ࡱ>  a @ tbjbj5*5* >W@W@vQ)%8C,BDTt\rrrM6H73$RWMMWWrr===Wrr=W==߭? rI mv"ï0"DDKKxWW=WWWWWVe'eMichigan Department of Human ServicesFC Case #: FORMTEXT      FC Case Name: FORMTEXT      FOSTER CARECourt ID #: FORMTEXT      Child Assessment ofDHS FC Worker Load #: FORMTEXT      Needs and StrengthsDHS FC Worker Name: FORMTEXT      DOB: FORMTEXT      Children Ages 4  9 YearsPOS Agency Name: FORMTEXT      POS Agency Worker Name: FORMTEXT      Date Completed: FORMTEXT      Check One FORMCHECKBOX Initial Service Plan FORMCHECKBOX Updated Service PlanInstructions: Rate the child according to the current level of functioning. Explanation of scored items must be contained in the ISP or USP under the Child Needs and Strengths Assessment section. All situational concerns and priority needs and strengths must be addressed on the current Parent-Agency Treatment Plan and Service Agreement. . U S (unable to score) may only be scored for a child at the Initial Service Plan. Strengths are defined as any domain scored with a positive number. Scores of 0 reflect appropriate behavior and/or functioning with the specified domain. Items scored as 0 may, but do not to, be considered a strength.C1.Medical/PhysicalWas there prenatal drug/alcohol exposure? Y N U/K FORMDROPDOWN a. Good health +5b. Adequate health 0c. Situational concern -2d. Impaired health -3e. Severely impaired health -5f. Unable to score US FORMDROPDOWN  FORMTEXT      C2.Mental Health and Well-Beinga. Healthy emotional behavior/coping skills +5b. Appropriate emotional behavior/coping skills 0c. Situational concern -2d. Limited emotional behavior/coping skills -3e. Severely limited emotional behavior/coping skills -5f. Unable to score US FORMDROPDOWN  FORMTEXT      C3.Child Developmenta. Advanced development +5b. Age-appropriate development 0c. Situational concern -2d. Limited development -3e. Severely limited development -5f. Unable to score US FORMDROPDOWN  FORMTEXT      C4.Family and Kin/Fictive Kin Relationships/Attachmentsa. Nurturing/supportive relationships/attachments +5b. Appropriate relationships/attachments 0c. Situational concern -2d. Limited relationships/attachments -3e. Severely limited or no relationships/attachments -5f. Unable to score US FORMDROPDOWN  FORMTEXT      C5.EducationDoes child have a special education plan? Y N FORMDROPDOWN Does child need an assessment for special education/early intervention? Y N FORMDROPDOWN a. Exceptional academic achievement +4b. Adequate achievement 0c. Situational concern -1d. Minor difficulty -2e. Major/chronic difficulty -4f. Unable to score US FORMDROPDOWN  FORMTEXT      C6.Substance Use (Substances include alcohol, tobacco, and other drugs)a. No substance use +1b. Past experimentation 0c. Situational concern -1d. Current substance use -2e. Frequent substance use -4f. Unable to score US FORMDROPDOWN  FORMTEXT      C7.Sexual BehaviorHas child been sexually abused? Y N U/K FORMDROPDOWN Does child demonstrate sexually inappropriate behavior? Y N U/K FORMDROPDOWN a. Healthy sexual adjustment/responsible behavior +1b. Appropriate sexual adjustment/behavior 0c. Situational concern -1d. Compromised sexual adjustment/behavior -2e. Severely compromised sexual adjustment/reckless behavior -4f. Unable to score US FORMDROPDOWN  FORMTEXT      C8.Peer/Adult Social Relationships (Non-Family)a. Strong social relationships +3b. Adequate social relationships 0c. Situational concern -1d. Limited social relationships -2e. Severely limited social relationships -3f. Unable to score US FORMDROPDOWN  FORMTEXT      C9.Cultural/Community Identitya. Strong cultural/community identity +3b. Adequate cultural/community identity 0c. Situational concern -1d. Limited cultural/community identity -2e. Disconnected from cultural/community identity -3f. Unable to score US FORMDROPDOWN  FORMTEXT      PRIORITY NEEDS AND STRENGTHS:Based on this assessment, identify below up to three priority needs and strengths of the child (indicate item code and title), if three needs have been scored. Priority needs are the top three domains with a negative number and priority strengths may be the domains that score 0 or a positive number. Address all situational concerns and priority items in the Individual Child Activities and Foster Parent/Relative sections of the Parent Agency Treatment Plan and Service Agreement. If a child has an identified need or situational concern in Medical/Physical, Mental Health and Well-Being and/or Education, it must be addressed with services regardless of priority. ASSESSMENT DOMAINSAREAS TO ADDRESS ON ISP/USPC1 Medical/Physical HealthPriority Strengths: (list priority strength areas a and b responses):1. FORMDROPDOWN C2 Mental Health and Well-Being2. FORMDROPDOWN C3 Child Development3. FORMDROPDOWN C4 Family and Kin/Fictive Kin Relationships/AttachmentsPriority Needs: (list priority need areas d and e responses)1. FORMDROPDOWN C5 Education2. FORMDROPDOWN C6 Substance Use3. FORMDROPDOWN C7 Sexual BehaviorC8 Peer/Adult Social RelationshipsSituational Concerns: (list all areas assessed as situational concerns c responses)1. FORMDROPDOWN C9 Cultural/Community Identity2. FORMDROPDOWN 3. FORMDROPDOWN Department of Human Services (DHS) will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, height, weight, marital status, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.AUTHORITY: P.A. 280 of 1939. RESPONSE: Voluntary. PENALTY: None MICHIGAN DEPARTMENT OF HUMAN SERVICES CHILD ASSESSMENT OF NEEDS AND STRENGTHS FOR CHILDREN 4 9 YEARS DEFINITIONS C1. Medical/Physical Health Was there prenatal drug/alcohol exposure? Answer yes, no, or unknown. a. Good health. Child has no known health care needs; child receives routine preventive and medical/dental/vision care, immunizations, health screenings, and hygiene care. If child resided in a high risk environment for lead exposure, the child has received a lead exposure screening. b. Adequate health. Child has no unmet health care needs or has minor health problems (ex. allergy shots/medications, etc.) that can be addressed with routine intervention; age-appropriate immunizations and annual medical exams and required health screenings are current. c. Situational concern. Child has a special condition(s)/health concern(s) (ex. lice, cold/flu, ear infections, bone fracture, etc.) that may require temporary (anticipated not to exceed 90 days) medical treatment (ex. follow-up with medical personnel, administering of prescription or over-the-counter medications, etc.); and/or child has not received required immunizations or health screenings (including lead exposure if child resided in a high risk environment for lead exposure). d. Impaired health. Child has a medical condition(s) that may impair daily functioning (ex. fragile asthmatic, eczema, allergies, etc.) and requires ongoing interventions. This may include effects of prenatal drug exposure and/or effects of lead exposure. e. Severely impaired health. Child has a serious, chronic, or acute health condition(s) (ex., diabetes, cerebral palsy, pronounced effects of lead exposure, etc.) that severely impairs functioning and requires ongoing intervention(s). C2. Mental Health and Well-Being a. Healthy emotional behavior/coping skills. Child consistently exhibits an age-appropriate range of emotional behaviors; child displays strong age-appropriate coping skills in dealing with disappointment, anger, grief, stress, and daily challenges in home, school, and community; child is also able to identify the need for, seeks, and accepts guidance; child has a positive and hopeful attitude and readily adjusts to new situations. b. Appropriate emotional behavior/coping skills. Child generally exhibits an age-appropriate range of emotional behaviors. Child displays developmentally appropriate emotional coping responses that do not, or minimally interfere with, school, family, or community functioning. Child has age-appropriate ability to cope with a range of emotions and social environments. Child has ability to adjust to new situations. c. Situational concern. Child may demonstrate some symptoms reflecting situational sadness, anxiety, aggression, or withdrawal. Maintains situationally-appropriate emotional control. This does not include short-term, adverse reactions to parental visitation, but could include response to initial placement or re-placement (ex. temper tantrums, nightmares, loss