ࡱ>   e @ bjbj Bk''ааа8<3RZpppK6 H73L2L2L2L2L2L2$95R7p2UKKUUp2ppQ3UppUM p @R}а/i"g303"848D8UUUUUUUp2p2"Michigan Department of Human ServicesFC Case #: FORMTEXT      FC Case Name: FORMTEXT      FOSTER CAREDate of Birth: FORMTEXT      Child Assessment ofDHS FC Worker Load #: FORMTEXT      Needs and StrengthsDHS FC Worker Name: FORMTEXT      Court ID #: FORMTEXT      POS Agency Name: FORMTEXT      Children ages 14 years and olderPOS 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 within the specified domain. Items scored as 0 may, but do not have to, be considered a strength.C1.Medical/PhysicalWas there prenatal drug/alcohol exposure? Y N U/K FORMDROPDOWN Is there a need for prenatal care? 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.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      C4.EducationDoes child have a special education plan? Y N FORMDROPDOWN Does child need an assessment for special education? Y N FORMDROPDOWN a. Exceptional academic achievement +5b. Adequate achievement 0c. Situational concern -2d. Minor difficulty -3e. Major/chronic difficulty -5f. Unable to score US FORMDROPDOWN  FORMTEXT      C5.Substance Use (Substances include alcohol, tobacco, and other drugs)a. No substance use +4b. Past experimentation 0c. Situational concern -2d. Periodic substance use -3e. Frequent substance use -4f. Unable to score US FORMDROPDOWN  FORMTEXT      C6.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 +4b. Appropriate sexual adjustment/behavior 0c. Situational concern -2d. Compromised sexual adjustment/behavior -3e. Severely compromised sexual adjustment/reckless behavior -4f. Unable to score US FORMDROPDOWN  FORMTEXT      Rate the child according to their current level of functioning.C7.Life Skillsa. Appropriate life skills +4b. Adequate life skills 0c. Situational concern -2d. Limited Life skills -3e. Severely limited life skills -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      C10.Independent Living Services / Needsa. Youth able to live independently 0b. Youth is unable to live independently -3 FORMDROPDOWN Indicate whether the youth age 14 years and older has adequate or inadequate skills in the following areas. All areas assessed as Inadequate must be addressed on the ISP/USP1. Education FORMDROPDOWN 2. Employment/Training FORMDROPDOWN 3. Daily Living Skills FORMDROPDOWN 4. Preventive Health Services FORMDROPDOWN 5. Parenting Skills FORMDROPDOWN 6. Money Management and Budgeting FORMDROPDOWN 7. Housing/Community Resources FORMDROPDOWN 8. Other: 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/PhysicalStrengths: (list priority strength areas a and b responses):1. FORMDROPDOWN C2 Mental Health and Well-Being2. FORMDROPDOWN C3 Family and Kin/Fictive Kin 3. FORMDROPDOWN  Relationships/AttachmentsC4 EducationOngoing Needs: (list priority need areas d and e responses)1. FORMDROPDOWN C5 Substance Use2. FORMDROPDOWN C6 Sexual Behavior3. FORMDROPDOWN C7 Life SkillsC8 Peer/Adult Social RelationshipsSituational Concerns: (list all areas assessed as situational concerns c responses)1. FORMDROPDOWN C9 Cultural/Community Identity2. FORMDROPDOWN C10 Independent Living3. FORMDROPDOWN Independent Living Service Needs: (list all areas assessed as inadequate in C10)1. FORMDROPDOWN 2. 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 14 + YEARS DEFINITIONS C1. Medical/Physical Health Was there prenatal drug/alcohol exposure? Answer yes, no, or unknown. Is there a need for prenatal care? 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 screening; child consistently demonstrates good hygiene; child has knowledge or puberty (physical growth and development) and is not experiencing any related medical problems. 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, annual medical exams and required health screenings are current. Child has some knowledge of puberty (growth and development) and is experiencing minor or no related medical problems. 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, pregnancy testing or testing for sexually transmitted diseases, etc.). 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/alcohol exposure. Child has limited knowledge of puberty (growth and development) and is experiencing some related medical problems. e. Severely impaired health. Child has a serious, chronic, or acute health condition(s), (ex. diabetes, cerebral palsy, or physical disability, etc.) that severely impairs functioning and requires ongoing intervention(s). Child has no knowledge of puberty (growth and development) and is experiencing significant related medical problems. 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 challenges at home, school, and in the 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. lack of impulse control, nightmares, loss of appetite, 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, threatened self-harm, frequent threats to run away, 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, runs away from placement, etc. C3. 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, threaten 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. C4. Education Does child have a special education plan? Answer yes or no. Does child need an assessment for special education? 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. b. Adequate achievement. Child is working at grade level and/or is meeting expectations of the childs specific educational 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 some truancy or school behavioral problems. 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. Child is frequently truant. 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. C5. 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 experimentation. 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. Periodic 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. C6. 