Welcome to the new DJJ Website!
Find out how to use the new site.

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 Cklist
JJ/IS Form 20
09/01/2006
Residential Rule Residential Services
Controlled Observation Report
PDF
Form RS 001
06/01/2008
Residential Rule Residential Services
Controlled Observation Safety Checks
Form RS 002
06/01/2008
Residential Rule Residential Services
Home Visit Plan Approval
Form RS 004
09/01/2006
Residential Rule Residential Services
Home Visit Plan Notification
PDF
Form RS 003
09/01/2006
Residential Rule Residential Services
Jimmy Ryce Act
DJJ/BCS Form 23
02/01/2005
Residential Rule Residential Services
Notificaiton Transfer Staffing
PDF
Form RS 006
09/01/2006
Residential Rule Residential Services
Notification Escape
Form RS 005
09/01/2006
Residential Rule Residential Services
Notification of Release
Form RS 011
09/01/2006
Residential Rule Residential Services
Performance Summary
Form RS 007
09/01/2006
Residential Rule Residential Services
Pre Release Form
Form RS 008
09/01/2006
Residential Rule 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
Request for Transfer
Form RS 010
09/01/2006
Residential Rule Residential Services
Request Notication When Youth Ready for Release
PDF
Form RS 009
09/01/2006
Residential Rule Residential Services
RPACT
Form RS 012
09/01/2009
Residential Rule Residential Services
YNAS
Form RS 013
05/01/2010
Residential Rule Residential Services
Youth Attendance Sheet Impact of Crime
PDF
07/30/2012
Training Residential Services