| Reference No. |
Reference Name |
Link |
Description |
| Ref-00981 |
ACCESS Florida Application CF-ES 2337 112011 |
http://flrules.org/Gateway/reference.asp?No=Ref-00981 |
|
| Ref-00982 |
ACCESS Florida Web Application CF-ES 2353 092011 |
http://flrules.org/Gateway/reference.asp?No=Ref-00982 |
|
| Ref-01203 |
Application for Services (Form 10-007) |
http://flrules.org/Gateway/reference.asp?No=Ref-01203 |
Eligibility Application for Services from the Agency for Persons with Disabilities (Englis...
|
| Ref-01204 |
Your Rights and Responsibilities CF-ES 2064 032012 |
http://flrules.org/Gateway/reference.asp?No=Ref-01204 |
|
| Ref-01205 |
Notice of Case Action CF-ES 2235 022012 |
http://flrules.org/Gateway/reference.asp?No=Ref-01205 |
|
| Ref-01266 |
CFOP 215-6, Incident Reporting and Analysis System |
http://flrules.org/Gateway/reference.asp?No=Ref-01266 |
CFOP 215-6 describes the Department of Children and Families incident reporting and analys...
|
| Ref-01267 |
DCF Pamphlet 155-2 Chapter 14 |
http://flrules.org/Gateway/reference.asp?No=Ref-01267 |
DCF Pamphlet 155-2 Chapter 14 describes requirements for reporting of seclusion and restra...
|
| Ref-01318 |
Acknowledgement of Firearms Safety Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-01318 |
This form addresses proper firearm storage.
|
| Ref-01349 |
Hardship Extension Review CF-ES 2082 062012 |
http://flrules.org/Gateway/reference.asp?No=Ref-01349 |
|
| Ref-01530 |
Notice of Excess Home Equity Interest CF-ES 2354 05/2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-01530 |
|
| Ref-02361 |
CF-MH 7001 State Mental Health Facility Discharge Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-02361 |
Recommended form for discharge from state mental health treatment facilities. Incorporated...
|
| Ref-02362 |
CF-MH 7002 Physician to Physician Transfer Form |
http://flrules.org/Gateway/reference.asp?No=Ref-02362 |
Recommended for physician at mental health treatment facility to provide summary clinical ...
|
| Ref-03027 |
Affidavit of Good Moral Character July 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-03027 |
|
| Ref-03028 |
Application for a License to Operate and Child Care Faciliy July 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-03028 |
|
| Ref-03030 |
Background Screening and Personnel File Requirements July 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-03030 |
|
| Ref-03032 |
Volunteer Acknowledgment |
http://flrules.org/Gateway/reference.asp?No=Ref-03032 |
|
| Ref-03033 |
In-Service Training Record July 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-03033 |
|
| Ref-03034 |
Child Care Facility Standards Classification Summary July 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-03034 |
|
| Ref-03036 |
USDA MyPlate August 2011 |
http://flrules.org/Gateway/reference.asp?No=Ref-03036 |
|
| Ref-03037 |
CDC Hand washing guidelines January 2013 |
http://flrules.org/Gateway/reference.asp?No=Ref-03037 |
|
| Ref-03038 |
Code of Federal Regulations Title 16 Part 1219 and 1220 December 2010 |
http://flrules.org/Gateway/reference.asp?No=Ref-03038 |
|
| Ref-03155 |
Appointment of a Designated Representative CF-ES 2505 07/2013 |
http://flrules.org/Gateway/reference.asp?No=Ref-03155 |
|
| Ref-03212 |
Medicaid Transfer Disposition Notice CF-ES 2358 072013 |
http://flrules.org/Gateway/reference.asp?No=Ref-03212 |
|
| Ref-03560 |
Affidavit of Good Moral Character CF 1649 |
http://flrules.org/Gateway/reference.asp?No=Ref-03560 |
|
| Ref-03561 |
Application for License to Provide Out-of-Home Care for Dependent Children CF-FSP 5007 |
http://flrules.org/Gateway/reference.asp?No=Ref-03561 |
|
| Ref-03562 |
Confidentiality Agreement CF-FSP 5087 |
http://flrules.org/Gateway/reference.asp?No=Ref-03562 |
|
| Ref-03563 |
Release of Information CF-FSP 5090 |
http://flrules.org/Gateway/reference.asp?No=Ref-03563 |
|
| Ref-03564 |
Case Manager's Review of the Licensed Out-of-Home Caregiver's Performance CF-FSP 5223 |
http://flrules.org/Gateway/reference.asp?No=Ref-03564 |
|
| Ref-03565 |
Partnership Plan for Children in Out-of-Home Care CF-FSP 5226 |
http://flrules.org/Gateway/reference.asp?No=Ref-03565 |
|
| Ref-03566 |
Authorization for Release of Health and Medical Information for Prospective Foster or Adoptive Parents CF-FSP 5230 |
http://flrules.org/Gateway/reference.asp?No=Ref-03566 |
|
| Ref-03567 |
Fire Arms Acknowledgement CF-FSP 5343 |
http://flrules.org/Gateway/reference.asp?No=Ref-03567 |
|
| Ref-03569 |
Exit Interview with Foster Child About Foster Parent CF-FSP 5353 |
http://flrules.org/Gateway/reference.asp?No=Ref-03569 |
|
| Ref-03570 |
Memorandum of Agreement CF-FSP 5356 |
http://flrules.org/Gateway/reference.asp?No=Ref-03570 |
|
| Ref-03572 |
Licensing Standards Checklist for 24-Hour Family Care CF-FSP 5358 |
http://flrules.org/Gateway/reference.asp?No=Ref-03572 |
|
| Ref-03713 |
Interstate Compact Placement Request CF 0794 |
http://flrules.org/Gateway/reference.asp?No=Ref-03713 |
|
| Ref-03921 |
Attestation for Foster Home Licensure CF-FSP 5357 |
http://flrules.org/Gateway/reference.asp?No=Ref-03921 |
|
| Ref-04187 |
CF-MH 1034 with Instructions July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04187 |
SAMH Audit Schedule of State Earnings
|
| Ref-04188 |
CF-MH 1036 with Instructions July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04188 |
SAMH Audit Schedule of Bed-Day Availability Payments
|
| Ref-04189 |
CF-MH 1037 with Instructions July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04189 |
SAMH Audit Schedule of Actual Expenses and Revenues
|
| Ref-04190 |
CF-MH 1038 with Instructions July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04190 |
SAMH Cost Reimbursement Line Item Budget
|
| Ref-04191 |
CF-MH 1040 July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04191 |
SAMH Cost Reimbursement Contract Invoice Exhibit
|
| Ref-04192 |
CF-MH 1042 July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04192 |
SAMH Projected Operating and Capital Budget
|
| Ref-04193 |
CF-MH 1043 July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04193 |
SAMH Agency Capacity Report
|
| Ref-04194 |
CF-MH 1045 July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04194 |
SAMH Program Description
|
| Ref-04195 |
I.R.C. 36B(d)2 |
http://flrules.org/Gateway/reference.asp?No=Ref-04195 |
Internal Revenue Code Section 36B(d)2 - Definition of Household Income
|
| Ref-04196 |
42 CFR 435.603 October 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-04196 |
42 Code of Federal Regulations 435.603
|
| Ref-04197 |
OMB Circular A-87 May 2004 |
http://flrules.org/Gateway/reference.asp?No=Ref-04197 |
OMB Cost Principles for State, Local, and Indian Tribal Governments
|
| Ref-04199 |
OMB Circular A-122 May 2004 |
http://flrules.org/Gateway/reference.asp?No=Ref-04199 |
OMB Cost Principles for Non-Profit Organizations
|
| Ref-04200 |
OMB Circular A-133 Revised June 26 2007 |
http://flrules.org/Gateway/reference.asp?No=Ref-04200 |
OMB Audits of States, Local Governments, and Non-Profit Organizations
|
| Ref-04201 |
Reference Guide For State Expenditures 033011 |
http://flrules.org/Gateway/reference.asp?No=Ref-04201 |
DFS Reference Guide for State Expenditures
|
| Ref-04203 |
CF-MH 1035 July 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-04203 |
SAMH Audit Schedule of Related Party Transaction Adjustments
|
| Ref-04209 |
APD 10-002, APD Incident Reporting Form |
http://flrules.org/Gateway/reference.asp?No=Ref-04209 |
Agency Incident Reporting Form
|
| Ref-04210 |
APD 2014-02 Facility Inspection Form |
http://flrules.org/Gateway/reference.asp?No=Ref-04210 |
Agency Facility Inspection Form
|
| Ref-04211 |
Zero Tolerance Classroom Participants Manual |
http://flrules.org/Gateway/reference.asp?No=Ref-04211 |
Agency Zero Tolerance Classroom Participants Manual
|
| Ref-04212 |
Zero Tolerance Facilitator's Guide |
http://flrules.org/Gateway/reference.asp?No=Ref-04212 |
Agency Zero Tolerance Facilitator's Guide
|
| Ref-04213 |
Zero Tolerance- a statewide initiative to end abuse, neglect, and exploitation |
http://flrules.org/Gateway/reference.asp?No=Ref-04213 |
Agency Powerpoint: Zero Tolerance- a statewide initiative to end abuse, neglect, and explo...
|
| Ref-04214 |
OMB Circular A-110 1999 |
http://flrules.org/Gateway/reference.asp?No=Ref-04214 |
|
| Ref-04405 |
APD 2014-01- Facility Application Form |
http://flrules.org/Gateway/reference.asp?No=Ref-04405 |
|
| Ref-04406 |
APD 2014-03- Foster Care Facility Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-04406 |
|
| Ref-04407 |
APD 2014-04- Group Home Facility Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-04407 |
|
| Ref-04408 |
APD-2014-05- Residential Habilitation Center Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-04408 |
|
| Ref-04409 |
APD-2014-06-Comprehensive Transitional Education Program Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-04409 |
|
| Ref-04410 |
APD-2014-07- General Facility Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-04410 |
|
| Ref-04808 |
DCF Form CF-ES 2095 |
http://flrules.org/Gateway/reference.asp?No=Ref-04808 |
Food Assistance Work Registration Notice, 7/2014
|
| Ref-04809 |
DCF Form CF-ES3052A |
http://flrules.org/Gateway/reference.asp?No=Ref-04809 |
Change Report for Public Assistance Case
|
| Ref-04810 |
DCF Form CF-ES 2641 |
http://flrules.org/Gateway/reference.asp?No=Ref-04810 |
Claim Notice Good Cause for Refusal to Cooperate
|
| Ref-04812 |
Interagency Agreement between the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Juvenile Justice, Department of Education, Department of Health, Guardian ad Litem Program, and Florida’s Office of Early Learning To Coordinate Services for Children Served by More than One Agency |
http://flrules.org/Gateway/reference.asp?No=Ref-04812 |
65C-29.004
|
| Ref-04944 |
Domestic Violence Center Application for Certification, Form CF 613 |
http://flrules.org/Gateway/reference.asp?No=Ref-04944 |
Certification Application
|
| Ref-05058 |
CF-ES 2635 07/2014 Protective Payee Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-05058 |
65A-4.220 This form is incorporated in this Administrative Rule. It is the CF-ES 2635 07/2...
|
| Ref-05077 |
APD Health Facility Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-05077 |
APD Health Facility Checklist
|
| Ref-05291 |
CF-FSP 5233, March 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05291 |
"Relative Caregiver Communication" form
|
| Ref-05292 |
CF-FSP 5398 |
http://flrules.org/Gateway/reference.asp?No=Ref-05292 |
APPLICATION FOR NONRELATIVE
CAREGIVER FINANCIAL ASSISTANCE
|
| Ref-05293 |
CF-FSP 5399 |
http://flrules.org/Gateway/reference.asp?No=Ref-05293 |
NOTICE OF ACTION
NONRELATIVE CAREGIVER FINANCIAL ASSISTANCE
|
| Ref-05427 |
CF-MH 1045 Feb 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05427 |
Form CF-MH 1045, Program Description, Revised February 2015
|
| Ref-05434 |
CF-ES 3415 Report of Suspected or Known Public Assistance Fraud |
http://flrules.org/Gateway/reference.asp?No=Ref-05434 |
Form to be used to report suspected or known public assistance fraud for the Public Assist...