of appetite, bedwetting, etc.). d. Limited emotional behavior/coping skills. Child has some difficulty dealing with daily stresses, crises, or problems which interfere with family, school, and/or community functioning. Problems may include, but are not limited to, withdrawal from social interaction, flat affect, changes in sleeping or eating patterns, increased aggression, unusually low frustration/tolerance, etc. Severely limited emotional behavior/coping skills. Child has consistent difficulty in dealing with daily stresses, crises, or problems which severely impair family, school, and/or community functioning. Child may have diagnosed psychiatric disturbance and may demonstrate severe behavior such as fire setting, suicidal behavior, violence toward people and/or animals, self mutilation, etc. Child frequently threatens to run away from placement. C3. Child Development For this item, base assessment on developmental milestones as described in the Stages of Development Table of the Foster Care Manual (CFF 722-8B STAGES OF DEVELOPMENT TABLE). a. Advanced development. Childs development is above chronological age level. Child meets all physical, language/communication, and cognitive developmental milestones. b. Age-appropriate development. Childs development is consistent with chronological age level. Child meets most physical, language/communication, and cognitive developmental milestones. c. Situational concern. Child has a situational concern in physical, language/communication, and/or cognitive development as the result of an experience which causes an interruption in progress toward developmental milestone achievement. d. Limited development. Child has some delays in meeting physical, language/communication, and/or cognitive developmental milestones. Some services and intervention required. e. Severely limited development. Child has severe delays in meeting physical, language/communication, and/or cognitive developmental milestones. Formalized services and structured intervention required. C4. Family and Kin/Fictive Kin Relationships/Attachments Score the childs interaction with his/her family (those individuals the child is related to or views as family). For children in placement, base assessment on visits and other contact such as telephone contact or letters. a. Nurturing/supportive relationships/attachments. Child has positive interactions with and exhibits strong attachments to family, kin, fictive kin, and/or caregiver. Child has sense of belonging with family. b. Appropriate relationships/attachments. Child has positive interactions with and exhibits appropriate attachments to family, kin, fictive kin, and/or caregiver despite some minor conflicts. c. Situational concern. Child experiences temporary strain in interaction with family members. Child may be temporarily angry with the family and/or lacks desire for family interaction (ex. visitation, telephone contact, threatens truancy if visit occurs, refuses to participate in family therapy, etc.). d. Limited relationships/attachments. Child does not have positive interactions with family, does not exhibit appropriate attachments to family, kin, fictive kin, and/or caregiver. Child does not have a sense of belonging with family. e. Severely limited or no relationships/attachments. Child has no interactions or has non-supportive, destructive interactions with family, and exhibits negative attachments to family, kin, fictive kin, and/or caregiver. C5. Education Does the child have a special education plan? Answer yes or no. Does the child need assessment for special education/early intervention? Answer yes or no. a. Exceptional academic achievement. Child is working above grade level and/or is exceeding the expectations of the childs specific educational plan. If child is not of mandatory school age, and is not attending school, the childs cognitive functioning exceeds developmental milestones. b. Adequate achievement. Child is working at grade level and/or is meeting expectations of the childs specific educational plan. If the child is not of mandatory school age, and is not attending school, the child meets most cognitive developmental milestones; or if there are early intervention needs, the child is participating in early intervention services and is meeting or exceeding the goals/expectations of the early intervention plan. c. Situational concern. Child may demonstrate some school difficulties (ex., decreased concentration in the classroom, acting-out behavior, regression in academic performance, etc.) that appear temporary in nature. d. Minor difficulty. Child is working below grade level in at least one, but not more than half of subject areas, indicating that the current educational plan may need modification. The child may be exhibiting minor truancy or school behavioral problems. If the child is not of mandatory school age, and is not attending school, the child has minor cognitive developmental delays and/or is not meeting some of the goals of the early intervention plan. e. Major/chronic difficulty. Child is working below grade level in more than half of subject areas and/or is not meeting the goals of the existing educational plan, indicating that the current plan needs modification, or the child needs a specific educational plan and does not have one in place. Score this item for a child who is legally required to attend school and is not attending, or who has been expelled/excluded from school. If the child is not of mandatory school age, and is not attending school, the child has severe cognitive developmental delays and/or is not meeting any of the goals of the early intervention plan. C6. Substance Use (Substances include alcohol, tobacco, and other drugs) a. No substance use. Child does not use alcohol, drugs, or other substances and is age-appropriately aware of consequences of use. Child is not in peer relationships/social activities involving alcohol and/or other drugs and/or chooses not to use despite peer-pressured opportunities to use. No demonstrated history or current problems related to substance use. b. Past experience. Child may have past experience with alcohol and/or other drugs but there is no indication of sustained use. c. Situational concern. Child may have an isolated incident or experience with alcohol, tobacco, or other drugs that is not recurring. d. Current substance use. Childs alcohol and/or other drug use has resulted in problematic behavior at home, school, and/or in the community. Use may include multiple drugs. Child may be involved in peer relationships/social activities involving alcohol, drugs, and other substances. e. Frequent substance use. Childs frequent alcohol, drug, or other substance usage results in severe behavior disturbances at home, school, and/or in the community. Child may require medical intervention to detoxify. C7. Sexual Behavior Has child been sexually abused? Answer yes, no, or unknown. Does child demonstrate sexually inappropriate behavior? Answer yes, no, or unknown. Examples may include, but are not limited to, a child who engages in persistent self-stimulation, chronically acts-out toward others children in sexually inappropriate ways, or engages in sexual contact with others. a. Healthy sexual adjustment/responsible behavior. Child displays no signs or history of sexual abuse or exploitation. Child exhibits developmentally appropriate sexual awareness and interest. b. Appropriate sexual adjustment/behavior. Child does not show any indications of their past sexual abuse and responds to treatment/intervention. Child may participate in age-appropriate sexual behavior or may show age-appropriate interest in sexuality. c. Situational concern. Child has begun to exhibit heightened interest/awareness of sexuality that may be a response to a change in situation or incident, such as inappropriate touching and/or comments/language. d. Compromised sexual adjustment/behavior. 