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 in sexually inappropriate ways, or engages in high risk sexual behavior. a. Healthy sexual adjustment/responsible behavior. Child displays no signs or history of sexual abuse or exploitation. Child exhibits developmentally appropriate sexual awareness, behavior, and interest. For example, accurate knowledge of reproduction, birth control, and sexually transmitted diseases. b. Appropriate sexual adjustment/behavior. Child does not show any indications of their past sexual abuse and responds to treatment/intervention. Child exhibits developmentally appropriate sexual awareness, behavior, and interest (ex. some knowledge of reproduction, birth control, and sexually transmitted diseases). c. Situational concern. Child exhibits a heightened interest/awareness of sexuality that may be a response to a current change in situation or incident (ex. traumatic event, initial or change in placement, etc.). d. Compromised sexual adjustment/irresponsible behavior. Child is displaying inappropriate behavior due to known or suspected sexual abuse or exploitation. Behaviors may include more sexualized behaviors than same aged children, preoccupation with sexual themes, increased masturbation, and/or simulating sex acts. Child may exhibit irresponsible sexual behavior (ex. unprotected sex or multiple partners). e. Severely compromised sexual adjustment/reckless behavior. Child exhibits severe sexual dysfunction. Indicators may include perpetrating behaviors (involving force or coercion), severe sexual preoccupation, compulsive masturbation and sexual victimization. Child may become involved in illegal sexual activity such as prostitution or pornography. C7. Life Skills a.  SEQ CHAPTER \h \r 1Appropriate life skills. Child consistently demonstrates age-appropriate ability to feed, bathe, and groom him/herself; child is able to manage money (ex. buy groceries/clothing, budgeting, etc.), do laundry, prepare meals, and perform basic housecleaning activities; the child manages daily routine without intervention. b.  SEQ CHAPTER \h \r 1Adequate life skills. Child demonstrates some age-appropriate ability to feed, bathe, and groom him/herself; child has some ability to manage money (ex. buying groceries/clothing, budgeting, etc.), carry out housekeeping chores, meal preparation, etc.; child may need occasional intervention with daily routine. c. Situational concern. Child may need intervention in daily routine due to temporary situation, such as physical injury. d.  SEQ CHAPTER \h \r 1Limited life skills. Child does not consistently demonstrate age-appropriate ability to feed, bathe, and groom him/herself. Child has limited knowledge about money management (ex. buying groceries/clothes, budgeting, etc.), meal preparation, housekeeping tasks, etc.; child requires intervention with daily routines. e.  SEQ CHAPTER \h \r 1Severely limited life skills. Child rarely demonstrates an age-appropriate ability to feed, bathe, and groom him/herself; child lacks knowledge about money management (ex. buying groceries/clothing, budgeting, etc.), meal preparation, housekeeping tasks, etc., or is unable to acquire such skills; child requires extensive or constant intervention and supervision to manage daily routine. 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 and has some close, positive relationships with adults. Child displays age-appropriate solutions to social conflict. Child does not exhibit any delinquent behavior. 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 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. C10. Independent Living a. Youth is able to live independently. Based on all available information and assessment of the childs functioning across all critical domains, the child is able to live independently at this time. b. 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Employment/Training Adequate: Child knows how to seek employment; child is either currently employed with sufficient income to meet needs; child demonstrates positive work skills or is enrolled in job training program, or is unemployed but demonstrates age-appropriate work skills or vocational interests. Inadequate: Child does not know how to seek employment or is not familiar with how to seek employment; child is underemployed or currently employed but is experiencing problems on the job which might affect current employment status, or does not demonstrate age-appropriate or realistic work skills, employment goals, or vocational interests. 3. Daily Living Skills Adequate: Child received either an a or b rating in CANS item C7. Child demonstrates an ability to feed, bathe, and groom him/herself without intervention with daily routine. Child has knows how to access appropriate transportation when needed (subway, bus line, taxi, etc.). 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$$Ifa$$IfFfXg0y0z0{0|0}0~00000000000000000000000000xD[0D[00000$If  $IfFfu3$If00000000000000000000xD[0D[00000Ff$If  $IfFf3$If00L2i2~22 $If^ $If^ $$Ifa$<kdE$$Ifl4s**+<4 laf422222230*1pRp$ 8d7$8$H$]^a$$ 8d7$8$H$a$.dskd$$Ifl0(*l(0+4 la2233344o6678Q9i9::::Q<}<=>v??(AYABCCCDDDxEEFFGGmH|H I,III%J8JJ KKLMMNNN#N}OOPPPPQdzdzdzdzdzdzdzdzdzdzڝdzdzdzdzdzdzdzdzdzdzdzdzdzdz*hshU56<B* CJOJQJphf'hshU<>*B* CJOJQJphf$hshU<B* CJOJQJphf'hshU5<B* CJOJQJphf!hU5<B*CJOJQJph>333k3l3334j67L9:::$ @d7$8$H$a$$ `d7$8$H$^``a$$ 8^a$ $ ^a$ $ 85a$$ FF>]^F`>a$ :N<=s?(ABBCCCzd$ P Pd7$8$H$a$$ Pd7$8$H$^a$$ P@d7$8$H$a$$  d7$8$H$^a$$ & F  0d7$8$H$^`0a$$  @0d7$8$H$^`0a$ CDuEFGmHnH|HHHI Iw$  d7$8$H$a$$ d7$8$H$^a$$ 88d7$8$H$^8`a$$ P0d7$8$H$^`0a$$ P0d7$8$H$^`0a$ II"JJKMMNzOOPQ~RR{{{{v$a$$ "0d7$8$H$^`0a$$ d7$8$H$a$$  8d7$8$H$a$$  0d7$8$H$^`0a$$ 0d7$8$H$^`0a$ QQ}R~RRRT2T5U[UuVVMWWXY>Z?Z@ZPZSZTZhZiZzZZ[[[[[\]y]z]]]]^^^^_k````Hbebccddeefgاااا/hshU<>*B* CJOJQJmH phfsH 8jhshU<>*B* CJOJQJUmH phfsH 'hshU5<B* CJOJQJphf$hshU<B* CJOJQJphf'hshU<>*B* CJOJQJphf8RRRRSS0UpVGWX?Z@Zv`$ 8d7$8$H$a$$ `d7$8$H$^``a$$ `d7$8$H$^``a$$ 0d7$8$H$^`0a$$ d7$8$H$^a$$ 8d7$8$H$a$ @ZPZ[\v]^j`k``Ebc~def$ 0d7$8$H$^`0a$$ 0d7$8$H$^`0a$$ d7$8$H$a$$ 8d7$8$H$a$$ 0^`0a$ @ ffgAh_i0jQkzl{ll[m)n*n|$ 0d7$8$H$^`0a$ d7$8$H$$  `d7$8$H$^``a$$ 8Hd7$8$H$a$$ 88d7$8$H$^8`a$ gg6gGhkhdiwi5jXjVkk{llll`mm)n7n?noo0pGpOpfqpqrrrss$,Rghpٻȼ_ V_jh/`0JCJOJQJUh/`CJOJQJhshUB* phfU'hshU5<B* CJOJQJphf'hshU<>*B* CJOJQJphf$hshU<B* CJOJQJphf=*n7noo/p0pGpeqfqrrrss d7$8$H$^ d7$8$H$^$ d7$8$H$^a$$ 0^`0a$ $ ^a$$ d7$8$H$^a$: Child received a rating of c, d, or e, in CANS item C7. Child lacks sufficient knowledge and/or ability to feed, bathe, and groom him/herself. Child is in need of services and intervention to improve daily living skills in order to live independently. 