We've compiled the list of DFPS forms below to make finding forms easier. Forms are ordered by their number, then alphabetically. Consult the corresponding hosting page for more information about a form. Multiple entries indicate a form is available in more than one format, e.g. PDF, DOC, etc.

DFPS Privacy and Security Policy / Buscando formas en español?

PDF Document - PDF File / Word Document - Word File / Excel Document - Excel File / PowerPoint Document - PowerPoint File

State of Texas Forms

DFPS Forms

Number Form Title
  Adoption PlanWord Document
  Checklist for Adoption Services PaymentWord Document
  Checklist for Post Placement Adoption Services PaymentWord Document
  Contractor InformationExcel Spreadsheet
  Instructions for Completion of IV-E Budget DocumentsWord Document
  Post Adopt Monthly Activity ReportWord Document
  Special Needs Adoption Training Curricula Resources for ContractorsWord Document
0101 DFPS Case Complaint FormPDF Document
0249 Acknowledgement of Completion of TrainingPDF Document
0250 Volunteer ApplicationPDF Document
0250c Volunteer Transportation AcknowledgementPDF Document
0260 Montly Volunteer Activity ReportPDF Document
0398 Kinship Profile QuestionnaireWord Document
0399 Kinship Release of Information and AcknowledgementWord Document
0690 Permanency Care Assistance Statement of Intent PDF Document
100A Interstate Compact Placement RequestPDF Document
100B Interstate Compact Placement Status ReportPDF Document
1105 Intense Psychiatric Transitional Program Discharge NoticePDF Document
1106 Intense Psychiatric Transitional Program Discharge Notice CommunicationPDF Document
1414 Noncontracted Service Provider Reimbursement Word Document
1500 Adoption Referral Form for Community-Based CareWord Document
1501 Foster-Adopt Inquiry for Community-Based CareWord Document
1502 Initial Coordination Meeting (ICM) for Community-Based CareWord Document
1503 Pre-Placement Staffing for Community-Based CareWord Document
1505 Authorization to Furnish Information for Community-Based CareWord Document
1507 Region 3B Removal Staffing Checklist for Community-Based CareWord Document
1508 Request for Placement into a Community-Based Care (CBC) Catchment AreaWord Document
1510 Region 2 Removal Staffing Checklist for Community-Based CareWord Document
1512 Region 3B Placement Documentation for Community-Based CareWord Document
1514 Region 8B Removal ChecklistWord Document
1518 Region 1 Removal for Community-Based CareWord Document
1600 Permission To Allow Superior Health Plan To Request Child Abuse/Neglect Central RegistryPDF Document
1809 Foster/Relative or Other Designated Caregiver Daycare Verification FormPDF Document
1908 TJJD Request for DFPS Assistance for a Youth in TJJD Custody with Pending ReleasePDF Document
1909 TJJD for Additional InformationPDF Document
2004 Request for "Quick Find" Online Records Search AssistancePDF Document
2006 Applicant Satisfaction Survey QuestionnaireWord Document
2008 DFPS Request for Information from JPD's Regarding Terms of Probation/ReleasePDF Document
2011 Request for Administrative Review by Child Care InvestigationsPDF Document
2030 Budget for Purchase of Service ContractsExcel Spreadsheet
2030 CLIVE Budget for Title IV-E County ContractExcel Spreadsheet
2030 CWIVE Budget for Title IV-E County ContractExcel Spreadsheet
2030ins Instructions for Budget for Purchase of Service ContractsWord Document
2030T Title IV-E (Texas Women’s University Budget Form)Excel Spreadsheet
2030U Title IV-E (University Budget Form)Excel Spreadsheet
2031 Signatory Authority DesignationWord Document
2033RCC Subcontractor Documentation FormExcel Spreadsheet
2033a-RCC Subcontractor ProcessWord Document (PDF Document)
2037 Referral for Placement in a DSHS - Funded RTC - Child not in DFPS ConservatorshipPDF Document
2053 Parent Training Evaluation QuestionnaireWord Document
2057 Court Related Services FormWord Document
2063 Release of Confidential InformationPDF Document
2069 Travel Out of Country RequestWord Document
2085B Designation of Medical ConsenterWord Document / InstructionsWord Document
2085B (CBC) Designation of Medical Consenter for Community-Based CareWord Document
2085E Designation of Education Decision-MakerPDF Document / InstructionsWord Document
2085E (CBC) Designation of Education Decision-Maker for Community-Based CarePDF Document
2085FC Placement Authorization: Foster Care/Residential CarePDF Document / InstructionsWord Document