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Child exhibits extreme sexualized behaviors which may include frequent masturbation, persistent sexually acting out behaviors toward others, etc. C8. Peer/Adult Social Relationships (Non-Family) a. Strong social relationships. Child routinely interacts with social groups having positive support and influence, models responsible behavior, participates in constructive age-appropriate activities. Child is actively engaged with a positive support network that is comprised of at least one supportive, caring non-family adult. Child displays age-appropriate solutions to social conflict. b. Adequate social relationships. Child frequently interacts with social groups having positive support and influence; child displays age-appropriate social behavior; frequently participates in positive age-appropriate activities. Child engages with a positive support network. Child frequently displays age-appropriate solutions to social conflict. c. Situational concern. Child has a situational concern with peer/adult relationships as the result of an experience (ex. a new school, change of placement, relationship loss, etc.) that may require additional support. d. Limited social relationships. Child has limited peer/social relationships and limited adult support. Child demonstrates inconsistent social skills. Child has limited positive interactions with others and demonstrates limited ability to resolve conflicts. Child occasionally engages in high risk behavior/activities. e. Severely limited social relationships. Child has severely limited and/or negative peer social relationships, has minimal or lacks non-family adult support, is isolated and lacks access to a support network. Child is unable to resolve social conflict. Child chronically engages in high risk behaviors/activities. C9. Cultural/Community Identity a. Strong cultural/community identity. Child relates positively to his/her cultural, ethnic, and/or religious heritage. Child identifies with and participates in cultural and community heritage, beliefs, and practices. Child expresses age-appropriate inquiries about his/her cultural/community identity. b. Adequate cultural/community identity. Child relates to his/her cultural, ethnic, and/or religious heritage. Child has a developing sense of identity with his/her cultural and community heritage. Child expresses an age-appropriate awareness of his/her cultural/community identity. c. Situational concern. Child has a situational concern related to the development of a positive cultural/community identity, which causes an interruption in progress toward achievement of such an identity. d. Limited cultural/community identity. Child has some conflict with his/her cultural, ethnic, and/or religious heritage. Childs sense of identity with his/her cultural and community heritage is limited. Child does not express an age-appropriate awareness of his/her cultural identity. e. Disconnected from cultural/community identity. Child lacks a sense of identity with his/her cultural and community heritage, or has a sense of identity but his/her understanding of it results in negative self-concept, distorted perceptions about identity, and/or impaired social functioning. DHS-434 (Rev. 3-06) MSWord  PAGE 1 hhNjklmoo"oTprqDrestt  !r|)$  `d7$8$H$^``a$$ 8Hd7$8$H$a$$ 0^`0a$$ 0d7$8$H$^`0a$$ d7$8$H$a$ttttt "$&BDFHJfhjlnˬraP!jzwhzqCJOJQJU!jwhzqCJOJQJU!jvhzqCJOJQJU!jWvhzqCJOJQJUhzqCJOJQJjhzqCJOJQJUhzq!jthzqCJOJQJUhzqCJOJQJjhzqCJOJQJU!h @hB* CJOJQJphfhQ1h_5h_50JCJOJQJ*ttttt$Hl؄$Hp 4\$  `d7$8$H$^``a$.00PBP/ =!"#$%=DFCCaseNoEnter Foster Care Case Number CaseInfo.MAIN$$If!vh552 5;#v#v2 #v;:V l+ 552 5;/ / / / /  / 4D FCCaseNameEnter Foster Care Worker's Name$$If!vh552 5;#v#v2 #v;:V l+ 552 5;/  / / /  / 4DCourtNoEnter Court ID Number$$If!vh552 5;#v#v2 #v;:V l+ 552 5;/  / / /  / 4DFCWorkerLoadNO$Enter Foster Care Worker Load Number$$If!vh552 5;#v#v2 #v;:V l+ 552 5;/ / / / /  / 4D FCWorkerNameEnter Foster Care Worker Name$$If!vh552 5;#v#v2 #v;:V l+ 552 5;/ / / / /  / 4DDOBEnter Court ID Number$$If!vh552 5;#v#v2 #v;:V l+ 552 5;/ / / / /  / 4DPOSAEnter POS agency name.$$If!vh552 5;#v#v2 #v;:V l+ ,552 5;/ / / / /  / 4DPOSWEnter POS agency worker name.$$If!vh552 5;#v#v2 #v;:V l+ ,552 5;/ / / / /  / 4w$$If!vh55 5d #v#v #vd :V l+ 55 5d 4D DateCompleted=Enter the Date (Example: 4/12/1997) assessment was completed.DeCheck2&Check if this is an initial assessment Check1.MAINDeCheck1!Check if this is a re-assessment.$$If!vh55@5Z5$555q #v#v@#vZ#v$#v#v#vq :V l4+ ,55@5Z5$555q / 4f4$$If!vh5 5 55 #v #v #v#v :V lt+ ,5 5 55 4Y$$If!vh5+#v+:V l+ 5+/ 4K$$If!vh5+#v+:V l+ 5+4Q$$If!vh5+#v+:V lh+ ,5+4}$$If!vh55 5#v#v #v:V l4+55 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4Df Dropdown1 YNU/KU S$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC1. Emotional Behavior/Coping Skills - Select appropriate scoring level for Child 1 +50-2-3-5US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4tDText1m$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC1. Emotional Behavior/Coping Skills - Select appropriate scoring level for Child 1 +50-2-3-5US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC1. Emotional Behavior/Coping Skills - Select appropriate scoring level for Child 1 +50-2-3-5US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC1. Emotional Behavior/Coping Skills - Select appropriate scoring level for Child 1 +50-2-3-5US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4Df YNU/KU S$$If!vh55(5 5t5{#v#v(#v #vt#v{:V l4+ ,55(5 5t5{4f4Df YNU/KU S$$If!vh55(5 5t5{#v#v(#v #vt#v{:V l4+ ++++,55(5 5t5{/ 4f4$$If!vh55(5 5t5{#v#v(#v #vt#v{:V l4+ ++++55(5 5t5{/ 4f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +40-1-2-4US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4_+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +10-1-2-4US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4Df YNU/KU S$$If!vh55(5 5b5#v#v(#v #vb#v:V l4+ ,55(5 5b54f4Df YNU/KU S$$If!vh55(5 5b5#v#v(#v #vb#v:V l4+ ,55(5 5b5/ 4f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +10-1-2-4US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +30-1-2-3US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ ,55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4$$If!vh55(5 5#v#v(#v #v:V l4+ ,55(5 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +30-1-2-3US$$If!vh55(5 5n5#v#v(#v #vn#v:V l4+ 55(5 5n5/ 4f4jDm$$If!vh55")#v#v"):V l4+ ,55")4f4$$If!vh55(5 5#v#v(#v #v:V l4+ 55(5 54f4W$$If!vh5*#v*:V l4+%,5*4f4W$$If!vh5*#v*:V l4+%,5*4f4$$If!vh5@5P5`#v@#vP#v`:V l4++5@5P5`/ 4f4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~54f4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~5/ 4f4Dfneeds130Select first child s third ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+,5 5h 5P55~5/ 4f4$$If!vh5 5h 5P55G#v #vh #vP#v#vG:V l+<5 5h 5P55G4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~5/ 4f4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~5/ 4f4.Df strength125Select first child s second ranked primary strength.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~5/ 4f4$$If!vh5 5h 5P55v55v55 v5 5 w5 5 v5 5#v #vh #vP#v#vv#v#vv#v#v v#v #v w#v #v v#v #v:V l+<5 5h 5P55v55v55 v5 5 w5 5 v5 54kdZf$$IflNl $, ( #%$&'s* h Pvvvwv+<<<<<4 laDf strength13,Select up to three strengths for each child.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~54f4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~5/ 4f4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9$$If!vh5 5h 5P55~5#v #vh #vP#v#v~#v:V l4+<+5 5h 5P55~5/ 4f4$$If!vh5 5h 5P55v55v55 v5 5 w5 5 v5 5#v #vh #vP#v#vv#v#vv#v#v v#v #v w#v #v v#v #v:V l+<5 5h 5P55v55v55 v5 5 w5 5 v5 54kdp$$IflNl $, ( #%$&'s* h Pvvvwv+<<<<<4 la$$If!vh5t5(#vt#v(:V l`0+5t5(/ 4Df Dropdown20 "6GWj  Emotional StabilityParenting SkillsSubstance AbuseDomestic RelationsSocial Support System"Communication/Interpersonal SkillsLiteracyIntellectual Capacity EmploymentPhysical He<8@8 Normal_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List <&< Footnote Reference4@4 Header  !4 @4 Footer  !.)@!. 