Online DJJ Referral Form

Welcome to the DJJ Referral form. Case Managers, Probation Officers, Directors, & Managers can use this form to refer youth for NPS services. Please complete the fields below and select Submit. The information is submitted to a secure location and you will be contacted if additional information is necessary. Most referrals require signed consent forms that can be submitted via fax or email. In order to download the consent forms, please click this button.