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Chapter A - Forms

Subchapter 1 - Forms
HIPAA1.A.1 - DCF Form HIPAA 1.A.1, State of New Jersey, Department of Children and Families Notice of Privacy Practices - CPP-X-A-1-HIPAA1.A.1 

Prob - New Jersey Judiciary, CP&P Request for Adult Probation Division Records - CPP-X-A-1-Prob 

R.OA - Request for Official Reception Authorization - CPP-X-A-1-R.OA 

DOT.1 - Department of Treasury Affidavit - Foster Parent Liability Program - CPP-X-A-1-DOT.1 

K.100 - CP&P Form K-100, Billing Spreadsheet, CP&P Form K-100, Client Service Invoice - CPP-X-A-1-K.100 

RM.1A - State of New Jersey Vehicle Accident Report - CPP-X-A-1-RM.1A 

RT.1 - Request for Travel Authorization - CPP-X-A-1-RT.1 

ADMV.106 - ADMV-106, State of New Jersey Request for Credit Card Assignment - CPP-X-A-1-ADMV.106 

SBI.19 - SBI-19, State of New Jersey Manual Fingerprint Card - CPP-X-A-1-SBI.19 

RM.2 - Employer's First Report of Accidental Injury or Occupational Disease - CPP-X-A-1-RM.2 

RT.2 - Request for Travel Exception - CPP-X-A-1-RT.2 

SBI.212A - SBI 212A, Request for Criminal History Record Information for a Noncriminal Justice Purpose - CPP-X-A-1-SBI.212A 

ICJ.3 - Interstate Compact for Juveniles (ICJ) Form III - Consent for Voluntary Return of Out-of-State Juveniles - CPP-X-A-1-ICJ.3 

ST.4 - ST-4 Form, Sales Tax Exempt Use Certificate - CPP-X-A-1-ST.4 

W.9 - W-9, Vendor Questionnaire - CPP-X-A-1-W.9 

1.1 - DCF Form 1-1, Screening Summary - CPP-X-A-1-1.1 

2.1 - DCF Form 2-1, Investigation Summary - CPP-X-A-1-2.1 

2.3 - CP&P Form 2-3, Missing Person Form CP&P-X-A-1-2.3 

3.1 - CP&P Form 3.1, CWS Assessment Summary, CP&P-X-A-1-3.1 

3.3 - CP&P Form 3-3, Request for New Vendor Agreement - CPP-X-A-1-3.3 

3.4 - Request to Create an Unlicensed/Uncontracted Resource/Service in NJS - CPP-X-A-1-3.4 

3.5 - CP&P Form 3-5, Contract Resource Information Sheet - CPP-X-A-1-3.5 

4.5 - CP&P Form 4-5, Kinship Legal Guardianship Assessment, and CP&P Form 4-5a, Certification of Completed Background Checks for Kinship Legal Guardianship - CPP-X-A-1-4.5 

4.6 - CP&P Form 4-6, Domestic Violence Central Registry Check Form - CPP-X-A-1-4.6 

4.7 - CP&P Form 4-7, Child Abuse Record Information and Domestic Violence Central Registry Check Form - CPP-X-A-1-4.7 

4.8 - CP&P Form 4-8, CP&P Kinship Legal Guardianship (KLG) Subsidy Agreement - CPP-X-A-1-4.8 

4.9 - CP&P Form 4-9, CP&P Kinship Legal Guardianship Subsidy Program Annual Compliance Review Letter - CPP-X-A-1-4.9 

4.10 - CP&P Form 4-10, CP&P Kinship Caregiver Standards Agreement - CPP-X-A-1-4.10 

4.11 - CP&P Form 4-11 CP&P Kinship Caregiver Presumptive Eligibility Approval - CPP-X-A-1-4.11 

4.16 - CP&P Form 4-16, Certification of Caregiver of Minor as to Knowledge or Location of Parents for Kinship Legal Guardianship - CPP-X-A-1-4.16 

4.17 - CP&P Form 4-17, KLG Folder Requirement Checklist - CPP-X-A-1-4.17 

4.18 - CP&P Form 4-18, Fact Sheet - Differences Between Adoption and KLG, Acknowledgement Receipt - CPP-X-A-1-4.18 

4.19 - CP&P Form 4-19, LO Manager Approval to Place in a Kinship Home (Prior to Joint Initial Assessment) - CPP-X-A-1-4.19 

4.22 - CP&P Form 4-22, Notification of Modification, Suspension, or Termination of a Kinship Legal Guardianship (KLG) Subsidy - CPP-X-A-1-4.22 

