DCFS forms available online for child care

Forms

This page includes all DCFS forms available online. Forms are available for view in either or both of the following formats:

• Adobe Acrobat (pdf)
• MS Word for Windows (doc)

CANTS Forms

CANTS 5 Written Confirmation of Suspected Child Abuse/Neglect Report: Mandated Reporters
CANTS 10 Notification of Intent to Indicate Child Care Worker for Report of Child Abuse and/or Neglect Questions and Answers
CANTS 22 Acknowledgment of Mandated Reporter Status Form
CANTS 22-B Acknowledgement of Mandated Reporter Status 

CFS Forms

CFS 492-L Contact License Entry Note[ doc ]

CFS 496 Client Rights and Responsibilities

CFS 508 Report of Persons Employed in a Child Care Facility

CFS 508-1 Information on Person Employed in a Child Care Facility 

CFS 560 Child Support Certification

CFS 578-4 Request to Transfer Licensing Responsibility for HMR Home

CFS 583-A Certification of Inspection for Unsafe Children's Products for Facilities 

CFS 583-B Certification of Inspection for Unsafe Children's Products for Homes

CFS 585-2 Certification of Radon Test

CFS 593 Consents to Day Care Providers

CFS 597-E Request For Assignment of License Personnel ID

CFS 602 Medical Report on an Adult in a Child Care Facility

CFS 671 Child Care Facility Driver Application

CFS 718-3 Background Check Roster/Registro de Verificación de Antecedentes 

CFS 718-A Authorization for Background Checks for Foster Care and Adoption

CFS 718-B Authorization for Background Checks for Child Care

CFS 718-L Request for Updated background Check for a Licensed Provider

CFS 2000 Part II Day Care Rate Certification and Agreement (Fillable)

CFS 2000 Part III Child Abuse & Neglect Tracking System Clearence (Fillable)