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.
| Number |
Form Title |
Hosting
Page |
| 1100 |
Daily Building & Grounds Safety Checklist (pdf, doc) |
Child
Care Licensing Forms for Providers |
| 2069 |
Travel Out of Country Request (pdf, doc) |
Forms for Foster Parents |
| 2085-A |
Attachment A - Authorization for Medical, Dental,
and Psychological Care (2085-A.doc) |
Forms for Foster Parents |
| 2085-B |
Designation of Medical Consenter for non-DFPS Employee (2085-B.doc) (2085-B.pdf) |
Forms for Foster Parents |
| 2085FC |
Placement Authorization Foster Care/Residential
Care (2085FC.doc) |
Forms for Foster Parents |
| 2087 |
Common Application for Placement of Children
in Residential Care (long form) (2087.doc) |
Forms for Foster Parents |
| 2087ex |
Alternative Application for Placement of Children
in Residential Care (short form) (2087ex.doc) |
Forms for Foster Parents |
| 2087ex |
Alternative Application for Placement of Children
in Residential Care (short form) (2087ex.pdf) |
Forms for Foster Parents |
| 2089c |
Youth for Tomorrow Request for Initial Level of Care Authorization (2089c.doc) (2089c.pdf) |
|
| 2250 |
Adoption Assistance Request (2250.doc) |
Adoption
Assistance |
| 2250 |
Adoption Assistance Request (2250.pdf) |
Adoption
Assistance |
| 2258 |
Texas Voluntary Adoption Registry - INTERNET
CHILD-PLACING AGENCY (2258.doc) |
DFPS
Voluntary Adoption Registry |
| 2258 |
Texas Voluntary Adoption Registry - INTERNET
CHILD-PLACING AGENCY (2258.pdf) |
DFPS
Voluntary Adoption Registry |
| 2500 |
New Transition Plan Form & Instructions (2500.doc) |
Transition Planning and Circles of Support |
| 2500 |
Plan de transición (2500s.doc) |
Transition Planning and Circles of Support |
| 2501 |
Transition Planning Meeting / Selection Checklist (2501.doc) |
Transition Planning and Circles of Support |
| 2502 |
Review/Addendum of Transition Plan (2502.doc) |
Transition Planning and Circles of Support |
| 2502 |
Revisión/Anexo al plan de transición (2502s.doc) |
Transition Planning and Circles of Support |
| 2503 |
Youth in Transition Family Group Conference Circle of Support Referral Form (2503.doc) |
Transition Planning and Circles of Support |
| 2514 |
Circle of Support Conference Form (2514.doc) |
Transition Planning and Circles of Support |
| 2515 |
Circle of Support Re-conference Agenda (2515.doc) |
Transition Planning and Circles of Support |
| 2516 |
Circle of Support Conference Guide (2516.doc) |
Transition Planning and Circles of Support |
| 2517 |
Circle of Support Re-conference Guide (2517.doc) |
Transition Planning and Circles of Support |
| 2540 |
Voluntary Extended Foster Care Agreement (2540.doc) |
Extended Care |
| 2541 |
Extended Care Rights and Responsibilities (2541.doc) |
Extended Care |
| 2542 |
Extended Care pamphlet (2542.pdf) |
Extended Care |
| 2543 |
Office of Consumer Affairs - Inquiries and Complaints (2543.doc) |
Extended Care |
| 2560 |
Voluntary Return to Foster Care Agreement (2560.doc) |
Return to Care |
| 2561 |
Voluntary Return to Foster Care Policy (2561.doc) |
Return to Care |
| 2562 |
Voluntary Return to Foster Care Impact Process (2562.doc) |
Return to Care |
| 2563 |
Foster Care Re-entry Checklist (2563.doc) |
Return to Care |
| 2564 |
Extended Care Rights and Responsibilities (2564.doc) |
Return to Care |
| |
Comprehensive Healthcare for Foster Care Information Sheet |
Transition Youth Benefits |
| |
Atención médica integral durante el cuidado temporal |
Transition Youth Benefits |
| |
Transitional Medicaid Youth Fact Sheet |
Transition Youth Benefits |
| 2760 |
Controlling Person Form
2760.doc | 2760.pdf |
Child
Care Licensing Forms for Providers |
| 2784 |
General Residential Operation and Residential Treatment Center
Documentation Required at Application
(2785.doc) | (2785.pdf) |
Child
Care Licensing Forms for Providers |
| 2785 |
Child-Placing Agency Documentation Required at Application (2785.doc) | (2785.pdf) |
Child
Care Licensing Forms for Providers |
| 2786 |
Independent Foster Home Documentation Required at Application (2786.doc) | (2786.pdf) |
Child
Care Licensing Forms for Providers |
| 2787 |
Maternity Home Documentation Required at Application (2787.doc) | (2787.pdf) |
