Form CFS 968-62A Child and Family Team Member Signature Sheet - Illinois

Form CFS968-62A is a Illinois Department of Children and Family Services form also known as the "Child And Family Team Member Signature Sheet". The latest edition of the form was released in November 1, 2016 and is available for digital filing.

Download an up-to-date Form CFS968-62A in PDF-format down below or look it up on the Illinois Department of Children and Family Services Forms website.

ADVERTISEMENT
CFS 968-62A
State of Illinois
Rev 11/2016
Department of Children and Family Services
CHILD AND FAMILY TEAM MEMBER SIGNATURE SHEET
14-Day
40-day
Quarterly
Reunification
After Care
Explain missing signature(s) for any Core Team Member(s) on reverse side.
CORE TEAM MEMBERS
Printed Name
Signature
Relationship
Date
Family Member:
Child (if over 12):
Caregiver/Current/Prospective:
DCFS/POS Case Worker:
(DCFS cases only)
OTHER TEAM MEMBERS FROM THE COMMUNITY
(i.e., extended family members, neighbors, ministers, teachers,
friends, interested community agencies, service providers)
Relationship
Printed Name
Signature
Date
CFS 968-62A
State of Illinois
Rev 11/2016
Department of Children and Family Services
CHILD AND FAMILY TEAM MEMBER SIGNATURE SHEET
14-Day
40-day
Quarterly
Reunification
After Care
Explain missing signature(s) for any Core Team Member(s) on reverse side.
CORE TEAM MEMBERS
Printed Name
Signature
Relationship
Date
Family Member:
Child (if over 12):
Caregiver/Current/Prospective:
DCFS/POS Case Worker:
(DCFS cases only)
OTHER TEAM MEMBERS FROM THE COMMUNITY
(i.e., extended family members, neighbors, ministers, teachers,
friends, interested community agencies, service providers)
Relationship
Printed Name
Signature
Date

Download Form CFS 968-62A Child and Family Team Member Signature Sheet - Illinois

688 times
Rate
4.5(4.5 / 5) 34 votes
ADVERTISEMENT