4.23 - CP&P Form 4-23, Application for Reimbursement for Non-Recurring Kinship Legal Guardianship (KLG) Expenses - CPP-X-A-1-4.23 

4.24 - CP&P Form 4-24, Request for KLG Subsidy Approval Memo Checklist - CPP-X-A-1-4.24 

4.25 - CP&P Form 4-25, Eligibility Criteria for CP&P KLG Subsidy - CPP-X-A-1-4.25 

5.1 - DCF Form 5-1, Request for Child Abuse/Neglect Record Information - CPP-X-A-1-5.1 

5.2 - CP&P Form 5-2, Resource Family Parent Home Study/Licensing Application - CPP-X-A-1-5.2 

5.2a - CP&P Form 5-2a, Inquiry Response Letter - CPP-X-A-1-5.2a 

5.2c - CP&P Form 5-2c, Medical Reference - CPP-X-A-1-5.2c 

5.2e - CP&P Form 5-2e, School/Day Care Reference - CPP-X-A-1-5.2e 

5.2f - CP&P Form 5-2f, Police Check Cover Letter - CPP-X-A-1-5.2f 

5.2g - CP&P Form 5-2g, Financial Statement - CPP-X-A-1-5.2g 

5.2m - CP&P Form 5-2m, Resource Family Home Recommendation - CPP-X-A-1-5.2m 

5.3 - CP&P Form 5-3, Withdrawal Letter - CPP-X-A-1-5.3 

5.4 - CP&P Form 5-4, Withdrawal - No Response Letter - CPP-X-A-1-5.4 

5.5 - CP&P Form 5-5, Resource Family Parent Agreement - CPP-X-A-1-5.5 

5.5a - CP&P Form 5-5a, Resource Family Parent Agreement Addendum 

5.6 - CP&P Form 5-6, Request for Transfer Approval - CPP-X-A-1-5.6 

5.8 - CP&P Form 5-8, Resource Family Rate Assessment - CPP-X-A-1-5.8 

5.8a - CP&P Form 5-8a, Resource Family Rate Agreement - CPP-X-A-1-5.8a 

5.12 - CP&P Form 5-12, LO Manager 60-Day Review of Home Study - CPP-X-A-1-5.12 

5.16 - CP&P Form 5-16, Child's Education Record - CPP-X-A-1-5.16 

5.20a - CP&P Form 5-20a, Notice of Regional Placement Conference (Foster Parents) - CPP-X-A-1-5.20a 

5.21 - CP&P Form 5-21, Notice of Regional Placement Conference (For Cases in Litigation) - CPP-X-A-1-5.21 

5.21a - CP&P Form 5-21a, Notice of Regional Placement Conference (Letter to Interested Parties) - CPP-X-A-1-5.21a 

5.21b - CP&P Form 5-21b, Letter to Children Age 14 or Over Notifying Them of a Regional Placement Conference - CPP-X-A-1-5.21b 

5.23 - CP&P Form 5-23, Cover Letter to Accompany Reference Request - CPP-X-A-1-5.23 

5.24 - CP&P Form 5-24, Employment Reference - CPP-X-A-1-5.24 

5.25 - CP&P Form 5-25, Police Check - CPP-X-A-1-5.25 

5.32 - CP&P Form 5-32, Helping a Child Make History, A Guide to the Preparation of Life Books - CPP-X-A-1-5.32 

5.34 - CP&P Form 5-34, Checklist of Standards for Resource Family Homes - CPP-X-A-1-5.34 

5.41 - CP&P Form 5-41, Acknowledgement of Understanding in the Use of Universal Precautions - CPP-X-A-1-5.41 

5.43 - CP&P Form 5-43, Transitional Plan for YOUth Success - CPP-X-A-1-5.43 

5.44 - CP&P Form 5-44, Children and Youth Bill of Rights - CPP-X-A-1-5.44 

5.47 - CP&P Form 5-47, Notice of Placement - CPP-X-A-1-5.47 

5.49 - CP&P Form 5-49, Resource Family Parent Identification Letter - CPP-X-A-1-5.49 

5.50 - CP&P Form 5-50, Health Care Provider Information Request Letter - CPP-X-A-1-5.50 

5.50 - CP&P Form 5-50, Health Care Provider Information Request Letter - CPP-X-A-1-5.50 

5.51 - CP&P Form 5-51, School Information Request Letter - CPP-X-A-1-5.51 

5.52 - CP&P Form 5-52, Relative/Family Friend Resource Assessment Letter - CPP-X-A-1-5.52 

