FORMS

  1. Acknowledgment of Mandated Reporter Status
  2. Allocation Notification Form
  3. Attestation Statement
  4. Background Inquiry Form
  5. Building Upkeep Schedule
  6. Case Notes Form – FCS program
  7. Change of Address Form (Staff)
  8. Change of Shift Coverage Form
  9. Check Request Form
  10. Check Request YOS
  11. Client Agreement and Authorizations
  12. Client File Checklist
  13. Consent for Photo Release
  14. Consent for Release for Promotional Purposes
  15. Consent for Release of Information English/Spanish
  16. Consent for Release of Information Polish
  17. Consent For Release: Client Services
  18. Consumer Grievance Form
  19. Consumer Rights – English
  20. Consumer Rights – Spanish
  21. Consumer Rights Polish
  22. Copy and Review of Personnel Records
  23. Credit Card Approval
  24. Credit Card Request Form
  25. Crisis Pre-Screening Data
  26. DCFS Mandated Reporter Form
  27. Discharge Summary
  28. Drug Screening Consent Form
  29. eCornerstone Informed Consent Form
  30. Education Verification Form
  31. Employee Change of Status Form
  32. Employee Confidentiality Agreement
  33. Employee General Referral Form
  34. Employee Handbook Acknowledgment
  35. Employee Internal Referral Form
  36. Employee Reference Request
  37. Employment Verification (pre-YOS hire)
  38. Employment Verification Response (past employee)
  39. Equipment Use Agreement
  40. ERC Pretrial Counselor Background
  41. Expense and Mileage Report
  42. Expense Report 43 Extra Workload Compensation (CCBYS)
  43. Extra Workload Compensation (CCBYS)
  44. Extra Workload Compensation (ERC) Form
  45. Extra Workload Compensation (Foster Care)
  46. Extra Workload Compensation (Licensing) Form
  47. Extra Workload Compensation (TLP)
  48. Extra Workload Compensation (Treatment) Form
  49. Fee Policy
  50. Financial Assessment Sheet and Agreement
  51. Fire Drill Form 52 Grievance Procedures Form
  52. Grievance Procedures Form
  53. Health Questionnaire English/Spanish
  54. Health Questionnaire Signature Page 
  55. Incident Report
  56. Information Disclosures Log
  57. Key and Alarm Agreement
  58. Lost of Stolen Property Reimbursement Form
  59. Maintenance Request
  60. Master Problem List
  61. Media Permission Form
  62. Medical Report on an Adult in a Child Care Facility
  63. Meeting Room/Food and Beverage Requisition
  64. Memorandum of Understanding
  65. Mileage Purpose of Van Usage/Trip Log
  66. Mileage Report
  67. MIS Service Request
  68. MST Treatment Plan
  69. Mutual Consent Form – Host Home Program
  70. NERF Form
  71. New Hire Checklist
  72. Performance Counseling Form
  73. Performance Review
  74. Permission Slip (Youth)
  75. Personnel Requisition Form
  76. Petty Cash Fund
  77. Photo Release
  78. PIP Form
  79. Pre-screening form
  80. Progress Note (Type 1)
  81. Progress Notes — D.A.R.T.S
  82. Progress Notes (Type 2)
  83. Receipt of Funds Form
  84. Remote Work Request Form
  85. Request for Employment Status Change
  86. Service Authorization Form
  87. Service Authorization Form – Crisis
  88. Subcontract Agreement
  89. Supply Requests
  90. TB Testing Form
  91. TB Testing Locations
  92. Termination Form
  93. Termination Form -Addendum 2001
  94. Time Off With Pay (TOWP) Request Form
  95. Training Requisition Form
  96. Travel Expense Instructions
  97. Treatment Plan
  98. Treatment Plan Assessment
  99. Tuition Reimbursement Application
  100. Van/Bus Request
  101. Vehicle Log and Safety Inspection
  102. W-4 Federal Withholding Allowance Certificate
  103. Weekly Case Summary for Supervision
  104. Working Agreement (Law Enforcement)