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D}1'z1'1'\F'1'1'@'1'1'qB'1='1'<'1'1'G>Rdk>xMEP 0@VßE " 0LSN12 PB@oXPjAttribute VB_Name = "LSN12" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk<xMEP 0@VßE " 0LSN13 PB@oXPjAttribute VB_Name = "LSN13" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkBxMEP 0@VßE " 0LSN14 PB@oXPjAttribute VB_Name = "LSN14" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk@xMELSN15 [LSN16  jLSN21 yLSN22  P 0@VßE " 0LSN15 PB@oXPjAttribute VB_Name = "LSN15" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkFxMEP 0@VßE " 0LSN16 PB@oXPjAttribute VB_Name = "LSN16" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkDxMEP 0@VßE " 0LSN21 PB@oXPjAttribute VB_Name = "LSN21" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkJxMEP 0@VßE " 0LSN22 PB@oXPjAttribute VB_Name = "LSN22" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkHLSN23 LSN24 LSN25 LSN26 xMEP 0@VßE " 0LSN23 PB@oXPjAttribute VB_Name = "LSN23" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkNxMEP 0@VßE " 0LSN24 PB@oXPjAttribute VB_Name = "LSN24" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkLxMEP 0@VßE " 0LSN25 PB@oXPjAttribute VB_Name = "LSN25" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkRxMEP 0@VßE " 0LSN26 PB@oXPjAttribute VB_Name = "LSN26" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkPxMELSN31 LSN32 LSN33 LSN34 P 0@VßE " 0LSN31 PB@oXPjAttribute VB_Name = "LSN31" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkVxMEP 0@VßE " 0LSN32 PB@oXPjAttribute VB_Name = "LSN32" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkTxMEP 0@VßE " 0LSN33 PB@oXPjAttribute VB_Name = "LSN33" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx       !"#$%&'()*+,./0123456789:;=>?@ABCDEFGHIJLMNOPQRSTUVWXY[\]^_`abcdefghjklmnopqrstuvwyz{|}~dkZxMEP 0@VßE " 0LSN34 PB@oXPjAttribute VB_Name = "LSN34" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkXLSN35 LSN36 LSN41 -LSN42 <xMEP 0@VßE " 0LSN35 PB@oXPjAttribute VB_Name = "LSN35" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk^xMEP 0@VßE " 0LSN36 PB@oXPjAttribute VB_Name = "LSN36" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk\xMEP 0@VßE " 0LSN41 PB@oXPjAttribute VB_Name = "LSN41" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkbxMEP 0@VßE " 0LSN42 PB@oXPjAttribute VB_Name = "LSN42" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk`xMELSN43 KLSN44 ZLSN45 iLSN46 #xP 0@VßE " 0LSN43 PB@oXPjAttribute VB_Name = "LSN43" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkfxMEP 0@VßE " 0LSN44 PB@oXPjAttribute VB_Name = "LSN44" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkdxMEP 0@VßE " 0LSN45 PB@oXPjAttribute VB_Name = "LSN45" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkjxMEP 0@VßE " 0LSN46 PB@oXPjAttribute VB_Name = "LSN46" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkhLSN51 LSN52  "LSN53 LSN54 !%xMEP 0@VßE " 0LSN51 PB@oXPjAttribute VB_Name = "LSN51" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dknxMEP 0@VßE " 0LSN52 PB@oXPjAttribute VB_Name = "LSN52" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dklxMEP 0@VßE " 0LSN53 PB@oXPjAttribute VB_Name = "LSN53" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkrxMEP 0@VßE " 0LSN54 PB@oXPjAttribute VB_Name = "LSN54" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkpxMELSN55 LSN56 $&LSN61 LSN62 7P 0@VßE " 0LSN55 PB@oXPjAttribute VB_Name = "LSN55" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkvxMEP 0@VßE " 0LSN56 PB@oXPjAttribute VB_Name = "LSN56" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dktxMEP 0@VßE " 0LSN61 PB@oXPjAttribute VB_Name = "LSN61" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkzxMEP 0@VßE " 0LSN62 PB@oXPjAttribute VB_Name = "LSN62" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkxLSN63 LSN64 (*LSN65 LSN66 )-,      !"#$%&'()*+-./0123456789:<=>?@ABCDEFGHIKLMNOPQRSTUVWXZ[\]^_`abcdefghijlmnopqrstuvwxyz{|}~xMEP 0@VßE " 0LSN63 PB@oXPjAttribute VB_Name = "LSN63" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk~xMEP 0@VßE " 0LSN64 PB@oXPjAttribute VB_Name = "LSN64" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk|xMEP 0@VßE " 0LSN65 PB@oXPjAttribute VB_Name = "LSN65" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk洂xMEP 0@VßE " 0LSN66 PB@oXPjAttribute VB_Name = "LSN66" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk洀xMECheck1;Check2,.JMyInfoC3AddRows+3YyP 0@VßE " 0Check1 PB@oXPkAttribute VB_Name = "Check1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=Endz dk洆xMEP 0@VßE " 0Check2 PB@oXPkAttribute VB_Name = "Check2" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=Endz 洊xME @p     #/ !"$,%&'()*+-J.0Y12K456789:;<=>?@ABCDEFGHIXLMNOPQRSTUVWZam[\]^_`bjcdefghikslnopqrt|uvwxyz{}~'洄xME @`Enter Personal 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PB@d#2 Name: PB@d;2 Title: PB@dR< Office: PB@dkU Address: PB@d City-ST-Zip: PB@d7 Phone: PB@d>% FAX: PB@dCO-DI-SEC-UN-WKR: PB@dK 6Enter the following information about your supervisor. PB@d2 Name: PB@d 2 Title: PB@d X PB@"X PB@" PB@]xF P!!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoName MYINFO.ini P%R (UserInfoTitle MYINFO.ini P%R (UserInfoAreaCode MYINFO.ini P%R (UserInfoPhone MYINFO.ini P%R (UserInfoYourExt MYINFO.ini P%R (UserInfoFaxAC MYINFO.ini P%R (UserInfoFax MYINFO.ini P%R (UserInfoOffice MYINFO.ini P%R (UserInfoAddress MYINFO.ini P%R (UserInfoCity MYINFO.ini P%R (UserInfoState MYINFO.ini P%R (UserInfoZip MYINFO.ini P%R (UserInfoCO MYINFO.ini P%R (UserInfoDI MYINFO.ini P%R (UserInfoSEC MYINFO.ini P%R (UserInfoUN MYINFO.ini P%R (UserInfoWKR MYINFO.ini P%R (UserInfo Boss Name MYINFO.ini P%R (UserInfo Boss Title MYINFO.ini P%R (,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  P!%'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoName ! MYINFO.ini PB@8UserInfoTitle ! MYINFO.ini PB@8UserInfoAreaCode ! MYINFO.ini PB@8UserInfoPhone ! MYINFO.ini PB@8UserInfoYourExt ! MYINFO.ini PB@8UserInfoFaxAC ! MYINFO.ini PB@8UserInfoFax ! MYINFO.ini PB@8UserInfoOffice ! MYINFO.ini PB@8UserInfoAddress ! MYINFO.ini PB@8UserInfoCity ! MYINFO.ini PB@8UserInfoState ! MYINFO.ini PB@8UserInfoZip ! MYINFO.ini PB@8UserInfoCO ! MYINFO.ini PB@8UserInfoDI ! MYINFO.ini PB@8UserInfoSEC ! MYINFO.ini PB@8UserInfoUN ! MYINFO.ini PB@8UserInfoWKR ! MYINFO.ini PB@8UserInfo Boss Name ! MYINFO.ini PB@8UserInfo Boss Title ! MYINFO.ini PB@8Get user info from INI fileUserInfoName MYINFO.ini P%R' UserInfoTitle MYINFO.ini P%R' UserInfoAreaCode MYINFO.ini P%R' UserInfoPhone MYINFO.ini P%R' UserInfoYourExt MYINFO.ini P%R' UserInfoFaxAC MYINFO.ini P%R' UserInfoFax MYINFO.ini P%R' UserInfoOffice MYINFO.ini P%R' UserInfoAddress MYINFO.ini P%R' UserInfoCity MYINFO.ini P%R' UserInfoState MYINFO.ini P%R' UserInfoZip MYINFO.ini P%R' UserInfoCO MYINFO.ini P%R' UserInfoDI MYINFO.ini P%R' UserInfoSEC MYINFO.ini P%R' UserInfoUN MYINFO.ini P%R' UserInfoWKR MYINFO.ini P%R' UserInfo Boss Name MYINFO.ini P%R' UserInfo Boss Title MYINFO.ini P%R'  Update Form with user info WorkerName P%TG workerName  PB@Vj WorkerTitle P%TG WorkerTitle  PB@VjWorkerAreaCode P%TGWorkerAreaCode  PB@Vj WorkerPhone P%TG WorkerPhone  PB@VjWorkerExtension P%TGWorkerExtension  PB@VjFaxAC P%TGFaxAC  PB@Vj WorkerFax P%TG WorkerFax  PB@Vj Countynumber P%TG Countynumber  PB@VjDistrict P%TGDIstrict  PB@VjSection P%TGSECtion  PB@VjUnit P%TGUNit  PB@VjWorker P%TGWorker  PB@Vj CountyName P%TG CountyName  PB@Vj CoAddress P%TG CoAddress  PB@VjCoCity P%TGCoCity  PB@VjCoState P%TGCoState  PB@VjCoZip P%TGCoZip  PB@VjSupervisorName P%TGSupervisorName  PB@VjSupervisorTitle P%TGSupervisorTitle  PB@Vj. Update other Form Fields on Form & Exit Macro- Selected$=GetFormResult$ ("CurrentDate")! TheSerialDate = Today() + 14$ TheDate$ = Date$(TheSerialDate)& SetFormResult "DueDate", TheDate$) EditGoTo "CreateDate" : UnlinkFields EditGoTo "GranteefirstName"- ToolsProtectDocument .NoReset = 1, .Type = 2/ ToolsProtectSection .Section = 2, .Protect = 0d FileClose 2 SelectName = - 1kho`X4Attribute VB_Name = "MyInfo" Public Sub MAIN(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncITe@mplate"ject..wJDim iRet  User$TitleAreaCod!-PhonYo urExtFaxAC  Offic $Ad dressCidtyStbZ$ipCODISEB;UN WKRBoss| |] 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,H G TextBox 109@ A 5@ 18@ KA#g 56 ,u 83 Cb[ 1\05k 2A33y21A5Au 3~4   ~ 9 7 1$55Ŷ [1 Pi23` n6idV3jFAXAC41e w `VV1@,C:O629 *DI7m qV? UN64!l1.{Vym23n`64`z7,4, c3zthe following info$ about yself. ",  !:w5f"bC #10@8O$31{1aA-ST- u5_ abm3r13@ gY  ;"CO-DI-aT-UN-@H47224* superv0isor!a 124f>6p6iOKButt48 8pR21 f@Cancel3GkEndn 1rdlguQ As Ob: SHet = CurValues. vGET USER INF@O FROMI FILE AND PUT I NTOzx.t[getpriv`profilespng$](:" "P:qMY.ini"r hl ? a"4??>? Mpn1r &.nAC? `axU/-Y??>OMA\C$$a&gp Op | DIpϾp/-UN0 | {p y Qaeprofilestring$]("UserInfo", "Boss Name0MYINFO.ini") dl g.LTitle = WordBasic.[getprivat >e 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT@ iRet Dialog. F(If -1 Then 'OK BUTTON ?WRIT E NEW3FO6I FILE xsx ቟Your , - -AreaCod|PhonEExtE@FaxACL+@OfficZ Ly+[Address0$ City ? : |StP  z ZNE WKR#kNamڈ Office(AddvsCo%  ACoCity  ! CoStat$c b CoZi~p  "Supervisor<, Bxoss! /Titl% b ' Upd. other F Fields on& Exit Macro Rem" Sel}ed$=GetR$ ("CurrentD9'Serial = Today() + l14$()S "D|ue`"GEditGoTo "Ct : Unlink'Granteefirst3"ToolsProtDocum .Noet`1, .TypeM@2/ .