5.58 - CP&P Form 5-58, Thirty-Day Notification to Relative of Child's Placement Out of Home - CPP-X-A-1-5.58 

5.61 - CP&P Form 5-61, Notification: Services May Continue Beyond Age of Majority - CPP-X-A-1-5.61 

5.62 - CP&P Form 5-62, Termination of Services to Adolescent Client - CPP-X-A-1-5.62 

5.66 - CP&P Form 5-66, Adolescent Case Closing Agreement - CPP-X-A-1-5.66 

5.67 - CP&P Form 5-67, Adolescent Case Closing Checklist - CPP-X-A-1-5.67 

5.68 - DCF Form 5-68, State Police Search Letter for Guardianship/Termination of Parental Rights - CPP-X-A-1-5.68 

5.69 - CP&P Form 5-69, National Youth in Transition Database (NYTD) Baseline Survey - CPP-X-A-1-5.69 

5.70 - CP&P Form 5-70, National Youth in Transition Database (NYTD) Follow-Up Survey - CPP-X-A-1-5.70 

5.71 - CP&P Form 5-71, Educational Stability Parent Notification - CPP-X-A-1-5.71 

5.72 - CP&P Form 5-72, Educational Stability School District Notification - CPP-X-A-1-5.72 

5.73 - CP&P Form 5-73, Educational Stability Parent Notification - EXCEPTION - CPP-X-A-1-5.73 

5.75 - CP&P Form 5-75, Agreement of Parent/Legal Guardian and Law Guardian to Change in School Placement - CPP-X-A-1-5.75 

5.77 - CP&P Form 5-77, Resource Family Corrective Action Plan - CPP-X-A-1-5.77 

5.79 - CP&P Form 5-79, Mutual Agreement of Understanding, MOU, Between County CASA Programs and the NJ Division of Child Protection and Permanency Local Offices 

8.77 - DCF Form 8-77, Notary Public Application - CPP-X-A-1-8.77 

8.80 - DCF Form 8-80, DCF Confidentiality Agreement (For Non-Employees) - CPP-X-A-1-8.80 

8.81 - DCF Form 8-81, DCF Confidentiality Agreement (For Contracted Employees) - CPP-X-A-1-8.81 

8.87 - DCF Form 8-87, Overtime Authorization Form - CPP-X-A-1-8.87 

8.103 - DCF Form 8-103, DCF Wireless Device Protocol Form - CPP-X-A-1-8.103 

9.1 - CP&P Form 9-1, DCF Registration Form (After-Hours Response) - CPP-X-A-1-9.1 

9.2 - CP&P Form 9-2, Supervisor/Casework Supervisor/County Service Specialist/Case Practice Specialist Conditional Agreement to Work as SPRU Field Worker - CPP-X-A-1-9.2 

9.3 - CP&P Form 9-3, Rapid Human Trafficking Assessment (RHTA) - CPP-X-A-1-9.3 

9.4 - CP&P Form 9-4, Red Flags for Identifying Human Trafficking Cases 

9.11 - CP&P Form 9-11, Interpreter Services for the Deaf and Hard of Hearing 

9.24 - CP&P Form 9-24, SPRU Supervisor Log 

9.26 - CP&P Form 9-26, SPRU Worker Case Summary Sheet - CPP-X-A-1-9.26 

9.28 - CP&P Form 9-28, Notification Letter to Perpetrator (Substantiated Perpetrator), If Child Abuse/Neglect is SUBSTANTIATED - CPP-X-A-1-9.28 

9.28a - CP&P Form 9-28a, Notification Letter to Non-Offending Parent/Caregiver if Child Abuse/Neglect is SUBSTANTIATED - CPP-X-A-1-9.28a 

9.30 - CP&P Form 9-30, Notification Letter to Parent, Guardian or Caregiver and Alleged Perpetrator if Child Abuse/Neglect is UNFOUNDED - CPP-X-A-1-9.30 

9.32 - CP&P Form 9-32, Confidential Report of Substantiated Child Abuse/Neglect to Law Enforcement Agencies - CPP-X-A-1-9.32 

9.33 - CP&P Form 9-33, Cover Letter to Law Enforcement - Substantiated Incident of Child Abuse/Neglect - CPP-X-A-1-9.33 

9.36 - CP&P Form 9-36, Notification to Perpetrator (Established Perpetrator), If Child Abuse/Neglect Is ESTABLISHED - CPP-X-A-1-9.36 

