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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User Guides


Topic Papers


Reference Data


Templates and Notifications

Adoption Assistance Agreement w/Mapping (12/7/18)

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

Certificate of License w/Mapping (4/12/19)

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)

Extension of Adoption Assistance Agreement w/Mapping (6/1/18)

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)

Licensing Summary w/Mapping (4/12/19)

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)

Title IV-E Eligibility Verification (1/4/19)

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 Mapping (1/4/19)

Young Adult Judicial Review Template Mapping (1/4/19)