= 2 `0 Else#FileClose D Gc.@- 1n@d If Sub +Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAIN`VßE "0@ PB@ PB@oH@Attribute VB_Name = "AddRows" Public Sub MAIN() D.pDescription~s row to table FOLLOWING cursor loca\NProcDataZInvoke_FuncZTemplateA"ject..KWordBasic.LineDown 1 TInserBt Numt:D="Ends |{洈xMECorrectkneeds1202Needs13Needs2115h  @x XVßE " V*h    ]@Q This serves as a replacement to the spell checker within a protected documentCheck spelling now? P%H'x x PB@ PB@z PB@|l PB@ko0Attribute VB_Name = "Correct" Public Sub MAIN() Dim ans Rem This se@rves a replacement to the spell checker within @a proted docu3 ZWordBasic.MsgBox("C?King now ?", 3If4-1en  QATools4UnoDi %St`artOf"S7d>0Pg NoReset:=1, Type:=2 End If dk;洎xMEP 0@VßE "(8Hneeds12 PB@ PB@to@8zAttribute VB_Name = "needs12" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=\VLine -1 End dk洌xMEP 0@VßE "(8needs13 PB@oPHoAttribute VB_Name = "Needs13" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洒xMEP 0@VßE "(8needs21 PB@oPHoAttribute VB_Name = "Needs21" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洐Needs22Needs2346Needs31Needs32/GxMEP 0@VßE "(8needs22 PB@oPHoAttribute VB_Name = "Needs22" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洖xMEP 0@VßE "(8needs23 PB@sofoPHoAttribute VB_Name = "Needs23" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洔xMEP 0@VßE "(8needs31 PB@oPHoAttribute VB_Name = "Needs31" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洚xMEP 0@VßE "(8needs32 PB@oPHoAttribute VB_Name = "Needs32" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洘xMENeeds33Needs418:Needs42 Needs439=P 0@VßE "(8needs33 PB@DoPHoAttribute VB_Name = "Needs33" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洞xME     !"#$%&()*+,-./012345789:;<=>?@ABCDFGHIJKLMNOPQRSUVWXYZ[\]^_`abdefghijklmnopqstuvwxyz{|}~P 0@VßE "(8needs41 PB@oPHoAttribute VB_Name = "Needs41" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洜xMEP 0@VßE "(8needs42 PB@oPHoAttribute VB_Name = "Needs42" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洢xMEP 0@VßE "(8needs43 PB@oPHoAttribute VB_Name = "Needs43" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洠Needs51'Needs52<>6Needs53ENeeds61;CTxMEP 0@VßE "(8needs51 PB@oPHoAttribute VB_Name = "Needs51" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洦xMEP 0@VßE "(8needs52 PB@C:oPHoAttribute VB_Name = "Needs52" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洤xMEP 0@VßE "(8needs53 PB@oPHoAttribute VB_Name = "Needs53" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洪xMEP 0@VßE "(8needs61 PB@oPHoAttribute VB_Name = "Needs61" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洨xMENeeds62cNeeds63@BrAddress1CaseInfoAE3-P 0@VßE "(8needs62 PB@oPHoAttribute VB_Name = "Needs62" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洮xMEP 0@VßE "(8needs63 PB@oPHoAttribute VB_Name = "Needs63" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洬xMEP 0@VßE "(8Address1 PB@oPHnAttribute VB_Name = "Address1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ ($洲xME<(<,<<< <<<<< <$<0<4<8<<<0` @ matiPme, PorkeP P.MAIP P PP` P XP TPPPLPHPD` %888hDFJHN@ @0 @ @ @ @ @  @ @ @ @ @ @p @` \@@L @< @, @ (P<@  X @ ( @  " (08@ H `x "("""@ h    0 @X(x&&(&&@&h&$ 4N*h,,.2("`00. 8Pp   <>@H>B: nP>: :@ @ f 2( ` x & > @ >@ B : h jp > : :` @ ` "@:h<:>(6h d:6H6< \  "X6:B>@. f6H..B X( 4    6@H P `]@]X]p]]]]] Dim UserDOB$ Dim UserHAF$ TOOLB]OPEN FC CANS TOOLBARPB@ PB@ FC CANS Tools PB@Borders PB@PB@Database PB@PB@Drawing PB@B@Forms PB@H(You MUST SAVE this document to continue! $ $ Select Save In Folder and $ $Enter File Name in SaveAs Dialog Box ' IA B@IDEFINE DIALOG BOXI^CaseInfo PB@  YourFCCNo PB@ 8 YourFCCN PB@  P YourCTNO PB@ Ph  YourFCWLNo PB@  YourFCWN PB@ P YourDOB PB@ P YourPOSA PB@ P^YourPOSW PB@ P^YourDC PB@ PB@-WordBasic.TextBox 155, 248, 102, 18, "YourDC"rmatk  0Enter the following information about this case. PB@d# FC Case No.: PB@d; FC Case Name: PB@dS Court ID No.: PB@dB@dk DHS FC Load No: PB@dd DHS FC Worker Name: PB@d DOB: PB@d PB@ POS Agency Name: PB@dT POS Worker Name: PB@dT Date Completed: PB@dP2WordBasic.Text 19, 251, 130, 13, "Date Completed:"^X PB@PX PB@"!!@ PB@USER I]F P!!.NT6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX PUserInfoFCCaseNoC:\caseinfo.ini P%R ($ UserInfo FCCaseNameC:\caseinfo.ini P%R (&UserInfoFCLoadNoC:\caseinfo.ini P%R ((iUserInfo FCWorkerNameC:\caseinfo.ini P%R (*i PUserInfoDOBC:\caseinfo.ini P%R (ini hdlgUserInfo.YourPSCN = WordBasic.[getprivateprofilestring$]("UserInfo", "PSCaseName", "C:\caseinfo.ini")eiUserInfoCOURTNOC:\caseinfo.ini P%R (0eiUserInfoPOSAC:\caseinfo.ini P%R (2C:UserInfoPOSWC:\caseinfo.ini P%R (4ND RESUserInfo DCompletedC:\caseinfo.ini P%R (6`dlgUserInfor.YourDOB = WordBasic.[getprivateprofilestring$]("UserInfo", "DOB", "C;caseinfo.ini")o.,DISPLAY DIALOG BOX AND RESPOND TO USER INPUTC:  P!%'  OK BUTTON(WRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo !$C:\caseinfo.ini PB@8UserInfo FCCaseName !&C:\caseinfo.ini PB@8UserInfoFCLoadNo !(C:\caseinfo.ini PB@8UserInfo FCWorkerName !*C:\caseinfo.ini PB@88UserInfoDOB !C:\caseinfo.ini PB@88bWordBasic.setprivateprofilestring "UserInfo", "PSCaseNo", dlgUserInfo.YourPSCNo, "C:\caseinfo.ini"cWordBasic.setprivateprofilestring "UserInfo", "PSCaseName", dlgUserInfo.YourPSCN, "C:\caseinfo.ini"NI filUserInfoCOURTNO !0C:\caseinfo.ini PB@8' UserInfoPOSa !2C:\caseinfo.ini PB@8%RUserInfoPOSw !4C:\caseinfo.ini PB@8R' UserInfo DCompleted !6C:\caseinfo.ini PB@8ZWordBaic.setprivateprofilestring "UserInfo", "DOB", dlgUserInfo.YourDOB, "C:\caseinfo.ini"Get user info from INI file UserInfoFCCaseNoC:\caseinfo.ini P%R' UserInfo FCCaseNameC:\caseinfo.ini P%R' 0UserInfoFCLoadNoC:\caseinfo.ini P%R' fo UserInfo FCWorkerNameC:\caseinfo.ini P%R' FoUserInfoDOBC:\caseinfo.ini P%R' FC]UserPSCN$ = WordBasic.[getprivateprofilestring$]("UserInfo", "PSCaseName", "C:\caseinfo.ini")LOADUserInfoCOURTNOC:\caseinfo.ini P%R'  8UserInfoPOSaC:\caseinfo.ini P%R' :UserInfoPOSWC:\caseinfo.ini P%R' <UserInfo DCompletedC:\caseinfo.ini P%R' UUserDOB$ = WordBasic.[getprivateprofilestring$]("UserInfo", "DOB", "C:\caseinfo.ini")PB@ Update Form with user infoPOSW FCCASENO P%TGFCCASENO  PB@VjTE FCCASENAME P%TG FCCASENAME  PB@Vjields FCWORKERLOADNO P%TGFCWORKERLOADNO  PB@Vjl FCWORKERNAME P%TG FCWORKERNAME  PB@VjDOB P%TGDOB  PB@Vj Ad k>| `If WordBasic.existingbookmark("PSCASENAME") Then WordBasic.setformresult "PSCASENAME", UserPSCN$COURTNO P%TGCOURTNO  PB@VjPOSA P%TGPOSA : PB@VjPOSW P%TGPOSW < PB@Vj DATECOMPLETED P%TG DATECOMPLETED  PB@VjQIf WordBasic.existingbookmark("DOB") Then WordBasic.setformresult "DOB", UserDOB$. Update other Form Fields on Form & Exit MacroB Dl B@@ Ff  JA@H d F!L NERROR F!P In Add RowA@H>xkpoh`޵Attribute VB_Name = "CaseInfo" Public Sub MAIN() Dim iRet$UserFCCNo$  WL >WN>DOB PSC CTNO'uk#,HAF;DC*OPEN FC CANS TOOLBAR WordBasic.ViewToolbars ColorButtons:=1, Large0, qTip"': =";0s", Show+BPerHideDatab4(@rawingForm& On Error GoTo Hand lerompt$You MUST SAVE this document to continue!" + C@hr(10)J"Select Save In F@older  ! "EntFiHle in As DialogP BoxB A@ctiveDD".A.'DEFINE DIALOG BOX Begin585, 35@ Text 1 @32, 26 18, "F@% 56 8$ A 7104 aw[ 12`WN.5.!@{|7!POSA7-20 7B4F.WA:22 !DCD'GAG; 4 10 fAK 107,,d 413@AcWthe follo!t infnation abou+egc~. 19Q` 39  No.:w5n1o ˜8 Court ID< GC"`DHSALoad 13`w *k@~}y53hOB7j!`E Agencyb$: (20 34%/!92A'empleteNdeNb=25"a=@C $OKSC26@8@+21=NCancel=4KJ&`Rers] NNATEndRӁdlgA|E `YObj]: Set = CurValu8es.\ZGET USER INFO FROMI FILE AND PUT bI NTO\.Xj'[getprivprofdstrs$](" s~NoC:\q9!;.ini"CN~gr8p8FCQ[C8? [? W? nC;;_ _ P a/ / qeV '-??>PV o} oxCOUR0??0@H~Aoo u_-u:r0W???OSW  CDPr r_&S@@ "U&;m@ 'DISPLAYhHJRESPOϐJJL0K TO(x+FIf0-1 Then 'OK BUTTONRWRIT E NEWSIN[Rs OeBB4#PsU?U?se5_CNOO?