9.37 - CP&P Form 9-37, Notification Letter to Non-Offending Parent/Caregiver if Child Abuse/Neglect is ESTABLISHED - CPP-X-A-1-9.37 

9.38 - CP&P Form 9-38, Notification Letter to Parent, Guardian or Caregiver and Alleged Perpetrator if Child Abuse/Neglect is NOT ESTABLISHED - CPP-X-A-1-9.38 

9.42 - CP&P Form 9-42, Annual SPRU Certification - CPP-X-A-1-9.42 

9.45 - CP&P Form 9-45, State Central Registry Call Back Message - CPP-X-A-1-9.45 

9.79 - CP&P Form 9-79, Letter to Correctional Facility Regarding Expectant Inmate - CPP-X-A-1-9.79 

9.82 - DCF Form 9-82, Notice to Non-Offending Parent/Caregiver of Change of Child Abuse or Neglect Finding - CPP-X-A-1-9.82 

9.83 - DCF Form 9-83, Notice of Change of Child Abuse or Neglect Finding (CP&P/IAIU) - CPP-X-A-1-9.83 

9.84 - DCF Form 9-84, Notice of Change of Child Abuse or Neglect Finding (AHU) 

10.4 - CP&P Form 10-4, Notification to SSA: CP&P is No Longer Child's Representative Payee 

10.5aa - CP&P Form 10-5aa, Title IV-E Adoption Assistance Eligibility Determination 

10.5fc - CP&P Form 10-5fc, Title IV-E Foster Care Eligibility Initial Determination 

10.5fc(A) - CP&P Form 10-5fc(A), AFDC Financial Need Determination - CPP-X-A-1-10.5fc(A) 

10.6fc - CP&P Form 10-6fc, Title IV-E Foster Care Eligibility Redetermination - CPP-X-A-1-10.6fc 

10.6fc(A) - CP&P Form 10-6fc Attachment, Financial Need Redetermination 

10.7 - CP&P Form 10-7, Independent Living Stipend Responsibility Agreement 

10.8 - CP&P Form 10-8, Consent to Independent Living By Parent(s), Legal Guardian, or Legal Custodian 

10.10 - CP&P Form 10-10 Voluntary Service Agreement - CPP-X-A-1-10.10 

10.11 - CP&P Form 10-11, Independent Living Budget Worksheet - CPP-X-A-1-10.11 

10.12 - CP&P Form 10-12, Consent to Out-of-State Placement by Parent(s) or Legal Guardian - CPP-X-A-1-10.12 

10.98 - CP&P Form 10-98, Referral to Family Unification Program - CPP-X-A-1-10.98 

11.1 - CP&P Form 11-1, Referral for Early Intervention System Services - CP&P-X-A-1-11.1 

11.2 - CP&P Form 11-2, Child's Medical Examination Form - CPP-X-A-1-11.2 

11.3 - CP&P Form 11-3, Pre-Placement/Re-Placement Assessment 

11.4 - CP&P Form 11-4, Consent for Operation, Treatment or Examination - CPP-X-A-1-11.4 

11.5 - CP&P Form 11-5, EIS Consent and Designation Form 

11.6 - CP&P Form 11-6, Early Intervention Transition Notification Form 

11.10 - CP&P Form 11-10, Health Passport and Placement Assessment 

11.18 - CP&P Form 11-18, Parental Consent for Operation, Treatment or Diagnostic Work-Up 

11.28 - CP&P Form 11-28, Psychiatrist Certification 

11.29 - CP&P Form 11-29, Psychologist Certification 

11.34 - CP&P Form 11-34, Child's Summary - Infant Development - CPP-X-A-1-11.34 

11.35 - CP&P Form 11-35, Child's Summary - The Preschool Child - CPP-X-A-1-11.35 

11.36 - CP&P Form 11-36, Child's Summary - Daily Routine for School-Age Child - CPP-X-A-1-11.36 

11.37 - CP&P Form 11-37, Child's Summary - The Older Child - CPP-X-A-1-11.37 

11.42 - CP&P Form 11-42, Title IV-E Medicaid Out-of-State Response Form 

11.45 - CP&P Form 11-45, Adolescent Substance Abuse Assessment Referral Form 

11.46 - CP&P Form 11-46, Adult Substance Abuse Assessment Referral Form 

11.48 - CP&P Form 11-48, Consent for the Release of Confidential Substance Abuse Information to the Division of Child Protection and Permanency 

11.50 - CP&P Form 11-50, Acknowledgement of Receipt of Notice of Privacy Practices 

