Commitment Forms

• Coversheet for Commitment to IDJC Custody
• Check-Off Sheet for Committed Juveniles
• Custody Review Board Referral and Eligibility Form
• Persons to be Notified List
• Parental Release of Information and Consent
• Parental Release of Information and Consent – Spanish
• Release of Information and Consent 18 yoa
• Release of Information and Consent 18 yoa- Spanish

Contracted Residential Treatment Provider Forms

• Contract Provider Incident Report Form
• Contract Provider Juvenile Check-out Form
• IDJC PREA Incident Supplemental Information Report
• Case Management Form – Service Implementation Plan
• Case Management Form – Progress Report
• Relapse Prevention Plan
• Relapse Prevention Plan-Spanish
• Parent-Guardian Supervised Community Pass Form
• Contract Provider Off Site Medical Services Request Form

Other

• Request for Public Records
• Request and Authorization to Release Juvenile Records
• Consent for Use and Release of Health Information
• Non-IDJC Employee Travel and Expense Reimbursement Request

Community Reintegration & Clinical Service Providers

• Community Reintegration Services Provider Application
• Community Reintegration Services Juvenile Contact Log
• Community Reintegration Services Monthly Summary/Progress Report
• Licensed External Clinical Services Provider Certification
• W-9 (IRS.gov)
• W-9 with Direct Deposit (SCO.Idaho.gov)

Interstate Compact for Juveniles Forms

• ICJ FORM III – Consent for Voluntary Return of Out of State Juvenile 2021
• ICJ FORM IV – Parole or Probation Investigation Request 2021
• ICJ FORM V – Notification from Sending State to Receiving State 2021
• ICJ FORM VI – Application for Services and Waiver 2021
• ICJ FORM VII – Travel Permit 2021
• ICJ FORM VIII – Home Evaluation Report 2021
• ICJ FORM IX – Quarterly Progress Report 2021
• ICJ FORM IX – Violation Report 2021
• ICJ FORM IX – Absconder Report 2021
• ICJ FORM X – Case Closure Notification 2021
• ID ICJ – UNITY Data form