|
| Ref-05506 |
CF-FSP 5315 Gold Seal Quality Care Accreditation Application, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05506 |
|
| Ref-05507 |
CF-FSP 5386, Gold Seal Quality Care Provider Application, April |
http://flrules.org/Gateway/reference.asp?No=Ref-05507 |
|
| Ref-05508 |
CF-FSP 5388, Gold Seal Quality Standards for Family Day Care Homes and Large Child Care Homes, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05508 |
|
| Ref-05509 |
CF-FSP 5390, Gold Seal Quality Care Accrediting Association Evaluation Manual for Family Day Care Homes and Large Family Child Care Homes, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05509 |
|
| Ref-05510 |
N-050-06, Child Care Food Program Meal Pattern for Children, August 2013 |
http://flrules.org/Gateway/reference.asp?No=Ref-05510 |
|
| Ref-05511 |
Adult Care Food Program Adult Meal Pattern, November 20, 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-05511 |
|
| Ref-05512 |
Gold Seal Quality Care Program Review Process and Procedures, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05512 |
|
| Ref-05513 |
CF-FSP 5387, Gold Seal Quality Standards for Child Care Facilities, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05513 |
|
| Ref-05514 |
CF-FSP 5389, Gold Seal Quality Care Accrediting Association Evaluation Manual for Child Care Facilities, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05514 |
|
| Ref-05541 |
CF-FSP 5315, Gold Seal Quality Care Accreditation Application, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05541 |
|
| Ref-05542 |
CF-FSP 5386, Gold Seal Quality Care Provider Application, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05542 |
|
| Ref-05543 |
N-050-06, Child Care Food Program Meal Pattern for Children, August 2013 |
http://flrules.org/Gateway/reference.asp?No=Ref-05543 |
|
| Ref-05544 |
Adult Care Food Program Adult Meal Pattern, November 20, 2012 |
http://flrules.org/Gateway/reference.asp?No=Ref-05544 |
|
| Ref-05545 |
Gold Seal Quality Care Program Review Process and Procedures, April 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-05545 |
|
| Ref-05768 |
65C-41 |
http://flrules.org/Gateway/reference.asp?No=Ref-05768 |
Forms 65C-41
|
| Ref-05781 |
65C-41 |
http://flrules.org/Gateway/reference.asp?No=Ref-05781 |
|
| Ref-05783 |
65C-41 due process |
http://flrules.org/Gateway/reference.asp?No=Ref-05783 |
|
| Ref-05784 |
65C-41 Opt out |
http://flrules.org/Gateway/reference.asp?No=Ref-05784 |
|
| Ref-05786 |
65C-41 Application for EFC |
http://flrules.org/Gateway/reference.asp?No=Ref-05786 |
|
| Ref-05787 |
65C-41 Request Fair Hearing |
http://flrules.org/Gateway/reference.asp?No=Ref-05787 |
|
| Ref-05788 |
65C-41 Oral Request Fair Hearing |
http://flrules.org/Gateway/reference.asp?No=Ref-05788 |
|
| Ref-05789 |
65C-41 App for Aftercare |
http://flrules.org/Gateway/reference.asp?No=Ref-05789 |
|
| Ref-05829 |
45 CFR 205.10 |
http://flrules.org/Gateway/reference.asp?No=Ref-05829 |
|
| Ref-05830 |
175-74 Due Process |
http://flrules.org/Gateway/reference.asp?No=Ref-05830 |
|
| Ref-05831 |
5380 Request for Fair Hearing |
http://flrules.org/Gateway/reference.asp?No=Ref-05831 |
|
| Ref-05832 |
5381 Oral Request for Fair Hearing |
http://flrules.org/Gateway/reference.asp?No=Ref-05832 |
|
| Ref-05833 |
5382 PESS application |
http://flrules.org/Gateway/reference.asp?No=Ref-05833 |
|
| Ref-05834 |
5391 Application for Aftercare |
http://flrules.org/Gateway/reference.asp?No=Ref-05834 |
|
| Ref-05835 |
5400 Aftercare Services Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-05835 |
|
| Ref-05836 |
5402 Notice of Termination from Aftercare |
http://flrules.org/Gateway/reference.asp?No=Ref-05836 |
|
| Ref-05837 |
5407 Notice of Termination from PESS |
http://flrules.org/Gateway/reference.asp?No=Ref-05837 |
|
| Ref-05902 |
Notice of Denial for EFC |
http://flrules.org/Gateway/reference.asp?No=Ref-05902 |
|
| Ref-05980 |
5327_Application for Adoption Benefit [65C-16.021] |
http://flrules.org/Gateway/reference.asp?No=Ref-05980 |
|
| Ref-06146 |
CF-MH 1045 Oct 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-06146 |
Program Description Form
|
| Ref-06225 |
5403 Application for Certification of Safe Foster Home or Safe House |
http://flrules.org/Gateway/reference.asp?No=Ref-06225 |
|
| Ref-06226 |
5404 CSEC Prudent Parenting Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-06226 |
|
| Ref-06227 |
5405 CSEC Services Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-06227 |
|
| Ref-06228 |
5406 HTST Screening Tool |
http://flrules.org/Gateway/reference.asp?No=Ref-06228 |
|
| Ref-06229 |
5413 CSEC Reporting Tool |
http://flrules.org/Gateway/reference.asp?No=Ref-06229 |
|
| Ref-06451 |
5004_ Voluntary Placement Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-06451 |
|
| Ref-06452 |
5223_ Case Manager_Case Worker Review |
http://flrules.org/Gateway/reference.asp?No=Ref-06452 |
|
| Ref-06453 |
5226_Partnership Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-06453 |
|
| Ref-06454 |
CF-OP 175-04 Maltreatment Index |
http://flrules.org/Gateway/reference.asp?No=Ref-06454 |
|
| Ref-06455 |
Child Heath Check-up Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-06455 |
|
| Ref-06538 |
CF-MH 1045 (Oct 2015) |
http://flrules.org/Gateway/reference.asp?No=Ref-06538 |
CF-MH 1045 Program Description
|
| Ref-06630 |
2 CFR Part 200, Jan 1 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-06630 |
"Part 200--Uniform Administrative Requirements, Cost Principles, and Audit Requirements fo...
|
| Ref-06646 |
Certificate of Professional Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-06646 |
Revised form is one of three forms used for collecting data reported to the Agency for Hea...
|
| Ref-06648 |
Cover Sheet to Agency for Health Care Administration |
http://flrules.org/Gateway/reference.asp?No=Ref-06648 |
This revised form is incorporated by reference into Rule 65E-280. It provides for data tha...
|
| Ref-06689 |
5226 Partnership Plan for Children in Out-of-Home Care |
http://flrules.org/Gateway/reference.asp?No=Ref-06689 |
|
| Ref-06690 |
Medical Foster Care Statewide Operational Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-06690 |
|
| Ref-06691 |
5004 Voluntary Placement Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-06691 |
|
| Ref-06738 |
Consent for Treatment |
http://flrules.org/Gateway/reference.asp?No=Ref-06738 |
|
| Ref-06741 |
5411 Other Parent Home Assessment |
http://flrules.org/Gateway/reference.asp?No=Ref-06741 |
|
| Ref-06801 |
Change Report Form CF-ES 3052A |
http://flrules.org/Gateway/reference.asp?No=Ref-06801 |
Change Report Form
|
| Ref-06970 |
1490 Application for Adoption |
http://flrules.org/Gateway/reference.asp?No=Ref-06970 |
|
| Ref-06971 |
1491 Application to Update Information on File with Adoption Registry |
http://flrules.org/Gateway/reference.asp?No=Ref-06971 |
|
| Ref-06972 |
5071 Adoptive Home Application |
http://flrules.org/Gateway/reference.asp?No=Ref-06972 |
|
| Ref-06973 |
CF-FSP 5072 Memorandum of Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-06973 |
|
| Ref-06974 |
CF-FSP 5079 Adoption Assistance Agreement Between The Department Of Children And Families And Adoptive Parents Regarding Subsidy Payments And Services |
http://flrules.org/Gateway/reference.asp?No=Ref-06974 |
|
| Ref-06975 |
CF-FSP 5328 Disclosure Information to Adoptive Parents |
http://flrules.org/Gateway/reference.asp?No=Ref-06975 |
|
| Ref-06976 |
CF-FSP 5343 Acknowledgement of Firearms Safety Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-06976 |
|
| Ref-06977 |
DH 527 Certified Statement of Final Decree Of Adoption |
http://flrules.org/Gateway/reference.asp?No=Ref-06977 |
|
| Ref-07004 |
CF-MH 3052a, June 2016, Report of Law Enforcement Officer Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-07004 |
A law enforcement officer who initiates an involuntary examination of a person must comple...
|
| Ref-07005 |
CF-MH 3052b, June 2016, Certificate of Professional Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-07005 |
A law enforcement officer who initiates an involuntary examination of a person must comple...
|
| Ref-07006 |
CF-MH 3118, June 2016, Cover Sheet to Agency for Health Care Administration |
http://flrules.org/Gateway/reference.asp?No=Ref-07006 |
Each designated receiving facility, when submitting to the Agency for Health Care Administ...
|
| Ref-07071 |
Amount Implementation Meeting (AIM) Worksheet - APD 2015-01 |
http://flrules.org/Gateway/reference.asp?No=Ref-07071 |
|
| Ref-07072 |
Florida Medicaid Developmental Disabilities Individual Budgeting Waiver Services Coverage and Limitations Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-07072 |
|
| Ref-07073 |
Regional iBudget Provider Enrollment Application - Waiver Support Coordinator (WSC) - APD 2015-02 |
http://flrules.org/Gateway/reference.asp?No=Ref-07073 |
|
| Ref-07074 |
Regional iBudget Provider Enrollment Application - Non WSC - APD 2015-03 |
http://flrules.org/Gateway/reference.asp?No=Ref-07074 |
|
| Ref-07075 |
Questionnaire for Situational Information (QSI) |
http://flrules.org/Gateway/reference.asp?No=Ref-07075 |
|
| Ref-07076 |
Provider Expansion Request Form APD 2015-04 |
http://flrules.org/Gateway/reference.asp?No=Ref-07076 |
|
| Ref-07159 |
65A-1.204 |
http://flrules.org/Gateway/reference.asp?No=Ref-07159 |
|
| Ref-07171 |
CF-FSP 5398 Application for NFCA |
http://flrules.org/Gateway/reference.asp?No=Ref-07171 |
|
| Ref-07448 |
1649 AFFIDAVIT OF GOOD MORAL CHARACTER |
http://flrules.org/Gateway/reference.asp?No=Ref-07448 |
|
| Ref-07449 |
1785 Determination of need |
http://flrules.org/Gateway/reference.asp?No=Ref-07449 |
|
| Ref-07450 |
1786 Local ordinance certification |
http://flrules.org/Gateway/reference.asp?No=Ref-07450 |
|
| Ref-07451 |
5226 Partnership plan |
http://flrules.org/Gateway/reference.asp?No=Ref-07451 |
|
| Ref-07452 |
5262 Critical Incident Report |
http://flrules.org/Gateway/reference.asp?No=Ref-07452 |
|
| Ref-07453 |
5343 Firearms safety |
http://flrules.org/Gateway/reference.asp?No=Ref-07453 |
|
| Ref-07454 |
5412 Child-caring license application |
http://flrules.org/Gateway/reference.asp?No=Ref-07454 |
|
| Ref-07455 |
ACHA handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-07455 |
|
| Ref-07456 |
CF-OP 215-6 |
http://flrules.org/Gateway/reference.asp?No=Ref-07456 |
|
| Ref-07485 |
5077 Maintenance Adoption Subsidy Approval |
http://flrules.org/Gateway/reference.asp?No=Ref-07485 |
|
| Ref-07505 |
1649_Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-07505 |
|
| Ref-07506 |
5087_Confidentiality Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-07506 |
|
| Ref-07507 |
5135_Master License Application for Accredited Child-Placing Agencies |
http://flrules.org/Gateway/reference.asp?No=Ref-07507 |
|
| Ref-07508 |
5226_Partnership Plan for Children in Out-of-Home Care |
http://flrules.org/Gateway/reference.asp?No=Ref-07508 |
|
| Ref-07509 |
5401_At Risk Placement |
http://flrules.org/Gateway/reference.asp?No=Ref-07509 |
|
| Ref-08004 |
N-050-06 ChildCare Food Program Meal Pattern for Children September 30, 2019 |
http://flrules.org/Gateway/reference.asp?No=Ref-08004 |
Updated Meal Pattern for Children added to 65C-22.008(6)(b)
|
| Ref-08007 |
CF-FSP Form 5268, March 2017, Child Care In-Serive Training Record |
http://flrules.org/Gateway/reference.asp?No=Ref-08007 |
Updated Child Care In-Service Training Record (rule references)
|
| Ref-08010 |
CF-FSP 5337, March 2017, Child Abuse and Neglect Reporting Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-08010 |
Updated CF-FSP 5337, Child Abuse and Neglect Reporting Requirements (rule references)
|
| Ref-08013 |
CF-FSP Form 5217, March 2017, Volunteer Acknowledgement |
http://flrules.org/Gateway/reference.asp?No=Ref-08013 |
Updated CF-FSP Form 5217, Volunteer Acknowledgement (Rule references)
|
| Ref-08015 |
CF Form 1649A, March 2017, Child Care Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-08015 |
Updated CF Form 1649A, Child Care Affidavit of Good Moral Character (rule references)
|
| Ref-08017 |
CF/PI 175-24, March 2014, Know Your Child Care Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-08017 |
|
| Ref-08018 |
CF/PI 175-70, June 2009, Influenza Virus, Guide to Parents |
http://flrules.org/Gateway/reference.asp?No=Ref-08018 |
|
| Ref-08019 |
CF-FSP Form 5219, March 2017, Child Care Application for Enrollment |
http://flrules.org/Gateway/reference.asp?No=Ref-08019 |
Updated CF-FSP Form 5219, Child Care Application for Enrollment (rule references)
|
| Ref-08020 |
CF-FSP Form 5131, March 2017, Background Screening and Personnel File Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-08020 |
Updated CF-FSP 5131, Background Screening and Personnel File Requirements (rule reference)
|
| Ref-08022 |
CF-FSP Form 5272, March 2017, Application for a License to Operate a School-Age Child Care Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-08022 |
|
| Ref-08023 |
School-Age Child Care Licensing Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-08023 |
Incorporated by reference in 65C-22.008, F.A.C.