11.63 - CP&P Form 11-63, Request for CHEC Visit 

11.69 - CP&P Form 11-69, Medicaid Eligibility File Demographic Changes 

11.70 - CP&P Form 11-70, Pediatric Nursing Report - CPP-X-A-1-11.70 

11.71 - CP&P Form 11-71, Nursing Consult 

11.73 - CP&P Form 11-73, Heath Care Representative Proxy Directive 

11.74 - CP&P Form 11-74, Health Care Representative Brochure 

11.90 - CP&P Form 11-90, HIPAA Authorization to Disclose Information 

11.91 - CP&P Form 11-91, Request for the Disclosure of Health Records or Information 

12.2 - CP&P Form 12-2, Caseload Assignment Readiness Assessment Tool (CARAT) - CPP-X-A-1-12.2 

12.1A - CP&P Form 12-1A, Caseworker's Weekly Work Plan - CPP-X-A-1-12.1A 

12.32 - CP&P Form 12-32, General Meeting Letter 

14.6 - CP&P Form 14-6, Consent of Guardian to Adoption 

14.47 - CP&P Form 14-47, Notification-Child Placed in Protective Custody Pursuant to N.J.S.A. 9:6-8.16 - CPP-X-A-1-14.47 

14.77 - CP&P Form 14-77, CP&P/Parole Information Exchange 

14.86 - CP&P Form 14-86, Surrender of Custody and Consent for Adoption 

14.86a - CP&P Form 14-86a, Affidavit of Surrendering Parent 

14.86b - CP&P Form 14-86b, Affidavit of Local Office Manager 

14.86d - CP&P Form 14-86d, Affidavit of Local Office Supervisor 

14.86e - CP&P Form 14-86e, Affidavit of Parent of Surrendering Parent Under 18 - Form E 

14.86f - CP&P Form 14-86f, Identified Surrender Affidavit 

14.86g - CP&P Form 14-86g, Acknowledgement of Counseling Received 

14.88 - CP&P Form 14-88, Affidavit Denying Paternity - CPP-X-A-1-14.88 

14.89 - CP&P Form 14-89, Affidavit of Mother 

14.90 - CP&P Form 14-90, DAG Clearance Form 

14.126 - CP&P Form 14-126, Pre-Adoptive Medical Report 

14.149 - CP&P Form 14-149, Consent of Custodian to Adoption 

14.150 - CP&P Form 14-150, Letter Transmitting CP&P Form 14-6 or 14-149 to Attorney 

14.158 - CP&P Form 14-158, Inquiry Form 

14.160 - CP&P Form 14-160, Court Appointed Adoption Letter 

14.161 - CP&P Form 14-161, Letter to Birth Parent/Legal Guardian 

14.163 - CP&P Form 14-163, Memo to CP&P Local Office - CPP-X-A-1-14.163 

14.174 - CP&P Form 14-174, Adoption Disruption Report - CPP-X-A-1-14.174 

14.175 - CP&P Form 14-175, Adoption Consent Checklist 

14.176 - CP&P Form 14-176, Putative Father Letter - CPP-X-A-1-14.176 

14.177 - CP&P Form 14-177, Family Medical History - CP&P-X-A-1-14.177 

14.179 - CP&P Form 14-179, Preadoptive Family Care Agreement Between the New Jersey Division of Child Protection and Permanency and Preadoptive Parent(s) - CPP-X-A-1-14.179 

14.182 - CP&P Form 14-182, Application for Subsidized Adoption Payments - CPP-X-A-1-14.182 

14.183 - CP&P Form 14-183, Determination of Eligibility for Subsidy - CPP-X-A-1-14.183 

14.184 - CP&P Form 14-184, Agreement Between the New Jersey Division of Child Protection and Permanency and Adoptive Parents Regarding Subsidy Payments - CPP-X-A-1-14.184 

14.188 - CP&P Form 14-188, Annual Notice Regarding Adoption Subsidy 

14.188A(S) - CP&P Form 14-188A(S) Subsidized Adoption Annual Renewal Letter and Agreement (Spanish) - CPP-X-A-1-14.188A(S) 

14.188B(S) - CP&P Form 14-188B(S) Subsidized Adoption Annual Renewal Letter and Agreement (Spanish) - CPP-X-A-1-14.188B(S) 

14.202 - CP&P Form 14-202, Child Care Reference 

14.205A - CP&P Forms 14-205A and B, Adoption Registry Cover Letter and Application, and Adoption Registry Release (Birth Family) 

