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 Hosting Page
0249 Acknowledgement of Completion of Training Volunteer DFPS
0250 Volunteer Application Volunteer DFPS
0250c Volunteer Transportation Acknowledgement Volunteer DFPS
0260 Montly Volunteer Activity Report Volunteer DFPS
0398 Kinship Profile Questionnaire Regional CPS Contracting Forms
0398s Cuestionario Sobre El Perfil Del Pariente Cuidador Regional CPS Contracting Forms
0399 Kinship Release of Information and Acknowledgement Regional CPS Contracting Forms
0399s Divulgación de Información y Reconocimiento de Parientes Regional CPS Contracting Forms
0690 Permanency Care Assistance Statement of Intent Permanency Care Assistance (PCA)
1099 Operational Discipline and Guidance Policy Child Care Licensing Forms for Providers
1100 Daily Building & Grounds Safety Checklist Child Care Licensing Forms for Providers
1105 Intense Psychiatric Transitional Program Discharge Notice Residential Contracts
1106 Intense Psychiatric Transitional Program Discharge Notice Communication Residential Contracts
1809 Foster/Relative or Other Designated Caregiver Daycare Verification Form Day Care Forms / CPS
2006 Applicant Satisfaction Survey Questionnaire Regional CPS Contracts
2008 DFPS Request for Information from JPD's Regarding Terms of Probation/Release CPS
2030 Budget for Purchase of Service Contracts Regional CPS Contracts
2030 CLIVE Budget for Title IV-E County Contract Regional CPS Contracts
2030 CWIVE Budget for Title IV-E County Contract Regional CPS Contracts
2030ins Instructions for Budget for Purchase of Service Contracts Regional CPS Contracts
2031 Signatory Authority Designation Residential Contracts
2033RCC Subcontractor Documentation Form Residential Contracts
2033a-RCC Subcontractor Process (PDF Document) Residential Contracts
2037 Referral for Placement in a DSHS - Funded RTC - Child not in DFPS Conservatorship  
2053 Parent Training Evaluation Questionnaire Regional CPS Contracts
2057 Court Related Services Form Regional CPS Contracts
2062 Referral for Substance Abuse Services  
2063 Release of Confidential Information Regional CPS Contracts
2069 Travel Out of Country Request (PDF Document) Forms for Foster Parents / Residential Contracts
2085-B Designation of Medical Consenter (PDF Document) Forms for Foster Parents
2085FC Placement Authorization Foster Care/Residential Care Forms for Foster Parents
2085-E Education Decision-Maker Form Forms for Foster Parents / Residential Contracts
2085SIL Placement Authorization: Supervised Independent Living / Instructions Extended Foster Care
2087 Common Application for Placement of Children in Residential Care (long form) Forms for Foster Parents
2087ex Alternative Application for Placement of Children in Residential Care Residential Contracts
2094 Summary of Child's Medical Care (PDF Document) Residential Contracts
2109 Residential Child Care Discharge Notice Form Residential Contracts
2127 Permanency Care Assistance: Key Issues for Judges Permanency Care Assistance (PCA)
2128 24 Hour Awake Caregiver Supervision Plan Regional CPS Contracts
2178 Home Screening Referral Form Regional CPS Contracts
2222 Photo and Video Log - Investigation of Abuse or Neglect  
2279 Placement Summary  
2282EMPL MSW/BSW2 Employee Agreement (MSW/BSW2) Regional CPS Contracts
2282STUDNTMSW Employee Agreement (MSW) Regional CPS Contracts
2282STUDNTBSW1 Employee Agreement (BSW1) Regional CPS Contracts
2282STUDNTBSW2 Employee Agreement (BSW2) Regional CPS Contracts
2286 Foster Care and Adoption Parenting Application Forms for Foster Parents
2286b Additional Household Information Forms for Foster Parents
2324 First Level Appeal of Provider Investigation Finding  
2349 Second Level Appeal of a Provider Investigation Finding  
2500 New Transition Plan Form & Instructions Transition Planning and Circles of Support
2501 Transition Planning Meeting / Selection Checklist Transition Planning and Circles of Support
2503 Youth in Transition Family Group Conference Circle of Support Referral Form Transition Planning and Circles of Support
