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Residential Services


Forms

The Department's Forms Library lists all official Department forms as well as some informational documents and links to other departments' forms that may be needed by DJJ employees.  If a form listed is associated with a DJJ policy or procedure a link to that policy/procedure is provided. 

Specific questions about the form or a related policy/procedure should be directed to staff in the office with ownership of the policy listed below.  If you have trouble accessing the documents you can contact the Department's Forms Coordinator for assistance.


Form Policy Form Number Effective Date Subject Office
Commitment Transfer Packet Checklist
JJ/IS Form 20
02/01/2020
Residential Services Residential Services
Controlled Observation Report
PDF
Form RS 001
02/01/2020
Residential Services Residential Services
Controlled Observation Safety Checks
Form RS 002
02/01/2020
Residential Services Residential Services
Facility Security Audit and Safety Inspection
03/04/2019
Residential Services Residential Services
Home Visit Plan Approval
Form RS 004
02/01/2020
Residential Services Residential Services
Home Visit Plan/Notification
PDF
Form RS 003
02/01/2020
Residential Services Residential Services
Impact of Crime Attendance Sheet
02/01/2020
Residential Services Residential Services
Impact of Crime Facilitator Checklist
09/14/2016
Residential Services Residential Services
Impact of Crime Fidelity Checklist
02/01/2020
Residential Services Residential Services
Jimmy Ryce Act
DJJ/BCS Form 23
02/01/2020
Residential Services Residential Services
Notification of Escape
Form RS 005
02/01/2020
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Notification of Release
Form RS 011
02/01/2020
Residential Services Residential Services
Notification of Transfer Staffing
PDF
Form RS 006
02/01/2020
Residential Services Residential Services
PREA 1919 - Exhibit A - VSAB Form
PDF
1919
Exhibit A
10/15/2015
PREA Residential Services
PREA 1919 - Exhibit B - Acknowledgement Form
PDF
1919
Exhibit B
02/24/2014
PREA Residential Services
Pre-Release Notification and Acknowledgement
Form RS 008
09/23/2020
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Request for Transfer
Form RS 010
02/01/2020
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Request Notification When Youth Ready for Release
PDF
Form RS 009
09/01/2006
Residential Services Residential Services
Residential Assessment for Youth
PDF
09/10/2019
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Youth Attendance Sheet Impact of Crime
PDF
07/30/2012
Training Residential Services
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