|
| Ref-08053 |
CF-FSP 5252 Florida Child Care and Education Program Director Credential |
http://flrules.org/Gateway/reference.asp?No=Ref-08053 |
|
| Ref-08054 |
CF-FSP 5270 Florida Child Care Professional Credential |
http://flrules.org/Gateway/reference.asp?No=Ref-08054 |
|
| Ref-08055 |
CF-FSP 5290 Florida Child Care Director Credential and Renewal Application |
http://flrules.org/Gateway/reference.asp?No=Ref-08055 |
|
| Ref-08061 |
1490 Application for Adoption Registry Services |
http://flrules.org/Gateway/reference.asp?No=Ref-08061 |
|
| Ref-08062 |
1491 Application to Update Information on File with Adoption Registry |
http://flrules.org/Gateway/reference.asp?No=Ref-08062 |
|
| Ref-08063 |
5314 Emergency Intake |
http://flrules.org/Gateway/reference.asp?No=Ref-08063 |
|
| Ref-08070 |
5339 Medical Report |
http://flrules.org/Gateway/reference.asp?No=Ref-08070 |
|
| Ref-08083 |
Community Behavioral Health Services coverage and Limitations Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-08083 |
|
| Ref-08119 |
CF-ES 2095 |
http://flrules.org/Gateway/reference.asp?No=Ref-08119 |
Food Assistance Work Registration Notice Form CF-ES 2095
|
| Ref-08254 |
Overpayments |
http://flrules.org/Gateway/reference.asp?No=Ref-08254 |
65A-1.900
|
| Ref-08263 |
5417 School Stability Checklist for Children in Out-of-Home Care |
http://flrules.org/Gateway/reference.asp?No=Ref-08263 |
|
| Ref-08726 |
Caring for Our Children Basics, Health and Safety Foundations for Early Care and Education, June 2015 |
http://flrules.org/Gateway/reference.asp?No=Ref-08726 |
|
| Ref-08727 |
CF-FSP 1649A Child Care Attestation of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-08727 |
|
| Ref-08728 |
CF-FSP 5017 Application for a License to Operate a Child Care Facility, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08728 |
|
| Ref-08729 |
CF-FSP 5131 Background Screening and Personnel File Requirements, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08729 |
|
| Ref-08730 |
CF-FSP 5191 Birth Through Five Florida Child Care Professional Credential Training Program Provider Application, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08730 |
|
| Ref-08731 |
CF-FSP 5211 Florida Child Care Staff Credential Verification Application, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08731 |
|
| Ref-08732 |
CF-FSP 5217 Volunteer Acknowledgement, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08732 |
|
| Ref-08733 |
CF-FSP 5219 Child Care Application for Enrollment, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08733 |
|
| Ref-08734 |
CF-FSP 5252 Florida Child Care and Education Program Director Credential, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08734 |
|
| Ref-08735 |
CF-FSP 5257 School-Age Florida Child Care Professional Credential Training Program Provider Application, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08735 |
|
| Ref-08736 |
CF-FSP 5268 In-Service Training Record Child Care Facility, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08736 |
|
| Ref-08737 |
CF-FSP 5270 Florida Child Care Professional Credential, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08737 |
|
| Ref-08738 |
CF-FSP 5290 Florida Child Care Director Credential and Renewal Application, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08738 |
|
| Ref-08739 |
CF-FSP 5316 Child Care Facility Standards Classification Summary, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08739 |
|
| Ref-08740 |
CF-FSP 5337 Child Abuse and Neglect Reporting Requirements, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08740 |
|
| Ref-08741 |
CF-FSP 5420 Reconciliation of 2012 and 2017 Child Care Facility Standards Classification Summaries, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08741 |
|
| Ref-08742 |
N-051-04 Child Care Food Program Meal Pattern for Infants, September 2016 |
http://flrules.org/Gateway/reference.asp?No=Ref-08742 |
|
| Ref-08743 |
Title 16, Parts 1219, 1220 & 1221 Code of Federal Regulations, 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-08743 |
|
| Ref-08744 |
DH 680 Florida Certificate of Immunization, July 2010 |
http://flrules.org/Gateway/reference.asp?No=Ref-08744 |
|
| Ref-08745 |
DH 681 Religious Exemption from Immunization, July 2008 |
http://flrules.org/Gateway/reference.asp?No=Ref-08745 |
|
| Ref-08746 |
DH 3040 School Entry Health Exam, July 2013 |
http://flrules.org/Gateway/reference.asp?No=Ref-08746 |
|
| Ref-08747 |
Child Care Facility Handbook, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08747 |
|
| Ref-08748 |
CF-FSP 5133 Application for a License to Operate a Family Day Care Home, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08748 |
|
| Ref-08749 |
CF-FSP 5238 Application for a License to Operate a Large Family Child Care Home, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08749 |
|
| Ref-08750 |
CF-FSP 5268A In-Service Training Record Family Day Care Home/ Large Family Child Care Home, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08750 |
|
| Ref-08751 |
CF/PI 175-28 Selecting A Family Day Care Home Provider, September 2007 |
http://flrules.org/Gateway/reference.asp?No=Ref-08751 |
|
| Ref-08752 |
Family Day Care Home/Large Family Child Care Home Handbook, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08752 |
|
| Ref-08753 |
CF-FSP 5318 Family Day Care Home Standards Classification Summary, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08753 |
|
| Ref-08754 |
CF-FSP 5317 Large Family Child Care Home Standards Classification Summary, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08754 |
|
| Ref-08755 |
CF-FSP 5422 Reconciliation of 2009 and 2017 Family Day Care Home Standards Classification Summaries, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08755 |
|
| Ref-08756 |
CF-FSP 5421 Reconciliation of 2009 and 2017 Large Family Child Care Home Standards Classification Summaries, October 2017 |
http://flrules.org/Gateway/reference.asp?No=Ref-08756 |
|
| Ref-08852 |
5406_Human Trafficking Screening Tool |
http://flrules.org/Gateway/reference.asp?No=Ref-08852 |
|
| Ref-08853 |
707_Civil Rights Certificate |
http://flrules.org/Gateway/reference.asp?No=Ref-08853 |
|
| Ref-08857 |
5327 Adoption Benefits for State Employees and Other Eligible Applicants |
http://flrules.org/Gateway/reference.asp?No=Ref-08857 |
|
| Ref-08945 |
CF-MH 3084 Baker Act Service Eligibility |
http://flrules.org/Gateway/reference.asp?No=Ref-08945 |
|
| Ref-09031 |
3042a General Authorization for Treatment Except Psychotropic Medication |
http://flrules.org/Gateway/reference.asp?No=Ref-09031 |
|
| Ref-09115 |
5087 Confidentiality Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-09115 |
|
| Ref-09118 |
5090_Release of Information |
http://flrules.org/Gateway/reference.asp?No=Ref-09118 |
|
| Ref-09119 |
5223_CASE MANAGER/CASE WORKER REVIEW OF FOSTER PARENT |
http://flrules.org/Gateway/reference.asp?No=Ref-09119 |
|
| Ref-09120 |
5224_FOSTER PARENT’S REVIEW OF CASE WORKER/CARE MANAGER |
http://flrules.org/Gateway/reference.asp?No=Ref-09120 |
|
| Ref-09121 |
5225_QUALITY OF LICENSED CAREGIVER’S HOME – COMMUNITY INPUT |
http://flrules.org/Gateway/reference.asp?No=Ref-09121 |
|
| Ref-09122 |
5353_EXIT INTERVIEW ABOUT FOSTER PARENTS |
http://flrules.org/Gateway/reference.asp?No=Ref-09122 |
|
| Ref-09124 |
5357_ATTESTATION FOR FOSTER HOME LICENSURE |
http://flrules.org/Gateway/reference.asp?No=Ref-09124 |
|
| Ref-09125 |
5397_FOSTER HOME INSPECTION CHECKLIST |
http://flrules.org/Gateway/reference.asp?No=Ref-09125 |
|
| Ref-09126 |
5416_Re-licensing Standards Checklist for 24-Hour Care |
http://flrules.org/Gateway/reference.asp?No=Ref-09126 |
|
| Ref-09127 |
5358_Initial Licensing Standards Checklist for 24-hour Family Care |
http://flrules.org/Gateway/reference.asp?No=Ref-09127 |
|
| Ref-09128 |
1649_AFFIDAVIT OF GOOD MORAL CHARACTER |
http://flrules.org/Gateway/reference.asp?No=Ref-09128 |
|
| Ref-09129 |
5226_Partnership Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-09129 |
|
| Ref-09160 |
5343 Firearms Safety Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-09160 |
|
| Ref-09351 |
5339 Medical Report |
http://flrules.org/Gateway/reference.asp?No=Ref-09351 |
|
| Ref-09355 |
2341 Management Review Notice |
http://flrules.org/Gateway/reference.asp?No=Ref-09355 |
|
| Ref-09356 |
2372 Trafficking Waiver |
http://flrules.org/Gateway/reference.asp?No=Ref-09356 |
|
| Ref-09357 |
3056 Notification of Intent to Disqualify |
http://flrules.org/Gateway/reference.asp?No=Ref-09357 |
|
| Ref-09358 |
3410 Wiaver of Administrative Disqualification Hearing with Program Loss |
http://flrules.org/Gateway/reference.asp?No=Ref-09358 |
|
| Ref-09359 |
3410A Waiver of Disqualification Hearing without Program Loss |
http://flrules.org/Gateway/reference.asp?No=Ref-09359 |
|
| Ref-09401 |
5382 PESS and ETV Initial Renewal and Reinstatement Application |
http://flrules.org/Gateway/reference.asp?No=Ref-09401 |
|
| Ref-09533 |
APD Incident Reporting form APD OP 3-0006 |
http://flrules.org/Gateway/reference.asp?No=Ref-09533 |
APD Incident Reporting Form APD OP 3-0006, effective May 25, 2018.
