CFS 912, Referral Form for Life Skills/Financial Literacy Education Completed Form Examples and Samples
Explore practical examples and samples of the CFS 912 Referral Form for Life Skills/Financial Literacy Education. Learn how to accurately complete this DCFS form with our detailed guides and automated processing templates.
Automated Processing of the CFS 912 Referral Form for Life Skills Education
How this form was filled:
This example demonstrates how an AI model can parse a caseworker's narrative case memo to extract necessary details for the CFS 912 Referral Form. Instead of manual data entry, the AI intelligently maps unstructured text into specific fields required for Life Skills program eligibility, including document verification and youth profile management.
Source document used: Caseworker Case Narrative Memo
Subject: Referral for Marcus Thorne - Life Skills Program Date: May 12, 2026 I am writing to initiate the referral for Marcus Thorne, DOB 09/14/2007 (Age 18), for the Life Skills program. Marcus is currently residing at 442 Oak Street, Chicago, IL 60614, in Cook County. He can be reached via email at [email protected], his home phone is 312-555-0198, and his cell is 312-555-0921. For emergency contacts, please reach out to his foster parent, Sarah Miller, at 882 Pine Avenue, Chicago, IL 60614, phone 312-555-4433. Regarding documentation, I have attached the full packet: the completed CFS 912, the current SACWIS service plan face sheet, his Integrated Assessment, the scored Casey Life Skills Assessment, and a signed CFS 600-3. Marcus does not have any physical disabilities, but he identifies as a visual learner. He is generally available for afternoon sessions on Tuesdays and Thursdays after 3:00 PM. I am the assigned worker, James P. Henderson (R/S/F: 4421-B), located at the DCFS District 1 Office, 123 Main St, Chicago, IL 60601. You can contact me at 312-555-7788 or by fax at 312-555-7799; my supervisor is Linda Garcia (312-555-2244). My email is [email protected]. Marcus has been doing well, though he occasionally struggles with anxiety. There are no immediate safety-related concerns. For transportation, he utilizes the CTA bus system and will require a monthly transit pass provided through our office budget to attend classes. His DCFS ID is 9988776655.
Information used to fill out the document:
- Youth Information: Marcus Thorne, DOB 09/14/2007, Age 18, ID 9988776655
- Worker Details: James P. Henderson, [email protected], District 1 Office
- Referral Type: Life Skills Education (Youth aged 14-21)
- Document Status: All required packets including CFS 600-3 and Casey Assessment included
- Contact Info: Sarah Miller, Foster Parent, 312-555-4433
- Availability & Style: Tues/Thurs after 3:00 PM, Visual learner
What this filled form sample shows:
- Automatic extraction of demographic data from unstructured narrative text
- Conditional logic processing for document checklists (e.g., verifying life skills documents)
- Telephone number string parsing into separate component fields
- Identification of learning styles and physical disability statuses from prose descriptions
Form specifications and details:
| FormName: | CFS 912 Referral Form |
| Purpose: | Life Skills and Financial Literacy Education |
| Authority: | Illinois DCFS |
| TargetAudience: | Youth in foster care or managed placement |
| Categories: | education forms, financial forms, LITE forms, referral forms |
| Created: | May 25, 2026 11:16 PM |