Form CFS2040-1 "Request for Ifs Tier 2 Designation" - Illinois

Form CFS2040-1 is a Illinois Department of Children and Family Services form also known as the "Form Cfs2040-1 "request For Ifs Tier 2 Designation" - Illinois". The latest edition of the form was released in November 1, 2014 and is available for digital filing.

Download a PDF version of the Form CFS2040-1 down below or find it on Illinois Department of Children and Family Services Forms website.

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Download Form CFS2040-1 "Request for Ifs Tier 2 Designation" - Illinois

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CFS 2040-1
11/2014
State of Illinois
Department of Children and Family Services
REQUEST FOR IFS TIER 2 DESIGNATION
Case Name:
CYCIS ID #:
Case opening date:
Agency:
County:
Team:
The information below must be addressed with this request and through integrated assessments,
service plans, CERAPS, and contact and supervisory notes:
1)
Reason for case opening: presenting issues, indicated allegations
2)
Initial family goals that were deemed necessary to achieve safe case closure - expressed in
behavioral terms, From the onset, we need to clearly describe the Behavioral Patterns that must
be acquired and then adequately and consistently demonstrated by the caregiver to preserve a
family and to maintain family stability and daily functioning
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CFS 2040-1
11/2014
State of Illinois
Department of Children and Family Services
REQUEST FOR IFS TIER 2 DESIGNATION
Case Name:
CYCIS ID #:
Case opening date:
Agency:
County:
Team:
The information below must be addressed with this request and through integrated assessments,
service plans, CERAPS, and contact and supervisory notes:
1)
Reason for case opening: presenting issues, indicated allegations
2)
Initial family goals that were deemed necessary to achieve safe case closure - expressed in
behavioral terms, From the onset, we need to clearly describe the Behavioral Patterns that must
be acquired and then adequately and consistently demonstrated by the caregiver to preserve a
family and to maintain family stability and daily functioning
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3)
Service plan goals established to achieve safe case closure,
4)
Strategies deployed to achieve safe case closure,
5)
Progress achieved to date,
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6)
Barriers to achieving safe case closure,
7)
Specific roadmap of behavioral strategies to be deployed to achieve safe case closure in the
prospective 6 months, including achievement of service plan objectives, case management and
monitoring strategies,
8)
Basis to support the reasonable expectation that keeping the case open will be beneficial to family
and is aligned with the original goals.
Anticipated closing date:
Requestor:
Submit to the DCFS Office of Intact Family Services via Outlook to
DCFS.OIFS@illinois.gov
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