4. Preventive Health Services Adequate: Child received either an a or b rating in CANS item C1. Child has no or minor unmet health needs. Child possesses the ability to access preventive medical and dental services when necessary (dental exam every 6 months, annual physicals, etc.). Child knows how to access health related services including family planning and emergency/urgent care services Inadequate: Child received a rating of c, d, or e, in CANS item C1. Child has a medical condition or unmet health need(s) and does not possess the knowledge or ability to access necessary services without intervention. Child is unaware of preventive health care needs (routine dental exams, physicals, etc.). Child lacks knowledge of available preventive health care services including family planning and emergency/urgent care services. 5. Parenting Skills Adequate: Child has a child(ren) of his/her own and demonstrates appropriate parenting skills including nurturing, developmental knowledge, nutrition, and appropriate discipline; child is pregnant and demonstrates an understanding of parenting responsibilities and expectations; or child does not have children or is not pregnant, but demonstrates an understanding of family planning choices and responsible decision making. Inadequate: Child has a child(ren) of his/her own and does not demonstrate responsible parenting skills or abilities; child is pregnant and does not have a plan for child rearing and/or does not demonstrate the skills necessary to parent a child; or child is not pregnant and/or does not currently have a child, but demonstrates poor skills and/or lacks knowledge of family planning issues and responsible behavior. N/A-Young: Does not have children. 6. Money Management and Budgeting Adequate: Child is able to manage financial resources appropriately and demonstrates budgeting skills including prioritization of short and long-term expenses necessary for independent living. Inadequate: Child lacks knowledge and skills to manage money appropriately. Child is not able to budget financial resources for short and/or long-term planning. 7. Housing/Community Resources Adequate: Child knows how to access housing and community resources as needed; proactively plans for housing related needs such as utilities, furnishings, etc.; or utilizes housing and community resources when referred; demonstrates the ability to follow through with referrals for assistance within the community related to housing assistance and provision of housing-related needs. Inadequate: Child lacks knowledge of housing resources; child accesses community resources but fails to comply with program/service; infrequently inconsistently follows through with referrals or community services for housing assistance and housing-related needs; or refuses to access available community resources related to housing needs. 8. Other: ________________________________________________ DHS-432 (Rev.3-06) MSWord  PAGE 3 $RSgػyhhhhh$ 0^`0a$ *d7$8$H$^* d7$8$H$^$ d7$8$H$^a$$ 0^`0a$ $ ^a$ d7$8$H$^ d7$8$H$ ػٻ_`UVxs.d$ 88^8`a$ $ p^a$$^a$$ d7$8$H$^a$$ 0^`0a$ $ ^a$ d7$8$H$^ 8d7$8$H$^  "$&BDFHJfhjlnĶn]L!jht5CJOJQJU!j:ht5CJOJQJU!jٿht5CJOJQJUht5CJOJQJjht5CJOJQJUht5!j<ht5CJOJQJUht5CJOJQJjht5CJOJQJUhshUB* phfh/`!h/`0JCJOJQJmHnHujh/`0JCJOJQJUh/`0JCJOJQJ$Hl$Hp 4\! .d  !r|).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>/  / / /  / 4DDOBEnter 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$$If!vh552 5>#v#v2 #v>:V l+ ,552 5>/ / / / /  / 4DCourtNoEnter Court ID Number$$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>/ / / / /  / 4y$$If!vh55 5h #v#v #vh :V l+ ,55 5h 4D DateCompleted=Enter the Date (Example: 4/12/1997) assessment was completed.DeCheck2&Check if this is an initial assessment Check1.MAINDeCheck1!Check if this is a re-assessment.$$If!vh55?5Z5$555t #v#v?#vZ#v$#v#v#vt :V l4+ ,55?5Z5$555t / 4f4$$If!vh5 5 55 #v #v #v#v :V lt+ ,5 5 55 4_$$If!vh5+#v+:V l+ ,5+/ 4Q$$If!vh5+#v+:V l+ ,5+4M$$If!vh5+#v+:V l+ ,5+4W$$If!vh5+#v+:V l4+,5+4f4$$If!vh55&5 5#v#v&#v #v:V l4+ ,55&5 54f4Df YNU/KU S$$If!vh55&5 5n5#v#v&#v #vn#v:V l4+ ,55&5 5n5/ 4f4Df Dropdown1 YNU/KU S$$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 54f4NDfSC1. 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 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 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$$If!vh55&5 5#v#v&#v #v:V l4+ ,55&5 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +40-2-3-4US$$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 +40-2-3-4US$$If!vh55&5 5n5#v#v&#v #vn#v:V l4+ ,,55&5 5n5/ 4f4jDm$$If!vh55$)#v#v$):V l4+ ,55$)4f4$$If!vh55&5 5#v#v&#v #v:V l4`+ 55&5 54f4W$$If!vh5+#v+:V l4+ ,5+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 54f4BDfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 +40-2-3-4US$$If!vh55&5 5n5#v#v&#v #vn#v:V l4+ ,,55&5 5n5/ 4f4jDm$$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$$If!vh55&5 5#v#v&#v #v:V l4`+ ,55&5 54f4$$If!vh55&5 5#v#v&#v #v:V l4+ ,55&5 54f4$$If!vh55&5 5#v#v&#v #v:V l4+ ,55&5 54f4*DfSC5. Sexual Adjustment/Victimization - Select appropriate scoring level for Child 1 0-3$$If!vh55&5 55d#v#v&#v #v#vd:V l4+ ,55&5 55d/ 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 Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x 4f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x 4f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x 4f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x 4f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x 4f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x 4f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4$$If!vh55&5 5#v#v&#v #v:V l4+ ,55&5 54f4Df Adequate Inadequate$$If!vh55&5 5m55x #v#v&#v #vm#v#vx :V l4+ ,55&5 5m55x / 4f4jDm$$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 l48+-,5*4f4W$$If!vh5*#v*:V l4+-,5*4f4$$If!vh585P5`#v8#vP#v`:V l48+3585P5`/ 4f4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kds$$Ifl4Ne $ ( #%$&'s* `g Pv~vwv+<<<<<4 laf4(Dfneeds121Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kdy$$Ifl4Ne $ ( #%$&'s* g Pv~vwv+<<<<<4 laf4&Dfneeds130Select first child s third ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+,5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kdV~$$Ifl4Ne $ ( #%$&'s* g Pv~vwv+<<<<<4 laf4{$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l+<5 5g 5P55v55~55 v5 5 w5 5 v5 54kdz$$IflNe $ ( #%$&'s* g Pv~vwv+<<<<<4 laDf1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kd$$Ifl4Ne $ ( #%$&'s* `g Pv~vwv+<<<<<4 laf4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kdˌ$$Ifl4Ne $ ( #%$&'s* g Pv~vwv+<<<<<4 laf46Df strength125Select first child s second ranked primary strength.