2515 Circle of Support Re-conference Agenda Transition Planning and Circles of Support
2516 Circle of Support Conference Guide Transition Planning and Circles of Support
2517 Circle of Support Re-conference Guide Transition Planning and Circles of Support
2529 Referral to Supervised Independent Living (SIL) Provider Extended Care
2530 Rights of Children and Youth in Foster Care Forms for Foster Parents / Residential Contracts
2532 Trial Independence: Ability to Return for Extended Foster Care Extended Care
2540 Voluntary Extended Foster Care Agreement and Financial Agreement Extended Care
2541 Extended Care Rights and Responsibilities Extended Care
2545 DFPS-DADS Guardianship Extented Foster Home Placement Agreement Extended Care
2550 Operational Policy on Infant Safe Sleep Child Care Licensing Forms for Providers
2551 Licensed/Registered Home: Caregivers, Assistants, Substitutes, and Household Members Information Record  
2563 Foster Care Re-entry Checklist Return to Care
2604b Safety Plan Child Protective Services
2605 Supervised Independent Living (SIL) Application Extended Care
2625 Child Caregiver Resource Form (PDF Document) Child Protective Services
2626 Family Information Form Child Protective Services
2661 Weekly Status Report for Residential Contracts for SIL (PDF Document) Residential Contracts
2704 Request approval from the Child Protective Services to conduct research Child Protective Services
2710 Infant Sleep Exception - Health-Care Professional Child Care Licensing Forms for Providers
2759 Acknowledgement and Certificate of Completion of Medical Consent Training CPS/Child Placement/Medical Consent / Medical Services
2760 Controlling Person Form (PDF Document) Child Care Licensing Forms for Providers
2784 General Residential Operation and Residential Treatment Center Documentation Required at Application (PDF Document) Child Care Licensing Forms for Providers
2785 Child-Placing Agency Documentation Required at Application (PDF Document) Child Care Licensing Forms for Providers
2778 Materials Required Prior to Issuance - Child-Placing Agency Standards (PDF Document) Child Care Licensing Forms for Providers
2779 Materials Required Prior to Issuance - Consolidated Standards (PDF Document) Child Care Licensing Forms for Providers
2780 Materials Required Prior to Issuance - Emergency Shelters (PDF Document) Child Care Licensing Forms for Providers
2781 Materials Required Prior to Issuance - Independent Foster Family Homes (PDF Document) Child Care Licensing Forms for Providers
2782 Materials Required Prior to Issuance - Independent Foster Group Homes (PDF Document) Child Care Licensing Forms for Providers
2801 CCL - Statement of Foster Parent and Child-Placing Agency Rights Responsibilities Child Care Licensing Forms for Providers
2820 Education Facility - Request for Exemption from Regulation Under 40 TAC §745.119 Child Care Licensing Forms for Providers
2832 Single - Skills Program During The School Year - Request for Exemption from Regulation Under 40 TAC §745.129 (2) Child Care Licensing Forms for Providers
2833 Single - Skills Program During The Summer - Request for Exemption from Regulation Under 40 TAC §745.129 (2) Child Care Licensing Forms for Providers
2837 Governmental Entity – Request For Exemption From Regulation Under 40 TAC §745.115 Child Care Licensing Forms for Providers
2838 Miscellaneous Entities – Request For Exemption From Regulation Under 40 TAC §745.129 Child Care Licensing Forms for Providers
2839 Program of Limited Duration Request for Exemption from Regulation Under 40 TAC §745.117 Child Care Licensing Forms for Providers
2841 SEBCC or Temporary Shelter Child Care Facility Application Child Care Licensing Forms for Providers
2842 Small Employer Based Child Care (SEBCC) Application Inspection Letter (PDF Document) Child Care Licensing Forms for Providers
2843 Small Employer Based Child Care (SEBCC) Issuance Letter Child Care Licensing Forms for Providers
2846 Gang Free Zone Tip Sheet for Providers and Parents Child Care Licensing Forms for Providers
