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Case
& Provider Template Mapping
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The documents provided below,
describe how each field in the template is pre-filled with data and whether or
not the data can be edited. To access this information, open the document
and place your cursor over the field in question. The template mapping documents on this page are sorted alphabetically by category and then by county specific templates. Click on a category below to see a list of template mapping documents that pertain to that category. |
Case
Notifications & Templates |
Access
Report (Back to Top)
DOC 90-Day Summary Report for Child Death, Serious Injury or Egregious Incident (DCF-F-2476-E)
DOC Notice of Child Maltreatment Determination and Right to Appeal (DCF-F-CFS2328-E/DCF-F-CFS2180-E)
DOC Child Protective Services Report(CFS-2090)
DOC Indian Child Welfare Cover Letter - Screen Out Report (CFS-2292)
DOC Mandated/Relative Reporter Notice - Screened Out (DCF-F-CFS2305-E)
DOC Prior County Involvement (CFS-2388)
DOC Reporter Narrative (CFS-2363)
DOC Service Report Additional Information (CFS-2387)
DOC Services Report (DCF-F-CFS2247-E)
DOC Structured Decision Making County Response Wisconsin SDM Counties' Response Priority for Reports Accepted for Assessment (CFS-2245)
Administration (Back to Top)
Dodge
DOC Juvenile Justice Face Sheet (CFS-2235-14)
Door
DOC Juvenile Justice Face Sheet (CFS-2235-15)
DOC Delinquent Youth Risk Reassessment for Youth in Community-Based Programs or on County Supervision (CFS-2665-15)
Grant
DOC Juvenile Justice Assessment of Family (CFS-2267-22)
Marathon
DOC Face Sheet (CFS-2235-37)
Shawano
DOC Juvenile Justice Court Report (CFS-2317-58)
DOC Juvenile Justice Face Sheet (CFS-2235-58)
St. Croix
DOC Juvenile Justice Case Plan (CFS-2268-55W)
Washington
DOC Juvenile Justice Case Plan (CFS-2268-66)
Waupaca
DOC Client Face Sheet (CFS-2235-68)
Winnebago
DOC Notice of Client Change of County Residence (CFS-2406)
DOC Juvenile Justice Case Plan (CFS-2268-70)
DOC Juvenile Justice Youth and Family Assessment (CFS-2663-70)
Statewide
DOC Delinquency Youth and Family Assessment (CFS-2263)
DOC Juvenile Justice Assessment of Family (CFS-2267-25)
DOC Delinquency Risk Assessment (CFS-2266)
DOC Delinquent Youth Risk Reassessment and Progress Summary (CFS-2665)
DOC Juvenile Delinquency Assessment / Report to the Court (CFS-2317)
DOC Juvenile Justice Case Plan (CFS-2268-61)
DOC Juvenile Justice Case Progress Evaluation (CFS-2315)
DOC Juvenile Justice Case Review / Closing Narrative (CFS-2665-70)
DOC Juvenile Justice Face Sheet (CFS-2235)
DOC Letter to County District Attorney (CFS-2308)
DOC Kinship Care Denial of Payment and Appeal Rights (DCF-F-CFS2202-E)
DOC Quality Service Review Protocol (CFS-2404)
DOC Referral Request (CFS-2331)
DOC Relative Assessment (CFS-2291)
DOC Risk Reassessment for Youth in RCC or JCI (CFS-2266-15)
DOC Service Request and Referral (CFS-2318)
DOC Support Services Referral (CFS-2309)
Adoption
(Back to Top)
DOC Adoption Acceptance Letter
DOC Adoption and Placement Selection Matching (CFS-2105T)
DOC Adoption Home Study Approval for Specific Child (CFS-2339)
DOC Child Adoption Assessment (CFS-2116T)