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kd$$Ifl4Ne $ ( #%$&'s* g Pv~vwv+<<<<<4 laf4{$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l+<5 5g 5P55v55~55 v5 5 w5 5 v5 54kd=$$IflNe $ ( #%$&'s* g Pv~vwv+<<<<<4 la$Df strength13,Select up to three strengths for each child.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 54f4kd`$$Ifl4Ne $ ( #%$&'s* `g Pv~vwv+<<<<<4 laf4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 5g 5P55v55~55 v5 5 w5 5 v5 5#v #vg #vP#v#vv#v#v~#v#v v#v #v w#v #v v#v #v:V l4+<+5 5g 5P55v55~55 v5 5 w5 5 v5 5/ 4f4kd$$Ifl4Ne $ ( #%$&'s* g Pv~vwv+<<<<<4 laf4Df1Select first child s second ranked primary need.  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!"#$%&'()*+,-.0123456789:;<=?@ABCDEFGHIJKLNOPQRSTUVWXYZ[]^_`abcdefghijlmnopqrstuvwxy{|}~    # 3!"$,%&'()*+-5./0124G6>789:;<=?F@ABCDEHPsIJKLMNOQrRSToVWXYZ[\]^_`abcdefghijklmnpqt|uvwxyz{}~0* pHdTemplateProjectQH@  = | 1E J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\System32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB 4EsEFM20.DLL#Microsoft :" ^ Ob Library/;D1uA00}#0#Gk0 A753592BB-9B0A-4BE4-9CD4-CE1EDB@4C69286DOCUME~1\wattersc\LOCALS@A\VBE\T.8exd ҡdk>xMEP 0@1E  " 0LSN12 PB@oXPjAttribute VB_Name = "LSN12" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk<xMEP 0@1E  " 0LSN13 PB@oXPjAttribute VB_Name = "LSN13" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkBxMEP 0@1E  " 0LSN14 PB@oXPjAttribute VB_Name = "LSN14" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk@xMELSN15 \LSN16  kLSN21 zLSN22  P 0@1E  " 0LSN15 PB@oXPjAttribute VB_Name = "LSN15" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkFxMEP 0@1E  " 0LSN16 PB@oXPjAttribute VB_Name = "LSN16" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkDxMEP 0@1E  " 0LSN21 PB@oXPjAttribute VB_Name = "LSN21" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkJxMEP 0@1E  " 0LSN22 PB@oXPjAttribute VB_Name = "LSN22" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx LSN23 LSN24 LSN25 LSN26 dkHxMEP 0@1E  " 0LSN23 PB@oXPjAttribute VB_Name = "LSN23" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkNxMEP 0@1E  " 0LSN24 PB@oXPjAttribute VB_Name = "LSN24" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkLxMEP 0@1E  " 0LSN25 PB@oXPjAttribute VB_Name = "LSN25" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkRxMEP 0@1E  " 0LSN26 PB@oXPjAttribute VB_Name = "LSN26" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkPxMELSN31 LSN32 LSN33 LSN34 P 0@1E  " 0LSN31 PB@oXPjAttribute VB_Name = "LSN31" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkVxMEP 0@1E  " 0LSN32 PB@oXPjAttribute VB_Name = "LSN32" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkTxME      !"#$%&'()*+,-/0123456789:;<>?@ABCDEFGHIJKMNOPQRSTUVWXYZ\]^_`abcdefghiklmnopqrstuvwxz{|}~P 0@1E  " 0LSN33 PB@oXPjAttribute VB_Name = "LSN33" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkZxMEP 0@1E  " 0LSN34 PB@oXPjAttribute VB_Name = "LSN34" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx LSN35 LSN36 LSN41 .LSN42 =dkXxMEP 0@1E  " 0LSN35 PB@oXPjAttribute VB_Name = "LSN35" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk^xMEP 0@1E  " 0LSN36 PB@oXPjAttribute VB_Name = "LSN36" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk\xMEP 0@1E  " 0LSN41 PB@oXPjAttribute VB_Name = "LSN41" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkbxMEP 0@1E  " 0LSN42 PB@oXPjAttribute VB_Name = "LSN42" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk`xMELSN43 LLSN44 [LSN45 jLSN46 #yP 0@1E  " 0LSN43 PB@oXPjAttribute VB_Name = "LSN43" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkfxMEP 0@1E  " 0LSN44 PB@oXPjAttribute VB_Name = "LSN44" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkdxMEP 0@1E  " 0LSN45 PB@oXPjAttribute VB_Name = "LSN45" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkjxMEP 0@1E  " 0LSN46 PB@oXPjAttribute VB_Name = "LSN46" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx LSN51 LSN52  "LSN53 LSN54 !%dkhxMEP 0@1E  " 0LSN51 PB@oXPjAttribute VB_Name = "LSN51" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dknxMEP 0@1E  " 0LSN52 PB@oXPjAttribute VB_Name = "LSN52" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dklxMEP 0@1E  " 0LSN53 PB@oXPjAttribute VB_Name = "LSN53" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkrxMEP 0@1E  " 0LSN54 PB@oXPjAttribute VB_Name = "LSN54" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkpxMELSN55 LSN56 $&LSN61 LSN62 7P 0@1E  " 0LSN55 PB@oXPjAttribute VB_Name = "LSN55" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkvxMEP 0@1E  " 0LSN56 PB@oXPjAttribute VB_Name = "LSN56" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dktxMEP 0@1E  " 0LSN61 PB@oXPjAttribute VB_Name = "LSN61" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dkzxMEP 0@1E  " 0LSN62 PB@oXPjAttribute VB_Name = "LSN62" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx LSN63 LSN64 (*LSN65 LSN66 )--      !"#$%&'()*+,./0123456789:;=>?@ABCDEFGHIJKLMNOPRSTUVWXYZ[\]^_abcdefghijklmnopqstuvwxyz{|}~dkxxMEP 0@1E  " 0LSN63 PB@oXPjAttribute VB_Name = "LSN63" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk~xMEP 0@1E  " 0LSN64 PB@oXPjAttribute VB_Name = "LSN64" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk|xMEP 0@1E  " 0LSN65 PB@oXPjAttribute VB_Name = "LSN65" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk洂xMEP 0@1E  " 0LSN66 PB@oXPjAttribute VB_Name = "LSN66" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx 洀xME Check1<;Check2,.QMyInfoUC3AddRows+3`y(6 L< `Xk0x%8P P400-049@x @hh @X P@1E $*\Rffff*0J4b02b2fe*\R1*#17b*\R1*#c1 "& 0Check1 PB@oXPkAttribute VB_Name = "Check1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=Endz dk洆xMEP 0@1E  " 0Check2 PB@oXPkAttribute VB_Name = "Check2" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=Endz '洄xME @`Enter Personal InformationTemplateProject.MyInfo.MAIN@ PPPPPpPPPPPPPPPnPPPPPP` `1E  " (08@HPX`hpx &((8*`&(&&(0&X$&$$& $H&p&(N$8$`&&*$"00XT$$0P p <468P686406h846 4H 2 2 4 2( 4` : : 2 P h & 4 6 8 6X 8 6 4 68 8p 4 6 42P24240:h: "02@4x242 0X2402(0`..0. 0P66 ":>XB>F 2h:>6 6X.2::82x62B Fh 4 2 &  (H *p .  2 4(` h x ]]]]]]]](]@]X]p]]]]]]]]0]H]`DEFINE DIALOG BOXF,MyInfo PB@lm ^YourName PB@ m8^ YourTitle PB@ mP^ YourOffice PB@ mi^ YourAddress PB@ xYourCity PB@ T( YourState PB@ FYourZip PB@ n(AreaCode PB@ P YourPhone PB@ <YourExt PB@ r(FAXAC PB@ PYourFax PB@ (YourCO PB@ (YourDI PB@ (YourSEC PB@ T(YourUN PB@ (YourWKR PB@ m^BossName PB@ m^ BossTitle PB@ k  /Enter the following information about yourself. 