Child
Care Licensing Forms for Providers |
| 2778 |
Materials Required Prior to Issuance - Child-Placing
Agency Standards (2778.doc) |
Child
Care Licensing Forms for Providers |
| 2778 |
Materials Required Prior to Issuance - Child-Placing
Agency Standards (2778.pdf) |
Child
Care Licensing Forms for Providers |
| 2779 |
Materials Required Prior to Issuance - Consolidated
Standards (2779.doc) |
Child
Care Licensing Forms for Providers |
| 2779 |
Materials Required Prior to Issuance - Consolidated
Standards (2779.pdf) |
Child
Care Licensing Forms for Providers |
| 2780 |
Materials Required Prior to Issuance - Emergency
Shelters (2780.doc) |
Child
Care Licensing Forms for Providers |
| 2780 |
Materials Required Prior to Issuance - Emergency
Shelters (2780.pdf) |
Child
Care Licensing Forms for Providers |
| 2781 |
Materials Required Prior to Issuance - Independent
Foster Family Homes (2781.doc) (2781.pdf) |
Child
Care Licensing Forms for Providers |
| 2782 |
Materials Required Prior to Issuance - Independent
Foster Group Homes (2782.doc) |
Child
Care Licensing Forms for Providers |
| 2782 |
Materials Required Prior to Issuance - Independent
Foster Group Homes (2782.pdf) |
Child
Care Licensing Forms for Providers |
| 2783 |
Materials Required Prior to Issuance - Maternity
Home Standards (2783.doc) |
Child
Care Licensing Forms for Providers |
| 2783 |
Materials Required Prior to Issuance - Maternity
Home Standards (2783.pdf) |
Child
Care Licensing Forms for Providers |
| 2821 |
Exemption Determination (pdf, doc) |
|
| 2841 |
Small Employer Based Child Care (SEBCC) Application Form (pdf, doc) |
Child
Care Licensing Forms for Providers |
| 2842 |
Small Employer Based Child Care (SEBCC) Application Inspection Letter (pdf, doc) |
Child
Care Licensing Forms for Providers |
| 2843 |
Small Employer Based Child Care (SEBCC) Issuance Letter (pdf, doc) |
Child
Care Licensing Forms for Providers |
| 2846 |
Gang Free Zone Tip Sheet for Providers and Parents (pdf, doc) |
Child
Care Licensing Forms for Providers |
| 2869 |
Listed Family Home introduction letter (pdf | doc) |
Child
Care Licensing Forms for Providers |
| 2873 |
Guidelines for listed family homes (pdf | doc) |
Child
Care Licensing Forms for Providers |
| 2885 |
Children's Products Certification (pdf | doc) |
Child
Care Licensing Forms for Providers |
| 2904 |
Authorization for Emergency Medical Care (2904.doc) |
Child
Care Licensing Forms for Providers |
| 2904 |
Authorization for Emergency Medical Care (2904.pdf) |
Child
Care Licensing Forms for Providers |
| 2911 |
Governing Body/Director Designation (2911.doc) |
Child
Care Licensing Forms for Providers |
| 2911 |
Governing Body/Director Designation (2911.pdf) |
Child
Care Licensing Forms for Providers |
| 2934 |
Medical
History Report (2934.doc)
|
Child
Care Licensing Forms for Providers |
| 2934 |
Medical
History Report (2934.pdf) |
Child
Care Licensing Forms for Providers |
| 2935 |
Admission Information (2935.doc) (2935.pdf)
Note: Facilities must keep certain information for licensing regulations and the Child & Adult Care Food Program (CACFP). This form prevents duplication of effort by providers by keeping only 1 enrollment form for both programs. The CACFP program requires enrollment information to be updated annually. |
Child
Care Licensing Forms for Providers |
| 2940 |
Child Care Administrative Review Request Form
(2940.doc) |
Child
Care Licensing Forms for Providers |
| 2940 |
Child Care Administrative Review Request Form
(2940.pdf) |
Child
Care Licensing Forms for Providers |
| 2946 |
Local Law Enforcement Background Check Results for Prospective Foster Parents (doc) |
Child
Care Licensing Forms for Providers |
| 2947p |
Child Care Center Personnel Information Record
(2947p.doc) |
Child
Care Licensing Forms for Providers |
| 2947p |
Child Care Center Personnel Information Record
(2947p.pdf) |
Child
Care Licensing Forms for Providers |
| 2954 |
Disclosure of Any Family Violence Calls to a Prospective Foster Home Applicants Place of Residence (doc) |
Child
Care Licensing Forms for Providers |
| 2954s |
Divulgación De Cualquier Visita Por Violencia Familiar A La Casa De Una Familia Que Solicita Brindar Cuidado Temporal (doc, pdf) |