\MN/1TOOOMNW iook(P? ҄سBasic.setprivateprofilestring "UserInfo", "PSCasDeN,dlgd.Your4NoDPC:\cFib.ini" 'Word/amerfe,dCOURT4NOaC 0PODSa`OSAD/w/WA/DComp letedDCGz%DOBOBGet u from INI FCCNo$H = [gS$\](ʶŶ" )OK:õWLw1LoadBNu1@+kerN< M1#C'= <_ Q y0A RC W ͔ Wr DC_ Q  ;_G_Gx Upd Form wiLthNJ|Ifȇexistbookmark("ASE`) Th,enh`f re sult , g_ G AME" nCA $ WORKERLOAD " J.FCN 3cYERN c͟"Det 1sd'CS pC/+gF%J"G%+B (WF1 @W("DATECOMPLETED/,S @KO=!1d OB hEotherEFields on& Exit Macro@ ElsePn0d IfqIHere:S ActiveDocument.Protect Passw:="@ZNoRe:=True, Type:=wdAllowOxnly!NCCSub HandleErrord04198MMsgBox `mpt$, vbCriticalp !T.Descr@iptionE@xclama"ERROR" rr.Numb& "In Add Row`S?b' FCCaseNoToolHelpDF HiddenTextStrength11?Odk洰xMEP 0@VßE "(8FCCaseNo PB@oPHnAttribute VB_Name = "FCCaseNo" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ 洶xME @p,View instructions for using FIA-#### buttonsTemplateProject.ToolHelp.MAIN@ X ` (VßE ""(8 `(xJRJHDJL0   < 2H` " 4 ] PB@ FC CANS Tools PB@DEFINE DIALOG BOXFFC CANS Tool Help PB@  ,**To CHANGE Case Info WITHOUT closing form** PB@d$;  31. Click Clear Case Info Button on FC CANS Toolbar PB@dtowrd.;. ,2. Click Change Case Info Button on FC CANS PB@dd.iniR< &Toolbar to bring up new pop-up screen. PB@di ;K +3. Enter new case information and click OK. PB@d;d -The new information will fill in on the form. PB@dxX PB@ PB@]F P!!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  P!%'  OK BUTTONGet user info from INI file. Update other Form Fields on Form & Exit Macroko]Attribute VB_Name = "ToolHelp" Public Sub MAI`N() D.rDescriptionView instruc&s for using FI(A-# to nsdOProcData[Invoke_FuncemplateA"ject..LDim iRet WordBasic.'bars Col orBut|:=1, Large0, Tips"':="F@C CANSs", Show 'DEFINE DIALOG BOX'BeginDialog 582, 20k>'  gText 9, 1513, "**To CHANGE Case Info WITHOUT clom**)53!1. C@k@ear]K {?W 4(6, 2hangeL6@e to brup npop-een.W(75I(3. EntercATi@TrmaandU@ick OK1cgG=TheIw ill finATtiOOK]$45=12880, 30LJEnd AdlgUserAs Ob: Set = 'CurValues.! ZGET USER INFO PFROM IzLE AND P@MdIT`TO^aaI`SPLAY"RESPO  `| Ax}G(3If~`-1 ,n 'OK @BUTTON#':Gu bfr,omB/e U$pd o/r Form Fieldsb\& Exit Macro , If  dk洴xMEP 0@VßE "7 0 pt0 pt0bArial PB@ophAttribute VB_Name = "HiddenText" Public Sub MAIN() WordBasic.FormatFont Points:="7", Underline:=0, Color:=9, SkeThrough6Superscriptb :=1:mallCapbRA Spacingz0 pt}PositionKern": MiTabcArial!BoldIIta End dk洺xMEP 0@VßE "(8 strength11 PB@reoPHrAttribute VB_Name = "Strength11" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk洸xMEStrength12Strength13HJStrength21Strength22IM      !"#$%&'()*+,-.0123456789:;<=?@ABCDEFGHIJKLNOPQRSTUVWXYZ[]^_`abcdefghijlmnopqrstuvwxy{|}~P 0@VßE "(8 strength12 PB@X oPHrAttribute VB_Name = "Strength12" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk派xMEP 0@VßE "(8 strength13 PB@poPHrAttribute VB_Name = "Strength13" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk洼xMEP 0@VßE "(8 strength21 PB@hoPHrAttribute VB_Name = "Strength21" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk´xMEP 0@VßE "(8 strength22 PB@oPHrAttribute VB_Name = "Strength22" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkStrength23/Strength31LN>Strength32MStrength33KS\xMEP 0@VßE "(8 strength23 PB@oPHrAttribute VB_Name = "Strength23" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkƴxMEP 0@VßE "(8 strength31 PB@oPHrAttribute VB_Name = "Strength31" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkĴxMEP 0@VßE "(8 strength32 PB@ORMSoPHrAttribute VB_Name = "Strength32" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkʴxMEP 0@VßE "(8 strength33 PB@01oPHrAttribute VB_Name = "Strength33" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkȴxMEStrength41kStrength42PRzStrength43Strength51QWP 0@VßE "(8 strength41 PB@DoPHrAttribute VB_Name = "Strength41" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkδxMEP 0@VßE "(8 strength42 PB@oPHrAttribute VB_Name = "Strength42" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk̴xMEP 0@VßE "(8 strength43 PB@ oPHrAttribute VB_Name = "Strength43" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkҴxMEP 0@VßE "(8 strength51 PB@oPHrAttribute VB_Name = "Strength51" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkдStrength52Strength53TVStrength61Strength62UYxMEP 0@VßE "(8 strength52 PB@oPHrAttribute VB_Name = "Strength52" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkִxMEP 0@VßE "(8 strength53 PB@oPHrAttribute VB_Name = "Strength53" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkԴxMEP 0@VßE "(8 strength61 PB@oPHrAttribute VB_Name = "Strength61" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkڴxMEP 0@VßE "(8 strength62 PB@oPHrAttribute VB_Name = "Strength62" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkشxMEStrength63NewParagraphX[fThisDocument_VBA_PROJECTZ\DP 0@VßE "(8 strength63 PB@1^/oPHrAttribute VB_Name = "Strength63" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk޴xME      !"#$%&'()*+,-/0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefhijklmnopqrstuvwxyz{|}~*P 0@VßE " (@`px PB@ PB@ $ PB@l PB@in\ PB@doŰAttribute VB_Name = "NewParagraph" Public Sub MAIN() WordBasic.ScreenUpdating 0 >ToolsUnprotectDo@cument Insert Chr(13[?P = NoReset:=1, Type:=2 QCharRight 1 End #xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%xAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2wܴxMEas  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINNT\System32\STDOLE2.TLB#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\System32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{C21149E3-E43E-11D1-89BE-006008929C4B}#2.0#0#C:\TEMP\VBE\MSForms.EXD#Microsoft Forms 2.0 Object Library.E .`M *\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Microsoft Office\Office\MSO97.DLL#Microsoft Office 8.0 Object LibraryT  VßEBC@AFGDE:;89>?<=RSPQ67,5KHINOTThisDocument6_459fc356ThisDocument%M InsertCisAddress0F40ff7b8d InsertCisAddress5ClearCaseInfo6`459fc356XClearCaseInfoܴ0}LNewParagraph0H40ff7b8dNewParagraph޴HStrength630I40ff7b8dStrength63ش`%Strength620J40ff7b8dStrength62ڴx%Strength610K40ff7b8dStrength61Դ%Strength530L40ff7b8dStrength53ִ%Strength520M40ff7b8dStrength52д%Strength510N40ff7b8dStrength51Ҵ%Strength430O40ff7b8dStrength43̴%Strength420P40ff7b8dStrength42δ%Strength410Q40ff7b8dStrength41ȴ %Strength330R40ff7b8dStrength33ʴ8%Strength320S40ff7b8dStrength32ĴP%Strength310T40ff7b8dStrength31ƴh%Strength230U40ff7b8dStrength23%Strength220V40ff7b8dStrength22´%Strength210W40ff7b8dStrength21%Strength130X40ff7b8dStrength13%Strength120Y40ff7b8dStrength12%Strength110Z40ff7b8dStrength11%HiddenText0[40ff7b8dHiddenTextToolHelp0]40ff7b8dToolHelp(FCCaseNo0^40ff7b8dFCCaseNo@%CaseInfo6^459fc356CaseInfoX $JAddress10`40ff7b8dHAddress1p%Needs630a40ff7b8dRNeeds63%Needs620b40ff7b8dTNeeds62%Needs610c40ff7b8dVNeeds61%Needs530d40ff7b8dXNeeds53%Needs520e40ff7b8dZNeeds52%Needs510f40ff7b8d\Needs51%Needs430g40ff7b8d^Needs43%Needs420h40ff7b8d`Needs420%Needs410i40ff7b8dbNeeds41H%Needs330j40ff7b8ddNeeds33`%Needs320k40ff7b8dfNeeds32x%Needs310l40ff7b8dhNeeds31%Needs230m40ff7b8djNeeds23%Needs220n40ff7b8dlNeeds22% Needs210o40ff7b8dnNeeds21% Needs130p40ff7b8dpNeeds13% needs120q40ff7b8drneeds12A Correct0r40ff7b8dvCorrect  AddRows0s40ff7b8d~AddRows8 MyInfo0t40ff7b8d MyInfoP' Check20u40ff7b8d Check2h Check10v40ff7b8d Check1 LSN660w40ff7b8d LSN66 LSN650x40ff7b8d LSN65| LSN640y40ff7b8d LSN64~ LSN630z40ff7b8d LSN63x LSN621040ff7b8d LSN62z+ LSN611140ff7b8d LSN61t* LSN561240ff7b8d LSN56v() LSN551340ff7b8d LSN55p@0 LSN541440ff7b8d LSN54rX/ LSN531540ff7b8d LSN53lp. LSN521640ff7b8d LSN52n- LSN511740ff7b8d LSN51h4 LSN461840ff7b8d LSN46j3 LSN451940ff7b8d LSN45d2 LSN441:40ff7b8d LSN44f1 LSN431;40ff7b8d LSN43` LSN421<40ff7b8d LSN42b LSN411=40ff7b8d LSN41\0 LSN361>40ff7b8d LSN36^H LSN351?40ff7b8d LSN35X` LSN341@40ff7b8d LSN34Zx LSN331A40ff7b8d LSN33T LSN321B40ff7b8d LSN32V LSN311C40ff7b8d LSN31P LSN261D40ff7b8d LSN26R LSN251E40ff7b8d LSN25L LSN241F40ff7b8d LSN24N  LSN231G40ff7b8d LSN23H $ LSN221H40ff7b8d LSN22J8 # LSN211I40ff7b8d LSN21DP " LSN161J40ff7b8d LSN16Fh ! LSN151K40ff7b8d  LSN15@ ( LSN141L40ff7b8d  LSN14B ' LSN131M40ff7b8d LSN13< & LSN121N40ff7b8d LSN12> % xh`  0x xH (p h 8Hh`8 @P0P @t]Kaß6ngCpM)Qi-wGEprWꍧD<*7|L4OvI= GR x{GH d?zTBI-jjv lJ>F߫d-˙'-|HL* s3B̠ID=X?uNJAHBs6uL?|VLNB+&Cl  ɀZf"[WFd 8!