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. 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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 洊xME @p+Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAIN`1E  "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xMECorrectrneeds1202Needs13Needs2115h  @x X1E  " 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@1E  "(8Hneeds12 PB@ PB@to@8zAttribute VB_Name = "needs12" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=\VLine -1 End dk洌xMEP 0@1E  "(8needs13 PB@oPHoAttribute VB_Name = "Needs13" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洒xMEP 0@1E  "(8needs21 PB@oPHoAttribute VB_Name = "Needs21" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洐Needs22Needs2346Needs31Needs32/GxMEP 0@1E  "(8needs22 PB@oPHoAttribute VB_Name = "Needs22" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洖x MEP 0@1E  "(8needs23 PB@?@ABCDEFGHIJKMNOPQRSTUVWXYZ\]^_`abcdefghiklmnopqrstuvwxz{|}~P 0@1E  "(8needs33 PB@oPHoAttribute VB_Name = "Needs33" Public Sub MAIN() WordBasic.WW7_EditGoTo 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PB@oPHoAttribute VB_Name = "Needs62" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| dk洮xMEP 0@1E  "(8needs63 PB@oPHoAttribute VB_Name = "Needs63" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=D"nEnd| K*s00rU~~~~~~~~~~~~~Z  i^68SF0#  T 9a!Aa!Aaa   )Iay !9Qi)a  AYq1Iay !9Qi ) A Y q   q  ThisDocumentInsertCisAddress ClearCaseInfo NewParagraph Strength63 Strength62 Strength61 Strength53 Strength52 Strength51 Strength43 Strength42 Strength41 Strength33 Strength32 Strength31 Strength23 Strength22 Strength21 Strength13 Strength12 Strength11 HiddenTextToolHelpFCCaseNoCaseInfoAddress1Needs63Needs62Needs61Needs53Needs52Needs51Needs43Needs42Needs41Needs33Needs32Needs31Needs23Needs22Needs21Needs13needs12CorrectAddRowsMyInfoCheck2Check1LSN66LSN65LSN64LSN63LSN62LSN61LSN56LSN55LSN54LSN53LSN52LSN51LSN46LSN45LSN44LSN43LSN42LSN41LSN36LSN35LSN34LSN33LSN32LSN31LSN26LSN25LSN24LSN23LSN22LSN21LSN16LSN15LSN14LSN13LSN12TemplateProjectF@C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLLVBA  0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord  @0FC:\WINDOWS\System32\stdole2.tlbstdole 1 y P.E .`M C:\WINDOWS\system32\FM20.DLLMSForms  Y `5u KLi( 2C:\DOCUME~1\wattersc\LOCALS~1\Temp\VBE\MSForms.exd  Y pL-[DR?C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLLOffice iMAIN  F F)QColorButtonsLargeButtonsToolTipsViewToolbars FC CANS ToolsToolbarShow BordersHide Database Drawing Forms PYou MUST SAVE this document to continue!CancelButton 4Select Save In Folder and  HEnter File Name in SaveAs Dialog Boxk F CaseInfoBeginDialog YourFCCNoTextBox YourFCCN YourCTNO YourFCWLNo YourFCWN YourDOB YourPOSA YourPOSW YourDC ERROR `Enter the following information about this case.Text FC Case No.: FC Case Name: Court ID No.: DHS FC Load No: &DHS FC Worker Name: DOB: "POS Agency Name: "POS Worker Name: Date Completed:OKButton POSAEndDialogCurValuesUserDialog UserInfo FCCaseNo C:\caseinfo.ini 0getprivateprofilestring$YourFCCNo FCCaseNameYourFCCN FCLoadNoYourFCWLNo FCWorkerNameYourFCWN DOBYourDOB COURTNOYourCTNOYourPOSA POSWYourPOSW DCompleted YourDC Dialog .setprivateprofilestring POSa POSw FCCASENO  existingbookmarksetformresult FCCASENAME FCWORKERLOADNO FCWORKERNAME DATECOMPLETED fĤIx8< In Add Row)VBE6.DLL a$` a$ a$S  Check1DestinationWW7_EditGoTo1rU  trU $__SRP_2h__SRP_3DFg__SRP_4__SRP_5?OgrU~| VI$yQQ!!Qq$ 1Y)aAy I) a 9ia Iy1a 9 a !!!!!"a"""1#y##$#a% $`6(8%(%(%H$ @H H.:8%(%H$ @H H.:8 %(%H$ @H H.:8 %(%H$ @H H.:8 %(%H$ @H H.:8%(%H$ @H HKl:8    :(  x:h`1d6xhH$ 4H H.(8I%(^%:%H$ @HH:(8%( %( %(T%:4%H$ @HH:(8%(8%( %(T%:4%H$ @HH:(8%(P%( %(T%:4%H$ @HH:(8%(h%( %(T%:4%H$ @HH:(8%(%( %(T%:4%H$ @HH:(8%(%( %(T%:4%H$ @HH:(8%(%( %(T%:4%H$ @HH:(8%(%(^%(T%:4%H$ @HH:(8%(%(^%(T%:4%H$ @HH:(8k%( %(%(T %:4 %H$ @H!H:(8%(#%(%(T %:4"%H$ @H!H:(8%(;%(%(T %:4#%H$ @H!H:(8%(S%(%(T %:4$%H$ @H!H:(8%(k%(%(T %:4%%H$ @H!H:(8%(%(%(T %:4&%H$ @H!H:(8%(%(%(T %:4'%H$ @H!H:(8%(%(%(T %:4(%H$ @H!H:(8%(%(T%(T %:4)%H$ @H!H:(8%(%(T%(T %:4*%H$ @H!H4(8^%(%(X%(T%H$ @H+H4(8%(%(X%(T%H$ @H,HKH$ @H-H.H$ @HW.A/4 H6C:T0%:81%:2%:3%H$ @H% 4H5C:T0%:81%:5%:3%H$ @H% 6H5C:T0%:81%:7%:3%H$ @H% 8H5C:T0%:81%:9%:3%H$ @H% :H5C:T0%:81%:;%:3%H$ @H% <H5C:T0%:81%:=%:3%H$ @H% >H5C:T0%:81%:?%:3%H$ @H% @H5C:T0%:81%:A%:3%H$ @H% BH5C:T0%:81%:C%:3%H$ @H% DH51 @H$ @HWEB/lH5l(8]3::81%:2% W4%:3%H$ @HFH5::81%:5% W6%:3%H$ @HFH5::81%:7% W8%:3%H$ @HFH5::81%:9% W:%:3%H$ @HFH5::81%:;% W<%:3%H$ @HFH5::81%:=% W>%:3%H$ @HFH5::81%:G% W@%:3%H$ @HFH5::81%:H% WB%:3%H$ @HFH5::81%:C% WD%:3%H$ @HFH5?:T0%:81%:2%:3%H$ @H`1hH5?:T0%:81%:5%:3%H$ @H`1dH5?:T0%:81%:7%:3%H$ @H`1`H5?:T0%:81%:9%:3%H$ @H`1\H5?:T0%:81%:;%:3%H$ @H`1XH5?:T0%:81%:=%:3%H$ @H`1PH5?:T0%:81%:G%:3%H$ @H`1H5?:T0%:81%:A%:3%H$ @H`1H5?:T0%:81%:C%:3%H$ @H`1LH5,:8I%H$ @HJH5):8I%h@H$ @HKH,:8L%H$ @HJH5f):8L%d@H$ @HKH,:8M%H$ @HJH5):8M%`@H$ @HKH,:8N%H$ @HJH5):8N%\@H$ @HKH,:8;%H$ @HJH5e):8;%X@H$ @HKH,:8=%H$ @HJH5):8=%P@H$ @HKH,:8?%H$ @HJH5):8?%@H$ @HKH,:8A%H$ @HJH5d):8A%@H$ @HKH,:8O%H$ @HJH5):8O%L@H$ @HKH5:8PNcH$ 4H H6$ QHH RlfHK&'''dM8@ S6 m QHH ,R Q  R''Tl#*#U*F0>F S2)H 6 xX@ LhT \d`ldXP@ H xhk`nrU~| %I$yQ9&&`,&:h%x$ @xx$,$ xkrU $`ndk洬Address1CaseInfoHJ.FCCaseNoToolHelpIM xMEP 0@1E  "(8Address1 PB@oPHnAttribute VB_Name = "Address1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ dk洰($洲xME,6 LLL<0<4<8<<<` `8o@l matiPhme, PdorkeP` P\.MAIPX P TPPPXL` (p@X0H@%PDFJHN@pH @`8 @x( @ @ @ @ @ @ @  @8 @P @h @x @h Pd@T @D @4 @$ P:P<@ @ @ @ @ (P<@  X @ ( @ 01E $*\Rffff*0I4b02b2f2*\R0*#14*\R0*#1*\R0*#19*\R0*#1a*\R0*#13*\R1*#91*\R1*#c6*\R0*#f*\R1*#c1*\R1*#17b " (08@ H `x "6(.".".".@ .h  l  0 @.X(:x&:&:(:&:&:@&:h&:$: 4N:*:h,:,:.:2:(":`0:0:.: 84P4p  0 <>C@CH>CBC:C nP>C:C :C@ @C f 2( 1` x & >: @: >:@ B: :: h jp >: :: ::` @: ` "@:?h<?:?>?(6?h d:?6?H6?<? \  "X6U:UBU>U@.U f6UH.U.UBU X( 4  5  $&6m@H P `]@]X]p]]]]] Dim UserDOB$ 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$, vbCriticalp !T.Descr@iptionE@xclama"ERROR" rr.Numb& "In Add Row`S?b' xMEP 0@1E  "(8FCCaseNo PB@voPHnAttribute VB_Name = "FCCaseNo" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ 洶xME @p,View instructions for using FIA-#### buttonsTemplateProject.ToolHelp.MAIN@ X ` (1E  ""(8 `(xJRJHDJL0   < 2H` " 4 ] PB@ FC CANS Tools PB@DEFINE DIALOG BOXFFC CANS Tool Help PB@  ,**To CHANGE Case Info WITHOUT closing form** PB@d$;  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HiddenTextStrength11LNStrength12 Strength13KWxMEP 0@1E  "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xME     !"