Form CFS680 "Child Identification Form" - Illinois

What Is Form CFS680?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2013;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CFS680 by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS680 "Child Identification Form" - Illinois

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CFS 680
Rev. 10/2013
State of Illinois
Department of Children and Family Services
CHILD IDENTIFICATION FORM
Initial Placement Date:
Form Completion Date:
Review Date:
Updated:
SECTION I
CASEWORKER AND PLACEMENT INFORMATION
Date:
1. Caseworker:
6. Provider Name:
2. Address:
7. Address:
3. Phone: (
)
8. Phone: (
)
4. After Hours Phone: (
)
9. Emergency Phone: (
)
5. Placement Type:
SECTION II
CHILD’S INFORMATION
1. Name:
2. Sex
3. DOB
4. Other Names Used:
5. Race:
6. Hair Color:
7. Eye Color:
8. Weight:
9. Height:
10.Birthmarks, scars, and/or tattoos. (Please describe below location size and shape of any permanent visible marks)
11. SS#:
-
-
12. Driver’s License #:
13. Medical Conditions:
14. Medications:
15. School:
16. Address:
17. Phone: (
)
18. Child’s Interests:
19. Special Communication Needs/Language Preference:
20. Employer:
21. Address:
22. Phone: (
)
CFS 680
Rev. 10/2013
State of Illinois
Department of Children and Family Services
CHILD IDENTIFICATION FORM
Initial Placement Date:
Form Completion Date:
Review Date:
Updated:
SECTION I
CASEWORKER AND PLACEMENT INFORMATION
Date:
1. Caseworker:
6. Provider Name:
2. Address:
7. Address:
3. Phone: (
)
8. Phone: (
)
4. After Hours Phone: (
)
9. Emergency Phone: (
)
5. Placement Type:
SECTION II
CHILD’S INFORMATION
1. Name:
2. Sex
3. DOB
4. Other Names Used:
5. Race:
6. Hair Color:
7. Eye Color:
8. Weight:
9. Height:
10.Birthmarks, scars, and/or tattoos. (Please describe below location size and shape of any permanent visible marks)
11. SS#:
-
-
12. Driver’s License #:
13. Medical Conditions:
14. Medications:
15. School:
16. Address:
17. Phone: (
)
18. Child’s Interests:
19. Special Communication Needs/Language Preference:
20. Employer:
21. Address:
22. Phone: (
)
SECTION III
BIRTH PARENT INFORMATION
1. Father:
4. Mother:
2. Address:
5. Address:
3. Phone: (
)
6. Phone: (
)
7. Parents’ Special Communication Needs/Language Preference:
SECTION IV
FRIENDS AND RELATIVES INFORMATION
Please list the names, addresses and telephone numbers of the child’s friends and relatives:
SECTION V
VEHICLE INFORMATION
1. Model:
2. Make:
3. Year:
4. Color:
5. License Plate #:
6. Name and address to whom the vehicle is registered:
SECTION VI
SIGNATURES
Date:
Caseworker’s Signature:
Date:
Supervisor’s Signature:
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