|
| Ref-09989 |
CF-FSP 5399 Notice of Action |
http://flrules.org/Gateway/reference.asp?No=Ref-09989 |
|
| Ref-10016 |
CF 280 Financial Information |
http://flrules.org/Gateway/reference.asp?No=Ref-10016 |
|
| Ref-10017 |
CF 280A Financial Information Short Form |
http://flrules.org/Gateway/reference.asp?No=Ref-10017 |
|
| Ref-10018 |
CF-FSP 5435 Sliding Fee Scale |
http://flrules.org/Gateway/reference.asp?No=Ref-10018 |
|
| Ref-10089 |
3056_ Notification of Intent to Disqualify |
http://flrules.org/Gateway/reference.asp?No=Ref-10089 |
|
| Ref-10102 |
CF-FSP 5077 MAS Approval |
http://flrules.org/Gateway/reference.asp?No=Ref-10102 |
|
| Ref-10103 |
CF-FSP 5433 Extension of AAA |
http://flrules.org/Gateway/reference.asp?No=Ref-10103 |
|
| Ref-10156 |
CF-FSP 5377 EFC Voluntary Placement Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-10156 |
|
| Ref-10157 |
CF-FSP 5410 Notice of Denial for Readmission into EFC |
http://flrules.org/Gateway/reference.asp?No=Ref-10157 |
|
| Ref-10158 |
CF-FSP 5430 Shared Living Plan for EFC |
http://flrules.org/Gateway/reference.asp?No=Ref-10158 |
|
| Ref-10159 |
CF-FSP 5431 Supervised Living Arrangement for EFC |
http://flrules.org/Gateway/reference.asp?No=Ref-10159 |
|
| Ref-10160 |
CF-FSP 5432 EFC Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-10160 |
|
| Ref-10218 |
CF-FSP 5413, Screening, Placement and Services for Sexually Exploited Children and Young Adults Reporting Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-10218 |
|
| Ref-10236 |
CF-FSP 5376 NOTICE OF DISCHARGE FROM EXTENDED FOSTER CARE |
http://flrules.org/Gateway/reference.asp?No=Ref-10236 |
|
| Ref-10241 |
CF-FSP 5417 School Stability Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-10241 |
|
| Ref-10319 |
CF-FSP 5436 Request for Fingerprint Exemption |
http://flrules.org/Gateway/reference.asp?No=Ref-10319 |
|
| Ref-10437 |
CF-FSP 5438 Comprehensive Placement Assessment |
http://flrules.org/Gateway/reference.asp?No=Ref-10437 |
|
| Ref-10460 |
CF-FSP 1649A Attestation Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-10460 |
|
| Ref-10461 |
CF-FSP 5017 Application for a License to Operate a Child Care Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-10461 |
|
| Ref-10462 |
CF-FSP 5131 Background Screening and Personnel File Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-10462 |
|
| Ref-10465 |
CF-FSP 5218A Attestation of Compliance |
http://flrules.org/Gateway/reference.asp?No=Ref-10465 |
|
| Ref-10466 |
CF-FSP 5219 Child Care Application for Enrollment |
http://flrules.org/Gateway/reference.asp?No=Ref-10466 |
|
| Ref-10467 |
CF-FSP 5257 School Age FCCPC |
http://flrules.org/Gateway/reference.asp?No=Ref-10467 |
|
| Ref-10468 |
CF-FSP 5272 Application for a License to Operate a School-Age Child Care Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-10468 |
|
| Ref-10469 |
CF-FSP 5211 Florida CC Staff Credential |
http://flrules.org/Gateway/reference.asp?No=Ref-10469 |
|
| Ref-10470 |
CF-FSP 5290 Director Renewal Application |
http://flrules.org/Gateway/reference.asp?No=Ref-10470 |
|
| Ref-10471 |
CF-FSP 5316 Facility Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-10471 |
|
| Ref-10472 |
CF-FSP 5386 Gold Seal Application |
http://flrules.org/Gateway/reference.asp?No=Ref-10472 |
|
| Ref-10473 |
CF-FSP 5427 School-age Facility Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-10473 |
|
| Ref-10474 |
CF-FSP 5428 Meal Pattern for Infants |
http://flrules.org/Gateway/reference.asp?No=Ref-10474 |
|
| Ref-10475 |
CF-FSP 5429 Meal Pattern for Children |
http://flrules.org/Gateway/reference.asp?No=Ref-10475 |
|
| Ref-10481 |
School Age Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-10481 |
|
| Ref-10482 |
CF-FSP 5133 Application for a license FDCH |
http://flrules.org/Gateway/reference.asp?No=Ref-10482 |
|
| Ref-10484 |
CF-FSP 5315 Gold Seal Quality Care Accrediting Asso Appl |
http://flrules.org/Gateway/reference.asp?No=Ref-10484 |
|
| Ref-10485 |
CF-FSP 5317 LFCCH Standards Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-10485 |
|
| Ref-10486 |
CF-FSP 5318 FDCH Standards Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-10486 |
|
| Ref-10488 |
Family Child Care Home Licensing Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-10488 |
|
| Ref-10508 |
CF-FSP 5315 Gold Seal Quality Care Accrediting Asso Appl |
http://flrules.org/Gateway/reference.asp?No=Ref-10508 |
|
| Ref-10578 |
CF-FSP 5441 GAP Eligibility Redetermination |
http://flrules.org/Gateway/reference.asp?No=Ref-10578 |
|
| Ref-10579 |
CF-FSP 5386 Gold Seal Application |
http://flrules.org/Gateway/reference.asp?No=Ref-10579 |
|
| Ref-10580 |
CF-FSP 5238, Application for a License LFCCH |
http://flrules.org/Gateway/reference.asp?No=Ref-10580 |
|
| Ref-10581 |
CF-FSP 5191 Birth Through 5 FCCPC |
http://flrules.org/Gateway/reference.asp?No=Ref-10581 |
|
| Ref-10587 |
Authorization for Medication Administration |
http://flrules.org/Gateway/reference.asp?No=Ref-10587 |
Authorization for Medication Administration
|
| Ref-10588 |
Informed Consent for Medication Administration |
http://flrules.org/Gateway/reference.asp?No=Ref-10588 |
Informed Consent for Medication Administration
|
| Ref-10589 |
Medication Administration Trainer Application Form |
http://flrules.org/Gateway/reference.asp?No=Ref-10589 |
Medication Administration Trainer Application Form
|
| Ref-10590 |
Certificate of Completion for Basic Medication Administration Training |
http://flrules.org/Gateway/reference.asp?No=Ref-10590 |
Certificate of Completion for Basic Medication Administration Training
|
| Ref-10591 |
Basic Medication Administration Validation Certificate |
http://flrules.org/Gateway/reference.asp?No=Ref-10591 |
Basic Medication Administration Validation Certificate
|
| Ref-10592 |
Prescribed Enteral Formula Administration Certificate of Completion |
http://flrules.org/Gateway/reference.asp?No=Ref-10592 |
Prescribed Enteral Formula Administration Certificate of Completion
|
| Ref-10593 |
Validation Trainer Application Form |
http://flrules.org/Gateway/reference.asp?No=Ref-10593 |
Validation Trainer Application Form
|
| Ref-10594 |
Prescribed Enteral Formula Administration Validation Certificate |
http://flrules.org/Gateway/reference.asp?No=Ref-10594 |
Prescribed Enteral Formula Administration Validation Certificate
|
| Ref-10595 |
Certificate of Completion for Basic Medication Adminsitration Annual Update |
http://flrules.org/Gateway/reference.asp?No=Ref-10595 |
Certificate of Completion for Basic Medication Adminsitration Annual Update
|
| Ref-10596 |
Certificate of Completion for Prescribed Enteral Formula Administration Annual Update |
http://flrules.org/Gateway/reference.asp?No=Ref-10596 |
Certificate of Completion for Prescribed Enteral Formula Administration Annual Update
|
| Ref-10597 |
Temporary Validation Form |
http://flrules.org/Gateway/reference.asp?No=Ref-10597 |
Temporary Validation Form
|
| Ref-10598 |
Medication Error Report |
http://flrules.org/Gateway/reference.asp?No=Ref-10598 |
Medication Error Report
|
| Ref-10600 |
Controlled Medication Count Form |
http://flrules.org/Gateway/reference.asp?No=Ref-10600 |
Controlled Medication Count Form
|
| Ref-10601 |
Medication Administration Record |
http://flrules.org/Gateway/reference.asp?No=Ref-10601 |
Medication Administration Record
|
| Ref-10602 |
Off-Site Medication Form |
http://flrules.org/Gateway/reference.asp?No=Ref-10602 |
Off-Site Medication Form
|
| Ref-10668 |
CF-SA Form 4024_Application for Licensure to Provide Substance Abuse Services |
http://flrules.org/Gateway/reference.asp?No=Ref-10668 |
|
| Ref-10669 |
CF-MH 4038 Methodology of Determination of Need |
http://flrules.org/Gateway/reference.asp?No=Ref-10669 |
|
| Ref-10670 |
CF-MH 4040 Methadone Medication Assisted Treatment Application Evaluation |
http://flrules.org/Gateway/reference.asp?No=Ref-10670 |
|
| Ref-10671 |
CF-MH 4041 Application to Proceed to Licensure Application |
http://flrules.org/Gateway/reference.asp?No=Ref-10671 |
|
| Ref-10756 |
Medication Destruction Record |
http://flrules.org/Gateway/reference.asp?No=Ref-10756 |
|
| Ref-10803 |
CF-FSP 5444 Life Skills Progress Doc Log |
http://flrules.org/Gateway/reference.asp?No=Ref-10803 |
|
| Ref-10804 |
CF-FSP 5440 GAP Payment Approval |
http://flrules.org/Gateway/reference.asp?No=Ref-10804 |
|
| Ref-10805 |
CF-FSP 5442 Application for GAP |
http://flrules.org/Gateway/reference.asp?No=Ref-10805 |
|
| Ref-10806 |
CF-FSP 5434 Extension of Guardianship Assistance Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-10806 |
|
| Ref-10807 |
CF-FSP 5437 Guardianship Assistance Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-10807 |
|
| Ref-10900 |
65E-14.021 |
http://flrules.org/Gateway/reference.asp?No=Ref-10900 |
|
| Ref-10902 |
CF-MH 4024a Online Application for Licensure to Provide Substance Use Services |
http://flrules.org/Gateway/reference.asp?No=Ref-10902 |
|
| Ref-10903 |
CF-MH 4024_Application for License to Provide Substance Abuse Services |
http://flrules.org/Gateway/reference.asp?No=Ref-10903 |
|
| Ref-10904 |
CF-MH 4039 Classification of Violations |
http://flrules.org/Gateway/reference.asp?No=Ref-10904 |
|
| Ref-10905 |
CF-MH 4055 Treatment Resource Attestation |
http://flrules.org/Gateway/reference.asp?No=Ref-10905 |
|
| Ref-11128 |
CF-AA 1022 Adult Services Screening for Consideration for Community-Based Programs |
http://flrules.org/Gateway/reference.asp?No=Ref-11128 |
|
| Ref-11129 |
CF-PI 140-43 Due Process Rights |
http://flrules.org/Gateway/reference.asp?No=Ref-11129 |
|
| Ref-11145 |
CF-FSP 5413_Screening Placement and Services Checklist for Sexually Exploited Children and Young Adults |
http://flrules.org/Gateway/reference.asp?No=Ref-11145 |
|
| Ref-11226 |
CF-FSP 5445 Specialized Child Care Facilities for the Care of Mildly-Ill Children Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-11226 |
|
| Ref-11263 |
CF_PI 175-12 Distracted adult brochure |
http://flrules.org/Gateway/reference.asp?No=Ref-11263 |
|
| Ref-11269 |
CF_PI 175_70 influenza |
http://flrules.org/Gateway/reference.asp?No=Ref-11269 |
|
| Ref-11322 |
CF-ES 2089 Family Safety Substitute Care Review |
http://flrules.org/Gateway/reference.asp?No=Ref-11322 |
|
| Ref-11323 |
CF-FSP 5339 Medical Report |
http://flrules.org/Gateway/reference.asp?No=Ref-11323 |
|
| Ref-11410 |
CF-FSP 5237 Application for a License to Operate a Child Care Facility For Mildly Ill Children |
http://flrules.org/Gateway/reference.asp?No=Ref-11410 |
|
| Ref-11411 |
CF-FSP 5241 Child Care Application for Enrollment in a Mildly Ill Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-11411 |
|
| Ref-11417 |
CF-FSP 5323 Verification of Indian Child Welfare Act Eligibility |
http://flrules.org/Gateway/reference.asp?No=Ref-11417 |
|
| Ref-11418 |
CF-FSP 5323S Verification of Indian Child Welfare Act Eligibility_Spanish |
http://flrules.org/Gateway/reference.asp?No=Ref-11418 |
|
| Ref-11422 |
CF-ES 2264, Notice of Determination of Assets (or Income) Transfer |
http://flrules.org/Gateway/reference.asp?No=Ref-11422 |
|
| Ref-11423 |
CF-ES 2264S, Notice of Determination of Assets (or Income) Transfer (in Spanish) |
http://flrules.org/Gateway/reference.asp?No=Ref-11423 |
|
| Ref-11424 |
CF-ES 2264H, Notice of Determination of Assets (or Income) Transfer (in Creole) |
http://flrules.org/Gateway/reference.asp?No=Ref-11424 |
|
| Ref-11428 |
CF-ES 2504, Assignment of Rights to Support |
http://flrules.org/Gateway/reference.asp?No=Ref-11428 |
|
| Ref-11429 |
CF-ES 2504S, Assignment of Rights to Support (in Spanish) |
http://flrules.org/Gateway/reference.asp?No=Ref-11429 |
|
| Ref-11430 |
CF-ES 2504H, Assignment of Rights to Support (in Creole) |
http://flrules.org/Gateway/reference.asp?No=Ref-11430 |
|
| Ref-11431 |
CF-ES 2354, Notice of Excess Home Equity Interest |
http://flrules.org/Gateway/reference.asp?No=Ref-11431 |
|
| Ref-11432 |
CF-ES 2354S, Notice of Excess Home Equity Interest (in Spanish) |
http://flrules.org/Gateway/reference.asp?No=Ref-11432 |
|
| Ref-11433 |
CF-ES 2354H, Notice of Excess Home Equity Interest (in Creole) |
http://flrules.org/Gateway/reference.asp?No=Ref-11433 |
|
| Ref-11438 |
CF-FSP 5376_Notice of Extended Foster Care Program Termination |
http://flrules.org/Gateway/reference.asp?No=Ref-11438 |
|
| Ref-11455 |
CF-ES 2358 MEDICAID TRANSFER DISPOSITION NOTICE |
http://flrules.org/Gateway/reference.asp?No=Ref-11455 |
|
| Ref-11456 |
CF-ES 2358h MEDICAID TRANSFER DISPOSITION NOTICE (in Creole) |