14.206 - Adoption Registry Cover Letter (Adult Adoptee/Minor Child) and Adoption Registry Application (Adult Adoptee/Minor Child) - CPP-X-A-1-14.206 

14.207 - Birth Family Search Cover Letter and Adoption Registry Release (Birth Family Member) and Adoption Registry Release (Birth Family Member) 

14.209 - CP&P Form 14-209, Application for Reimbursement for Non-recurring Adoption Expenses in the Adoption of a Special Needs Child - CPP-X-A-1-14.209 

14.210 - CP&P Form 14-210, Notification Letter to Resource Parent(s) of Final Adoption Proceedings 

14.211 - CP&P Form 14-211, Waiver of Notice to Adoption Proceedings 

14.216 - CP&P Form 14-216, Child Specific Recruitment Plan 

14.217 - CP&P Form 14-217, Adoption and KLG Subsidy Letter for Children Turning 

14.218 - CP&P Form 14-218, Annual Verification of Child's School Attendance - Adoption or KLG Subsidy Letter 

14.219 - CP&P Form 14-219, Basis for Subsidy Eligibility 

14.220 - CP&P Form 14-220, Request for Adoption Subsidy Approval Memo Checklist 

14.221 - CP&P Form 14-221, Statement of Continued Education for Adoption Subsidy Recipients - CPP-X-A-1-14.221 

14.222 - CP&P Form 14-222, Notification of Adoption Subsidy Request Not Approved 

14.227 - CP&P Form 14-227, Notification of the Termination of an Adoption Subsidy 

14.228 - CP&P Form 14-228, Adoption Finalization Folder Requirement Checklist 

14.230 - CP&P Form 14-230, Post Adoption Child Care Referral Letter to Adoptive Parent 

14.231 - CP&P Form 14-231, Adoption Subsidy Addendum Agreement for Post Adoption Child Care 

14.232 - CP&P Form 14-232, Post Adoption Child Care Referral Form (Continuation of Service) 

14.233 - CP&P Form 14-233, Post Adoption Child Care Referral Form (Non-continuation of Service) 

14.234 - CP&P Form 14-234, Waiver for Psychological Examination 

15.2 - CP&P Form 15-2, NJ Resource Home Licensure Requirements Notification and Agreement to Comply (for Children Entering NJ and Children Leaving NJ) 

15.5 - CP&P Form 15-5, Resource Parent Interstate Home Study Assessment Status Sheet 

15.11 - CP&P Form 15-11, ISS-USA Outgoing Case Referral Form 

15.12 - CP&P Form 15-12, ISS-USA Case Closing Form 

15.13 - CP&P Form 15-13, ISS-USA Outgoing Case Referral Form For Potential Resource Family Background Checks ONLY 

15.14 - CP&P Form 15-14, ISS-USA - Child Travels Overseas Form 

16.8 - CP&P Form 16-8, Affidavit for Loss of Check - CPP-X-A-1-16.8 

16.23 - CP&P Form 16-23, LOBA/FLEX Check Tracking Log 

16.24 - CP&P Form 16-24, Local Office Bank Account Disposition/Refund Support 

16.29 - CP&P Form 16-29, Petty Cash Voucher 

16.34 - CP&P Form 16-34, Check Receipt - CPP-X-A-1-16.34 

16.35 - CP&P Form 16-35, Security Deposit Agreement 

16.54 - DCF Form 16-54, New Jersey State Police Applicant Identification Verification Form Required for Out-of-State Fingerprinting 

16.68 - CP&P Form 16-68, Daily Vehicle Log - CPP-X-A-1-16.68 

16.69 - CP&P Form 16-69, Referral for Assistant Family Services Worker 

16.70 - CP&P Form 16-70, Prohibited Items in State Vehicles Notice 

16.72 - CP&P Form 16-72, Parent Locator Service - CPP-X-A-1-16.72 

16.76 - CP&P Form 16-76, Special Approval Request (SAR) 

16.78 - DCF Form 16-78, Insurance and Indemnification Request 

16.81 - 16-81.xls 

16.81 - CP&P Form 16-81, Petty Cash Replenishment Request Memo - CPP-X-A-1-16.81 

16.84 - CP&P Form 16-84, CP&P Form 16-84, Request for Banking Services, CP&P-X-A-1-16.84 

16.86 - CP&P Form 16-86, Request Form for Travel Class "B" Status 

16.87 - CP&P Form 16-87, Request Form for Travel Class "C" Status 

16.99 - CP&P Form 16-99, Office Automation Equipment Inventory/Property Removal 

16.103 - CP&P Form 16-103, Confirmation Statement on Employee Personal Cellular Telephone Use for Work-Related Call 