2085FC (CBC) Placement Authorization: Foster Care/Residential Care for Community-Based CareWord Document
2085HCS Placement Authorization: Home and Community-Based ServicesWord Document / InstructionsWord Document
2085HCS (CBC) Placement Authorization: Home and Community-Based Services for Community-Based CareWord Document
2085KO Placement Authorization: Kinship or Other Non-Foster CaregiverPDF Document / InstructionsWord Document
2085KO (CBC) Placement Authorization: Kinship or Other Non-Foster Caregiver for Community-Based CareWord Document
2085LR Placement Authorization: Legal RiskWord Document / InstructionsWord Document
2085LR (CBC) Placement Authorization: Legal Risk for Community-Based CareWord Document
2085R Placement Authorization: Intermittent Alternate CareWord Document / InstructionsWord Document
2085R (CBC) Placement Authorization: Intermittent Alternate Care for Community-Based CareWord Document
2085SIL Placement Authorization: Supervised Independent LivingPDF Document / InstructionsWord Document
2085SIL (CBC) Placement Authorization: Supervised Independent Living for Community-Based CareWord Document
2094 Summary of Child's Medical CareWord Document (PDF Document)
2109 Residential Child Care Discharge Notice FormWord Document
2127 Permanency Care Assistance: Key Issues for JudgesWord Document
2128 24 Hour Awake Caregiver Supervision PlanPDF Document
2138 Housing Plan TemplatePDF Document
2178 Foster Care and Adoption Contracted Home Screening ReferralWord Document
2234 Request for Administrative Review of Investigation FindingsPDF Document
2245 Referral to Intensive Psychiatric Transition ProgramPDF Document
2279b Certification of Receipt of Child Sexual Abuse or Sexual Aggression InformationWord Document
2282EMPLMSW/BSW2 Employee Agreement (MSW/BSW2)Word Document
2282STUDNTMSW Employee Agreement (MSW)Word Document
2282STUDNTBSW1 Employee Agreement (BSW1)Word Document
2282STUDNTBSW2 Employee Agreement (BSW2)Word Document
2286 Foster Care and Adoption Parenting ApplicationPDF Document
2286b Additional Household Information PDF Document
2324 First Level Appeal of Provider Investigation FindingPDF Document
2349 Second Level Appeal of a Provider Investigation FindingPDF Document
2351 Expedited Administrative Review Request for Employees, Volunteers, and SSCC ContractorsPDF Document
2403 Medical, Dental, Vision, Hearing, or Behavioral Health AppointmentPDF Document / InstructionsWord Document
2500 New Transition Plan Form & InstructionsWord Document
2501 Transition Planning Meeting / Selection ChecklistWord Document
2503 Youth in Transition Family Group Conference Circle of Support Referral FormPDF Document
2515 Circle of Support Re-conference AgendaWord Document
2516 Circle of Support Conference GuideWord Document
2517 Circle of Support Re-conference GuideWord Document
2529 Referral to Supervised Independent Living (SIL) ProviderWord Document
2530 Rights of Children and Youth in Foster CareWord Document
2532 Trial Independence: Ability to Return for Extended Foster CarePDF Document
2540 Voluntary Extended Foster Care Agreement and Financial AgreementPDF Document
2541 Extended Care Rights and ResponsibilitiesWord Document
2545 DFPS-DADS Guardianship Extented Foster Home Placement AgreementWord Document
2563 Foster Care Re-entry ChecklistWord Document
2604 Safety PlanWord Document
2625 Child Caregiver Resource Form PDF Document
2626 Family Information FormWord Document
2661 Weekly Status Report for Residential Contracts for SILWord Document
2662 Care Coordination and Release of InformationPDF Document
2663 Release of Information for Commercially Sexually Exploited Youth or Human Trafficking Advocate AgencyPDF Document
2704 Request approval from the Child Protective Services to conduct researchPDF Document
2759 Acknowledgement and Certificate of Completion of Medical Consent TrainingPDF Document
2778 Materials Required Prior to Issuance - Child-Placing Agency StandardsWord Document (PDF Document)
2779 Materials Required Prior to Issuance - Consolidated StandardsWord Document (PDF Document)
2780 Materials Required Prior to Issuance - Emergency SheltersWord Document (PDF Document)
2781 Materials Required Prior to Issuance - Independent Foster Family HomesWord Document (PDF Document)
2782 Materials Required Prior to Issuance - Independent Foster Group HomesWord Document (PDF Document)
2854 Request For Child Abuse/Neglect Central Registry And DPS Criminal History CheckPDF Document