http://flrules.org/Gateway/reference.asp?No=Ref-11456 |
|
| Ref-11457 |
CF-ES 2358s MEDICAID TRANSFER DISPOSITION NOTICE (in Spanish) |
http://flrules.org/Gateway/reference.asp?No=Ref-11457 |
|
| Ref-11491 |
Child Care Facility Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-11491 |
|
| Ref-11496 |
CF-FSP 5377 EFC Voluntary Placement Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-11496 |
|
| Ref-11497 |
CF-FSP 5432 EFC Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-11497 |
|
| Ref-11578 |
CF-ES 2097 Communication and Work Activity Referral |
http://flrules.org/Gateway/reference.asp?No=Ref-11578 |
|
| Ref-11579 |
CF-ES 2097H (Creole) Communication and Work Activity Referra |
http://flrules.org/Gateway/reference.asp?No=Ref-11579 |
|
| Ref-11580 |
CF-ES 2097S (Spanish) Communication and Work Activity Referral |
http://flrules.org/Gateway/reference.asp?No=Ref-11580 |
|
| Ref-11581 |
CF-ES 4192 Notice of Work Penalty |
http://flrules.org/Gateway/reference.asp?No=Ref-11581 |
|
| Ref-11582 |
CF-ES 4192H (Creole) Notice of Work Penalty |
http://flrules.org/Gateway/reference.asp?No=Ref-11582 |
|
| Ref-11583 |
CF-ES 4192S (Spanish) Notice of Work Penalty |
http://flrules.org/Gateway/reference.asp?No=Ref-11583 |
|
| Ref-11627 |
CF-ES 2353 ACCESS Florida Web Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11627 |
|
| Ref-11634 |
CF-ES 2039 Medical Assistance Referral |
http://flrules.org/Gateway/reference.asp?No=Ref-11634 |
|
| Ref-11635 |
CF-ES 2293 Child in Care Medicaid Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11635 |
|
| Ref-11636 |
CF-ES 2930 Screening for Expedited Medicaid Appts |
http://flrules.org/Gateway/reference.asp?No=Ref-11636 |
|
| Ref-11637 |
CF-ES 2930H (Creole) Screening for Expedited Medicaid Appointments |
http://flrules.org/Gateway/reference.asp?No=Ref-11637 |
|
| Ref-11638 |
CF-ES 2930S (Spanish) Screening for Expedited Medicaid Appointments |
http://flrules.org/Gateway/reference.asp?No=Ref-11638 |
|
| Ref-11642 |
CF-ES 2620 Verification of Employment -Loss of Income |
http://flrules.org/Gateway/reference.asp?No=Ref-11642 |
|
| Ref-11643 |
CF-ES 2620H (Creole) Verification of Employment_Loss of Income |
http://flrules.org/Gateway/reference.asp?No=Ref-11643 |
|
| Ref-11644 |
CF-ES 2620S (Spanish) Verification of Employment_Loss of Income |
http://flrules.org/Gateway/reference.asp?No=Ref-11644 |
|
| Ref-11645 |
CF-ES 2621 Verification of Dependent Care Expenses |
http://flrules.org/Gateway/reference.asp?No=Ref-11645 |
|
| Ref-11646 |
CF-ES 2621H (Creole) Verification of Dependent Care Expenses |
http://flrules.org/Gateway/reference.asp?No=Ref-11646 |
|
| Ref-11647 |
CF-ES 2621S (Spanish) Verification of Dependent Care Expenses |
http://flrules.org/Gateway/reference.asp?No=Ref-11647 |
|
| Ref-11648 |
CF-ES 2622 Verification of Shelter |
http://flrules.org/Gateway/reference.asp?No=Ref-11648 |
|
| Ref-11649 |
CF-ES 2622H (Creole) Verification of Shelter Expenses |
http://flrules.org/Gateway/reference.asp?No=Ref-11649 |
|
| Ref-11650 |
CF-ES 2622S (Spanish) Verification of Shelter Expenses |
http://flrules.org/Gateway/reference.asp?No=Ref-11650 |
|
| Ref-11651 |
CF-ES 2623 School Verification |
http://flrules.org/Gateway/reference.asp?No=Ref-11651 |
|
| Ref-11652 |
CF-ES 2623H (Creole) School Verification |
http://flrules.org/Gateway/reference.asp?No=Ref-11652 |
|
| Ref-11653 |
CF-ES 2623S (Spanish) School Verification |
http://flrules.org/Gateway/reference.asp?No=Ref-11653 |
|
| Ref-11654 |
CF-ES 3007 Work Calendar |
http://flrules.org/Gateway/reference.asp?No=Ref-11654 |
|
| Ref-11655 |
CF-ES 3007H (Creole) Work Calendar |
http://flrules.org/Gateway/reference.asp?No=Ref-11655 |
|
| Ref-11656 |
CF-ES 3007S (Spanish) Work Calendar |
http://flrules.org/Gateway/reference.asp?No=Ref-11656 |
|
| Ref-11657 |
CF-ES 990 Designation of Beneficiary |
http://flrules.org/Gateway/reference.asp?No=Ref-11657 |
|
| Ref-11658 |
CF-ES 2514 Authorization to Disclose Information |
http://flrules.org/Gateway/reference.asp?No=Ref-11658 |
|
| Ref-11660 |
CF-ES 2514H (Creole) Authorization to Disclose Information |
http://flrules.org/Gateway/reference.asp?No=Ref-11660 |
|
| Ref-11661 |
CF-ES 2514S (Spanish) Authorization to Disclose Information |
http://flrules.org/Gateway/reference.asp?No=Ref-11661 |
|
| Ref-11663 |
CF-ES 2613H (Creole) Financial Information Release |
http://flrules.org/Gateway/reference.asp?No=Ref-11663 |
|
| Ref-11664 |
Florida’s Medicaid State Plan, Approved Conversion Thresholds |
http://flrules.org/Gateway/reference.asp?No=Ref-11664 |
|
| Ref-11698 |
CF-ES 2337 ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11698 |
|
| Ref-11700 |
CF-ES 2337F (French-Canadian) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11700 |
|
| Ref-11701 |
CF-ES 2337H (Creole) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11701 |
|
| Ref-11702 |
CF-ES 2337I (Italian) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11702 |
|
| Ref-11703 |
CF-ES 2337P (Portuguese) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11703 |
|
| Ref-11704 |
CF-ES 2337R (Russian) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11704 |
|
| Ref-11705 |
CF-ES 2337S (Spanish) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11705 |
|
| Ref-11723 |
CF PI 165-107H (Creole) Are You Disabled and Applying for Medicaid brochure |
http://flrules.org/Gateway/reference.asp?No=Ref-11723 |
|
| Ref-11724 |
CF_PI 165_107S (Spanish) Are You Disabled and Applying for Medicaid brochure |
http://flrules.org/Gateway/reference.asp?No=Ref-11724 |
|
| Ref-11725 |
CF_PI 165-107 Notification of Disability Information and Request Form |
http://flrules.org/Gateway/reference.asp?No=Ref-11725 |
|
| Ref-11726 |
CF-ES 2337SC (Serbo-Croatian) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11726 |
|
| Ref-11727 |
CF-ES 2337V (Vietnamese) ACCESS Florida Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11727 |
|
| Ref-11729 |
CF-ES 2370 Family Related Medical Assistance Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11729 |
|
| Ref-11730 |
CF-ES 2370H (Creole) Family-Related Medical Assistance Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11730 |
|
| Ref-11731 |
CF-ES 2370S (Spanish) Family-Related Medical Assistance Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11731 |
|
| Ref-11810 |
CF 1649 Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-11810 |
|
| Ref-11811 |
CF 1651 Central Abuse Hotline Record Search |
http://flrules.org/Gateway/reference.asp?No=Ref-11811 |
|
| Ref-11812 |
CF-FSP 5007 Application for License to Provide Out-of-Home Care for Dependent Children |
http://flrules.org/Gateway/reference.asp?No=Ref-11812 |
|
| Ref-11813 |
CF-FSP 5087 Confidentiality Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-11813 |
|
| Ref-11814 |
CF-FSP 5090 Release of Information |
http://flrules.org/Gateway/reference.asp?No=Ref-11814 |
|
| Ref-11815 |
CF-FSP 5226 Partnership Plan for Children in Out-of-Home Care |
http://flrules.org/Gateway/reference.asp?No=Ref-11815 |
|
| Ref-11816 |
CF-FSP 5343 Acknowledgement of Firearms Safety Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-11816 |
|
| Ref-11817 |
CF-FSP 5356 Memorandum of Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-11817 |
|
| Ref-11818 |
CF-FSP 5357 Attestation for Foster Home Licensure |
http://flrules.org/Gateway/reference.asp?No=Ref-11818 |
|
| Ref-11819 |
CF-FSP 5397 Foster Home Inspection Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-11819 |
|
| Ref-11820 |
CF-FSP 5403 Application for Certification as a Safe Foster Home or Safe Home |
http://flrules.org/Gateway/reference.asp?No=Ref-11820 |
|
| Ref-11821 |
CF-FSP 5414 Child Placement Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-11821 |
|
| Ref-11822 |
Every Student Succeeds Act |
http://flrules.org/Gateway/reference.asp?No=Ref-11822 |
|
| Ref-11823 |
CF-FSP 5404 Prudent Parenting Partnership Plan for Sexually Exploited Children or Young Adults |
http://flrules.org/Gateway/reference.asp?No=Ref-11823 |
|
| Ref-11890 |
CF-FSP 5223 Case Manager_Case Worker Review of Foster Parent |
http://flrules.org/Gateway/reference.asp?No=Ref-11890 |
|
| Ref-11891 |
CF-FSP 5224 Foster Parent Review of Case Worker_Care Manager |
http://flrules.org/Gateway/reference.asp?No=Ref-11891 |
|
| Ref-11892 |
CF-FSP 5225 Quality of Licensed Caregiver's Home - Community Input |
http://flrules.org/Gateway/reference.asp?No=Ref-11892 |
|
| Ref-11893 |
CF-FSP 5353 Exit Interview about Foster Parents |
http://flrules.org/Gateway/reference.asp?No=Ref-11893 |
|
| Ref-11895 |
CF 613 Application for Certification |
http://flrules.org/Gateway/reference.asp?No=Ref-11895 |
|
| Ref-11919 |
CF-MH 3001 Ex Parte Order for Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-11919 |
|
| Ref-11920 |
CF-MH 3002 Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-11920 |
|
| Ref-11921 |
CF-MH 3045 Notice of Individual’s Admission for Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-11921 |
|
| Ref-11922 |
CF-MH 3052a. Report of Law Enforcement Officer Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-11922 |
|
| Ref-11923 |
CF-MH 3052b. Certificate of Professional Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-11923 |
|
| Ref-11924 |
CF-MH 3101 Hospital Determination That Individual Does Not Meet Involuntary Placement Criteria |
http://flrules.org/Gateway/reference.asp?No=Ref-11924 |
|
| Ref-11925 |
CF-MH 3102 Request for Involuntary Examination after Stabilization of Emergency Medical Condition |
http://flrules.org/Gateway/reference.asp?No=Ref-11925 |
|
| Ref-11928 |
CF-MH 3119 Notification of a Facility's Non-Compliance |
http://flrules.org/Gateway/reference.asp?No=Ref-11928 |
|
| Ref-11929 |
CF-MH 3118 Cover Sheet to Department of Children and Families |
http://flrules.org/Gateway/reference.asp?No=Ref-11929 |
|
| Ref-11993 |
CF-MH 4038 Methodology of Determination of Need |
http://flrules.org/Gateway/reference.asp?No=Ref-11993 |
|
| Ref-11994 |
CF-MH 4040 Methadone Medication Assisted Treatment Application Evaluation |
http://flrules.org/Gateway/reference.asp?No=Ref-11994 |
|
| Ref-11995 |
CF-MH 4041 Application to Proceed to Licensure Application |
http://flrules.org/Gateway/reference.asp?No=Ref-11995 |
|
| Ref-11996 |
CF-SA Form 4024_Application for Licensure to Provide Substance Abuse Services |
http://flrules.org/Gateway/reference.asp?No=Ref-11996 |
|
| Ref-12289 |
CF-FSP 5087 Confidentiality Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-12289 |
|
| Ref-12290 |
CF-FSP 5397 Foster Home Inspection Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-12290 |
|
| Ref-12404 |
Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-12404 |
|
| Ref-12413 |
CF-FS 5327 ADOPTION BENEFITS FOR STATE EMPLOYEES AND OTHER ELIGIBLE APPLICANTS |
http://flrules.org/Gateway/reference.asp?No=Ref-12413 |
|
| Ref-12444 |
Regional iBudget Provider Enrollment Application - WSC |
http://flrules.org/Gateway/reference.asp?No=Ref-12444 |
Form 65G-4.0215 A
|
| Ref-12445 |
Verification of Available Services |
http://flrules.org/Gateway/reference.asp?No=Ref-12445 |
Form 65G-4.0213 B
|
| Ref-12446 |
Provider Expansion Request |
http://flrules.org/Gateway/reference.asp?No=Ref-12446 |
Form 65G-4.0215 C
|
| Ref-12447 |
WSC Job Aid for Cost Plans and Significant Additional Needs Documentation |
http://flrules.org/Gateway/reference.asp?No=Ref-12447 |
Form 65G-4.0213 D
|
| Ref-12459 |
Amount Implementation Meeting Worksheet |
http://flrules.org/Gateway/reference.asp?No=Ref-12459 |
Form 65G-4.0213 A
|
| Ref-12487 |
CF-MH 3124 Personal Safety Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-12487 |
|
| Ref-12504 |
CF-MH 3044 Authorization for Release of Information |
http://flrules.org/Gateway/reference.asp?No=Ref-12504 |
|
| Ref-12505 |
CF-MH 3057F Authorization for Electroconvulsive Treatment for a Resident of a State Mental Health Treatment Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-12505 |
|
| Ref-12506 |
?CF 1630 Informed Consent for Psychotherapeutic Medication |
http://flrules.org/Gateway/reference.asp?No=Ref-12506 |
|
| Ref-12590 |
Regional iBudget Provider Enrollment Application - Non-WSC |
http://flrules.org/Gateway/reference.asp?No=Ref-12590 |
APD Form 65G-4.0215 B
|
| Ref-12650 |
Qualified Organization Application - APD Form 65G-14.002 A |
http://flrules.org/Gateway/reference.asp?No=Ref-12650 |
The application that must be submitted for approval to become a Qualified Organization.