>O :(LdNخHXNk 9fB :Sܝ\b5p-Lexn{F%x*uu9B<0rϨOLlʦB:DI=en%ƙC0_:ӭn?BM^@Avw>1p]XBƘ BN2l}MAIN, WorkerNameJAreaCode PhoneNumber CountyNameDistrict}-SectionGUnitWorker8 ApDistrictApUnitPApWorkerW FsDistrictaFsUnitFsWorker SvDistrict]SvUnit/SvWorker FirstNameLastName CaseNumberACountyG8CareOfƻAddress1O ClientCitym ClientState ClientZip WordBasicgetprivateprofilestring$xexistingbookmark setformresult ClearCaseInfohFileFind SearchName֡ SearchPath.SubDir+Title~AuthorKeywordsTSubjectRPOptions MatchCase PatternMatch DateSavedFromu= DateSavedTojdSavedByDateCreatedFrom DateCreatedToViewISortByoListBy+ SelectedFile\Kill NewParagraphqScreenUpdating! ToolsUnprotectDocument(InsertrChrK~ToolsProtectDocument-0NoResetg CharRightP Strength63} WW7_EditGoTod Destinationл Strength62} Strength61} Strength53}} Strength52|} Strength51{} Strength43X} Strength42W} Strength41V} Strength333} Strength322} Strength311} Strength23} Strength22 } Strength21 } Strength13| Strength12| Strength11| HiddenTextG FormatFont&Points UnderlineColor2F StrikeThrough" Superscript SubscriptVHidden] SmallCaps~cAllCapss_SpacingSPositionKerningB KerningMin1FontUBoldItalic!ToolHelpTiRet,p ViewToolbars| ColorButtons} LargeButtonsSWToolTips5+Toolbar2Show BeginDialogFOKButton| EndDialogmP dlgUserInfo2" CurValuesȤ UserDialogDialogfFCCaseNo"CaseInfo UserFCCNoBUserFCCN7 UserFCWLNoyUserFCWN UserPSCNoOUserPSCNqUserCTNOUserHALօUserHAFЅUserDCHide9z HandleError;PromptmActiveDocument\SaveTextBoxQ CancelButton YourFCCNo+YourFCCN. YourFCWLNoYourFCWN0 YourPSCNo9YourPSCNP<YourCTNO~9YourPOSA/)YourPOSWD)YourDCsetprivateprofilestring=UserPOSAPUserPOSWeExitHereP$ProtectfPasswordwdAllowOnlyFormFields!ErroMsgBoxR vbCritical+} Description  vbExclamationNumber-Needs63 Needs62 Needs61 Needs53 Needs52 Needs51 Needs43f Needs42e Needs41d Needs33A Needs32@ Needs31? Needs23 Needs22 Needs21 Needs13 needs12 VLine]Correct'ansxtStartOfDocument ToolsSpellingAddRowsLineDownxTableInsertRowQNumRowsMyInfo@UserName\ UserTitleV9 UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleHFaxYYourName;R YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnCheck2Check1LSN66LSN65LSN64LSN63LSN62LSN61LSN56LSN55LSN54LSN53LSN52LSN51LSN46҄LSN45фLSN44ЄLSN43τLSN42΄LSN41̈́LSN36LSN35LSN34LSN33LSN32LSN31LSN26LSN25LSN24LSN23LSN22LSN21LSN16cLSN15bLSN14aLSN13`LSN12_Documentj _B_var_Chr\; _B_str_Promptl_B_str_UserPOSAU_B_str_UserPOSW VUserDOBnrYourDOBE8SSUAWBYC[D] E_!Fa"Gc#He$Ig%Ji&Kk'Nm(Vo)X Oq*QPs+Ww,Y-Z.[I\Yp/x0|1}2~3456789:;<=>?@BCDEFGHIJKLM NR  QA O   PClearCaseInfo]MInsertCisAddress"PROJECT_.6PROJECTwmg  @PRemove previous Case Information from file so that new information may be added.P"TemplateProject.ClearCaseInfo.MAIN "  \c:\^ caseinfo.ini`bdfhjldnprtvxz|~ PB@Z1)c:\caseinfo.ini PB@4oPH̱Attribute VB_Name = "ClearCaseInfo" Public Sub MAIN(), ".|DescriptionRemove previous  rmaFfrom file so that new is!may be added.sProcDataInvoke _FuncTe@mplate"ject. .QWordBasic.FDFind$ S~ch:=" ",Patbhc:\ cCW.iniubDir:=0, Title Autho "Keyw8s ;LO Match%extÃAtern }eSavedFg ToByCre ! ViewBSort4, Lis(SelTM QKill "I GEWub ID="{5F57ACC5-58EB-4627-88A4-09AF82ED422D}" Document=ThisDocument/&H00000000 Module=InsertCisAddress Module=ClearCaseInfo MoLS/xME8 @__=Retrieves CIS Client address info from c:\glwin\cistowrd.ini ex%TemplateProject.InsertCisAddress.MAINHanPXPhP xP"P$P&P(P*P,P.P0P2P4P6P8P:P<P>P@PBPDPFPHPJPLPN(VßE` " (08@HPX`hpx>BF`DBB8>@ FBHD FB Dh FBD@ DBD@`@B>(@h> :6(6`:>: :X > 2 : 2P 6 : 2 68 :p 2 6 : :` F F :0 6p 6 . 26H>: ]]]]]]0]H]`]x]]]]]]] ]8]P]h]]]]]]] WorkerInfoNamec:\glwin\cistowrd.ini P%R'  WorkerInfoAreaCodec:\glwin\cistowrd.ini P%R'  WorkerInfo PhoneNumberc:\glwin\cistowrd.ini P%R'  WorkerInfo CountyNamec:\glwin\cistowrd.ini P%R' " WorkerInfoDistrictc:\glwin\cistowrd.ini P%R' $ WorkerInfoSectionc:\glwin\cistowrd.ini P%R' & WorkerInfoUnitc:\glwin\cistowrd.ini P%R' ( WorkerInfoWorkerc:\glwin\cistowrd.ini P%R' *ApWorkerDistrictNumberc:\glwin\cistowrd.ini P%R' ,ApWorker UnitNumberc:\glwin\cistowrd.ini P%R' .ApWorker WorkerNumberc:\glwin\cistowrd.ini P%R' 0FsWorkerDistrictNumberc:\glwin\cistowrd.ini P%R' 2FsWorker UnitNumberc:\glwin\cistowrd.ini P%R' 4FsWorker WorkerNumberc:\glwin\cistowrd.ini P%R' 6SvWorkerDistrictNumberc:\glwin\cistowrd.ini P%R' 8SvWorker UnitNumberc:\glwin\cistowrd.ini P%R' :SvWorker WorkerNumberc:\glwin\cistowrd.ini P%R' < ClientInfo FirstNamec:\glwin\cistowrd.ini P%R' > ClientInfoLastNamec:\glwin\cistowrd.ini P%R' @ ClientInfo CaseNumberc:\glwin\cistowrd.ini P%R' B ClientInfoCountyc:\glwin\cistowrd.ini P%R' D ClientInfoCareOfc:\glwin\cistowrd.ini P%R' F ClientInfoAddress1c:\glwin\cistowrd.ini P%R' H ClientInfoCityc:\glwin\cistowrd.ini P%R' J ClientInfoStatec:\glwin\cistowrd.ini P%R' L ClientInfoZipc:\glwin\cistowrd.ini P%R' N FirstName P%TG FirstName > PB@VjLastName P%TGLastName @ PB@VjAddress1 P%TGAddress1 H PB@Vj ClientCity P%TG ClientCity J PB@Vj ClientState P%TG ClientState L PB@Vj ClientZip P%TG ClientZip N PB@Vj CaseNumber P%TG CaseNumber B PB@Vj CountyNumber P%TG CountyNumber D PB@VjCareOf P%TGCareOf F PB@Vj ApDistrict P%TG ApDistrict , PB@VjApUnit P%TGApUnit . PB@VjApWorker P%TGApWorker 0 PB@Vj FsDistrict P%TG FsDistrict 2 PB@VjFsUnit P%TGFsUnit 4 PB@VjFsWorker P%TGFsWorker 6 PB@Vj SvDistrict P%TG SvDistrict 8 PB@VjSvUnit P%TGSvUnit : PB@VjSvWorker P%TGSvWorker < PB@Vj FirstName2 P%TG FirstName2 > PB@Vj LastName2 P%TG LastName2 @ PB@VjGranteeFirstName P%TGGranteeFirstName > PB@VjGranteeLastName P%TGGranteeLastName @ PB@Vj WorkerName P%TG WorkerName  PB@VjDistrict P%TGDistrict $ PB@VjSection P%TGSection & PB@VjUnit P%TGUnit ( PB@VjWorker P%TGWorker * PB@VjAreaCode P%TGAreaCode  PB@Vj PhoneNumber P%TG PhoneNumber  PB@Vj CountyName P%TG CountyName " PB@VjoAttribute VB_Name = "InsertCisAddress" Public Sub MAI`N() ".DescriptionReeves CIS Client a info from c:\\glwin\\cistowrd`.ini wbProcDatanInvoke_FuncnTemplate"jec4t. .TDim Worker$ Are aCodePhoneNumberCountyDUrictS9{Uni 5 Ap Ap$Ap Fs FsIFs Sv SvSv,irsteLaCas?0CareOf4s1yCit2y SteJZi>p%"@p@dBasic.[ge tpriv@ pr@ofilesng$](" I", "Ð"Av4ȡtGI i13 f r Z ` a Q$  G A 0 A%_ F & ֈ_ D E&AIJ &iC C=?Mr &va hd YYeoYjoonol_foOONotm Fuul/vz___"OHooo""/-ecl _ _ _ P 1? ? ? "OY 7 "/.S???"ONw///" IfDexPbookmark("G6) Thensetformult , V 58 "h%5",tq??1"OOnte%#ooa"OOnt%#"?>2_?*4pU1st*CareOf") Then WordBasic.setformresult ",  $ Ifexistingbookmark("ApDa$rict*,  ecUni!_&[!Wker?\-.Fs3, aFsz FFs<_ FSvF , FSvF FSv d PhoneNumb"i ,  CountyQ}~0 End Sub dule=NewParagraph Module=Strength63 Module=Strength62 Module=Strength61 Module=Strength53 Module=Strength52 Module=Strength51 Module=Strength43 Module=Strength42 Module=Strength41 Module=Strength33 Module=Strength32 Module=Strength31 Module=Strength23 Module=Strength22 Module=Strength21 Module=Strength13 Module=Strength12 Module=Strength11 Module=HiddenText Module=ToolHelp Module=FCCaseNo Module=CaseInfo Module=Address1 Module=Needs63 Module=Needs62 Module=Needs61 Module=Needs53 Module=Needs52 Module=Needs51 Module=Needs43 Module=Needs42 Module=Needs41 Module=Needs33 Module=Needs32 Module=Needs31 Module=Needs23 Module=Needs22 Module=Needs21 Module=Needs13 Module=needs12 Module=Correct Module=AddRows Module=MyInfo Module=Check2 Module=Check1 Module=LSN66 Module=LSN65 Module=LSN64 Module=LSN63 Module=LSN62 Module=LSN61 Module=LSN56 Module=LSN55 Module=LSN54 Module=LSN53 Module=LSN52 Module=LSN51 Module=LSN46 Module=LSN45 Module=LSN44 Module=LSN43 Module=LSN42 Module=LSN41 Module=LSN36 Module=LSN35 Module=LSN34 Module=LSN33 Module=LSN32 Module=LSN31 Module=LSN26 Module=LSN25 Module=LSN24 Module=LSN23 Module=LSN22 Module=LSN21 Module=LSN16 Module=LSN15 Module=LSN14 Module=LSN13 Module=LSN12 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="E1E31BD91FD91FD91FD91F" DPB="C2C0385B185C185C18" GC="A3A1597A3B7B3B7BC4" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C InsertCisAddress=0, 0, 0, 0, C ClearCaseInfo=66, 66, 506, 387, NewParagraph=0, 0, 0, 0, C Strength63=0, 0, 0, 0, C Strength62=0, 0, 0, 0, C Strength61=0, 0, 0, 0, C Strength53=0, 0, 0, 0, C Strength52=0, 0, 0, 0, C Strength51=0, 0, 0, 0, C Strength43=0, 0, 0, 0, C Strength42=0, 0, 0, 0, C Strength41=0, 0, 0, 0, C Strength33=0, 0, 0, 0, C Strength32=0, 0, 0, 0, C Strength31=0, 0, 0, 0, C Strength23=0, 0, 0, 0, C Strength22=0, 0, 0, 0, C Strength21=0, 0, 0, 0, C Strength13=0, 0, 0, 0, C Strength12=0, 0, 0, 0, C Strength11=0, 0, 0, 0, C HiddenText=0, 0, 0, 0, C ToolHelp=0, 0, 0, 0, C FCCaseNo=0, 0, 0, 0, C CaseInfo=1, 20, 580, 383, Z Address1=0, 0, 0, 0, C Needs63=0, 0, 0, 0, C Needs62=0, 0, 0, 0, C Needs61=0, 0, 0, 0, C Needs53=0, 0, 0, 0, C Needs52=0, 0, 0, 0, C Needs51=0, 0, 0, 0, C Needs43=0, 0, 0, 0, C Needs42=0, 0, 0, 0, C Needs41=0, 0, 0, 0, C Needs33=0, 0, 0, 0, C Needs32=0, 0, 0, 0, C Needs31=0, 0, 0, 0, C Needs23=0, 0, 0, 0, C Needs22=0, 0, 0, 0, C Needs21=0, 0, 0, 0, C Needs13=0, 0, 0, 0, C needs12=0, 0, 0, 0, C Correct=88, 88, 528, 409, C AddRows=0, 0, 0, 0, C MyInfo=0, 0, 0, 0, C Check2=0, 0, 0, 0, C Check1=0, 0, 0, 0, C LSN66=0, 0, 0, 0, C LSN65=0, 0, 0, 0, C LSN64=0, 0, 0, 0, C LSN63=0, 0, 0, 0, C LSN62=0, 0, 0, 0, C LSN61=0, 0, 0, 0, C LSN56=0, 0, 0, 0, C LSN55=0, 0, 0, 0, C LSN54=0, 0, 0, 0, C LSN53=0, 0, 0, 0, C LSN52=0, 0, 0, 0, C LSN51=0, 0, 0, 0, C LSN46=0, 0, 0, 0, C LSN45=0, 0, 0, 0, C LSN44=0, 0, 0, 0, C LSN43=0, 0, 0, 0, C LSN42=0, 0, 0, 0, C LSN41=0, 