DOC Individualized Adoptability Report (CFS-2125T)
DOC Outcome of Selection Letter
Agreements and Notices
(Back to Top)
DOC Adoption Assistance Child, Family and Payment Summary (DCF-F-CFS0075-E)
DOC Child and Adolescent Needs and Strengths (CANS) 0-5 Amendment Confirmation of Needs for Adoption Assistance/Subsidized Guardianship (DCF-F-2759-E)
DOC Child and Adolescent Needs and Strengths (CANS) 5-17 Amendment Confirmation of Needs for Adoption Assistance/Subsidized Guardianship (DCF-F-2758-E)
DOC Notice of Amendment Expiration – Complete Documentation Requested (DCF-F-2766-E)
DOC Notice of Amendment Expiration – Options to Continue Current Rate (DCF-F-2767-E)
DOC Notice of Approval for Amendment for AA/SG and Amended Agreement (DCF-F-2756-E)
DOC Notice of Denial for Amendment for AA/SG (DCF-F-2765-E)
DOC Request for Additional Information for Amended Agreement for AA/SG (DCF-F-2768-E)
DOC Subsidized Guardianship Agreement (DCF-F-CFS2365-E)
Assessment
(Back to Top)
Langlade
DOC In-Home Services Cover Sheet (CFS-2137-34)
Statewide
DOC 90-Day Summary Report for Child Death, Serious Injury or Egregious Incident (DCF-F-2476-E)
DOC Alternative Response Assessment (DCF-F-2493-E)
DOC Case Finding Determinations (CFS-2264-22)
DOC Child Welfare Report (CFS-2214)
DOC Child Welfare/Juvenile Justice Assessment (CFS-2214)
DOC Family Risk Assessment of Future Abuse / Neglect (CFS-2098)
DOC Family Strengths and Needs Assessment (CFS-2207)
DOC In Home Services Cover Sheet (CFS-2137)
DOC Initial Assessment Narrative (DCF-F-CFS2208-E)
DOC Initial Assessment - Primary (DCF-F-CFS2054-E)
DOC Initial Assessment Secondary / Non Caregivers (DCF-F-CFS2052-E)
DOC Mandated / Relative Reporter Notice - Outcome of Initial Assessment (CFS-2055)
DOC Notice of Child Maltreatment Determination and Right to Appeal (DCF-F-CFS2328-E/DCF-F-CFS2180-E)
DOC Safety Analysis and Plan (DCF-F-CFS2074-E)
DOC Safety Assessment (DCF-F-CFS2073-E)
DOC Safety Case Closure(CFS-2135)
DOC SDM Information/Data Reporting Summary (CFS-2329)
Case/Permanency Plan
(Back to Top)
DOC Case Plan (DCF-F-2828-E)
DOC History of Planning and Services
DOC Permanency Plan (DCF-F-CFS2132-E)
Eligibility
(Back to Top)
DOC Advance Notice of Termination of Adoption Assistance (DCF-F-CFS2417-E)
DOC Advance Notice of Termination of Subsidized Guardianship After 18 (DCF-F-CFS2421-E)
DOC Eligibility Status History (CFS-2313)
DOC Financial Assessment Referral (CFS-2123)
DOC Notice of Decision on Adoption Assistance Eligibility Status (DCF-F-CFS2418-E)
DOC Notice of Decision on Subsidized Guardianship Eligibility Status After 18 (DCF-F-CFS2420-E)
DOC Request for Continuation of Adoption Assistance for a Child Over Age 19 (DCF-F-CFS2419-E)
DOC Subsidized Guardianship Eligibility Determination and Permanency Plan Addendum (DCF-F-2691-E)
DOC Subsidized Guardianship Request for Information to Determine Continued Eligibility (DCF-F-2736-E)
DOC Title IV-E Out-Of-Home Care Income and Resource Determination (CFS-205)
ICPC (Back to Top)
DOC ICPC Placement Request (CFS-100A)
DOC ICPC Quarterly Supervision Report (CFS-2336)
DOC ICPC Relative/Parent Home Study (CFS-2335)
DOC ICPC Report on Child's Placement Date or Change of Placement (CFS-100B)
DOC ICPC Sending State Priority Home Study Request (DCF-F-CFS0101-E)
