State of Nevada

  
DCFS    

Department of Health and Human Services

   State of Nevada Seal  
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DCFS INDEX

  

LANGUAGE CONVERSION
  
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Report Child Abuse and Neglect -- phone #'s
 

NEVADA DIVISION OF CHILD AND FAMILY SERVICES
Forms

CHILD CARE FORMS

Accident/Injury Report (pdf)

Carpet Cleaning Log (pdf)

Center Application (pdf)
Change in Personnel (pdf)

Change of Information on Current Facility License (pdf)
Child Care Institution Survey (pdf)

Child's Record (pdf)

Director Application (pdf)

Director Qualifications (pdf)

Family/Group Care Application (pdf)

Field Trip Permit (pdf)

Fingerprint Card Instructions (pdf)

Fingerprinting Instructions for Henderson (pdf)

Fingerprinting Instructions for North Las Vegas (pdf)

Fingerprinting Process Instructions (pdf)

Health Statement (pdf)

Listing of Residents (pdf)

Medication Request Form (pdf)

Permission to Release Information (pdf)

Phone Emergency List (pdf)

Record of Fire Drills (pdf)

Record of Quarterly Disaster Drills (pdf)

Sample of Sign In and Out Sheet (pdf)

SIDS Good Night, Sleep Right (pdf)

Wash Your Hands After (pdf)

Wash Your Hands So You Can Stop Germs (pdf)
 

FOSTER CARE/ADOPTION

Application for Adoption Registry, Relative #3406 (pdf)

Application for Adoption Registry, Adoptee #3407 (pdf)

Application for Adoption Registry, Parent #3408 (pdf)

Caregiver Application (Foster, Adoption, Relative, ICPC) (pdf)
Infant Release Authorization Form (Interactive pdf)
Request for Non-Identifying Information (pdf)
Request for Non-Identifying Information for Adoptive Parents (pdf)
 

JUVENILE JUSTICE FORMS

Monthly Juvenile Detention Center Summary

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Monthly Juvenile Summary Adult Facilities

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JUVENILE JUSTICE - GRANTS FORMS

OJJDP Coordinated Enforcement Plan (pdf)

JABG Front Page for Sub-Grantee  (pdf)
Quarterly Reporting Instructions:

Word Format

Quarterly Reporting Form:

Word Format

 

PROVIDER AGREEMENT

Providers will be required to download and complete the entire Provider Agreement and Attachments AA – FF for the Rural Nevada Contracts with DCFS.  It will be a requirement for all Specialized Foster Care Home’s to complete and return the Provider Agreement to DCFS before July 15, 2009.  Please check with Clark County and Washoe County for completing Contracts for these Nevada jurisdictions.

Return entire completed packet to:

Division of Child and Family Services
Fiscal Unit, Donna Spelts
 4126 Technology Way, 3rd Floor
Carson City, NV 89706
 

SCHOLARSHIP FORMS
Otto A. Huth Scholarship Trust Fund

This fund is available to children in custody of the Nevada Division of Child and Family Services who meet the following criteria: the child must have been in our custody in a foster or group home and must be graduating from high school or receiving the GED the year of application. Deadline for application is April 15th of each year.
 

Application (pdf)

Application Renewal (pdf)

Policy (pdf)

 

CASA Foundation
 provides up to $500.00 per semester to foster youth in Nevada and sometimes to other Interstate Compact Placed Youth also. For more information call CASA at (702) 455-4306 and form can be found online at their Website.

 

Orphan Foundation of America and the Casey Family Scholars Program,
visit www.orphan.org or call Orphan Foundation of America 1-800-950-4673.

 

Federal Aid Application
Many of these scholarships require application for federal aid.  Please click here for application.  http://www.fafsa.ed.gov/


Millennium Scholarship, visit www.nevadatreasurer.com

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WHAT'S NEW

ArrowRequest for Proposals – Victims of Crime Act – American Recovery and Reinvestment Act (pdf)
                ~~~
ArrowChild Abuse Prevention Brochure (pdf)
                ~~~         ArrowChildren's Mental Health Brochure (pdf)
                ~~~         ArrowSystems Advocate Brochure (pdf)
                ~~~         ArrowYouth Parole Brochure (pdf)
                ~~~        
ArrowPublic Record Request Policy (pdf)
                ~~~        
ArrowDCFS Training
   

 

Nevada Division of Child & Family Services
4126 Technology Way, 3rd Floor
Carson City, NV 89706 
Phone: (775) 684-4400            Fax:  (775) 684-4455
E-mail
 

Child Support Enforcement  

State Online Resources
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