|
| Ref-12651 |
Qualified Organization Medicaid Waiver Services Agreement - APD Form 65G-14.002 B |
http://flrules.org/Gateway/reference.asp?No=Ref-12651 |
The Medicaid Waiver Services Agreement to be signed by APD and each approved Qualified Org...
|
| Ref-12652 |
Invitation to Take Client Satisfaction Survey - APD Form 65G-14.003 A |
http://flrules.org/Gateway/reference.asp?No=Ref-12652 |
An invitation for clients or, if applicable, their legal representative to take a client s...
|
| Ref-12653 |
Support Coordinator Dual Employment MWSA Attachment - APD Form 65G-14.004 A |
http://flrules.org/Gateway/reference.asp?No=Ref-12653 |
Attachment to a Support Coordinator's Medicaid Waiver Services Agreement reflecting an app...
|
| Ref-12654 |
Certification of Mentoring Program Completion - APD Form 65G-14.0043 A |
http://flrules.org/Gateway/reference.asp?No=Ref-12654 |
Certification that a mentee who did not have prior experience working as a support coordin...
|
| Ref-12655 |
Certification of Mentoring Program Completion for Existing WSCs - APD Form 65G-14.0043 B |
http://flrules.org/Gateway/reference.asp?No=Ref-12655 |
Certification that a mentee who had prior experience but less than 12 months' experience w...
|
| Ref-12745 |
Support Coordinator In-Service Training Verification |
http://flrules.org/Gateway/reference.asp?No=Ref-12745 |
|
| Ref-13062 |
Civil Rights Certificate |
http://flrules.org/Gateway/reference.asp?No=Ref-13062 |
|
| Ref-13064 |
Community Residential Homes Determination of Need and Licensing Status |
http://flrules.org/Gateway/reference.asp?No=Ref-13064 |
|
| Ref-13065 |
CF 1786 Community Residential Homes Local Ordinance Certification |
http://flrules.org/Gateway/reference.asp?No=Ref-13065 |
|
| Ref-13066 |
Acknowledgement of Firearms Safety Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-13066 |
|
| Ref-13067 |
CF-FSP 5403 Application for Certification as a Safe Foster Home or Safe House |
http://flrules.org/Gateway/reference.asp?No=Ref-13067 |
|
| Ref-13068 |
License Application for Child-Caring and Child-Placing Agencies |
http://flrules.org/Gateway/reference.asp?No=Ref-13068 |
|
| Ref-13069 |
Partnership Plan for Unaccompanied Alien and Refugee Minor Children |
http://flrules.org/Gateway/reference.asp?No=Ref-13069 |
|
| Ref-13070 |
Age Differential Waiver for Group Care |
http://flrules.org/Gateway/reference.asp?No=Ref-13070 |
|
| Ref-13071 |
Application for Credential as a Qualfied Residential Treatment Program |
http://flrules.org/Gateway/reference.asp?No=Ref-13071 |
|
| Ref-13072 |
Office of Refugee and Resettlement (ORR) UAC Program Policy |
http://flrules.org/Gateway/reference.asp?No=Ref-13072 |
|
| Ref-13073 |
Comprehensive Placement Assessment |
http://flrules.org/Gateway/reference.asp?No=Ref-13073 |
|
| Ref-13075 |
Qualified Residential Treatment Program (QRTP) Extended Placement Request Form |
http://flrules.org/Gateway/reference.asp?No=Ref-13075 |
|
| Ref-13076 |
CF 1649_Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-13076 |
|
| Ref-13092 |
CANS-Trauma-Comprehensive-Manual-3-22-13 |
http://flrules.org/Gateway/reference.asp?No=Ref-13092 |
|
| Ref-13094 |
ACHA Behavioral Health Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-13094 |
|
| Ref-13318 |
APS Screening for Consideration for Community-Based Programs |
http://flrules.org/Gateway/reference.asp?No=Ref-13318 |
|
| Ref-13322 |
CF-FSP 5233 Child Welfare Communication |
http://flrules.org/Gateway/reference.asp?No=Ref-13322 |
|
| Ref-13323 |
CF-FSP 5398 Application for Nonrelative Caregiver Assistance |
http://flrules.org/Gateway/reference.asp?No=Ref-13323 |
|
| Ref-13384 |
CF 1490 Application for Adoption Registry Services |
http://flrules.org/Gateway/reference.asp?No=Ref-13384 |
|
| Ref-13385 |
CF-FSP 5071 Adoption Home Application |
http://flrules.org/Gateway/reference.asp?No=Ref-13385 |
|
| Ref-13386 |
CF-FSP 5072 Memorandum of Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-13386 |
|
| Ref-13388 |
CF-FSP 5328 Disclosure Information to Adoptive Parents |
http://flrules.org/Gateway/reference.asp?No=Ref-13388 |
|
| Ref-13389 |
CF-FSP 5328s Disclosure Information to Adoptive Parents |
http://flrules.org/Gateway/reference.asp?No=Ref-13389 |
|
| Ref-13390 |
CF-FSP 5343 Acknowledgement of Firearms Safety Requirements |
http://flrules.org/Gateway/reference.asp?No=Ref-13390 |
|
| Ref-13391 |
CF-FSP 5451 Intervention Best Interest Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-13391 |
|
| Ref-13407 |
CF-FSP 5077 Maintenance Adoption Subsidy Approval |
http://flrules.org/Gateway/reference.asp?No=Ref-13407 |
|
| Ref-13510 |
DCF Operating Procedure 170-12 |
http://flrules.org/Gateway/reference.asp?No=Ref-13510 |
|
| Ref-13625 |
CF-ES 2202h Adult Family Care Home Referral Notice |
http://flrules.org/Gateway/reference.asp?No=Ref-13625 |
|
| Ref-13626 |
CF-ES 2202s Adult Family Care Home Referral Notice |
http://flrules.org/Gateway/reference.asp?No=Ref-13626 |
|
| Ref-13627 |
CF-ES 2235h Notice of Case Action |
http://flrules.org/Gateway/reference.asp?No=Ref-13627 |
|
| Ref-13628 |
CF-ES 2235s Notice of Case Action |
http://flrules.org/Gateway/reference.asp?No=Ref-13628 |
|
| Ref-13629 |
CF-ES 2505h Appointment of a Designated Representative |
http://flrules.org/Gateway/reference.asp?No=Ref-13629 |
|
| Ref-13630 |
CF-ES 2505s Appointment of a Designated Representative |
http://flrules.org/Gateway/reference.asp?No=Ref-13630 |
|
| Ref-13927 |
Large Family Child Care Home Standards Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-13927 |
Large Family Child Care Home Standards Classification Summary
|
| Ref-13928 |
Family Day Care Home and Large Family Child Care Home Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-13928 |
Family Day Care Home and Large Family Child Care Home Handbook
|
| Ref-13954 |
Child Care Facility Handbook, October 2021 |
http://flrules.org/Gateway/reference.asp?No=Ref-13954 |
|
| Ref-13955 |
School-Age Child Care Facility Handbook, October 2021 |
http://flrules.org/Gateway/reference.asp?No=Ref-13955 |
|
| Ref-13964 |
CF-FSP Form 5316, Child Care Facility Standards Classification Summary, October 2021 |
http://flrules.org/Gateway/reference.asp?No=Ref-13964 |
|
| Ref-13965 |
CF-FSP Form 5427, School-Age Child Care Facility Standards Classification Summary, October 2021 |
http://flrules.org/Gateway/reference.asp?No=Ref-13965 |
|
| Ref-14109 |
CF-FSP 5455 Child Exit Interview |
http://flrules.org/Gateway/reference.asp?No=Ref-14109 |
Incorporated by reference in 65C-28.017
|
| Ref-14119 |
CF-FSP 5453 State Institutional Claims for Damages Recommendation Form |
http://flrules.org/Gateway/reference.asp?No=Ref-14119 |
Incorporated by reference in 65C-28.022.
|
| Ref-14120 |
CF-FSP 5459 Restitution Claim Form |
http://flrules.org/Gateway/reference.asp?No=Ref-14120 |
Incorporated by reference in 65C-28.022.
|
| Ref-14194 |
State Institution Claims Program Form APD Form 65G-15.002A |
http://flrules.org/Gateway/reference.asp?No=Ref-14194 |
APD Form 65G-15.002A
|
| Ref-14521 |
CF-FSP 5462 Education Transition Plan June 2022 |
http://flrules.org/Gateway/reference.asp?No=Ref-14521 |
Incorporated by reference in 65C-28.018.
|
| Ref-14615 |
CF 1649 Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-14615 |
Incorporated in 65H-2.015
|
| Ref-14616 |
CF 831 BIP Certification Application |
http://flrules.org/Gateway/reference.asp?No=Ref-14616 |
|
| Ref-14618 |
CF-MH 4024 Application for Licensing to Provide Substance Abuse Treatment Services |
http://flrules.org/Gateway/reference.asp?No=Ref-14618 |
|
| Ref-14665 |
CF-FSP 5356 Memorandum of Agreement Adoption of Attestation Model for Family Foster Home Licensing |
http://flrules.org/Gateway/reference.asp?No=Ref-14665 |
|
| Ref-14819 |
CF-FSP 5079 Adoption Assistance Agreement Between the Department of Children and Families and Adoptive Parents regarding Subsidy Payments and Services |
http://flrules.org/Gateway/reference.asp?No=Ref-14819 |
Incorporated in 65C-16.013
|
| Ref-14820 |
CF-FSP 5433 Extension of Adoption Assistance Agreement Between the Department of Children and Families, Young Adult and Adoptive Parents Regarding Subsidy Payments and Services |
http://flrules.org/Gateway/reference.asp?No=Ref-14820 |
Incorporated in 65C-16.0131
|
| Ref-14887 |
CF-FSP 5327 Adoption Benefits For State Employees And Other Eligible Applicants |
http://flrules.org/Gateway/reference.asp?No=Ref-14887 |
|
| Ref-14897 |
CF-FSP 5453 State Institutional Claims for Damages Recommendation Form |
http://flrules.org/Gateway/reference.asp?No=Ref-14897 |
|
| Ref-14898 |
CF-FSP 5459 Restitution Claim Form |
http://flrules.org/Gateway/reference.asp?No=Ref-14898 |
|
| Ref-14949 |
APD Form 65G-13.004 A – Individual Financial Profile |
http://flrules.org/Gateway/reference.asp?No=Ref-14949 |
A profile developed by a client of the Agency or a client’s legal representative and the c...