#$%&()*+,-./012345789:;<=>?@ABCDFGHIJKLMNOPQRSUVWXYZ[\]^_`abdefghijklmnopqstuvwxyz{|}~P 0@1E  "(8 strength11 PB@oPHrAttribute VB_Name = "Strength11" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk洸xMEP 0@1E  "(8 strength12 PB@oPHrAttribute VB_Name = "Strength12" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk派xMEP 0@1E  "(8 strength13 PB@oPHrAttribute VB_Name = "Strength13" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk洼Strength21'Strength22PR6Strength23EStrength31QUTxMEP 0@1E  "(8 strength21 PB@oPHrAttribute VB_Name = "Strength21" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk´xMEP 0@1E  "(8 strength22 PB@HuoPHrAttribute VB_Name = "Strength22" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkxMEP 0@1E  "(8 strength23 PB@oPHrAttribute VB_Name = "Strength23" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkƴxMEP 0@1E  "(8 strength31 PB@oPHrAttribute VB_Name = "Strength31" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkĴxMEStrength32cStrength33TVrStrength41Strength42S[P 0@1E  "(8 strength32 PB@oPHrAttribute VB_Name = "Strength32" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkʴxMEP 0@1E  "(8 strength33 PB@oPHrAttribute VB_Name = "Strength33" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkȴxMEP 0@1E  "(8 strength41 PB@oPHrAttribute VB_Name = "Strength41" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkδxMEP 0@1E  "(8 strength42 PB@oPHrAttribute VB_Name = "Strength42" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk̴Strength43Strength51XZStrength52Strength53Y_xMEP 0@1E  "(8 strength43 PB@oPHrAttribute VB_Name = "Strength43" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkҴxMEP 0@1E  "(8 strength51 PB@oPHrAttribute VB_Name = "Strength51" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkдx  P  H5 !"#$%&'()*+,-./0123467I9:;<=>?@ABCDEFGJKLMNOQRSTVWXYZ[\]^_`abcdfghijklmnopqrstuvwxyz{|}~MEP 0@1E  "(8 strength52 PB@oPHrAttribute VB_Name = "Strength52" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkִxMEP 0@1E  "(8 strength53 PB@oPHrAttribute VB_Name = "Strength53" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkԴxMEStrength61Strength62\^Strength63NewParagraph]afP 0@1E  "(8 strength61 PB@oPHrAttribute VB_Name = "Strength61" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkڴxMEP 0@1E  "(8 strength62 PB@oPHrAttribute VB_Name = "Strength62" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dkشxMEP       !"#$%&'()+,-./0123456789:;<=>?@ABCEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|~0@1E  "(8 strength63 PB@oPHrAttribute VB_Name = "Strength63" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatio n:="s End dk޴xMEP 0@1E  " (@`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 (ThisDocument_VBA_PROJECT`b*EClearCaseInfoc*]InsertCisAddress"8SLSS<N0{00020906-0000-0000-C000-000000000046}H(%0(81E  xAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2 ܴxMEas  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\Program Files\Common Files\Microsoft Shared\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:\WINDOWS\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{753592BB-9B0A-4BE4-9CD4-CE1EDB4C6928}#2.0#0#C:\DOCUME~1\wattersc\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object LibraryT  1E >?<=BC@AFG0E*JHIMNKLQROP675:9TThisDocument0B45993119ThisDocumentAS InsertCisAddress0^444e3cfe InsertCisAddress5ClearCaseInfo0C45993119XClearCaseInfoܴ0;NewParagraph0`444e3cfeNewParagraph޴HStrength630a444e3cfeStrength63ش`%Strength620b444e3cfeStrength62ڴx%Strength610c444e3cfeStrength61Դ%Strength530d444e3cfeStrength53ִ%Strength520e444e3cfeStrength52д%Strength510f444e3cfeStrength51Ҵ%Strength430g444e3cfeStrength43̴%Strength420h444e3cfeStrength42δ%Strength410i444e3cfeStrength41ȴ %Strength330j444e3cfeStrength33ʴ8%Strength320k444e3cfeStrength32ĴP%Strength310l444e3cfeStrength31ƴh%Strength230m444e3cfeStrength23%Strength220n444e3cfeStrength22´%Strength210o444e3cfeStrength21%Strength130p444e3cfeStrength13%Strength120q444e3cfeStrength12%Strength110r444e3cfeStrength11%HiddenText0s444e3cfeHiddenTextToolHelp0t444e3cfeToolHelp(FCCaseNo0u444e3cfeFCCaseNo@%CaseInfo0I4b02b2f2CaseInfoX$8Address10w444e3cfeHAddress1p%Needs630x444e3cfeRNeeds63%Needs620y444e3cfeTNeeds62%Needs610z444e3cfeVNeeds61%Needs5310444e3cfeXNeeds53%Needs5211444e3cfeZNeeds52%Needs5112444e3cfe\Needs51%Needs4313444e3cfe^Needs43%Needs4214444e3cfe`Needs420%Needs4115444e3cfebNeeds41H%Needs3316444e3cfedNeeds33`%Needs3217444e3cfefNeeds32x%Needs3118444e3cfehNeeds31%Needs2319444e3cfejNeeds23%Needs221:444e3cfelNeeds22%Needs211;444e3cfenNeeds21%Needs131<444e3cfepNeeds13%needs121=444e3cferneeds12ACorrect1>444e3cfevCorrect AddRows1?444e3cfe~AddRows8 MyInfo1@444e3cfe MyInfoP' Check21A444e3cfe Check2h Check10J4b02b2fe Check1D LSN661C444e3cfe LSN66 LSN651D444e3cfe LSN65| LSN641E444e3cfe LSN64~ LSN631F444e3cfe LSN63x LSN621G444e3cfe LSN62z LSN611H444e3cfe LSN61t LSN561I444e3cfe LSN56v( LSN551J444e3cfe LSN55p@ LSN541K444e3cfe LSN54rX LSN531L444e3cfe LSN53lp LSN521M444e3cfe LSN52n LSN511N444e3cfe LSN51h LSN461O444e3cfe LSN46j LSN451P444e3cfe LSN45d LSN441Q444e3cfe LSN44f LSN431R444e3cfe LSN43` LSN421S444e3cfe LSN42b! LSN411T444e3cfe LSN41\0" LSN361U444e3cfe LSN36^H# LSN351V444e3cfe LSN35X`$ LSN341W444e3cfe LSN34Zx% LSN331X444e3cfe LSN33T& LSN321Y444e3cfe LSN32V' LSN311Z444e3cfe LSN31P( LSN261[444e3cfe LSN26R) LSN251]444e3cfe LSN25L+ LSN241^444e3cfe LSN24N , LSN231_444e3cfe LSN23H - LSN221`444e3cfe LSN22J8 . LSN211a444e3cfe LSN21DP / LSN161b444e3cfe LSN16Fh  LSN151c444e3cfe  LSN15@ 1 LSN141d444e3cfe  LSN14B 2 LSN131e444e3cfe LSN13< 3 LSN121f444e3cfe LSN12> 4 ( HP` ph  0 hp h(P X8 x@  8HO,yA#so®7oٹJCpWhrDctx)*$lJg̤EL3LzKCel"FDjWābK*^ I}Dֹ;x1AAq|x(L͟IeCD#h&Ln: w!CwMl?lVI~]LɋcjF$o֒=iYE\"i>[l5DC)8\uWULFJUtT`mߚe/L@#t|vv`@XMoY0kW B^gZ2uc^=oDױM`Y>XIc2PE1=f2Z۹AJXKǵ)uQ|MP aˇA(la?_F|'Vf 0H;lnC[G:kwB+,LǐA(qx^`4N@Te]!ekUMDo%Yc2 OpBN>"e D7V ?2UA$2PI$VFJ)_'n{\3#J 5ڀ ӂGRWZHs}"5H;71KnM^J mX;_h|$`ELׁC? vKWA;0bTYYXO3A ɥ#BmDXG:@?yg Do||C$ Ͷe1\:0qJuC49#%̺D&ӒB7 qU)AI8zyL"E vLCy>D)Z0PK! ,Z^̂FgH!F3|yF++x~\!;EO0t?iSAxKCdSgO%Vf^F>!]R6wTIM]%aF271eXA%g(na1VE.A)?