16.105 - CP&P Form 16-105, Local Office Bank Account Approval Request 

16.106 - CP&P Form 16-106, Request for Reimbursement for Emergency Fuel Purchases 

16.107 - CP&P Form 16-107, Emergency Travel Check List 

16.110 - CP&P Form 16-110, Credit Reports Form for Adolescents Age 18 to 21 

17.1 - CP&P Form 17-1, Waiver Request 

18.32 - CP&P Form 18-32, Parents' Handbook 

18.33 - CP&P Form 18-33, A Guide for Parents: When Your Child is in Foster Care 

18.35 - CP&P Form 18-35, CP&P Child Placement Review Notice Of Change 

19.18 - CP&P Form 19-18, Copywork Request - CPP-X-A-1-19.18 

19.33 - CP&P Form 19-33, Interoffice Expunction Authorization Memo 

20.14 - CP&P Form 20-14, Route Slip - CPP-X-A-1-20.14 

20.27 - CP&P Form 20-27, Record of Telephone Call or Visitor - CPP-X-A-1-20.27 

20.28 - CP&P Form 20-28, Inter-Office Communication - CPP-X-A-1-20.28 

21.6 - CP&P Form 21-6, Notice of Emergency Removal Pursuant to N.J.S.A. 9:6-8.29 and 9:6-8.30 Without Court Order 

21.7 - CP&P Form 21-7, Request for Information Pursuant to N.J.S.A. 9:6-8.40 

21.8 - CP&P Form 21-8, Certification of Documents 

21.10 - CP&P Form 21-10, Critical Incident Report 

21.11 - CP&P Form 21-11, Child Fatality/Near Fatality Report 

21.12 - CP&P Form 21-12, Child Fatality/Near Fatality Update Summary 

21.13 - CP&P Form 21-13, Child Fatality/Near Fatality Concluding Summary 

21.16 - CP&P Form 21-16, Notice of Voluntary Revocation of Emergency Removal Without a Court Order 

21.30 - CP&P Form 21-30, School Removal - CPP-X-A-1-21.30 

21.31 - CP&P Form 21-31, SAFE HAVEN Notice of Emergency Removal Pursuant to N.J.S.A. 9:6-8.29 and 9:6-8.30, Without Court Order 

21.37 - CP&P Form 21-37, Receipt of Request for a Dispositional Conference/Review 

21.38 - CP&P Form 21-38, Receipt of Request for an Office of Administrative Law (OAL) Hearing 

21.39 - CP&P Form 21-39, Request for an Office of Administrative Law (OAL) Hearing Form 

21.40 - CP&P Form 21-40, Medical Request Letter 

21.41 - CP&P Form 21-41, CP&P Dispositional Review Decision 

21.42 - CP&P Form 21-42, CP&P Final Agency Decision 

22.5 - CP&P Form 22-5, New Jersey Child Safety Assessment in Resource Family Homes COVER SHEET 

22.6 - CP&P Form 22-6, New Jersey Child Safety Assessment (Resource Homes) - CPP-X-A-1-22.6 

22.10 - CP&P Form 22-10, Congregate Care Questionnaire 

22.22 - CP&P Form 22-22, Safety Assessment (In-Home Cases) 

22.23 - CP&P Form 22-23, New Jersey CP&P Family Risk Assessment 

22.24 - CP&P Form 22-24, New Jersey CP&P Caregiver Strengths and Needs Assessment 

22.25 - CP&P Form 22-25, New Jersey CP&P Child Strengths and Needs Assessment 

22.26 - CP&P Form 22-26, New Jersey CP&P Family Risk Reassessment (In-Home Cases) 

