Welcome to the Circuit 10 Resources Page

Information found here is specific to Circuit 10 users for your convenience and easy navigation.  Below you will find access links to specific information for Polk, Hardee and Highlands Counties including various forms, tools, community resources, contacts, and community links. 

*If prompted to input username/password simply close box and form will open.


Recently Added Central Region Training:

Safety Plan: Establishing Expectations and Accountability (6/2013)

Engaging Resistant Parents (6/2013)

Introduction with the Parents (3/2014)

Planning with Families (3/2014)

Pre-Commencement Activities (3/2014)

Circuit 10 Key Contacts


David Stoops
Operations Manager, Circuit 10
200 N. Kentucky Avenue
Lakeland, FL 33801
863-578-1751
Fax: 863-499-2236

Julia Hermelbracht
Community Development Administrator
Central Circuit 10 Administrator
1055 Highway 17 North
Bartow, FL 33830
863-534-7100
Fax: 863-534-0209


Renee Morgan
Program Administrator (Polk County Central)
1055 Highway 17 North
Bartow, FL 33830
Office: 863-578-1751
Fax: 863-534-0669

Ryan Duke
Family Services Specialist
1055 Highway 17 North
Bartow, FL 33830
Office: 863-578-1722
Fax: 863-534-0669

Tammy Tomlinson
Program Administrator (Polk County West)
200 N. Kentucky Avenue, 3rd Floor
Lakeland, FL 33801
Office: 863-797-1288
Fax: 863-499-2236

David Beumel
Program Administrator (Polk County East, Highlands and Hardee Counties)
710 State Road 60 West
Lake Wales, FL 33853
863-589-0411
Fax: 863-679-4846


CBC Lead Agency Administration
Heartland For Children
Terri Saunders,CEO
P.O. Box 1017
1239 East Main St.
Bartow, FL 33831
863-519-8900 Ext. 200


Circuit 10 Forms

New Investigators
CSA Training Example (How To guide)
Drug Court Information
Exemption Notice
Findings Shortcut Template
Interview Guide - Collaterals
Interview Guide - Quality, Strategic, and Motivational Questions
Interview Guide - Reporter
Maltreatments Index (June 2010)
Special Conditions and Institutionals Guide
Legal and Judicial Cases
CBHA Referral
CLS Staffing Form
Diligent Search Request Form
DV Court Case - Preliminary Report to DV Court (Fax # 534-4112)
Emergency Intake Form
Firearms Safety Acknowledgement-for home study (Mar'10)
Home Study (April 2013)
In Home Form
Intent to File (In Home Acknowledgement Form)
Legal Notice of New Report
Placement Request Form
Plea Agreement
Removal Checklist
Witness List
Staffings
ESI Staffing Cover Sheet
Institutionals
Daycare - Childcare Notifications Checklist
DJJ Notifications Checklist
Foster Homes & Foster Care Referral Notifications Checklist
School and Bus Notifications Checklist
Referrals
Blank Referral Form
CINS - FINS Referral
Counseling - Peace River Center Referral
Counseling - Sweet Center Referral
Counseling - Using Heartland For Children Referral
Daycare Cover Page
Daycare Referrals (Nov 2012)
Drug Screen Referral
DV and Anger Management Referral
DV Batterers Intervention Program (BIP) Referral
Early Steps Referral
FIS Referral
FIT Referral
Healthy Start Referral
Mustard Seed Furniture Referral
Parenting Referral - FAST Parenting
SAO Referral
Tri-County Release of Information
Community Resources and Services
Florida Housing Search Information
Food Banks
Food/Financial/Clothing/Housing Providers
General Circuit 10 Resource Directory
Medical Resources for the Uninsured and Underinsured
Parenting Class Resource
Polk County Provider List
Quick Guide to Hardee Community Services
Quick Guide to Highlands Community Services
Quick Guide to Polk Community Services
Other
Call Outs Request
Closure Letter
CPI - CPIS Closure Checklist
CPT Exception
DCF Letterhead
Doctor Questionnaire
Flex Funds Request
HIPAA
ICWA
Local LE Criminal History Request
Mileage Log
Non-Judicial In Home Services (Diversion)
Release of Records - Adults
Release of Records - Children
Rights and Responsibilities Brochure
Safe Sleeping Survey
Safety Plan
Water Safety Survey
Yellow Jacket
Additional Circuit 10 Contacts and Information

CPI Contact List
Polk County - EAST CPI Phone List
Polk County - WEST CPI Phone List
County to County Contacts
Central Region CBC Lead Agency Operations, Adoptions and Program Contacts
Local Services
Includes contacts for DJJ, Children's Legal Services, Courtesy Supervision, and others
Local Services directory for all counties in Florida
 
Automated Community Connection to Economic Self-Sufficiency (ACCESS)
ACCESS Benefits Application
Direct link to application for Food Stamps, Medicaid, and Temporary
ACCESS Community Partner Listing
Search for Community Access site in your area
ACCESS Florida Home Page
General information and links for the ACCESS program
Disaster Preparedness - Emergency Management Plan
Disaster Preparedness Plan- Heartland for Children
 
Community Prevention Plan
Community Prevention Plan (2010-2015)
School Information
Hardee County School Schedule
Highlands County School Schedule
Polk County School Schedule
Polk County School Contact List