|
| Ref-14958 |
CF-FSP 5466 Placement Transition Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-14958 |
|
| Ref-14960 |
Medical Foster Care Statewide Operational Plan April 2014 |
http://flrules.org/Gateway/reference.asp?No=Ref-14960 |
|
| Ref-14961 |
CF-FSP 5438 Comprehensive Placement Assessment |
http://flrules.org/Gateway/reference.asp?No=Ref-14961 |
|
| Ref-14962 |
CF-FSP 5461 Human Trafficking (HT) MDT Staffing Form |
http://flrules.org/Gateway/reference.asp?No=Ref-14962 |
|
| Ref-14963 |
CF-FSP 5460 Level of Human Trafficking Placement Tool |
http://flrules.org/Gateway/reference.asp?No=Ref-14963 |
|
| Ref-14964 |
CF-FSP 5465 Sibling Placement Assessment Tool |
http://flrules.org/Gateway/reference.asp?No=Ref-14964 |
|
| Ref-14973 |
CF-FSP 5466 Placement Transition Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-14973 |
|
| Ref-14974 |
CF-FSP 5425 My Pathways to Success Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-14974 |
|
| Ref-14976 |
CF-FSP 5382 PESS ETV Application |
http://flrules.org/Gateway/reference.asp?No=Ref-14976 |
|
| Ref-14977 |
CF-FSP 5391 Application for Aftercare Services |
http://flrules.org/Gateway/reference.asp?No=Ref-14977 |
|
| Ref-14978 |
CF-FSP 5400 Aftercare Services Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-14978 |
|
| Ref-14984 |
Regional iBudget Provider Enrollment Application - Non-WSC APD Form 65G-4.0215 B |
http://flrules.org/Gateway/reference.asp?No=Ref-14984 |
|
| Ref-14985 |
Provider Expansion Request APD Form 65G-4.0215 C |
http://flrules.org/Gateway/reference.asp?No=Ref-14985 |
|
| Ref-15203 |
CF 1649 Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-15203 |
|
| Ref-15275 |
CF 1649 Affidavit of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-15275 |
|
| Ref-15340 |
CF-FSP 5398 Application for Nonrelative Caregiver Financial Assistance |
http://flrules.org/Gateway/reference.asp?No=Ref-15340 |
|
| Ref-15472 |
APD Form 65G-13.008 A Room and Board Reimbursement Form |
http://flrules.org/Gateway/reference.asp?No=Ref-15472 |
Form an APD licensed facility must submit to request reimbursement for monthly room and bo...
|
| Ref-15526 |
CF-MH 3040, Application for Voluntary Admission – Adults |
http://flrules.org/Gateway/reference.asp?No=Ref-15526 |
|
| Ref-15527 |
CF-MH 3098, Application for Voluntary Admission – State Treatment Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-15527 |
|
| Ref-15528 |
CF-MH 3104, Certification of Individual’s Competence to Provide Express and Informed Consent |
http://flrules.org/Gateway/reference.asp?No=Ref-15528 |
|
| Ref-15529 |
CF-MH 3097, Application for Voluntary Admission – Minors |
http://flrules.org/Gateway/reference.asp?No=Ref-15529 |
|
| Ref-15530 |
CF-MH 3051a, Notice of Right of Individual on Voluntary Status to Request Discharge from a Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-15530 |
|
| Ref-15531 |
CF-MH 3051b, Notice of Right of Individual on Voluntary Status to Request Discharge from a Treatment Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-15531 |
|
| Ref-15532 |
CF-MH 3099, Certification of Ability to Provide Express and Informed Consent for Voluntary Admission and Treatment of Selected Individuals from Facilities Licensed under Chapter 400, F.S. |
http://flrules.org/Gateway/reference.asp?No=Ref-15532 |
|
| Ref-15533 |
CF-MH 3119, Notification of Non-Compliance with Required Certificate |
http://flrules.org/Gateway/reference.asp?No=Ref-15533 |
|
| Ref-15534 |
CF-MH 3105, Refusal or Revocation of Consent to Treatment |
http://flrules.org/Gateway/reference.asp?No=Ref-15534 |
|
| Ref-15535 |
CF-MH 3032, Petition for Involuntary Inpatient Placement |
http://flrules.org/Gateway/reference.asp?No=Ref-15535 |
|
| Ref-15536 |
CF-MH 3130, Petition for Involuntary Outpatient Placement |
http://flrules.org/Gateway/reference.asp?No=Ref-15536 |
|
| Ref-15765 |
CF-MH 3002, Petition and Affidavit Seeking Ex Parte Order Requiring Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-15765 |
|
| Ref-15766 |
CF-MH 3001, Ex Parte Order for Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-15766 |
|
| Ref-15767 |
CF-MH 3052a, Report of Law Enforcement Officer Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-15767 |
|
| Ref-15768 |
CF-MH 3052b, Certificate of Professional Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-15768 |
|
| Ref-15769 |
CF-MH 3101, Hospital Determination that Individual Does Not Meet Involuntary Placement Criteria |
http://flrules.org/Gateway/reference.asp?No=Ref-15769 |
|
| Ref-15770 |
CF-MH 3102, Request for Involuntary Examination After Stabilization of Emergency Medical Condition |
http://flrules.org/Gateway/reference.asp?No=Ref-15770 |
|
| Ref-15771 |
CF-MH 3118, Baker Act Data Collection Form |
http://flrules.org/Gateway/reference.asp?No=Ref-15771 |
|
| Ref-15772 |
CF-MH 3045, Notice of Individual’s Admission for Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-15772 |
|
| Ref-15787 |
CF-MH 7001 State Mental Health Facility Discharge Form |
http://flrules.org/Gateway/reference.asp?No=Ref-15787 |
|
| Ref-15788 |
CF-MH 7002 Physician to Physician Transfer |
http://flrules.org/Gateway/reference.asp?No=Ref-15788 |
|
| Ref-15789 |
CF-MH 4057, Certificate of Professional for Emergency Assessment for Substance Abuse Services |
http://flrules.org/Gateway/reference.asp?No=Ref-15789 |
|
| Ref-15790 |
CF-MH 4002 Report of Law Enforcement Officer Initiating Protective Custody |
http://flrules.org/Gateway/reference.asp?No=Ref-15790 |
|
| Ref-15791 |
CF-MH 3100 Transportation to Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-15791 |
|
| Ref-15792 |
CF-MH 3111 Approval for Release of Person on Involuntary Status from a Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-15792 |
|
| Ref-15793 |
CF-MH 3038 Notice of Release or Discharge |
http://flrules.org/Gateway/reference.asp?No=Ref-15793 |
|
| Ref-15801 |
CF-MH 3125 Application for Designation as a Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-15801 |
|
| Ref-15927 |
CF-FSP 5406, Human Trafficking Screening Tool Administration Guide |
http://flrules.org/Gateway/reference.asp?No=Ref-15927 |
|
| Ref-16219 |
CF-MH 4024, Application for Licensing to Provide Substance Abuse Treatment Services |
http://flrules.org/Gateway/reference.asp?No=Ref-16219 |
|
| Ref-16454 |
CF-ES 2082 Hardship Extension Review |
http://flrules.org/Gateway/reference.asp?No=Ref-16454 |
|
| Ref-16455 |
CF-ES 2082H (Creole) Hardship Extension Review |
http://flrules.org/Gateway/reference.asp?No=Ref-16455 |
|
| Ref-16456 |
CF-ES 2082S (Spanish) Hardship Extension Review |
http://flrules.org/Gateway/reference.asp?No=Ref-16456 |
|
| Ref-16457 |
CF-ES 2094 Statement of the Need for Care |
http://flrules.org/Gateway/reference.asp?No=Ref-16457 |
|
| Ref-16458 |
CF-ES 2094H (Creole) Statement of the Need for Care |
http://flrules.org/Gateway/reference.asp?No=Ref-16458 |
|
| Ref-16459 |
CF-ES 2094S (Spanish) Statement of the Need for Care |
http://flrules.org/Gateway/reference.asp?No=Ref-16459 |
|
| Ref-16460 |
CF-ES 2305 Relative Caregiver Program Request for Eligibility Consideration |
http://flrules.org/Gateway/reference.asp?No=Ref-16460 |
|
| Ref-16461 |
CF-ES 2305H (Creole) Relative Caregiver Program Request for Eligibility Consideration |
http://flrules.org/Gateway/reference.asp?No=Ref-16461 |
|
| Ref-16462 |
CF-ES 2305S (Spanish) Relative Caregiver Program Request for Eligibility Consideration |
http://flrules.org/Gateway/reference.asp?No=Ref-16462 |
|
| Ref-16463 |
CF-ES 2635H (Creole) Protective Payee Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-16463 |
|
| Ref-16464 |
CF-ES 2635S (Spanish) Protective Payee Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-16464 |
|
| Ref-16546 |
Specialized Therapeutic Services Coverage and Limitations Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-16546 |
|
| Ref-16824 |
CF-FSP 5490 Child-Caring Agency Inspection Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-16824 |
|
| Ref-16892 |
CF-FSP 5463 Master Trust Withdrawal Request and Authorization |
http://flrules.org/Gateway/reference.asp?No=Ref-16892 |
|
| Ref-16893 |
CF-FSP 5222 Notarized Designation of Client Money and Property |
http://flrules.org/Gateway/reference.asp?No=Ref-16893 |
|
| Ref-16894 |
CF 285D Notice of Fee Assessment And Rights of Foster Child |
http://flrules.org/Gateway/reference.asp?No=Ref-16894 |
|
| Ref-16895 |
CF-FSP 5312 Master Trust Expenditure Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-16895 |
|
| Ref-16896 |
CF 285E Application for Review of Assessed Fee and Committee Findings |
http://flrules.org/Gateway/reference.asp?No=Ref-16896 |
|
| Ref-17086 |
CF-MH 4024, Application for Licensing to Provide Substance Abuse Treatment Services |
http://flrules.org/Gateway/reference.asp?No=Ref-17086 |
|
| Ref-17186 |
Application for Services, Form 65G-4.016A |
http://flrules.org/Gateway/reference.asp?No=Ref-17186 |
English and Spanish version of the application. This will also take the place of the previ...
|
| Ref-17366 |
CF-FSP 5440, Guardianship Assistance Payment Approval |
http://flrules.org/Gateway/reference.asp?No=Ref-17366 |
|
| Ref-17367 |
CF-FSP 5437, Guardianship Assistance Agreement Between the Department of Children and Families and Guardians Regarding Payments and Services |
http://flrules.org/Gateway/reference.asp?No=Ref-17367 |
|
| Ref-17368 |
CF-MH 3049, Restriction of Communication or Visitors |
http://flrules.org/Gateway/reference.asp?No=Ref-17368 |
|
| Ref-17369 |
CF-MH 3048, Confidentiality Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-17369 |
|
| Ref-17467 |
License Application, 65G-2.002-A |
http://flrules.org/Gateway/reference.asp?No=Ref-17467 |
License application for providers of residential facilities and adult day training program...
|
| Ref-17803 |
CF-ES 3400 Request for Additional Information |
http://flrules.org/Gateway/reference.asp?No=Ref-17803 |
|
| Ref-17804 |
CF-ES 3414 Disqualification Consent Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-17804 |
|
| Ref-17805 |
CF-ES 3110 Notice of Compromise Decision |
http://flrules.org/Gateway/reference.asp?No=Ref-17805 |
|
| Ref-17806 |
CF-ES 3111 Request for Information to Determine Compromise |
http://flrules.org/Gateway/reference.asp?No=Ref-17806 |
|
| Ref-17807 |
CF-ES 3416 Notice of Treasury Offset |
http://flrules.org/Gateway/reference.asp?No=Ref-17807 |
|
| Ref-17974 |
CF-FSP 1649A Child Care Attestation of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-17974 |
|
| Ref-18068 |
CF-FSP 5079 Adoption Assistance Agreement |
http://flrules.org/Gateway/reference.asp?No=Ref-18068 |
|
| Ref-18069 |
CF-FSP 5493 Adoption Revenue Maximization Eligibility Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-18069 |
|
| Ref-18070 |
CF-FSP 5327 Adoption Benefits For State Employees And Other Eligible Applicants |
http://flrules.org/Gateway/reference.asp?No=Ref-18070 |
|
| Ref-18077 |
Application for Services Form 65G-4.016A, (2024) |
http://flrules.org/Gateway/reference.asp?No=Ref-18077 |
The application is available in English, Spanish, and Haitian Creole.