22.27 - CP&P Form 22-27, New Jersey Family Reunification Assessment 

22.41 - CP&P Form 22-41, Participants Identified by Family 

22.42 - CP&P Form 22-42, Participant List and Agreement to Confidentiality 

22.43 - CP&P Form 22-43, Family Engagement Invitation Letter 

22.45 - CP&P Form 22-45, Guideline for Minor Parents in Resource Care 

22.47 - CP&P Form 22-47, Family Team Meeting Brochure 

24.8 - CP&P Form 24-8, Statement of Costs - CPP-X-A-1-24.8 

24.11 - CP&P Form 24-11, Civil Action Consent to Adoption - CPP-X-A-1-24.11 

24.16a - CP&P Form 24-16a, ACI Letter to Surrogate Court - CPP-X-A-1-24.16a 

24.16b - CP&P Form 24.16b, Letter to Plaintiff's Attorney - CPP-X-A-1-24.16b 

24.16j - CP&P Form 24-16j, Letter to Plaintiff - CPP-X-A-1-24.16j 

24.19 - CP&P Form 24-19, Letter to Surrogate - CPP-X-A-24.19 

25.46 - CP&P Form 25-46 Exceptional Placement/Funding Request - CPP-X-A-1-25.46 

25.59 - CP&P Form 25-59, Residential Placement Agreement 

25.65 - CP&P Form 25-65, Department of Education School District Determination 

25.66 - Notice of Termination of State Responsibility for Tuition and Transportation - CPP-X-A-1-25.66 

25.67 - CP&P Form 25-67, Request for Approval - Placement of Child Under Age 10 in a Congregate Care Facility 

25.70 - CP&P Form 25-70, CP&P Referral Summary for Out-Of-Home Treatment 

26.1 - CP&P Form 26-1, Referral for Support Evaluation 

26.8 - CP&P Form 26-8, Request for NJ Birth/Death/Marriage/Civil Union/Domestic Partnership Certificate - CPP-X-A-1-26.8 

26.10 - CP&P Form 26-10, Notebook Sheet - CPP-X-A-1-26.10 

26.15 - CP&P Form 26-15, Authorization for Release of Information 

26.23 - CP&P Form 26-23, Resource Family Home Reevaluation 

26.24 - CP&P Forms 26-24, Intake Family Agreement 

26.25 - CP&P Form 26-25 Case Plan - Family Agreement 

26.26 - CP&P Form 26-26, Case Plan Family Agreement – (Developed with the Family without a Team) 

26.50 - CP&P Form 26-50, Resource Sheet 

26.52 - CP&P Form 26-52, Contact Sheet 

26.53c - CP&P Form 26-53c, Individual and Family Assessment Outline - Adoption 

26.54 - CP&P Form 26-54, Intraoffice Case Transfer Checklist - CPP-X-A-1-26.54 

26.57 - CP&P Form 26-57, Case Summary for Closing/Transfer - CPP-X-A-1-26.57 

26.62 - CP&P Form 26-62, Letter to Client Continuing Services 

26.63 - CP&P Form 26-63, Letter to Client Terminating CP&P Involvement 

26.64 - CP&P Form 26-64, Letter to Reporter/Referral Source 

26.68 - CP&P Form 26-68, Letter to Client Regarding Need to Cooperate with Child Protective Services Investigation 

26.80 - CP&P Form 26-80, Court Report 

26.81 - CP&P Forms 26-81, Case Plan Assessment 

26.82 - CP&P Form 26-82, Relative Identification and Evaluation Chart 

26.83 - CP&P Form 26-83, Visitation Plan 

26.84 - CP&P Form 26-84, Twenty Day Letter 

26.85 - CP&P Form 26-85, Postmaster Letter 

26.86 - CP&P Form 26-86, Search Letter 

26.87 - CP&P Form 26-87, Desired Family Outcomes and Specific Activities 

26.88 - CP&P Form 26-88, Concurrent Planning Flow Chart 

26.89 - CP&P Form 26-89, Concurrent Planning Guide 

26.90 - CP&P Form 26-90, Full Disclosure Checklist for Working with Birth Families 

26.91 - CP&P Form 26-91, Department of Children and Families Consent of Parent or Guardian to Photograph, Interview and/or Identify Client - CPP-X-A-1-26.91 

26.92 - CP&P Form 26-92, Department of Children and Families Consent to be Photographed, Identified and/or Interviewed - CPP-X-A-1-26.92 

26.93 - CP&P Form 26-93, New Jersey Family Preservation Services (FPS) Referral 

28.1 - Random Moment Study - CP&P-X-A-1-28.1 

ICPC30 - ICPC Supervision Report - 30 Day - CP&P-X-A-1-ICPC30 

86.3 - DCF Form 86-3, Employee Claim for Loss or Damage to Property, and DCF Form 86-3, Attachment A - CP&P-X-A-1-86.3 

ICPC90 - ICPC Supervision Report - 90 Day - CP&P-X-A-1-ICPC90 

CC-194 - Authorization for Child Care - CP&P-X-A-1-CC.194 

CC-195 - Notice of Non-Payment of CPS Child Care - CP&P-X-A-1-CC.195 

CC-196 - Notice of Change in CPS Child Care Status - CP&P-X-A-1-CC.196