DCS Forms

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Download Number Form Name Effective Date
PDF icon Download (76.41 KB) CSO-1559 Life Safety Inspection Waiver Request / New Construction 01/01/2019
PDF icon Download (82.25 KB) CSO-1228A Life-Safety Inspection Request 01/01/2019
File Download (27.2 KB) CSO-1329A Permission For Transfer of Record 02/01/2019
File Download (32.72 KB) CSO-1897 Medication Log 04/01/2019
PDF icon Download (63.97 KB) CSO-2009 Request for Zoning Authority Clearance 04/01/2019
PDF icon Download (110.47 KB) CSO-1989 Excess Capacity Request (General) 05/01/2019
PDF icon Download (105.42 KB) CSO-1264A Overcapacity Request 05/01/2019
File Download (27.06 KB) CSO-2044 Child Welfare Direct Care Staff Physician's Statement 06/01/2019
File Download (77.78 KB) CSO-1719 Initial Application Worksheet (For residential group care licensed under AAC title 6 chapter 5 article 74) 07/01/2019
PDF icon Download (63.32 KB) CSO-2141 Safe Sleep Commitment Form 07/01/2019

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