Form CFS834-A "Records Recall Request - Closed Records Other Than Child Welfare and Adoption Files" - Illinois

What Is Form CFS834-A?

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 May 1, 2008;
  • 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 CFS834-A 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 CFS834-A "Records Recall Request - Closed Records Other Than Child Welfare and Adoption Files" - Illinois

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CFS 834 -A
State of Illinois
5
Rev.
/2008
Department of Children and Family Services
E-Mail Form
RECORDS RECALL REQUEST
The following data must be as complete as possible in order to locate closed records other than Child Welfare and Adoption
files. List the DCFS shipment number and State Records Center box number. Submit or E-mail this form to: DCFS Records
Manager, Office of General Services, DCFS, 406 East Monroe Street, Springfield IL 62701-1498, FAX # 217-557-2851 or E-
mail: DCFS.recordsmanager@illinois.gov. USE THE CFS 834-B TO REQUEST CHILD WELFARE AND ADOPTION
RECORDS.
Type of Record File
Name of Record
Date Closed
DCFS Shipment No.
Record will be
Returned
Reopened
Records Center Box No.
Region/Field/Central
Type of Record File
Name of Record
Date Closed
DCFS Shipment No.
Record will be
Reopened
Returned
Records Center Box No.
Region/Field/Central
Type of Record File
Name of Record
Date Closed
DCFS Shipment No.
Record will be
Reopened
Returned
Records Center Box No.
Region/Field/Central
Type of Record File
Name of Record
Date Closed
Record will be
Reopened
DCFS Shipment No.
Returned
Records Center Box No.
Region/Field/Central
MAILING LABEL – MUST COMPLETE
SHIP TO:
Name
Requestor’s Name Required
Office
Phone #
E-Mail Address
Address
Region/Field
By sending this request, I acknowledge that I will adhere to the confidentially
Zip Code
provisions of the Department’s administrative rules on confidentially (89
Illinois Administrative Code 431), the corresponding DCFS procedures and
applicable statutes. I understand Illinois law provides that it is a crime to
permit, assist or encourage the unauthorized release of information contained
in the requested records.
CFS 834 -A
State of Illinois
5
Rev.
/2008
Department of Children and Family Services
E-Mail Form
RECORDS RECALL REQUEST
The following data must be as complete as possible in order to locate closed records other than Child Welfare and Adoption
files. List the DCFS shipment number and State Records Center box number. Submit or E-mail this form to: DCFS Records
Manager, Office of General Services, DCFS, 406 East Monroe Street, Springfield IL 62701-1498, FAX # 217-557-2851 or E-
mail: DCFS.recordsmanager@illinois.gov. USE THE CFS 834-B TO REQUEST CHILD WELFARE AND ADOPTION
RECORDS.
Type of Record File
Name of Record
Date Closed
DCFS Shipment No.
Record will be
Returned
Reopened
Records Center Box No.
Region/Field/Central
Type of Record File
Name of Record
Date Closed
DCFS Shipment No.
Record will be
Reopened
Returned
Records Center Box No.
Region/Field/Central
Type of Record File
Name of Record
Date Closed
DCFS Shipment No.
Record will be
Reopened
Returned
Records Center Box No.
Region/Field/Central
Type of Record File
Name of Record
Date Closed
Record will be
Reopened
DCFS Shipment No.
Returned
Records Center Box No.
Region/Field/Central
MAILING LABEL – MUST COMPLETE
SHIP TO:
Name
Requestor’s Name Required
Office
Phone #
E-Mail Address
Address
Region/Field
By sending this request, I acknowledge that I will adhere to the confidentially
Zip Code
provisions of the Department’s administrative rules on confidentially (89
Illinois Administrative Code 431), the corresponding DCFS procedures and
applicable statutes. I understand Illinois law provides that it is a crime to
permit, assist or encourage the unauthorized release of information contained
in the requested records.