Form Cfs 2275 PDF Details

The DCF-F (CFS-2275) form, a critical document within the jurisdiction of the Department of Children and Families State of Wisconsin's Division of Safety and Permanence, serves a foundational role in maintaining the integrity and security of the eWiSACWIS system—a digital repository designed to support child welfare and protection efforts. By mandating a signed agreement from all employees, subcontractors, or other individuals under the authority of either a Custodial Agency or an Accessing Agency, the form effectively ensures that every user acknowledges and commits to adhere to the governing policies, laws, and regulations relevant to the access and handling of sensitive information within eWiSACWIS. This agreement underscores the importance of having a legitimate, work-related justification for viewing or modifying records, thereby safeguarding the privacy and security of the data contained within the system. In addition to affirming comprehension and acceptance of the eWiSACWIS Agency Agreement and the Department of Children and Families' policies on data access, signatories also verify their understanding of the legal frameworks that influence their access privileges and the re-disclosure of information. With provisions for maintaining records of data access events, the form acts as a tool for enforcing accountability among users, ensuring that each individual's interaction with eWiSACWIS is properly documented, thereby bolstering the system's role in promoting the welfare and permanence of children under the agency's care.

QuestionAnswer
Form NameForm Cfs 2275
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names2008, dcf form 2275, eWiSACWIS, Agency1

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DEPARTMENT OF CHILDREN AND FAMILIES

STATE OF WISCONSIN

Division of Safety and Permanence

 

DCF-F (CFS-2275) (R. 12/2008)

 

eWiSACWIS USER AGREEMENT

All employees, subcontractors, or other individuals under the control of a Custodial Agency1 or an Accessing Agency2 with a eWiSACWIS Agency Agreement who will have access to eWiSACWIS shall sign the following Agreement:

I hereby certify that I have read and understand the eWiSACWIS Agency Agreement and the Department of Children and Families "Access to eWiSACWIS and Information Contained in eWiSACWIS" Policy. I

also certify that I am aware of the laws and regulations affecting my access to information and my ability to re-disclose any information maintained in eWiSACWIS.

I acknowledge my responsibilities under the above-noted Agreement, Policy, and laws and regulations and agree to abide by them. I understand that programs within eWiSACWIS may maintain a record of any files or other information I may access.

I acknowledge that I must have a valid, work-related reason to access or review any record or part of a record within eWiSACWIS.

Name – eWiSACWIS User (Type or Print)

Title

SIGNATURE – eWiSACWIS User

Date Signed (mm/dd/yyyy)

1"Custodial Agency" means an agency which enters information into eWiSACWIS on behalf of clients it is serving. In virtually all cases, this will be the Department of Children and Families or a County Department of Human / Social Services.

2"Accessing Agency" means an agency, other than the Department of Children and Families or a County Department of Human / Social Services, which, through an "Agency Agreement on Access to eWiSACWIS," has direct access to eWiSACWIS for the purpose of viewing, adding, deleting, or modifying information on that system.

Distribution: For County / Department staff, the original shall be maintained by the supervisor and a copy provided to the employee.

For Accessing Agencies, the original shall be maintained by the supervisor and copies provided to the employee and the Custodial Agency.

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