DCFS D-CIPP Quarterly/Annual Progress Report Instructions

Enter the full legal name of the agency.

Provide the primary telephone number for the agency.

Provide the complete street address of the agency, including city, state, and zip code.

Please enter the name of the youth and their DCFS identification number.

Please provide the reason why the D-CIPP was missed for this youth. Fill only if 'Youth Name and DCFS ID' is filled and a D-CIPP was missed for the youth.

Please describe the agency's corrective action plan to ensure that transition planning is taking place for this youth. Fill only if 'Reason for Missed D-CIPP' is filled, as a corrective action is required for a missed D-CIPP.

Provide the full name of the staff member certified by the DCFS Office of Training.

Enter the date when the training was completed. Fill only if 'Certified Staff Name' is not empty.

Please provide the full name of the fourth staff member certified by the DCFS Office of Training.

Please provide the date when the training was completed for the fourth staff member. Fill only if 'Fourth Staff Name' is not empty.

Enter the number of D-CIPPs completed by 19-year-olds in the 1st Quarter (July 1 - September 30).

Enter the number of D-CIPPs completed by 19-year-olds in the 2nd Quarter (October 1 - December 31).

Enter the number of D-CIPPs completed by 19-year-olds in the 3rd Quarter (January 1 - March 31).

Enter the number of D-CIPPs completed by 19-year-olds in the 4th Quarter (April 1 - June 30).

Enter the total number of D-CIPPs completed by 19-year-olds for the entire year.

Enter the number of D-CIPPs completed for individuals aged 20.75 years during the 1st Quarter (July 1st - September 30th).

Enter the number of D-CIPPs completed for individuals aged 20.75 years during the 2nd Quarter (October 1st - December 31st).

Enter the number of D-CIPPs completed for individuals aged 20.75 years during the 3rd Quarter (January 1st - March 31st).

Enter the number of D-CIPPs completed for individuals aged 20.75 years during the 4th Quarter (April 1st - June 30th).

Enter the total number of D-CIPPs completed for individuals aged 20.75 years for the entire year.

Enter the total number of D-CIPPs scheduled for the 1st quarter (July 1st - September 30th).

Enter the total number of D-CIPPs scheduled for the 2nd quarter (October 1st - December 31st).

Enter the total number of D-CIPPs scheduled for the 3rd quarter (January 1st - March 31st).

Enter the total number of D-CIPPs scheduled for the 4th quarter (April 1st - June 30th).

Enter the year-end total number of D-CIPPs scheduled.

Enter the number of missed 19-year-old D-CIPPs for the 1st Quarter (July 1st to September 30th).

Enter the number of missed 19-year-old D-CIPPs for the 2nd Quarter (October 1st to December 31st).

Enter the number of missed 19-year-old D-CIPPs for the 3rd Quarter (January 1st to March 31st).

Enter the number of missed 19-year-old D-CIPPs for the 4th Quarter (April 1st to June 30th).

Enter the total number of missed 19-year-old D-CIPPs for the entire year.

Provide the number of missed D-CIPPs for youth aged 20.75 years during the 1st Quarter (July 1st to September 30th).

Provide the number of missed D-CIPPs for youth aged 20.75 years during the 2nd Quarter (October 1st to December 31st).

Provide the number of missed D-CIPPs for youth aged 20.75 years during the 3rd Quarter (January 1st to March 31st).

Provide the number of missed D-CIPPs for youth aged 20.75 years during the 4th Quarter (April 1st to June 30th).

Provide the total number of missed D-CIPPs for youth aged 20.75 years for the entire year.

Please enter the full printed name of the person submitting this report.

Please enter the job title of the person submitting this report. Fill only if 'Submitter's Printed Name' is not empty.

Provide the name of the youth and their DCFS ID.

Explain the reason why the D-CIPP was missed. Fill only if 'Youth Name and DCFS ID' is filled and a D-CIPP was missed for the youth.

Describe the agency's corrective action plan to assure transition planning is occurring. Fill only if 'Reason for Missed D-CIPP' is filled, as a corrective action is required for a missed D-CIPP.

Enter the full name of the staff member who has been certified by the DCFS Office of Training.

Provide the date when this staff member completed their training. Fill only if 'Certified Staff Name' is not empty.

Enter the name of the youth and their DCFS identification number.

Explain the reason why the D-CIPP was missed for this youth. Fill only if 'Youth Name & DCFS ID' is filled and a D-CIPP was missed for the youth.

Provide the agency's corrective action plan to ensure transition planning is occurring. Fill only if 'Reason for Missed D-CIPP' is filled, as a corrective action is required for a missed D-CIPP.

Please provide the full name of the third staff member certified by the DCFS Office of Training.

Please provide the date when the training was completed for the third certified staff member. Fill only if 'Third Staff Name' is not empty.

Enter the name of the youth and their DCFS ID for financial literacy completion tracking.

Indicate the completion status of financial literacy for the youth during the 1st Quarter. Fill only if 'Youth Name & DCFS ID' is not empty.

Indicate the completion status of financial literacy for the youth during the 2nd Quarter. Fill only if 'Youth Name & DCFS ID' is not empty.

Indicate the completion status of financial literacy for the youth during the 3rd Quarter. Fill only if 'Youth Name & DCFS ID' is not empty.

Indicate the completion status of financial literacy for the youth during the 4th Quarter. Fill only if 'Youth Name & DCFS ID' is not empty.