DOC ICPC Transmittal Sheet (DCF-F-CFS2392-E)
DOC ICPC Wisconsin Financial/Medical Plan (DCF-F-CFS2196)
ICWA (Back to Top)
DOC Child's Biological Family History (CFS-2323)
DOC Indian Child Welfare Cover Letter (CFS-2292)
DOC Notice of Involuntary Child Custody Proceeding Involving an Indian Child (DCF-F-CFS2017-E)
DOC Request for Confirmation of Child's Indian Status (CFS-2016)
DOC Screening for Child's Status as Indian (CFS-2322)
DOC Voluntary Placement Agreement For An Indian Child DCF-F (CFS-2425)
Legal (Back to Top)
Dodge
DOC Juvenile Justice Face Sheet (CFS-2235-14)
Jefferson
DOC Petition to Change Placement, Revise/Extend Dispositional Order (CFS-2250-28)
DOC Court Report for Termination of Parental Rights (CFS-2117-32)
Marathon
DOC Juvenile Justice Face Sheet (CFS-2235-37)
Ozaukee
DOC Request for Petition of Child in Need of Protection or Services (CFS-2126-45)
Rock
DOC Request for Petition of Child in Need of Protective Services (CFS-2126-53)
Shawano
DOC Juvenile Justice Face Sheet (CFS-2235-58)
Sheboygan
DOC Dispositional Order Revision Request (CFS-2080-59)
Waupaca
DOC Juvenile Justice Face Sheet (CFS-2235-68)
Winnebago
DOC Court Report for Termination of Parental Rights (CFS-2117-70)
DOC Request for Petition of Child In Need of Protection or Services (CFS-2126-70)
Statewide
DOC 90 Day Court Review Report (CFS-2293)
DOC Adoption Investigation Report to Circuit Court (CFS-857)
DOC Authorization Letter for Child to Attend School Functions (CFS-2290)
DOC Authorization Letter for Child to Travel (CFS-2287)
DOC Authorization Letter for Child’s Medical Treatment (CFS-2289)
DOC Autorización Para Revelar Información Confidencial (HFS-9)
DOC Confidential Information Release Authorization (HFS-9)
DOC Consent to Adoption (CFS-2368)
DOC Court Cover Letter for Adoption Packet (CFS-2310)
DOC Court Report for Extension of Dispositional Order - Child in Out of Home Care (CFS-2110)
DOC Court Report for Extension of Dispositional Order - Child in Parental Home (CFS-2111)
DOC Court Report for Termination of Parental Rights (CFS-2117)
DOC Court Report for Transfer of Legal Guardianship (CFS-2138)
DOC Custody Evaluation Family Court (CFS-2254-52)
DOC DCF Guardianship Acceptance Letter (DCF-F-CFS2288-E)
DOC Dispositional Order Revision Request (CFS-2080)
DOC Face Sheet of Court Report (CFS-2273)
DOC Home Study in Response to Pro Se Petition (CFS-2133)
DOC Judicial Review Court Letter Child 0-12
DOC Judicial Review Court Letter Child 12+
DOC Medical Records Request Letter
DOC Notice of Intent Not to Pursue Extension of Dispositional Order (CFS-2333)
DOC Order for Hearing and Investigation of Adoption or Adoptive Placement
DOC Order for Return of Legal Custody to County (CFS-2230)
DOC Original Disposition Report to the Court (CFS-2118)
DOC Permanency Plan - TPR/Guardianship (CFS-2355)
DOC Petition for Transfer of Legal Custody
DOC Receipt for Medical Records (CFS-2226)
DOC Recommendation for Adoption (CFS-2222)
DOC Recommendation for Adoption (CFS-141)
DOC Referral for Termination of Parental Rights (CFS-2070)
DOC Relative Caregiver Licensing Decision (DCF-F-CFS2479-E)
DOC Report to the Court on the Adoption Investigation (CFS-2225)
DOC Request for Emergency Detention or Pick-Up Order (CFS-2071)