2856 Homebound Fingerprinting Request FormPDF Document
2882 Runaway Prevention PlanPDF Document
2934 Medical History ReportWord Document (PDF Document)
2944 Non-DFPS Staff Background Check Request FormPDF Document 
2951 SSCC Staff Background Check Request and Release of InformationPDF Document 
2970 Request for Child Abuse/Neglect Central Registry Check PDF Document
2970c Disclosure and Consent to Release of Information Regarding Criminal or Abuse/Neglect History For Applicants, Employees or Volunteers of DFPS Contractors and SubcontractorsPDF Document
2971c Request for Background Check for Purchase Client ServicesPDF Document
2973c Risk Evaluation Based on Criminal History Results PDF Document
2974 (HHS) Request for Risk Evaluation Based on Past Criminal History of Central Registry FindingsExternal Link
3001 Statement of Rights and Responsibilities of Foster Parents and Child-Placing AgenciesPDF Document
3015 Release of Information to Adoption Champion PDF Document
3016 Child Care Investigations Safety PlanWord Document
3102A Parent/Supportive Adult Visitation Record and Observation FormPDF Document
3103A Supervised Visitation Rules for Caregivers and Adult Participant(s)Word Document
3104A Sign In LogWord Document
3113 Sibling Relationship ChecklistWord Document
3114 Supervised Visitation Satisfaction Survey QuestionnaireWord Document
3300 Single Child’s Plan of Service (Provider Version)Word Document / InstructionsWord Document
3800 Notice of Intent of Former Parent to Petition Court to Reinstate Parental RightsPDF Document
4048 DFPS Janitor, Security Guard, and Shred Contractors Background Check Request FormPDF Document
4054c Background Check StatementWord Document (PDF Document)
4116CWS Purchase Voucher and Billing Worksheet for Title IV-E Child Welfare ServicesExcel Spreadsheet
4116LEGAL Purchase Voucher and Billing Worksheet for Title IV-E Legal ServicesExcel Spreadsheet
4116U Purchase Voucher for University ExpensesExcel Spreadsheet
4526 Psychotropic Medication Treatment Consent FormWord Document
4530 DFPS Cybersecurity Training CertificationPDF Document
4881 Request from Juvenile Justice Entities for Case RecordsExternal Link
4882 Request from Child Custody or Adoption Evaluators for Case RecordsPDF Document
4884 Former Youth Foster Request for Personal RecordsPDF Document
4885 Request for Case Records
4888 Request from Law Enforcement for Case RecordsExternal Link
4732 Request for Determination of Ability to ContractWord Document (PDF Document)
5500GEN General Invoicing Procedures Word Document
5500CHEM Invoicing Procedures for Chemical DependencyWord Document
5501 PAL Referral FormPDF Document
5502 Individual Monthly Progress ReportPDF Document
5503 Independent Study Guide Caregiver ReportPDF Document
5504 Knowledge AssessmentPDF Document
5507 DFPS Approval of Qualifications and RequirementsPDF Document
5508 Training Class SchedulePDF Document
5509 Contractor Monthly ReportPDF Document
5510 Participant EvaluationPDF Document
5512es Authorization to release informationWord Document
5518CM PAL Monthly Expenditure Report - Case ManagementExcel Spreadsheet
5518LST PAL Services Monthly Expenditures Report - Life Skills TrainingExcel Spreadsheet
5520 Withdrawal ReportWord Document
5521 Consent for Release of Information for the Education and Training Voucher (ETV) ProgramWord Document
5522 PAL Teen Conference Adult EvaluationWord Document
5523 PAL Teen Conference Youth EvaluationWord Document
5525 Pre-Transitional Monthly Progress ReportPDF Document
5526 Post-Transitional Monthly Progress ReportPDF Document
5550 Post Permanency Services QuestionnairePDF Document
5602 Post Adoption Services QuestionnaireWord Document
5619 Transition and Financial Support Services Referral PDF Document
7039 Stipend Student InformationExcel Spreadsheet
7238 Authorization for Dispensing MedicationWord Document (PDF Document)
9007ICC Internal Control CertificationWord Document
9007RCC Internal Control Structure Questionnaire (ICSQ) for Residential Child CareWord Document
9105 Risk Analysis QuestionnaireWord Document
9310 FY18 University Budget Indirect Costs Based on Salaries and FringeExcel Spreadsheet
9321 Title IV-E Training Expense DocumentationWord Document
PCS-102PP Contracting Entity and List of Staff, Subcontractors, and Volunteers - Post Permanency Excel Spreadsheet
PCS-108 Post Adopt Monthly Activity Report & Fiscal Year SummaryExcel Spreadsheet