Child
Care Licensing Forms for Providers |
| 2955e |
Licensing Fee Information (2955e.doc) |
Child
Care Licensing Forms for Providers |
| 2955e |
Licensing Fee Information (2955e.pdf) |
Child
Care Licensing Forms for Providers |
| 2955s |
Informacion Sobre Tarifas (2955S.doc) |
Child
Care Licensing Forms for Providers |
| 2955s |
Informacion Sobre Tarifas (2955S.pdf) |
Child
Care Licensing Forms for Providers |
| 2957 |
Parent Notification Poster for Center Based
Care (2957.doc) |
Child
Care Licensing Forms for Providers |
| 2957 |
Parent Notification Poster for Center Based
Care (2957.pdf) |
Child
Care Licensing Forms for Providers |
| 2957b |
Parent Notification Poster for Home Based Care
(2957b.doc) |
Child
Care Licensing Forms for Providers |
| 2957b |
Parent Notification Poster for Home Based Care
(2957b.pdf) |
Child
Care Licensing Forms for Providers |
| 2958 |
Keeping Children Safe poster Keeping Children Safe Poster (All PDF)
English Color | English B&W
Spanish Color | Spanish B&W |
Child
Care Licensing Forms for Providers |
| 2963 |
FAST Pass for Foster Adoptive Applicants
2963.pdf | 2963.doc |
Child
Care Licensing Forms for Providers |
| 2964 |
FAST Pass for residential applicants
2964.pdf | 2964.doc |
Child
Care Licensing Forms for Providers |
| 2965 |
FAST Pass for day care applicants
2965.pdf | 2965.doc |
Child
Care Licensing Forms for Providers |
| 2971 |
Request for Criminal History and Central Registry
Check (2971.doc) |
Child
Care Licensing Forms for Providers |
| 2971 |
Request for Criminal History and Central Registry
Check (2971.pdf) |
Child
Care Licensing Forms for Providers |
| 2971 |
Request for Criminal History and Central Registry
Check (2971pins.doc) |
Child
Care Licensing Forms for Providers |
| 2971 |
Request for Criminal History and Central Registry
Check (2971pins.pdf) |
Child
Care Licensing Forms for Providers |
| 2971s |
Solicitud De Revisin De Antecedentes Penales
Y Revisi n Del Registro Central (2971s.doc) |
Child
Care Licensing Forms for Providers |
| 2971s |
Solicitud De Revisin De Antecedentes Penales
Y Revisi n Del Registro Central (2971s.pdf) |
Child
Care Licensing Forms for Providers |
| 2982 |
Personal History Statement (2982.doc) |
Child
Care Licensing Forms for Providers |
| 2985e |
Affidavit for Applications for Employment With
a Licensed Operation or Registered Child-Care Home (2985e.doc) |
Child
Care Licensing Forms for Providers |
| 2985e |
Affidavit for Applications for Employment With
a Licensed Operation or Registered Child-Care Home (2985e.pdf) |
Child
Care Licensing Forms for Providers |
| 2985s |
Declaracin Jurada Para Solicitantes De Empleo
En Una Entidad Con Licencia O En Un Hogar De Cuidado De Ni os Registrado
(2985s.doc) |
Child
Care Licensing Forms for Providers |
| 2985s |
Declaracin Jurada Para Solicitantes De Empleo
En Una Entidad Con Licencia O En Un Hogar De Cuidado De Ni os Registrado
(2985s.pdf) |
Child
Care Licensing Forms for Providers |
| 2986 |
Listing request
(pdf, doc) Spanish: (pdf, doc) |
Form to become a listed home |
| 2987 |
No Contact Letter to CPA (2987.doc) |
Child
Care Licensing Forms for Providers |
| 2987 |
No Contact Letter to CPA (2987.pdf) |
Child
Care Licensing Forms for Providers |
| 2988a |
Child Care Fee Schedule (2988A.doc) |
Child
Care Licensing Forms for Providers |
| 2988a |
Child Care Fee Schedule (2988A.pdf) |
Child
Care Licensing Forms for Providers |
| 2988s |
Lista De Tarifas Del Cuidado De Nios (2988s.doc) |
Child
Care Licensing Forms for Providers |
| 2988s |
Lista De Tarifas Del Cuidado De Ni os (2988s.pdf) |
Child
Care Licensing Forms for Providers |
| 2993 |
Administrative Penalty Form (2993.doc) |
Child
Care Licensing Forms for Providers |
| 2993 |
Administrative Penalty Form (2993.pdf) |
Child
Care Licensing Forms for Providers |
| 4885 |
Request for Records of the Texas Department
of Protective and Regulatory Services (Adoption Records) (4885.doc) |
DFPS
Closed Adoption Records |
| 4885 |
Request for Records of the Texas Department
of Protective and Regulatory Services (Adoption Records) (4885.pdf) |
DFPS
Closed Adoption Records |
| 7238 |