=PDk0;i}CN0=~EOam5CU_jI֠&-Fh@mBU"ZY!qBl#*KMx#فAVPoK;j2b@8 F^K|5HnδQC}BBvpƩNYImo=^HrEgI11HЯZ@,K:8j5MJY P@VOAFgp/UD\i[\B? ׍ -1׎@%ZUqz@\ި}GqA1.-`L Wordk VBAWin16~Win32MacVBA6# TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _Evaluate InsertCisAddress>}hMAIN, WorkerNameJAreaCode PhoneNumber CountyNameDistrict}-SectionGUnitWorker8 ApDistrictApUnitPApWorkerW FsDistrictaFsUnitFsWorker SvDistrict]SvUnit/SvWorker FirstNameLastName CaseNumberACountyG8CareOfƻ Address1O ClientCitym ClientState ClientZip WordBasicgetprivateprofilestring$xexistingbookmark setformresult ClearCaseInfohFileFind SearchName֡ SearchPath.SubDir+Title~AuthorKeywordsTSubjectRPOptions MatchCase PatternMatch DateSavedFromu= DateSavedTojdSavedByDateCreatedFrom DateCreatedToViewISortByoListBy+ SelectedFile\Kill NewParagraphqScreenUpdating! ToolsUnprotectDocument(InsertrChrK~ToolsProtectDocument-0NoResetg CharRightP Strength63} WW7_EditGoTod Destinationл Strength62} Strength61} Strength53}} Strength52|} Strength51{} Strength43X} Strength42W} Strength41V} Strength333} Strength322} Strength311} Strength23} Strength22 } Strength21 } Strength13| Strength12| Strength11| HiddenTextG FormatFont&Points UnderlineColor2F StrikeThrough" Superscript SubscriptVHidden] SmallCaps~cAllCapss_SpacingSPositionKerningB KerningMin1FontUBoldItalic! ToolHelpTiRet,p ViewToolbars| ColorButtons} LargeButtonsSWToolTips5+Toolbar2Show BeginDialogFOKButton| EndDialogmP dlgUserInfo2" CurValuesȤ UserDialogDialogf FCCaseNo" CaseInfo UserFCCNoBUserFCCN7 UserFCWLNoyUserFCWN UserPSCNoOUserPSCNqUserCTNOUserHALօUserHAFЅUserDCHide9z HandleError;PromptmActiveDocument\SaveTextBoxQ CancelButton YourFCCNo+YourFCCN. YourFCWLNoYourFCWN0 YourPSCNo9YourPSCNP<YourCTNO~9YourPOSA/)YourPOSWD)YourDCsetprivateprofilestring=UserPOSAPUserPOSWeExitHereP$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 ToolsSpelling AddRowsLineDownxTableInsertRowQNumRows MyInfo@UserName\ UserTitleV9 UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleHFaxYYourName;R YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRn Check2 Check1 LSN66 LSN65 LSN64 LSN63 LSN62 LSN61 LSN56 LSN55 LSN54 LSN53 LSN52 LSN51 LSN46҄ LSN45ф LSN44Є LSN43τ LSN42΄ LSN41̈́ LSN36 LSN35 LSN34 LSN33 LSN32 LSN31 LSN26 LSN25 LSN24 LSN23 LSN22 LSN21 LSN16c LSN15b LSN14a LSN13` LSN12_Documentj _B_var_Chr\; _B_str_Promptl_B_str_UserPOSAU_B_str_UserPOSW VUserDOBnrYourDOBE8SSUAWBYC[D] E_!Fa"Gc#He$Ig%Ji&Kk'Nm(Vo)X Oq*QPs+Ww,Y-Z.[I\Yp/x0|1}2~3456789:;<=>?@BCDEFGHIJKLM NR  QA O   P @PRemove previous Case Information from file so that new information may be added.P"TemplateProject.ClearCaseInfo.MAIN1E  "  \c:\^ caseinfo.ini`bdfhjldnprtvxz|~ PB@ZT]c:\caseinfo.ini PB@]oPH̱Attribute VB_Name = "ClearCaseInfo" Public Sub MAIN(), ".|DescriptionRemove previous  rmaFfrom file so that new is!may be added.sProcDataInvoke _FuncTe@mplate"ject. .QWordBasic.FDFind$ S~ch:=" ",Patbhc:\ cCW.iniubDir:=0, Title Autho "Keyw8s ;LO Match%extÃAtern }eSavedFg ToByCre ! ViewBSort4, Lis(SelTM QKill "I GEWub ID="{CDFB35BE-C1E0-490C-910B-DF5011B75561}" Document=ThisDocument/&H00000000 Module=InsertCisAddress Module=ClearCaseInfo Module=NewParagraph Module=Strength63 Module=Strength62 Module=Strength61 Module=Strength53 Module=Strength52 Module=StrengtLS/xME8 @__=Retrieves CIS Client address info from c:\glwin\cistowrd.ini x%TemplateProject.InsertCisAddress.MAINPPP P"P$P&P(P*P,P.P0P2P4P6P8P:P<P>P@PBPDPFPHPJPLPN(1E ` " (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 PROJECTeD>PROJECTwm} CompObjjh51 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="4644AC68B4E8FEECFEECFEECFEEC" DPB="8C8E663EEA85EB85EB85" GC="D2D038FC7FFD7FFD80" [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 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ThisDocumentThisDocumentInsertCisAddressInsertCisAddressClearCaseInfoClearCaseInfoNewParagraphNewParagraphStrength63Strength63Strength62Strength62Strength61Strength61Strength53Strength53Strength52Strength52Strength51Strength51Strength43Strength43Strength42Strength42Strength41Strength41Strength33Strength33Strength32Strength32Strength31Strength31Strength23Strength23Strength22Strength22Strength21Strength21Strength13Strength13Strength12Strength12Strength11Strength11HiddenTextHiddenTextToolHelpToolHelpFCCaseNoFCCaseNoCaseInfoCaseInfoAddress1Address1Needs63Needs63Needs62Needs62Needs61Needs61Needs53Needs53Needs52Needs52Needs51Needs51Needs43Needs43Needs42Needs42Needs41Needs41Needs33Needs33Needs32Needs32Needs31Needs31Needs23Needs23Needs22Needs22Needs21Needs21Needs13Needs13needs12needs12CorrectCorrectAddRowsAddRowsMyInfoMyInfoCheck2Check2Check1Check1LSN66LSN66LSN65LSN65LSN64LSN64LSN63LSN63LSN62LSN62LSN61LSN61LSN56LSN56LSN55LSN55LSN54LSN54LSN53LSN53LSN52LSN52LSN51LSN51LSN46LSN46LSN45LSN45LSN44LSN44LSN43LSN43LSN42LSN42LSN41LSN41LSN36LSN36LSN35LSN35LSN34LSN34LSN33LSN33LSN32LSN32LSN31LSN31LSN26LSN26LSN25LSN25LSN24LSN24LSN23LSN23LSN22LSN22LSN21LSN21LSN16LSN16LSN15LSN15LSN14LSN14LSN13LSN13LSN12LSN12  FMicrosoft Word Document MSWordDocWord.Document.89q @ ^bjbj 8h%8h%;^;^;^;^;^/_l }</_ ؠڠڠڠڠڠڠ$R٥i;^;^;^g;^;^ؠؠ;^;^ue @R}l$ }0٥٥/_/_;^;^;^;^٥;^/_/_ l/_/_l 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 H "$&BDFHJ^`nprܠܠtaܠPܠ!jht5CJOJQJU$jht55CJOJQJU!jxht5CJOJQJU!j ht5CJOJQJUht5CJOJQJjht5CJOJQJU$j]ht55CJOJQJUht55CJOJQJjht55CJOJQJUht5jht5CJOJQJU!jht5CJOJQJU  "$246JLZ\^rtܾܳܨܝܒ܇}xk}jUht55U ht55jht55Ujht5Uj/ht5Ujht5Ujht5Ujht5Uj0ht5Ujht5Ujht5Uht5jht5CJOJQJU!jht5CJOJQJU*"$&:<JLNbdrtv*,468xj$ht5Ujht5Uj1ht5Ujht5Ujht5Uj5ht55Ujht55Ujuht55Ujht55Ujht55U ht55jht55Uht5/$Lt6^"Dl.V~9876543210/.-,+*)('&%$#"8LN\^`tv "$8:BDFZ\jlnjht5Ujht5Uj8ht5Ujht5Ujht5Uj\ht5Ujht5UjKht5Uj~ht5Ujht5Ujht5Uht53,.0DFTVXln|~裙zp_z!jbht5CJOJQJUht5CJOJQJjht5CJOJQJU!jht5CJOJQJUht5CJOJQJjht5CJOJQJUj{ht5Ujht5Ujht5Ujht5Ujht5Uht5jht5Ujht5U%~4X Hl$LtQPONMLKJIHGFEDCBA@?