0, 0, 0, C LSN36=0, 0, 0, 0, C LSN35=0, 0, 0, 0, C LSN34=0, 0, 0, 0, C LSN33=0, 0, 0, 0, C LSN32=0, 0, 0, 0, C LSN31=0, 0, 0, 0, C LSN26=0, 0, 0, 0, C LSN25=0, 0, 0, 0, C LSN24=0, 0, 0, 0, C LSN23=0, 0, 0, 0, C LSN22=0, 0, 0, 0, C LSN21=0, 0, 0, 0, C LSN16=0, 0, 0, 0, C LSN15=0, 0, 0, 0, C LSN14=0, 0, 0, 0, C LSN13=0, 0, 0, 0, C LSN12=0, 0, 0, 0, C ThisDocumentThisDocumentInsertCisAddressInsertCisAddressClearCaseInfoClearCaseInfoNewParagraphNewParagraphStrength63Strength63Strength62Strength62Strength61Strength61Strength53Strength53Strength52Strength52Strength51Strength51Strength43Strength43Strength42Strength42Strength41Strength41Strength33Strength33Strength32Strength32Strength31Strength31Strength23Strength23Strength22Strength22Strength21Strength21Strength13Strength13Strength12Strength12Strength11Strength11HiddenTextHiddenTextToolHelpToolHelpFCCaseNoFCCaseNoCaseInfoCaseInfoAddress1Address1Needs63Needs63Needs62Needs62Needs61Needs61Needs53Needs53Needs52Needs52Needs51Needs51Needs43Needs43Needs42Needs42Needs41Needs41Needs33Needs33Needs32Needs32Needs31Needs31Needs23Needs23Needs22Needs22Needs21Needs21Needs13Needs13needs12needs12CorrectCorrectAddRowsAddRowsMyInfoMyInfoCheck2Check2Check1Check1LSN66LSN66LSN65LSN65LSN64LSN64LSN63LSN63LSN62LSN62LSN61LSN61LSN56LSN56LSN55LSN55LSN54LSN54LSN53LSN53LSN52LSN52LSN51LSN51LSN46LSN46LSN45LSN45LSN44LSN44LSN43LSN43LSN42LSN42LSN41LSN41LSN36LSN36LSN35LSN35LSN34LSN34LSN33LSN33LSN32LSN32LSN31LSN31LSN26LSN26LSN25LSN25LSN24LSN24LSN23LSN23LSN22LSN22LSN21LSN21LSN16LSN16LSN15LSN15LSN14LSN14LSN13LSN13LSN12LSN12 @ bjbj5*5* >W@W@Eh%Eh%!!!!!"/ jACC,BDT"OdI RRRRRVWBYzc|c|c|c|c|c|c$)fR{hci!:ZRR:Z:Zc!!RR d:Z:Z:Z:Z!R!Rzc:Z:Zzc:Z:Z!!9e:ZRI /:Z:ZVZ$ d0Od:Z{h:Z{h:Z""!!!!{h!:Z:Z:Z:Z:Z:Z:Z:Z:Zcc"" /:Z""/ FORMDROPDOWN   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMDROPDOWN   FORMTEXT        FORMDROPDOWN   FORMDROPDOWN   FORMTEXT        FORMDROPDOWN   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMDROPDOWN   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMDROPDOWN   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Section C-1 Household  FORMTEXT   of  FORMTEXT  C.Parent Reassessment 1.Household Name FORMTEXT       Last Name First NameIs this the Household Children Were Removed From? (Y/N)   FORMTEXT       FORMTEXT       FORMDROPDOWN  CPS Investigation/Substantiation Incident This Period? (check one)  FORMCHECKBOX  1. None  FORMCHECKBOX  2. Investigation  FORMCHECKBOX  3. SubstantiationFamily Needs and Strengths Reassessment:   MACROBUTTON [2] "Click Here and Type"   2.Individual Barrier Reduction: Parent/Caretaker Progress Towards Reduction of Primary Barriers to Reunification Identified in Needs and Strengths Assessment and Service Plan. a.List the priority needsPrimary Barriers to Reunification (check one for each service need) Barrier1 Substantial2 Partial3 Poor4 Refused FORMDROPDOWN  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX b.Briefly describe the reasons for the above assessment of the Primary Barriers to Reunification as Substantial, Partial, Poor or Refusing Service.   MACROBUTTON [2] "Click Here and Type"   c.Describe the progress made by each household on other (secondary) goals established in the most recent service plan.   MACROBUTTON [2] "Click Here and Type"   D.Overall Barrier Reduction Assessment Has parent/caretaker made progress in addressing barriers that reduce the risk of subsequent harm if the child is returned home? (check one) 1. FORMCHECKBOX Yes, caretaker(s) have substantially complied with the plan and reduced barriers. 2. FORMCHECKBOX Yes, caretaker(s) have partially complied with the plan and made progress in reducing barriers 3. FORMCHECKBOX No, caretaker(s) progress is poor or they have refused services and barriers have not been reduced. Briefly describe the reasons for the overall barrier reduction evaluation.   MACROBUTTON [2] "Click Here and Type"   E.Parenting Time (Visitation) Assessment  Parent / Caretaker1 Substantial2 Partial3 Poor4 Refused FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 1.Describe compliance with parenting time (visitation) plan as established in the last service plan and the reasons for the assessment.   MACROBUTTON [2] "Click H҄Ԅք؄ڄ "$&BDFHJ^`nprp_WjhzqU!jzhzqCJOJQJU!j)zhzqCJOJQJU$jzyhzq5CJOJQJU!jxhzqCJOJQJU!jxhzqCJOJQJUhzqCJOJQJjhzqCJOJQJUhzq$jwhzq5CJOJQJUhzq5CJOJQJjhzq5CJOJQJU ҅ԅ  "$246JLZ\^rt†Ć҆Ԇֆ蜗蜗}蜗j3hzq5Uj~hzq5U hzq5jhzq5Ujs~hzqUj}hzqUjG}hzqUjn|hzqUj|hzqUj{hzqUhzqjhzqUjE{hzqU-Ԇ$Ltć6^҈"Dlމ.76543210/.-,+*)('&%$#"! 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If 4 is checked, do not complete the Safety Assessment  FORMCHECKBOX 1.Both are Substantial*  FORMCHECKBOX 3.One is Substantial, One is Partial*  FORMCHECKBOX 2.Both are Partial*  FORMCHECKBOX 4.Either is Poor or Refused Is a Safety Assessment of this household required:  FORMDROPDOWN  G.Safety Assessment Results If a Safety Assessment is required, indicate the results: 1. FORMCHECKBOX Safe2. FORMCHECKBOX Conditionally Safe3. FORMCHECKBOX Unsafe4. FORMCHECKBOX Not CompletedH.Hallmark Recommendation Indicate the recommendation for the case based on the Reunification Assessment Hallmarks. If case recommendations differ from the Hallmarks, describe the reason for not following the recommendations, including overrides?   MACROBUTTON [2] "Click Here and Type"   I. Child Placement/Permanency Plan Recommendation: Based on the Reunification Assessment and Hallmarks: (use codes below) Recommen- dations applicable to: Child Placement (code)Change PP Goal? (Y/N) If Change, New PP Goal (code)Hall- mark Override (Y/N) If Override, Reason (code)All Children in case? (check one) If not applicable to all children, list foster care case number and record recommendation for each child below.  FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN   FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMDROPDOWN   FORMDROPDOWN   FORMTEXT        FORMTEXT        FORMDROPDOWN   FORMDROPDOWN   FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT       "$&(. $$Ifa$$Iffkd$$Ifl\D*"4 l ( "&(prtxz&*y!j$hzqCJOJQJU!jühzqCJOJQJU!jihzqCJOJQJU!jhzqCJOJQJUjhzqCJOJQJUhzq6CJOJQJhzq56CJOJQJhzqOJQJhzq5CJOJQJhzqCJOJQJ/HSkd$$IflF*%    4 l $$Ifa$$IfSkd$$IflF*%    4 l"(pr$If rtvx93333$Ifkdʻ$$Ifl ]c* p Yn$$$$4 l(*$If*,9/)x$If $If^kd$$Ifl ]c* p Yn$$$$4 l*,prtvz|~ "$0268:V㨹㗹ㆹ!jhzqCJOJQJU!j&hzqCJOJQJU!jſhzqCJOJQJUjhzqCJOJQJUj~hzq5U hzq5jhzq5UhzqCJOJQJhzq5CJOJQJhzqOJQJ.prtv|YSkdP$$IflF*%    4 l $$Ifa$$If@kd$$Ifl04*`4 l $28\xz|~Ff Ff$IfVXZ\vxz^24f<>b d  ˹˛È{nhzq5@CJOJQJhzq5@CJOJQJhzqCJOJQJhzq5OJQJhzq5CJOJQJhzqhzq5B*ph hzq5jhzq5UhzqOJQJhzq5CJOJQJhzqCJOJQJjhzqCJOJQJU!jhzqCJOJQJU*w$IfSkd/$$IflF*%    4 l$If $$Ifa$ uG> $$Ifa$-kdb$$Ifl**4 l-kd$$Ifl**4 l$IfSkd$$IflF*%    4 l46BXft .< $$Ifa$<>   rf82x$If-kd$$Ifl**4 l $ \ $Ifkd$$Iflֈ"D%*2 *F4 l                        $ & ( * , H J L N P l ֺ˯vgXjhzq5CJUj(hzq5CJUjahzq5CJUjhzq5CJU hzq5CJjhzq5CJUhzqOJQJhzq5CJOJQJ!jAhzqCJOJQJUhzq5CJOJQJhzqCJOJQJjhzqCJOJQJU!jhzqCJOJQJU"  * N r       igeca_^]kd$$Iflֈ#"D%*; !H4 l x$$Ifa$ l n p r t                         . 0 2 F H V X Z n p ~   ûðûåûÚûÏûÄûyojhzq;UjhzqUjhzqUj1hzqUjhzqUjhzqUjhzqUjhzqUhzqhzqOJQJjhzq5CJU hzq5CJjhzq5CJUjhzq5CJU) 0 X      < `     ( P r    0Xvutsrqponmlkjihgfedcba`                     6 8 : < > Z \ ^ ` b v x               ߶߫ߠߕߊjhzqUjBhzqUjhzqUj4hzqUjhzqUjhzqUj/hzqUjhzqUjhzqUhzqjhzq;Ujhzq;U hzq;.       & ( * > @ N P R f h p r t                    .02FHVXZnjhzqUjThzqUjhzqUjNhzqUjhzqUjhzqUjhzqUjhzqUjPhzqUhzqjhzqUjhzqU2np~hzqjhzqUjhzqU 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`%/ =!"#$%CompObjjalth Issues Resource Availability/ManagementHousing Sexual AbuseChild CharacteristicsaDeCheck10aDeCheck17aDeCheck18aDeCheck25Df Dropdown5B  "$&(*,.0369<?123456789101112131415lDText28 Child's NameDf Dropdown3   YesNoN/ADf Dropdown5B  "$&(*,.0369<?123456789101112131415lDText28 Child's NameDf Dropdown4C  ; Continued PlacementReturn Home and MonitoringClosureiD Text53 M/dd/yyyy`DText54`DText55DAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityfD dob M/dd/yyyyDCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)Address1`D"Text44`D Text45`D Text46`D Text46`D Text46`D Text46`D Text46D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)`D Text33D ClientCity UppercaseEnter the Addressee's City. ClientStateD ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation. 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