|
| Ref-18186 |
CF 1956 Application for Adult Safe House Certification |
http://flrules.org/Gateway/reference.asp?No=Ref-18186 |
|
| Ref-18187 |
CF 1958 Adult Safe House Health Inspection Checklist |
http://flrules.org/Gateway/reference.asp?No=Ref-18187 |
|
| Ref-18188 |
CF 1959 Incident Reporting |
http://flrules.org/Gateway/reference.asp?No=Ref-18188 |
|
| Ref-18189 |
CF 1649 Attestation of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-18189 |
|
| Ref-18190 |
CF 1957 Abuse and Neglect Reporting |
http://flrules.org/Gateway/reference.asp?No=Ref-18190 |
|
| Ref-18460 |
CF-MH 4057 Certificate of Professional for Emergency Assessment for Substance Abuse Services |
http://flrules.org/Gateway/reference.asp?No=Ref-18460 |
|
| Ref-18461 |
CF-MH 4002 Report of Law Enforcement Officer Initiating Protective Custody |
http://flrules.org/Gateway/reference.asp?No=Ref-18461 |
|
| Ref-18462 |
CF-MH 3100 Transportation to Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-18462 |
|
| Ref-18473 |
CF 1649 Attestation of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-18473 |
|
| Ref-18474 |
Cf-MH 4024 Application for Licensing to Provide Substance Abuse Treatment Services |
http://flrules.org/Gateway/reference.asp?No=Ref-18474 |
|
| Ref-18568 |
CF-FSP 5494 Adoption or Foster Home Licensing Character Reference |
http://flrules.org/Gateway/reference.asp?No=Ref-18568 |
|
| Ref-18569 |
CF-FSP 5498 Adoption Application Review Committee (AARC) Recommendation Cover Letter |
http://flrules.org/Gateway/reference.asp?No=Ref-18569 |
|
| Ref-18603 |
CF-FSP 5426 Records and Resources Exchanged |
http://flrules.org/Gateway/reference.asp?No=Ref-18603 |
|
| Ref-18604 |
CF-FSP 5425 My Pathway to Success Plan |
http://flrules.org/Gateway/reference.asp?No=Ref-18604 |
|
| Ref-18605 |
CF-FSP 5376 Notice of Extended Foster Care Program Termination |
http://flrules.org/Gateway/reference.asp?No=Ref-18605 |
|
| Ref-18606 |
CF-FSP 5382 Postsecondary Education Services and Support (PESS) and Education and Training Voucher (ETV) Initial, Renewal and Reinstatement Application |
http://flrules.org/Gateway/reference.asp?No=Ref-18606 |
|
| Ref-18607 |
CF-FSP 5024 Application for Aftercare Services (Relative/Non-Relative/Guardianship/Adoption) |
http://flrules.org/Gateway/reference.asp?No=Ref-18607 |
|
| Ref-18612 |
CF-ES 2095 Food Assistance Work Registration Notice |
http://flrules.org/Gateway/reference.asp?No=Ref-18612 |
|
| Ref-18636 |
CF-MH 7001 State Mental Health Treatment Facility Discharge Form |
http://flrules.org/Gateway/reference.asp?No=Ref-18636 |
|
| Ref-18637 |
CF-MH 7002 Physician to Physician Transfer |
http://flrules.org/Gateway/reference.asp?No=Ref-18637 |
|
| Ref-18638 |
CF-MH 7003 Receiving Facility Discharge Information Form |
http://flrules.org/Gateway/reference.asp?No=Ref-18638 |
|
| Ref-18639 |
CF-MH 3040, Application for Voluntary Admission – Adults |
http://flrules.org/Gateway/reference.asp?No=Ref-18639 |
|
| Ref-18640 |
CF-MH 3098, Application for Voluntary Admission – State Treatment Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-18640 |
|
| Ref-18641 |
CF-MH 3104, Certification of Individual’s Competence to Provide Express and Informed Consent |
http://flrules.org/Gateway/reference.asp?No=Ref-18641 |
|
| Ref-18642 |
CF-MH 3097, Application for Voluntary Admission – Minors |
http://flrules.org/Gateway/reference.asp?No=Ref-18642 |
|
| Ref-18643 |
CF-MH 3051a, Notice of Right of Individual on Voluntary Status to Request Discharge from a Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-18643 |
|
| Ref-18644 |
CF-MH 3051b, Notice of Right of Individual on Voluntary Status to Request Discharge from a Treatment Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-18644 |
|
| Ref-18645 |
CF-MH 3099, Certification of Ability to Provide Express and Informed Consent for Voluntary Admission and Treatment from Facilities Licensed under Chapter 400, F.S. |
http://flrules.org/Gateway/reference.asp?No=Ref-18645 |
|
| Ref-18646 |
CF-MH 3105, Refusal or Revocation of Consent to Treatment |
http://flrules.org/Gateway/reference.asp?No=Ref-18646 |
|
| Ref-18647 |
CF-MH 3032, Petition for Involuntary Services |
http://flrules.org/Gateway/reference.asp?No=Ref-18647 |
|
| Ref-18648 |
CF-MH 3106 Petition for Adjudication of Incompetence to Consent to Treatment and Appointment of a Guardian Advocate |
http://flrules.org/Gateway/reference.asp?No=Ref-18648 |
|
| Ref-18649 |
CF-MH 3042a General Authorization for Treatment Except Psychotropic Medications |
http://flrules.org/Gateway/reference.asp?No=Ref-18649 |
|
| Ref-18650 |
CF-MH 3042b Specific Authorization for Psychotropic Medications |
http://flrules.org/Gateway/reference.asp?No=Ref-18650 |
|
| Ref-18651 |
CF-MH 3057 Authorization for Electroconvulsive Treatment |
http://flrules.org/Gateway/reference.asp?No=Ref-18651 |
|
| Ref-18652 |
CF-MH 3107 Order Appointing Guardian Advocate |
http://flrules.org/Gateway/reference.asp?No=Ref-18652 |
|
| Ref-18653 |
CF-MH 3120 Certification of Guardian Advocate Training Completion |
http://flrules.org/Gateway/reference.asp?No=Ref-18653 |
|
| Ref-18654 |
CF-MH 3108 Petition Requesting Court Approval for Guardian Advocate to Consent to Extraordinary Treatment |
http://flrules.org/Gateway/reference.asp?No=Ref-18654 |
|
| Ref-18655 |
CF-MH 3109 Order Authorizing Guardian Advocate to Consent to Extraordinary Treatment |
http://flrules.org/Gateway/reference.asp?No=Ref-18655 |
|
| Ref-18656 |
CF-MH 3121 Notification to Court of Competence to Consent to Treatment and Discharge of Guardian Advocate |
http://flrules.org/Gateway/reference.asp?No=Ref-18656 |
|
| Ref-18657 |
CF-MH 3044 Authorization for Release of Information |
http://flrules.org/Gateway/reference.asp?No=Ref-18657 |
|
| Ref-18658 |
CF-MH 3110 Restriction of Access to Own Record |
http://flrules.org/Gateway/reference.asp?No=Ref-18658 |
|
| Ref-18659 |
CF-MH 3001, Ex Parte Order for Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-18659 |
|
| Ref-18660 |
CF-MH 3052a, Report of Law Enforcement Officer Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-18660 |
|
| Ref-18661 |
CF-MH 3052b, Certificate of Professional Initiating Involuntary Examination |
http://flrules.org/Gateway/reference.asp?No=Ref-18661 |
|
| Ref-18662 |
CF-MH 3111 Approval for Release of Individual on Involuntary Status from a Receiving Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-18662 |
|
| Ref-18915 |
CF-FSP 5327 Adoption Benefits For State Employees And Other Eligible Applicants |
http://flrules.org/Gateway/reference.asp?No=Ref-18915 |
|
| Ref-18937 |
CF 613 Domestic Violence Center Application for Initial Certification |
http://flrules.org/Gateway/reference.asp?No=Ref-18937 |
|
| Ref-18938 |
Child Maltreatment Index CF Operating Procedure No. 170-4 |
http://flrules.org/Gateway/reference.asp?No=Ref-18938 |
|
| Ref-18939 |
CF-FSP 5412 License Application for Child-Caring Agencies |
http://flrules.org/Gateway/reference.asp?No=Ref-18939 |
|
| Ref-18940 |
CF 1786 Community Residential Homes Local Ordinance Certification |
http://flrules.org/Gateway/reference.asp?No=Ref-18940 |
|
| Ref-18941 |
CF 1649 Attestation of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-18941 |
|
| Ref-18942 |
CF-FSP 5226 Partnership Plan for Children in Out-of-Home Care |
http://flrules.org/Gateway/reference.asp?No=Ref-18942 |
|
| Ref-18943 |
CF-FSP 5452 Application for Credential as a Qualified Residential Treatment Program |
http://flrules.org/Gateway/reference.asp?No=Ref-18943 |
|
| Ref-18971 |
License Application Form 65G-2.002-A (December 2025) |
http://flrules.org/Gateway/reference.asp?No=Ref-18971 |
Final. Effective December 2025.
|
| Ref-18972 |
APD Incident Reporting Form OP 3-0006 (December 2025) |
http://flrules.org/Gateway/reference.asp?No=Ref-18972 |
Substantially revised. Effective December 2025.
|
| Ref-18973 |
APD Licensing Disciplinary Chart Form 0041 (December 2025) |
http://flrules.org/Gateway/reference.asp?No=Ref-18973 |
New. Effective December 2025.
|
| Ref-19079 |
Family Day Care Home and Large Family Child Care Home Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-19079 |
|
| Ref-19080 |
CF/PI 175-70 What is Influenza? |
http://flrules.org/Gateway/reference.asp?No=Ref-19080 |
|
| Ref-19081 |
CF/PI 175-12 Distracted Adult |
http://flrules.org/Gateway/reference.asp?No=Ref-19081 |
|
| Ref-19082 |
CF-FSP 5318 Family Day Care Home Standards Classifications Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-19082 |
|
| Ref-19083 |
CF-FSP 5317 Large Family Child Care Home Standards Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-19083 |
|
| Ref-19084 |
School-Age Child Care Facility Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-19084 |
|
| Ref-19085 |
Child Care Facility Handbook |
http://flrules.org/Gateway/reference.asp?No=Ref-19085 |
|
| Ref-19086 |
CF/PI 175-24 Know Your Child Care Facility |
http://flrules.org/Gateway/reference.asp?No=Ref-19086 |
|
| Ref-19087 |
CF-FSP 5429 Meal Pattern for Children |
http://flrules.org/Gateway/reference.asp?No=Ref-19087 |
|
| Ref-19088 |
CF-FSP 5428 Meal Pattern for Infants |
http://flrules.org/Gateway/reference.asp?No=Ref-19088 |
|
| Ref-19089 |
CF-FSP 5316 Child Care Facility Standards Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-19089 |
|
| Ref-19090 |
CF-FSP 5427 School-Age Child Care Facility Standards Classification Summary |
http://flrules.org/Gateway/reference.asp?No=Ref-19090 |
|
| Ref-19162 |
APD Form 65G-7.003 A, Medication Administration Trainer Application Form |
http://flrules.org/Gateway/reference.asp?No=Ref-19162 |
APD Form 65G-7.003 A, effective March 2026.
|
| Ref-19163 |
APD Form 65G-7.0035 A, Validation Trainer Application Form |
http://flrules.org/Gateway/reference.asp?No=Ref-19163 |
APD Form 65G-7.0035 A, effective March 2026
|
| Ref-19165 |
APD Form 65G-7.004 C, Certificate of Completion for Insulin Administration Annual Update |
http://flrules.org/Gateway/reference.asp?No=Ref-19165 |
APD Form 65G-7.004 C, effective March 2026
|
| Ref-19166 |
Form 65G-7.004 C, Temporary Validation Form |
http://flrules.org/Gateway/reference.asp?No=Ref-19166 |
APD Form 65G-7.004 C, effective March 2026
|
| Ref-19172 |
APD Form 65G-7.008, Insulin Administration Log |
http://flrules.org/Gateway/reference.asp?No=Ref-19172 |
Incorporated by reference in Rule 65G-7.008, effective March 2026
|
| Ref-19174 |
APD Form 65G-7.003 E, Insulin Administration Certificate of Completion |
http://flrules.org/Gateway/reference.asp?No=Ref-19174 |
APD Form 65G-7.003 E, effective March 2026
|
| Ref-19175 |
Form 65G-7.0035 C, Insulin Administration Validation Certificate |
http://flrules.org/Gateway/reference.asp?No=Ref-19175 |
APD Form 65G-7.0035 C, effective March 2026
|
| Ref-19467 |
CF-FSP 5135 Master License Application for Child-Placing Agencies |
http://flrules.org/Gateway/reference.asp?No=Ref-19467 |
|
| Ref-19468 |
CF-FSP 5218 Affidavit of Compliance |
http://flrules.org/Gateway/reference.asp?No=Ref-19468 |
|
| Ref-19469 |
CF 1959 Incident Reporting |
http://flrules.org/Gateway/reference.asp?No=Ref-19469 |
|
| Ref-19470 |
CF 1649 Attestation of Good Moral Character |
http://flrules.org/Gateway/reference.asp?No=Ref-19470 |
|