2851 DFPS Security Guard or Custodial Services Automated Background Check System (ABCS) New Account Request  
2854 Request For Child Abuse/Neglect Central Registry And DPS Criminal History Check Child Care Licensing Forms for Providers
2856 Homebound Fingerprinting Request Form  
2873 Guidelines for listed family homes (PDF Document) Child Care Licensing Forms for Providers
2885 Children's Products Certification (PDF Document) Child Care Licensing Forms for Providers
2911 Governing Body/Director Designation (PDF Document) Child Care Licensing Forms for Providers
2934 Medical History Report (PDF Document)
Complies with Section 161.103 of the Texas Family Code
Child Care Licensing Forms for Providers
2940 Child Care Administrative Review Request Form Child Care Licensing Forms for Providers
2941 Child Care Operation Sign In-Out Log Child Care Licensing Forms for Providers
2947 Child Care Center Personnel Information Record Child Care Licensing Forms for Providers
2948 Plan of Operation For Licensed Child-Care Operations Child Care Licensing Forms for Providers
2954 Family Violence Calls Disclosure Form (PDF Document) Child Care Licensing Forms for Providers
2955 Licensing Fee Information Child Care Licensing Forms for Providers
2957 Parent Notification Poster for Center Based Care Child Care Licensing Forms for Providers
2958 Keeping Children Safe poster Keeping Children Safe Poster
English Color/ English B&W
Child Care Licensing Forms for Providers
2962 Verification of Insurance Child Care Licensing Forms for Providers
2970 Request for Child Abuse/Neglect Central Registry Check Abuse Registry
2970c Disclosure and Consent to Release of Information Regarding Criminal or Abuse/Neglect History For Applicants, Employees or Volunteers of DFPS Contractors and Subcontractors Abuse Registry
2971, 2971s, 2971i Request for Criminal History check/Central Registry Check / Instructions Child Care Licensing Forms for Providers
2974 Request for Risk Evaluation Based on Past Criminal History of Central Registry Findings Child Care Licensing Forms for Providers
2982 Personal History Statement Child Care Licensing Forms for Providers
2985 Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home Child Care Licensing Forms for Providers
2986 Listing request (PDF Document) Child Care Licensing Forms for Providers
2988a This form has been replaced by forms 3008, 3009, 3010, 3011, and 3012  
3001 Statement of Rights and Responsibilities of Foster Parents and Child-Placing Agencies  
3003 Foster Home Evaluation Checklist / instructions This checklist is provided to specific foster homes for the purpose of complying with DFPS fire safety evaluation requirements. Informational only.
3008 Listed Family Home Fee Schedule Child Care Licensing Forms for Providers
3009 Registered Child Care Fee Schedule (PDF Document) Child Care Licensing Forms for Providers
3010 Licensed Child Care Fee Schedule (PDF Document) Child Care Licensing Forms for Providers
3011 Residential Child Care Licensing Fee Schedule(PDF Document) Child Care Licensing Forms for Providers
3012 Fee Schedule for Small Employer-Based Child Care Facilities and Temporary Shelter Child Care Facilities (PDF Document) Child Care Licensing Forms for Providers
3013 Sibling Relationship Checklist Regional CPS Contracts
3014 Supervised Visitation Satisfaction Survey Questionnaire Regional CPS Contracts
3015 Release of Information to Adoption Champion  
3102A Visitation Record and Observation Checklist Regional CPS Contracts
3103A Supervised Visitation Rules for Caregivers and Adult Participant(s) Regional CPS Contracts
3104A Sign In Log Regional CPS Contracts
3113 Sibling Relationship Checklist Regional CPS Contracts
3300 Single Child’s Plan of Service (Provider Version) / Instructions Regional CPS Contracts
4054c Background Check Statement(PDF Document) Regional CPS Contracts
4526 Psychotropic Medication Treatment Consent Form CPS Medical Services
4882 Request from Child Custody or Adoption Evaluators for Case Records DFPs Closed Case Records: Social Study Evaluators