DOC Request for Petition of Child in Need of Protection or Services - Non Emergency (CFS-2126)
DOC Request to Transfer Legal Guardianship (CFS-2085)
DOC Return Custody to County Court Letter (CFS-2362)
DOC Sustaining Care Contract
DOC Temporary Guardianship Worksheet (CFS-2075)
DOC Trial Reunification Memorandum (CFS-2401)
Miscellaneous(Back to Top)
DOC Adoptee/Individual Face Sheet
DOC Case Closure Summary (CFS-2216)
DOC Meeting Text
DOC Notice of Meeting (CFS-2352)
DOC Notice of Meeting Cancellation (CFS-2354)
DOC Notice of Rescheduling Meeting (CFS-2353)
DOC Recruitment Comments
Payment (Back to Top)
DOC Invoice Request (DMT 921)
Permanency
Consultation (Back to Top)
DOC Permanency Consultation (DCF-F-2540-E)
Person
Management (Back to Top)
DOC Medical/Mental Health Summary (CFS-2407)
DOC Out of Home Placement or Recommended Placement Notification (CFS-2189)
Placement/Services (Back to Top)
Milwaukee
DOC Objection Notice (CFS-2129)
DOC Placement Difficulties and Disruption (CFS-2066T)
DOC Referral to Out of Home Care Child Characteristics/Needs (CFS-2068)
Statewide
DOC Adoption Assistance Denial Letter
DOC Adoptive Family Placement Agreement (CFS-140)
DOC Amendment increase - Fiscal Letter
DOC Child to be Removed from Foster Home, Treatment Foster Home, or Group Home- Child in Home for Six Months or More; Non-Emergency (CFS-2088)
DOC Confirmation of Needs (CFS-2159)
DOC Foster Care Rate Setting Reevaluation Results (DCF-F-CFS2253-E)
DOC Foster Parent Rate Setting Results Notification (DCF-F-CFS2248-E)
DOC Foster Care Rate Setting (DCF-F-CFS834-E)
DOC Foster Home Study Request (CFS-2134)
DOC Information for Foster Parents Part A (CFS-872A)
DOC Information for Foster Parents Part B (CFS-872B)
DOC Kinship Care Long-Term Agreement (DCF-F-CFS2190-E)
DOC Kinship Care Notice of Assignment for Child Support (CFS-2391)
DOC Kinship Care Referral (CFS-2246)
DOC Notification of Child's Removal from Foster Home Child in Home for Less than Six Months - Emergency (CFS-2324)
DOC Notification of Child's Removal from Foster Home Child in Home for Six Months or More - Emergency (CFS-2325)
DOC Notification of Return to Original Agreement Amount
DOC Objection Notice (CFS-2129)
DOC Out of Home Placement Text
DOC Placement Difficulties and Disruption (CFS-2066A)
DOC Referral to Out of Home Care Child Characteristics/Needs (CFS-2068A)
DOC Voluntary Placement Agreement
Planning (Back to Top)
Rock
DOC Guidelines For Family Visit Plan (CFS-2087A-53)
Statewide
DOC Administrative Review Hearing Letter (CFS-2294)
DOC Administrative Review Letter - Attorney (CFS-2374A)
DOC Administrative Review Letter - Child (CFS-2375)
DOC Administrative Review Letter - Courts (CFS-2376)
DOC Administrative Review Letter - Foster Family (CFS-2374B)
DOC Administrative Review Letter - Guardian (CFS-2374C)
DOC Administrative Review Notice to Child (CFS-2341A)
DOC Administrative Review Notice to District Attorney (CFS-2341D)
DOC Administrative Review Notice to Foster Family (CFS-2341C)
DOC Administrative Review Notice to Guardian Ad Litem (CFS-2341E)
DOC Administrative Review Notice to Tribal Representative (CFS-2341B)
DOC Concurrent Planning Referral (CFS-2173)
DOC Confirming Safe Environments Group Home and Residential Care Center (DCF-F-2747-E)