Authorization for Dispensing Medication (7238.doc) |
Child
Care Licensing Forms for Providers |
| 7238 |
Authorization for Dispensing Medication (7238.pdf) |
Child
Care Licensing Forms for Providers |
| 7239 |
Incident/Illness Report (7239.doc) |
Child
Care Licensing Forms for Providers |
| 7239 |
Incident/Illness Report (7239.pdf) |
Child
Care Licensing Forms for Providers |
| 7240 |
Monthly Attendance Record (7240.pdf) |
Child
Care Licensing Forms for Providers |
| 7240 |
Monthly Attendance Record (7240.xls) |
Child
Care Licensing Forms for Providers |
| 7242 |
Registered Family Home Caregiver/Parent Agreement (7242.doc) |
Child
Care Licensing Forms for Providers |
| 7242 |
Registered Family Home Caregiver/Parent Agreement (7242.pdf) |
Child
Care Licensing Forms for Providers |
| 7243 |
Emergency Telephone Numbers (7243.doc) |
Child
Care Licensing Forms for Providers |
| 7243 |
Emergency Telephone Numbers (7243.pdf) |
Child
Care Licensing Forms for Providers |
| 7255e |
Medication Authorization Form (7255e.doc) |
Child
Care Licensing Forms for Providers |
| 7255e |
Medication Authorization Form (7255e.pdf) |
Child
Care Licensing Forms for Providers |
| 7255s |
Autorizacin Para - Administrar Medicamentos
(7255s.doc) |
Child
Care Licensing Forms for Providers |
| 7255s |
Autorizaci n Para - Administrar Medicamentos
(7255s.pdf) |
Child
Care Licensing Forms for Providers |
| 7261 |
Information on Reporting Child Abuse (7261.doc) |
Child
Care Licensing Forms for Providers |
| 7261 |
Information on Reporting Child Abuse (7261.pdf) |
Child
Care Licensing Forms for Providers |
| 7263 |
Fire Safety Practices (7263.pdf) (7263.doc) |
Child
Care Licensing Forms for Providers |
| 7293 |
Child Assessment Form (pdf, doc) |
Child
Care Licensing Forms for Providers |
| |
Address Correction Form for Licensed Child Care Administrators and Licensed Child-Placing Agency Administrators (pdf, doc) |
Child
Care Licensing Forms for Providers |
| |
Children's Justice Act Grant Project/Texas Court
Improvement Project Request for Reimbursement (CJAreimburse.pdf) |
Texas
Children's Justice Act |
| |
Daily Building and Grounds Safety Checklist
(doc
or pdf) |
Parenting
Information Posters and Sample Forms for Child Care Providers |
| |
Discipline and Guidance Policy (discipline_guidance_policy.doc) |
Child
Care Licensing Forms for Providers |
| |
Discipline and Guidance Policy (discipline_guidance_policy.pdf) |
Child
Care Licensing Forms for Providers |
| |
Education and Training Voucher General Information and Frequently Asked Questions
(info-faq.doc)
(info-faq.pdf) |
Education
and Training Voucher Program (ETV) |
| |
Education and Training Voucher New Student Application
(ETVapplication.doc) (ETVapplication.pdf) |
Education
and Training Voucher Program (ETV) |
| |
Education and Training Voucher Returning Student Application
(update.doc) (update.pdf) |
Education
and Training Voucher Program (ETV) |
| |
Education and Training Voucher Request for Funds Instructions
(instructions.doc) (instructions.pdf) |
Education
and Training Voucher Program (ETV) |
| |
Education and Training Voucher Request for Funds Examples
(examples.doc) (examples.pdf) |
Education
and Training Voucher Program (ETV) |
| |
Education and Training Voucher Request for Funds Blank Purchase Voucher
(blank.doc) (blank.pdf) |
Education
and Training Voucher Program (ETV) |
| |
Monthly Building and Grounds Safety Checklist
(MonthlyCheckList.doc) |
Parenting
Information Posters and Sample Forms for Child Care Providers |
| |
Registered Family Home Caregiver/Parent Agreement
(ParentAgreement.doc) |
Parenting
Information Posters and Sample Forms for Child Care Providers |
| |
Staff Training Record (StaffTrainingRecord.doc) |
Parenting
Information Posters and Sample Forms for Child Care Providers |
| |
State
of Texas Employment Application |
Work
in Texas.com (formerly Governor's Job Bank) |
| |
Texas Education and Training Voucher Program
Request for Funds (etv-request-for-funds.doc) |
Education
and Training Voucher Program (ETV) |
| |
Texas Education and Training Voucher Program
Request for Funds (etv-request-for-funds.pdf) |
Education
and Training Voucher Program (ETV) |
