Table of Contents
Chapter 2 - Administration of Child Welfare
- 2.01 Notice of Assessment Outcome Effective 7/1/14
- 2.02 Administrative Review Process Effective 5/1/20
- 2.03 Child Care Worker Assessment Review Process Effective 8/1/23
- 2.04 DCS Employee Administrative Review Process Effective 7/1/23
- 2.05 Administrative Appeal Hearings Effective 12/1/23
- 2.06 Sharing Confidential Information Effective 7/1/24
- Coordination with Military, Federal, and Law Enforcement Agencies Admin Letter Effective 10/1/21
- 2.07 Confidentiality of Social Security Numbers Effective 7/1/23
- 2.08 Accessing and Maintaining Records in the Case Management System Effective 10/1/22
- 2.09 Verifying Identity and Relationship Effective 3/1/23
- Coordination with Military, Federal, and Law Enforcement Agencies Admin Letter Effective 10/1/21
- 2.12 Administration of the Indian Child Welfare Act (ICWA) Effective 7/1/23
- Coordination with Military, Federal, and Law Enforcement Agencies Admin Letter Effective 10/1/21
- 2.13 Expungement of Records Effective 8/1/21
- 2.15 Hospitalized Victim of Child Abuse and/or Neglect (CA/N) Effective 10/1/22
- 2.16 Practice Model Review (PMR) Effective 1/1/21
- 2.18 Reflective Practice Survey (RPS) Effective 3/1/22
- 2.20 Establishment of Child Support Orders Effective 5/1/19
- 2.22 International and Cultural Affairs Services Effective 10/1/23
- Coordination with Military, Federal, and Law Enforcement Agencies Admin Letter Effective 10/1/21
- 2.23 Verifying Citizenship or Immigration Status Effective 3/1/23
- Coordination with Military, Federal, and Law Enforcement Agencies Admin Letter Effective 10/1/21
- 2.25 Dual Status Effective 9/1/22
- 2.27 Community Child Protection Team (CPT) Effective 11/1/23
- 2.28 Regional Services Council (RSC) Effective 5/13/24
- 2.29 Safe System Review (SSR) for Child Fatalities and Near Fatalities Effective 6/1/21
- 2.30 Domestic Violence (DV) Effective 6/1/22
- 2.31 Handling and Documenting Suspected Child Pornography Effective 11/1/23
Tools:
- 2.A Tool: Procedure for Transfer of a Child to a Tribe or Tribal Agency
- 2.B Tool: Disposition of CA/N Reports Involving an Indian Child of the Pokagon Band of Potawatomi Indians
- 2.C Tool: Notifications
- 2.D Tool: Considerations When Domestic Violence is Identified
- 2.E Tool: Domestic Violence and Child and Family Team (CFT) Meeting Considerations
- 2.F Tool: Suggested Interview Questions for the Children, Non-Offending Parent, and the Alleged Domestic Violence Offender
- Child Abuse Needs and Strengths (CANS) Assessment - available in the case management system
- Indiana Human Trafficking Assessment Tool - available in the case management system
- Indiana Human Trafficking Screening Tool - available in the case management system
- ISETS Child Support Case Inquiry Web Tool
- Judicial Branch of Indiana Child Support Calculator
- Missing and Runaway Child Flowchart
- National Center for Missing and Exploited Children Instruction Tool - available in the case management system
- Pokagon Band of Potawatomi Indians Tribal Lands Map
- Reflective Practice Survey (RPS) Tool - available in the case management system
Forms:
- Acknowledgement of Appointment to Child Protection Team (SF 45003)
- Application for Child Abuse Research (SF 116)
- Application for Criminal History Background Check (SF 53259)
- Assessment of Alleged Child Abuse or Neglect (SF 113)
- Certification for Child Protection Team Members (SF 44869)
- Child Support Orders
- CHINS Bench Book Order Form - available via Indiana Juvenile CHINS Benchbook Forms
- Code of Conduct
- Confidentiality Agreement (SF 52736)
- Confidentiality Form to be Signed for Disclosure of SSN to Provider with No Contract with DCS
- Consent to Release Social Security Number (SF 53254)
- Consulate/Embassy Notification (SF 55676)
- DCS Records Retention Schedule
- Dual Status Assessment Team (DSAT) Informed Consent to Release and Exchange Information
- Dual Status Screening Tool Report - available via Indiana Juvenile CHINS Benchbook Forms
- Dual Status Youth Memorandum of Agreement (MOA) (2021)
- Dual Status Youth MOU (2017-2021)
- Dual Status Youth MOU (<2017)
- Electronic Copy of Protocol Listing - available in hard copy
- Indian Child Welfare Act (ICWA) Notification - legal document
- Indian Status Identification (SF 55407)
- Indiana Child Support Guidelines
- Indiana Child Support Obligations Worksheet
- Indiana Child Support Worksheet Questionnaire Form
- Indiana Department of Child Services Hospital Release Authorization (SF 54337)
- Indiana Human Trafficking Assessment Scoring Guide - available in the case management system
- Information Resources Unit Agreement (IRUA)
- Intake Officer's Report of Preliminary Inquiry and Investigation - available via CHINS Benchbook Forms
- National Center for Missing and Exploited Children Form - available in the case management system
- Notice of Administrative Review Decision to Further Assess Allegations Against a Child Care Worker (CCW) or Licensed Resource Parent (SF 53209)
- Notice of Administrative Review Outcome for a Department of Child Services Employee (SF 54317)
- Notice of an Administrative Review Decision for an Assessment Closed Prior to 10-15-06 (SF 53033)
- Notice of Assessment Outcome for a Department of Child Services Employee (SF 54318)
- Notice of DCS Decision to Unsubstantiate Allegations of Child Abuse/Neglect (CA/N) (SF 53030)
- Notice of Intent to Substantiate Allegations of Child Abuse/Neglect (CA/N) by a Child Care Worker or Licensed Resource Parent (SF 53028)
- Notice to Employer of a Report of Child Abuse/Neglect (CA/N) (SF 53031)
- Notice of Review by Child Protection Team (SF 49212)
- Notice to Relatives (SF 55211) English
- Notice to Relatives (SF 55250) Spanish
- Notification of Administrative Review Decision Report Returned for Further Assessment (SF 53094)
- Notification of Administrative Review Decision to Unsubstantiate Allegations of Child Abuse and/or Neglect (SF 53071)
- Notification of Assessment Outcome and Right to Request an Administrative Review (SF 53068)
- Notification of a Child Care Worker (CCW) Assessment Review Decision for an Assessment Closed Prior to 10-15-06 (SF 53032)
- Notification of Denial of Administrative Review (SF 53072)
- QSR General Information Document - available in hard copy
- QSR Reviewer Workbook - available in hard copy
- Recommendation of the Dual Status Assessment Team - available via Indiana Juvenile CHINS Benchbook Forms
- Referral to Dual Status Assessment Team - available via Indiana Juvenile CHINS Benchbook Forms
- Release for Use of Photographs (SF 54968)
- Request for Child Protection Service (CPS) History Check (SF 52802)
- Request for Release of Assessment Information (SF 55671)
- Roll up Sheet - available in hard copy
- State Personnel Department (SPD) Standard Policy - Discipline
- SPD Standard Policy - Responsibilities and Procedures
- Statement of Attestation by Relative Regarding Relationship (SF 52727)
CAPTA Forms: