11/10/13) Psychiatric Evaluation Referral w/Mapping (Child) (CF-FSP 5341) (11/10/13) Red Flag Screening Checklist- Adult Services Referral Form - General Referral for Protective Supervision, Protective Intervention, CCDA or HCDA Services Relicensing Summary for A Child Placing/Caring Agency Release of Information for Foster and Adoptive Placements Report to State Attorney Request for Foster Home Waiver Request for TANF Funds/Eligibility Determination Registered Nurse Specialist Assessment Risk Assessment (3/2015) Safety Plan (existing) (11/10/2013) Safety Plan w/Mapping (existing) (11/10/13) Safety Plan (new) (11/10/13) Safety Plan w/Mapping (new) (3/17/17) Safety Plan - Survivor Only w/Mapping (3/17/17) School Registration Information (existing) (11/10/13) School Registration Information w/Mapping (existing) (11/10/13) School Registration Information (new)(11/10/13) School Registration Information w/Mapping (new) (11/10/13) Unified Home Study (12/15/13) Unified Home Study w/Mapping (12/15/13) Visitation Plan Voluntary Placement Agreement Voluntary Services Case Plan - Spanish Voluntary Services Case Plan Voluntary Protective Supervision Agreement Waiver Attachment (More Than Two under 24 Months) Waiver Attachment (more than 5) Young Adult - Court Involved Case Plan Template (12-15-13) Young Adult - Court Involved Case Plan Template Mapping (12-15-13) Young Adult Judicial Review Template (12-15-13) Young Adult Judicial Review Template Mapping(12-15-13)