Exhibit 4- CSO-3408 Youth Advocacy Specialist Referral.pdf

The document is a Youth Advocacy Specialist (YAS) Referral form from the Arizona Department of Child Safety (DCS), specifically the Independent Living program. The form is designed to be used internally by DCS specialists to refer young adults to youth services, with a standard document number DCS-3408 and dated February 2023.

The referral form captures key information about a young adult, including personal details, contact information, placement type, and priority areas of interest such as building positive connections, Extended Foster Care support, grievances, or peer support. The form provides a mechanism for DCS specialists to explain how the Youth Advocacy Specialist service will support the young adult, with referrals to be sent electronically to youthservices@azdcs.gov. The form is structured to facilitate the transition and support of young adults in the child welfare system, focusing on independent living services and advocacy.