DOC Confirming Safe Environments Unlicensed Placements and Foster Care Placements (DCF-F-2740-E)
DOC Family Interaction Plan (DCF-F-CFS-2087-E)
DOC Independent Living Transition Plan (CFS-2433)
DOC Independent Living Transition to Discharge Plan (DCF-F-2549-E)
DOC Notification of the Removal of a Child from the Custody of His or Her Parent and Placement Into Out-of-Home-Care (DCF-F-2473-E)
DOC Permanency Plan ASFA Addendum (CFS-2132A)
DOC Protective Plan (DCF-F-CFS2179-E)
DOC Reconfirming Safe Environments Group Home and Residential Care Center (DCF-F-2748-E)
DOC Reconfirming Safe Environments Unlicensed Placements and Foster Care Placements (DCF-F-2741-E)
DOC Relative/Non-Relative Search and Engagement Information (DCF-F-2808-E)
DOC Review of the Permanency Plan (CFS-2357)
Safety
Assessment (Back to Top)
DOC Safety Analysis and Plan (DCF-F-CFS2074-E)
DOC Safety Assessment (DCF-F-CFS2073-E)
DOC Safety Case Closure (CFS-2135T)
Safety
Services (Back to Top)
Langlade
DOC In-Home Services Cover Sheet (CFS-2137-34)
Statewide
DOC In Home Services Cover Sheet (CFS-2137)
Strengths and Needs (Back to Top)
DOC Family Strengths and Needs Assessment (CFS-2207)
Administrative (Back to Top)
DOC Kinship Care Denial of Payment and Appeal Rights (DCF-F-CFS2202-E)
DOC County Rules Violation (CFS-2243-24)
Home Inquiry (Back to Top)
DOC Home Inquiry Comments
DOC Screening Acceptance Letter
DOC Screening Denial Letter
Home Provider (Back to Top)
Milwaukee
DOC Family Fact Sheet
Statewide
DOC Family Fact Sheet
DOC Notice to Foster Parents Regarding Confidentiality of Records (CFS-2186)
DOC Training Information Letter (CFS-2361)
License (Back to Top)
Milwaukee
DOC Hold Notice Letter
Statewide
DOC Adoption Home Study Approval (CFS-2307)
DOC Adoption Home Study Approval for Specific Child (CFS-2339)
DOC Adoptive Home Assessment Results (DCF-F-CFS2108-E)
DOC Adoptive Home Assessment Suspension (CFS 2109T)
DOC Application and Fee Payment for Regular 2 Year License
DOC Application to DCF Exceptions Panel for Exception (CFS-0847)
DOC Compliance Statement - Child Welfare (DCF-F-CFS0785A-E)
DOC Exceptions Panel Second License Application (CFS-2149)
DOC Facility License (DCF-F-CFS0110-E)
DOC Fee Payment and or Application
DOC Foster Care or Treatment Foster Care License Revocation (CFS-2237)
DOC Foster Family Assessment and Re-Assessment (CFS-2121)
DOC Foster Home License (CFS-111)
DOC Foster Home/Treatment Foster Home Licensure Notification (CFS-2187)
DOC Guardianship Family Assessment (CFS-2366)
DOC Hold Notice Letter
DOC License Continuation Process
DOC License Denial Letter (CFS-2326)
DOC License Renewal Letter (CFS-2327)
DOC Multi-Purpose Home Study Report (CFS-2402)
DOC Multi-Purpose Home Study Update/Recertification (DCF-F-2623-E)
DOC Noncompliance Statement and Correction Plan (DCF-F-2544-E)
DOC Past Due License App Materials
DOC Probationary License Expiring
DOC Re-License Denial Letter
Payment (Back to Top)
DOC Invoice Request (DMT 921)
Private Provider (Back to Top)
Statewide
DOC Facility Face Sheet
Support Plans (Back to Top)
DOC Adoptive Family Support Plan (CFS-2106)
DOC Out-of-Home Care Support Plan (CFS-2131)
DOC Out-of-Home Care Support Plan Evaluation/Revision (CFS-2130)
Updated May 08, 2013