Referral Form

INSTRUCTION SHEET

1. Complete the three sections of the ALS Child Registration Form using the most current information.
2. Provide a detailed child summary that lists specific examples of the child’s strengths and needs.
3. Obtain your supervisor’s signature on page 5.
4. Fill out the CFS 600-3 (Rev. 7/2015) using the example provided as a guide. Note that two consents may be required: one for video listing and one for photo listing. Forward the completed form to the DCFS Guardianship Administrator for approval and
   signature. Please obtain the minor’s signature if he/she is 12 years of age or older.
5. Include a current professional or high-quality photo of the child if parental rights are terminated. Please do not fax photos, as this degrades the image quality. Child photos should be mailed or emailed only, not faxed.
6. The completed ALS child registration form can be submitted to the appropriate Child-Centered Recruitment Specialist via:
   Email: DCFS.AdoptionListingServicesInquiryUnit@illinois.gov
   Fax: (312) 268-6314 ATTN: ALS SUPERVISOR
7. If you have questions regarding this form, or if you require support regarding the listing process, please contact us at 1-800-572-2390 or 773-728-7800 and ask to speak to a
   child centered recruitment specialist.
8. Please submit completed forms to DCFS – Adoption Listing Service & Inquiry Unit (ALS) using any of the following:
   a) Email: DCFS.AdoptionListingServicesInquiryUnit@illinois.gov
   b) Fax: (312) 268-6314 ATTN: ALS SUPERVISOR