Mississippi Administrative Code › Title 18 - HUMAN SERVICES › Part 6 - Division of Family and Children's Services › Chapter 1 - DFCS Policy Manual › Section 18-6-1-C - Prevention/Protection & In-Home Services Policy › Section 18-6-1-C-III - Appendix › Appendix 18-6-1-C-III-A - NOTICE OF PARENT/GUARDIAN'S RIGHTS PREVENTION/PROTECTION

Current through June 25, 2024
Form DFCS 516
Revised 02/2011
You have rights and responsibilities while you are
						involved with the Division of Family and Children's Services (DFCS) and have an
						open case. The normal hours of operation for the DFCS are 8:00 a.m. until 5:00
						p.m. Monday through Friday, excluding state holidays. In case of emergencies,
						contact may be made after hours, weekends, and/or on state holidays at
						1-800-222-8000.
YOU HAVE THE RIGHT TO:
1. Participate in decisions affecting your family.
2. Identify and discuss your family's strengths and
						areas needing improvement with your worker to develop your Individual Service
						Plan.
3. Have office phone numbers and office addresses for
						your worker and your worker's supervisor.
4. Participate in any court hearings held in your case.
5. Refuse any service or treatment recommended by DFCS
						unless court ordered.
6. Know when services are about to end.
7. Have your Native American (Indian) ancestry
						recognized and respected. We will tell the Bureau of Indian Affairs about our
						involvement with your family and follow the tribe's decisions for handling your
						case.
8. Be treated with dignity and respect and receive
						services without regard to age, race, color, creed, religion, national origin,
						sex, disability, or political affiliation.
_______ / _______
__________
Client(s) initials
Worker
						initials
YOU HAVE THE RESPONSIBILITY
						TO:
1. Provide full names, dates of birth, social security
						numbers for household members and other necessary information requested by your
						worker.
2. Cooperate with your worker and participate in service
						decisions.
3. Complete your Individual Service Plan
.
This
may include
paying for the cost or part of the cost of a
						task.
4. Ask for and be a part of all Family Team Meetings.
5. Give to your worker the names, phone numbers, and
						addresses of your relatives who may be able to care for your child if
						necessary.
6. Give your worker all requested medical and
						educational information about your child.
_______ / _______
__________
Client(s) initials
Worker
						initials
CONFIDENTIALITY:
Your family's information is confidential and private.
						We will not disclose any information without your written permission or by
						order of the court. However, information may be shared with law enforcement or
						the Office of the District Attorney without your written permission. We may
						contact other people to assess the safety of your child.
Confidentiality laws additionally limit the information
						we can share with you. We are not able to name the reporter in any
						investigation, tell you what anyone else said, or give you a copy of any
						investigation.
_______ / _______
__________
Client(s) initials
Worker
						initials
The court of your county has the authority
						to modify any of the statements above.
Client(s): ____ / ____
Date:
						____
Worker:
_________________