ACT / ABC Forms

Click on one of the links below for the document that you may require. (The documents below are in MS Word or Adobe Acrobat). Download Adobe Acrobat Readerhere.

 

A

 Application Forms

 

  

B

 Background-Check Release Form

 

  

 

  

C

 Consent for Release of Information

 

 Consent for Transportation

 

 Consent Forms

 

 Consent Forms (ALL)

 

 Consumer Confidentiality

 

 Consumer Confidentiality (Spanish)

 

 Consumer Grievance

 

 Consumer Grievance (Spanish)

 

 Consumer Rights (Spanish)

 

  

 

  

D

 DCJC Probation Department Contacts

 

 DCJC Referral Form 10-2010

 

 Direct Deposit

 

  

E

 Employment Application

 

 Employment Eligibility (Immigration) I-9

 

  

F

  

 

  

G

 G-4 - State Tax Withholding

 

  

H

  

 

  

I

 Immigration (I-9)

 

  

J

  

 

  

K

  

 

  

L

 Letterhead (ACT/ABC)

 

  

M

 Meeting Log

 

  

N

  

 

  

O

 Order for Services

 

  

P

  

 

  

Q

  

 

  

R

 Referral Form

 

 Release of Information

 

 

S

 School Observation Form

 

 Summary of Consumer Rights in Community Mental Health

 

 Supervision Log

 

  

 

  

T

 Tax Withholding - FW-4 (Federal)

 

 Tax Withholding - G-4 (State)

 

 Tax Exempt - 1099

 

  

U

  

 

  

V

  

 

  

W

  

 

  

X

  

 

  

Y

  
   

 

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