Form DCFS-TFC-1 "Notice of Child's Location" - Oklahoma

What Is Form DCFS-TFC-1?

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

Form Details:

  • Released on May 1, 2005;
  • The latest edition provided by the Oklahoma Department of Human 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 printable version of Form DCFS-TFC-1 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

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Download Form DCFS-TFC-1 "Notice of Child's Location" - Oklahoma

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State of Oklahoma
Department of Human Services
Therapeutic Foster Care
Notice of Child's Location
Therapeutic foster care (TFC) agency staff completes this form immediately and faxes or e-mails to
Child Welfare (CW) county of jurisdiction and county of placement workers, sending and receiving
area resource coordinators (ARCs), as applicable, and CW agency liaison. If movement of child is
after working hours, this form may be sent the next business day.
Placement.
Complete when child's movement is:
Pre-placement
New admit
Re-admit
Change in placement
TFC agency
Date
Child
Gender
Date of birth
Male
Female
Medicaid number
KK number
Social Security number
Ethnicity
Date of placement
County of placement
Date admitted to TFC agency
CW county of jurisdiction worker
County
Phone
(
)
CW county of placement worker
County
Phone
(
)
Current foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
Change of placement.
Complete if applicable.
Number of changes in placement since last court hearing:
Foster home number:
. Reflects number of moves within TFC agency.
Previous foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
County
Respite.
Complete when child's movement is:
Planned respite
Unplanned respite
Transitional respite
Planned respite ended
From foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
County
To foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
County
Child left for respite
Child returned from respite
Date:
Time:
a.m.
p.m.
Date:
Time:
a.m.
p.m.
OKDHS ISSUED 5-1-2005
DCFS-TFC-1
State of Oklahoma
Department of Human Services
Therapeutic Foster Care
Notice of Child's Location
Therapeutic foster care (TFC) agency staff completes this form immediately and faxes or e-mails to
Child Welfare (CW) county of jurisdiction and county of placement workers, sending and receiving
area resource coordinators (ARCs), as applicable, and CW agency liaison. If movement of child is
after working hours, this form may be sent the next business day.
Placement.
Complete when child's movement is:
Pre-placement
New admit
Re-admit
Change in placement
TFC agency
Date
Child
Gender
Date of birth
Male
Female
Medicaid number
KK number
Social Security number
Ethnicity
Date of placement
County of placement
Date admitted to TFC agency
CW county of jurisdiction worker
County
Phone
(
)
CW county of placement worker
County
Phone
(
)
Current foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
Change of placement.
Complete if applicable.
Number of changes in placement since last court hearing:
Foster home number:
. Reflects number of moves within TFC agency.
Previous foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
County
Respite.
Complete when child's movement is:
Planned respite
Unplanned respite
Transitional respite
Planned respite ended
From foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
County
To foster parent(s)
Phone
(
)
Mailing address
City
State
Zip
County
Child left for respite
Child returned from respite
Date:
Time:
a.m.
p.m.
Date:
Time:
a.m.
p.m.
OKDHS ISSUED 5-1-2005
DCFS-TFC-1
DCFS-TFC-1
Notice of Child's Location
Therapeutic leave.
Complete when child's movement is therapeutic leave.
Caregiver(s)
Relationship to child
Reason for leave
Mailing address
City
State
Zip
Phone
Child left for therapeutic leave
Child returned from therapeutic leave
Date:
Time:
a.m.
p.m.
Date:
Time:
a.m.
p.m.
Note: Maximum of seven consecutive days or 28 days per placement year allowed for
therapeutic leave.
Absent without leave (AWOL).
Complete when child is AWOL.
Foster parent(s)
Child went AWOL
Child returned
Date:
Time:
a.m.
p.m.
Date:
Time:
a.m.
p.m.
AWOL days used in placement year to date:
Note: AWOL days may not exceed five days per placement year.
Discharge.
Complete when child is discharged.
Foster parent(s) at discharge
Date of discharge
Discharged to
Relationship to child
Reason for discharge
Describe the reason for child's movement if due to a change in placement, unplanned respite, or
transitional respite. Attach incident report(s) if appropriate.
TFC agency staff
Date faxed
If faxed, attach all confirmations before filing in child's file. Only one movement is documented
per form.
Routing: Original - TFC agency record
Copy
- CW case record
2
OKDHS ISSUED 5-1-2005
Notice of Child's Location
DCFS-TFC-1
Definitions.
AWOL. Child in TFC has run away or his or her location is unknown to TFC agency.
Change in placement. Movement of a child to a placement other than the placement identified
in the Oklahoma Department of Human Services (OKDHS) permanency plan.
Discharge. Child is moved from a TFC agency.
Disruption. Unplanned change of placement for a child.
Planned respite. Reprieve for the TFC foster parent with whom a child is placed and includes a
defined time frame for length of the respite stay with an identified date for child to return.
Therapeutic leave. Child is absent from the TFC home to participate in birth family visits or
adoption pre-placement visits, or to receive short-term crisis intervention with a plan for child to
return. The days child leaves and returns are not counted as leave days.
Transitional respite. Stabilization and assessment period utilized following placement disruption
to allow TFC agency and OKDHS staff to develop an appropriate plan, and may not exceed five
working days. Any exception must be approved by child's CW county of placement supervisor.
Unplanned respite. Reprieve for the TFC foster parent with whom a child is placed and includes
a defined time frame and a date for child to return, and may not exceed three working days. Any
exception must be approved by child's CW county of placement supervisor.
Reasons for discharge and change in placement.
Abuse allegations, neglect allegations, or both against the foster parent(s)
Adoption
Approval for inpatient
AWOL
Child aged out/emancipation
Child requested change of placement
Court order
Custody to relative
Death of child
Discharged to traditional foster care
Guardianship
Home
Independent living
Inpatient psychiatric facility
Medical hospitalization
Placement cannot meet child's behavioral treatment need
Placement cannot meet child's medical treatment need
Placement temporarily unable to care for child
Placement with relative
Placement with siblings/proximity to family
Respite ended
Reunification
TFC agency requested change of placement - 48 hour notification
TFC extension denied
Transfer to another TFC agency
Tribal jurisdiction
Other
OKDHS ISSUED 5-1-2005
3
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