Get Cfs 507 Resource Referral Form - State Of Illinois - State Il

The CFS 507 Resource Referral Form is an essential document for users seeking to request various services through the Illinois Department of Children and Family Services. This guide will provide you with a step-by-step approach to effectively filling out the form online, ensuring you include all necessary information.

Follow the steps to complete the form online accurately.

1. To obtain the form, press the ‘Get Form’ button to access it in your preferred editor.
2. Begin by filling in the caseworker's details, including their name, phone number, and fax number. This information helps identify the case primary contact.
3. Next, specify the requested provider’s name and contract number, along with the provider's address and phone number.
4. Select the appropriate service type from the provided options. Ensure to check only one box that reflects the service being requested.
5. Indicate if the service is court-ordered by selecting 'Yes' or 'No.' If it is court-ordered, attach the relevant court order.
6. Fill in the client name (head of household) and their address, along with the DCFS Open CYCIS Family ID number.
7. Choose the referral type: initial referral, revision, or extension/continuation, and enter the maximum total number of hours/units requested per month.
8. Provide the requested start date, anticipated stop date (not exceeding six months), and anticipated date of DCFS case closing.
9. Complete the referred client's information, including their CYCIS ID number, Medicaid number, address, and contact details.
10. List any other individuals who will be involved, providing a brief explanation or description of their roles.
11. Document any visitation requests by answering the set questions, including visit frequency, distance to visit site, and any extraordinary time or mileage involved.
12. Describe in detail the service(s) to be provided and the specific problem areas these services will address.
13. Include any documentation attached to the referral, such as medical, legal, or assessment documents.
14. Have the assigned caseworker and their supervisor sign and date the form. Collect any necessary service/payment authorization signatures.
15. Once all sections are completed, save all changes made to the form. You can download, print, or share the form as needed.

Complete your documents online to ensure a smooth and efficient process.