4884 Former Youth Foster Request for Personal Records  
4885-G Request for Case Records DFPS Closed Case Records: General
4885-J Request from Juvenile Justice Entities for Case Records DFPS Closed case Records: Juvenile Justice
4885-L Request from Law Enforcement for Case Records DFPS Closed Case Records: Law Enforcement
4732 Request for Determination of Ability to Contract (PDF Document) Residential Contracts
5500GEN General Invoicing Procedures Regional CPS Contracts
5500CHEM Invoicing Procedures for Chemical Dependency Regional CPS Contracts
5501 PAL Referral Form Regional CPS Contracts
5502 Individual Monthly Progress Report Regional CPS Contracts
5503 Independent Study Guide Caregiver Report Regional CPS Contracts
5504 Knowledge Assessment Regional CPS Contracts
5507 Review of Qualifications and RequirementsWord Document Regional CPS Contracts
5508 Training Class Schedule Regional CPS Contracts
5509 Contractor Monthly Report Regional CPS Contracts
5510 Participant Evaluation Regional CPS Contracts
5512es Authorization to release information Regional CPS Contracts
5518CM PAL Monthly Expenditure Report - Case Management Regional CPS Contracts
5518LST PAL Services Monthly Expenditures Report - Life Skills Training Regional CPS Contracts
5520 Withdrawal Report Regional CPS Contracts
5521 Consent for Release of Information for the Education and Training Voucher (ETV) Program Regional CPS Contracts
5522 PAL Teen Conference Adult Evaluation Regional CPS Contracts
5523 PAL Teen Conference Youth Evaluation Regional CPS Contracts
7039 Stipend Student InformationExcel Spreadsheet Regional CPS Contracts
7238 Authorization for Dispensing Medication (PDF Document) Child Care Licensing Forms for Providers
7239 Incident/Illness Report Child Care Licensing Forms for Providers
7240 Monthly Attendance Record Child Care Licensing Forms for Providers
7243 Emergency Telephone Numbers Child Care Licensing Forms for Providers
7250 Staff Training Record  
7255 Medication Authorization Form Child Care Licensing Forms for Providers
7258 Staff Training Records for Residential Child Care Licensing Operations Parenting Information Posters and Sample Forms for Child Care Providers
7261 Center Records Evaluation Child Care Licensing Forms for Providers
7263 Emergency Practices Child Care Licensing Forms for Providers
9007ICC Internal Control Certification Regional CPS Contracts
9007RCC Internal Control Structure Questionnaire (ICSQ) for Residential Child Care Residential Contracts
9025a Related Party Leases/Rental Worksheet Contracting and Procurement Forms
9105 Risk Analysis Questionnaire Contracting and Procurement Forms
9310 FY18 University Budget Indirect Costs Based on Salaries and Fringe Regional CPS Contracts
9321 Title IV-E Training Expense Documentation Regional CPS Contracts
PCS-102PP Contracting Entity and List of Staff, Subcontractors, and Volunteers - Post Permanency Regional CPS Contracts
PCS-108 Post Adopt Monthly Activity Report & Fiscal Year Summary Regional CPS Contracts
  Contractor Information Residential Contracts
  Daily Building and Grounds Safety Checklist (PDF Document) Parenting Information Posters and Sample Forms for Child Care Providers
  Discipline and Guidance Policy (PDF Document) Child Care Licensing Forms for Providers
  Instructions for Completion of IV-E Budget Documents Regional CPS Contracts
  Monthly Building and Grounds Safety Checklist Parenting Information Posters and Sample Forms for Child Care Providers
  Adoption Plan Regional CPS Contracts
  Special Needs Adoption Training Curricula Resources for Contractors Regional CPS Contracts
  Checklist for Adoption Services Payment Regional CPS Contracts
  Checklist for Post Placement Adoption Services Payment Regional CPS Contracts
  Registered Family Home Caregiver/Parent Agreement Parenting Information Posters and Sample Forms for Child Care Providers
  Post Adopt Monthly Activity Report Regional CPS Contracts
  Post Adoption Services Questionnaire Regional CPS Contracts