>=<;:  .0246RTVXZnp~vlfYjht5CJU ht5CJjht5CJUjLht5Ujyht5Ujht5Ujht5@U ht5@jht5@U!jht5CJOJQJU!j$ht5CJOJQJU!jht5CJOJQJUht5CJOJQJjht5CJOJQJUht5" "68FHJfhjln˼˭˞ˏˀqfjht5UjKht55CJUjht55CJUjht55CJUjcht55CJUjht55CJUjBht55CJU ht55CJjht55CJUjht5Ujht5Uht5jht5CJU("$&:<JLNbdrtv  &(68:NP^`bvx}jht5Ujht5Ujht5Uj%ht5Ujht5Ujeht5Ujht5Ujht55Uj<ht55U ht55jht55Uht5jht5U18`(Px $$Ifa$ $$Ifa$$If\[ZYXWVUTSR&(*>@NPRfhvxzδ~s~s~sht55CJOJQJht5CJOJQJjht5Uj\ht5Ujht5Ujht5Uj3ht55Ujht55U ht55jht55Ujjht5Uht5jht5Uj ht5U,9Vkd$$Ifl4FD*%    4 lf4 $$Ifa$ $$Ifa$$IfVkdG$$Ifl4FD*%    4 lf4NPRX$IfVkd$$Ifl4FD*%    4 lf4 $$Ifa$ $$Ifa$  &.0DFLPR V~垙}}}}嵈ujuujZht5Ujht5Uht5>*CJOJQJht5jht55U ht55jht55Uht55>*CJOJQJht5CJOJQJ$jht55CJOJQJU$j!ht55CJOJQJUht55CJOJQJjht55CJOJQJU)w$If $$Ifa$$IfVkdM$$Ifl4FD*%    4 lf4~|sjjjjjjjj $$Ifa$ $$Ifa$$If|kd$$Ifl4rDb*n4 lf4 zzzzzx$If|kd$$Ifl4rDb"*jN z4 lf4:GHVWXbcqrsɻɪɻəɻɈɀssijht55Uht55>*CJOJQJht5OJQJ!jht5CJOJQJU!jht5CJOJQJU!jBht5CJOJQJUjht5CJOJQJUht5CJOJQJht55CJOJQJjht5Ujht5Ujht5Uht5(FGabrllllll$Ifbn$If^b`n|kd$$Ifl4rDb"*jN z4 lf4  $$Ifa$$Iffkde$$Ifl\"*8/4 l $$Ifa$$Ifikd$$Ifl4\D*"4 lf4  ~w$If $$Ifa$$Ifikde$$Ifl4\D*"4 lf4     0)+]^_mnopq͸p؁_!jht5CJOJQJU!jht5CJOJQJUjht5CJOJQJU!jht5CJOJQJUht5CJOJQJjht5CJOJQJUht5OJQJht55>*CJOJQJht55CJOJQJht5CJOJQJht5jht55Uht55B*ph ht55%  $$Ifa$$Iffkd$$Ifl\D*"4 l $$Ifa$ikdI$$Ifl4\D*"4 lf4*qCq-kdW$$Ifl*z(4 l$$If^`a$|kd$$Ifl4rD2 *b 4 lf4*+,46BDLNSU] $$Ifa$-kd$$Ifl*z(4 l ]^pvvvv $$Ifa$$Ifykd$$IflrGZ> i%*+++4 l W^_p  4567;eh 粥盖粛ht5ht55B*ph ht55jht55Uht55>*CJOJQJht55CJOJQJht5OJQJ!jht5CJOJQJU!jYht5CJOJQJUht5CJOJQJjht5CJOJQJU/||||| $$Ifa$ykd$$IflrGZ> i%*+++4 lWXyyyyyy $$Ifa$|kd$$Ifl4rD2 *b 4 lf4XYZ[\]^}ttttntw$If $$Ifa$$a$|kd$$Ifl4rD2 *b 4 lf4}ttttt $$Ifa$$Ifykd&$$IflrD2 *vb 4 l     78zqqqkqw$If $$Ifa$$If|kd$$Ifl4rD2 *v` 4 lf489:;>dezqqq $$Ifa$$If|kdR$$Ifl4rD2 *v` 4 lf4efghBVkdX$$Ifl4FD*%    4 lf4 $$Ifa$$IfVkd$$Ifl4FD*%    4 lf4abcdeh]W$Ifkd&$$Ifl4ֈD *11q!4 lf4 $$Ifa$ $$Ifa$   aeghiwxy{Y]  HIJTֺ֩֟˄vlht5CJOJQJjht5CJOJQJUht5OJQJht5ht55B*ph ht55jht55U!jht5CJOJQJU!jht5CJOJQJUht55CJOJQJht5CJOJQJjht5CJOJQJU!jht5CJOJQJU*hz{]W$Ifkd($$Ifl4ֈD *11q!4 lf4 $$Ifa$ $$Ifa$ YZ[\]f`$Ifkd*$$Ifl4ֈD *11q!4 lf4 $$Ifa$w$If $$Ifa$$IfVkd$$Ifl4FD*%    4 lf4CVkd$$Ifl4FD*%    4 lf4 $$Ifa$$IfSkd8$$IflFD*%    4 l    !-/79>@H $$Ifa$Vkd $$Ifl4FD*%    4 lf4 $$Ifa$ HI2Vzvvvv $$Ifa$$Ifykdy$$Iflr\lI r%*@))4 lTU ,.024PRTVXtvxz|NNNN Nַ֦֕քyyoj`^`joZht5Uht55B*ph ht55jht55Uht55CJOJQJ!jht5CJOJQJU!jht5CJOJQJU!j/ht5CJOJQJU!jht5CJOJQJUjht5CJOJQJUht5CJOJQJjht5CJOJQJU!jnht5CJOJQJU#vv $$Ifa$$IfykdR$$IflrXgI o%*<&&4 l $$Ifa$$IfikdG$$Ifl4\D*"4 lf4 N"N~w$If $$Ifa$$Ifikd$$Ifl4\D*"4 lf4ere and Type"   F.Overall Parenting Time (Visitation)/Barrier Reduction Results *If 1, 2, or 3 is checked, complete the Safety Assessment. 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       "N$N&N(N.NNN $$Ifa$$Iffkd1$$Ifl\D*"4 l N(NNNNNOOOOOOOOOOOOOPPP P"P&P(PpPrPtPxPzPPPPPPPPPPPPPPPP&Q*Qy!jht5CJOJQJU!jEht5CJOJQJU!jht5CJOJQJU!jht5CJOJQJUjht5CJOJQJUht56CJOJQJht556CJOJQJht5OJQJht55CJOJQJht5CJOJQJ/NNNNOOOOOHSkd$$IflF*%    4 l $$Ifa$$IfSkd$$IflF*%    4 lOOOOOO"P(PpPrP$If rPtPvPxPPP93333$IfkdL$$Ifl ]c* p Yn$$$$4 lPPPPPP(Q*Q$If*Q,QQQ9/)x$If $If^kd$$Ifl ]c* p Yn$$$$4 l*Q,QQQQQQQQQQQQpRrRtRvRzR|R~RRRRRRRRRRRRRRRRSSS S"S$S0S2S6S8S:SVS㨹㗹ㆹ!j ht5CJOJQJU!j ht5CJOJQJU!jG ht5CJOJQJUjht5CJOJQJUjht55U ht55jht55Uht5CJOJQJht55CJOJQJht5OJQJ.QQQQQpRrRtRvR|RRYSkd$$IflF*%    4 l $$Ifa$$If@kds$$Ifl04*`4 l RRRRRS$S2S8S\SxSzS|S~SSSSSSSSSSSSSSFfFf $IfVSXSZS\SvSxSzSSSSSSUUUUUUUUUUUUUUU^VVVVVV2W4WfWWWXbYdYY˹˛È{nht55@CJOJQJht55@CJOJQJht5CJOJQJht55OJQJht55CJOJQJht5ht55B*ph ht55jht55Uht5OJQJht55CJOJQJht5CJOJQJjht5CJOJQJU!jj ht5CJOJQJU*SSSUUUUUUUUw$IfSkd$$IflF*%    4 l$If $$Ifa$ UUUUUVVVuG> $$Ifa$-kd$$Ifl**4 l-kd$$Ifl**4 l$IfSkd&$$IflF*%    4 lVW4W6WBWXWfWtWWWWWWWWWWXX X.XXYYYrf82x$If-kd$$$Ifl**4 l $ \ $IfkdI$$Iflֈ"D%*2 *F4 lYYYYYYYYYYYYYYYYYYYZZZZZ$Z&Z(Z*Z,ZHZJZLZNZPZlZֺ˯vgXjht55CJUjht55CJUjht55CJUjht55CJU ht55CJjht55CJUht5OJQJht55CJOJQJ!jht5CJOJQJUht55CJOJQJht5CJOJQJjht5CJOJQJU!jbht5CJOJQJU"YZ*ZNZrZZZZZZ[igeca_^]kd$$Iflֈ#"D%*; !H4 l x$$Ifa$ lZnZpZrZtZZZZZZZZZZZZZZZZZZZZ[[ [[ [.[0[2[F[H[V[X[Z[n[p[~[[[ûðûåûÚûÏûÄûyojht5;Ujht5Uj]ht5Ujht5Ujht5Ujht5Uj3ht5Ujht5Uht5ht5OJQJjht55CJU ht55CJjht55CJUjht55CJU)[0[X[[[[[\<\`\\\\](]P]r]]]]^0^X^^^vutsrqponmlkjihgfedcba`[[[[[[[[[[[[[[[[\\\\\6\8\:\<\>\Z\\\^\`\b\v\x\\\\\\\\\\\\\\\߶߫ߠߕߊj$ht5Uj#ht5Ujj#ht5Uj!ht5Ujkht5Uj ht5Ujht5Uj-ht5Ujht5Uht5jht5;Ujht5;U ht5;.\\\]]]]&](]*]>]@]N]P]R]f]h]p]r]t]]]]]]]]]]]]]]]]]]^^ ^^ ^.^0^2^F^H^V^X^Z^n^jt(ht5Uj'ht5UjL'ht5Uj&ht5Ujp&ht5Uj&ht5Uj%ht5Uj,%ht5Uj$ht5Uht5jht5Ujx$ht5U2n^p^~^^ht5jht5Uj)ht5U 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`% 0/ =!@"`#`$`%" 00/ =!@"`#`$`%/ =!"#$%eCheck10aDeCheck17aDeCheck18aDeCheck25Df Dropdown5B  "$&(*,.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. ClientZipD ClientZip UppercaseFEnter the Addressee's Zip (+4 if known) (Example: 48909 or 48909-7537)D CoAddress UppercaseaEnter the County's mail address (street address, PO Box, etc., where the mail will be delivered).D  CoAreaCode000Enter the County's Area Code CoPhoneNumberDCoCity UppercaseEnter the County's City.D CoExtension$$Ifl" P *m Y" $*N|s44444 ls$$If!vh555%#v#v#v%:V l555%4as$$If!vh555%#v#v#v%:V l555%4aG$$If!vh5*#v*:V l5*4ac$$If!vh5*#v*:V l5*/  / 4a$$If!vh55552 5*5F#v#v#v#v2 #v*#vF:V l55552 5*5F/ /  / / / /  / 4aaDeCheck41aDeCheck42c$$If!vh5*#v*:V l5*/  / 4aZDDfc  &K 1=Mntn. Out-of-Home Plcmt.$2=Plan to Retr. Home Drg this Period3=Mntn. Own Home Plcmt.tDf   YesNoDf $6DUaz 6=Indpt Living7=Plcmt/Relatives 8=Return Home9=Custodial Care 10=Adoption11=Term. Parental Rights 12=Perm. FFA13=Maintain Own HometDf   YesNoDf$   1=Serv Unavl 2=Delay Disp.$$If!vh5555; 5!5H#v#v#v#v; #v!#vH:V l5555; 5!5H/ / / / / / / 4adD parentnameD Section00Enter the Section Number. UnitD  SuperAreaCode000 Enter the Supervisor's Area CodeSuperPhoneNumberDSuperExtensionBEnter the Supervisor's Extension number, if any, (Example: X12345)DSuperPhoneNumber@Enter the Supervisor's 7 digit phone number (Example: 373-1234)SuperExtentionD-SupervisorNameEnter the Supervisor's NameDf1  #&),/ NXNYBFCXFPFTMTOTCDf    S=Satisfact U=UnsatisfZD`DText11KDf 25JWm%7Jeq C1=Emo. Stab./Behav. C2=Sex. Adj.C3=Youth Subst. AbuseC4=Nuclear/Ext. RelatnshpC5=Peer RelationshipC6=Life Skills C7=EducationC8=Intellec. Ability C9=Med./Phy.C10=Voc. Trnng/Emp.S1=Emot. StabilityS2=Parenting SkillsS3=Subst. AbuseS4=Dom. RelationsS5=Soc. Supp. Sys.S6=Comm./Interpers. Skills S7=LiteracyS8=Intellect. Cap. S9=EmploymentS10=Phy. Health Iss.S11=Res. Aval./Mgmt. S12=HousingS13=Sex. AbuseS14=Child Char.DfP !:Qi~!6 AD=Alcoh/Drg Abuse RehabOT=Other Program NeedsJT=Job Trng/Empl AssistFR=Reunification Svs DC=Day CarePS=Parenting Skills TrngMH=Mental Health SvsMD=Medical SvsIL=Independent Living Svs ED=EducationTH=Individual/Group TherHS=Homemkr Svs or Par AidDV=Dom Violence ProgFC=Fam Couns/Outrch CounsZDZDZDZDZD]Dtop~D Unit00Enter the Unit Number. WorkeriD Text37 M/dd/yyyy`DText38|D Worker00Enter the Worker Number. D WorkerAreaCode000Enter the Area Code. 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