Forms & Publications

  • Know Your Rights Brochure
    English | ASL Translation
  • Customer or Companion Communication Assessment and Auxiliary Aid and Service Record
    The purpose of the Customer Companion Communication Assessment and Auxiliary Aid and Service Record is to facilitate the collection and coordination of auxiliary aids and services provided to Customers or Companions who are deaf or hard-of-hearing.
    English | Haitian/Creole | Spanish - ASL Translation
  • Customer or Companion Request for Free Communication Assistance or Waiver of Free Communication Assistance
    The Florida Department of Children and Families and its contracted client services Providers are required to provide FREE interpreters or other communication assistance for persons who are deaf or hard-of-hearing. This form helps to identify your communication preferences.
    English | Haitian/Creole | Spanish | ASL Translation
  • Policy for Filing Complaints by Reason of Disability
    This chapter establishes uniform procedures for customers and potential customers or companions to file complaints of discrimination against the Department by reason of a disability.
    English | Haitian/Creole | Spanish - ASL Translation
  • For Suspected Violation of Civil Rights
    Use the forms below to file a complaint involving allegations of discrimination with the Department of Children and Families Office of Civil Rights.
    CF 0010A Discrimination Complaint - Title VI
    CF 0010B Discrimination Complaint - Title VI (SNAP) | Spanish
  • 504 Fact Sheet
    This fact sheet provides an overview of your rights under Section 504 of the Rehabilitation Act.
    English | Haitian/Creole | Spanish - ASL Translation
  • Americans with Disabilities Act Fact Sheet
    This fact sheet provides an overview of your rights under the Americans with Disabilities Act.
    English | Haitian/Creole | Spanish - ASL Translation
  • Summary of DCF Notice of Privacy Policy and Management and Protection of Personal Health Information
    This operating procedure establishes a uniform process for disseminating privacy standards and policies required by the Health Insurance Portability and Accountability Act (HIPAA) regulations within the Department of Children and Families.
    English | Haitian/Creole | Spanish - ASL Translation
  • Auxiliary Aid Service Record Monthly Summary Report
    This document provides instructions for capturing the information needed to verify the number of Customers and Companions served each month who may require auxiliary aids and services, because they are deaf or hard-of-hearing, as well as those who are deaf or hard-of-hearing low vision or blind, and deaf or hard-of-hearing and limited English proficient.
  • Customer / Companion Feedback Form
    The Department of Children and Families values your opinion and requests that you complete this short survey to assist us in evaluating and improving our services.
    English | Haitian/Creole | Spanish -  ASL Translation