ࡱ>  @ jRbjbj 2@FFFFFFFTppphrpuLuuuvCxx`s$nR'F_yvv_y_y'FFuu}}}_yFuFu}_y}} FF^u 6&pzˆ\4ֳ0ڈz 0^DFFFFFl_y_y}_y_y_y_y_y''3F)|@FTREATMENT FOSTER CAREFC Case Number: FORMTEXT      Parent  Agency Treatment Plan and Service AgreementFC Case Name: FORMTEXT      Michigan Department of Human ServicesDHS FC Worker Load #: FORMTEXT      DHS FC Worker Name: FORMTEXT      PS Case Number: FORMTEXT      PS Case Name: FORMTEXT      Date Completed:  FORMTEXT      Check One:Court ID #: FORMTEXT       FORMCHECKBOX Initial Service PlanPOS Agency Name: FORMTEXT       FORMCHECKBOX Updated Service PlanPOS Agency Worker Name: FORMTEXT      This treatment plan is developed to assure that each child will receive safe and proper care and services by the following activities. CHILD INFORMATIONDHS Case NumberChild NamePermanency Planning Goal CodeTarget DateAnticipated Next Placement TypeDate Anticipated Next Placement FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMTEXT       FORMDROPDOWN  FORMTEXT       Service Type Code:AD =Alcohol or Drug Abuse RehabilitationFR =Reunification ServicesIL =Independent Living ServicesOT =Other Program NeedsDC =Day CareFC =Family Counseling/Outreach CounselingJT =Job Training/Employment AssistancePS =Parenting Skills TrainingED =EducationHS =Homemaker Services or Parent AidesMH =Mental Health ServicesTH =Individual/Group TherapyDV =Domestic Violence ProgramMD =Medical ServiceWP=Wrap AroundBA =Behavioral AideA. SERVICE REFERRAL TABLE To enter additional services for following reports, place the cursor in the FIRST FIELD of the row ABOVE where you want the new row and click the Insert Svc Ref Row button to insert services between rows as needed. To enter continued headings, click in the FIRST FIELD on the new page and click the ADD SVCREF HEAD button. To remove continued headings, click the REMOVE SVC REF HEADING.  Using the codes above for member referred and service provider type, enter the information for all services below. Family Member Name Barriers/ Needs Addressed  Service Type Code  Service Provider Name  Mo/Yr Re- ferred  Mo/Yr Start Target Com- pletion Date (Mo/Yr) Service Status  Completed Services  Com- pletion Date (Mo/Yr)  FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMTEXT       Parent - Agency Treatment Plan and Service Agreement (continued) In this section, provide the specific goals, objectives, activities, and parenting time (schedule and expected activities) for all parties, the placement provider, the child(ren), and the foster care worker with the expected outcome of each activity. The goals and objectives must be clear, measurable, and designed to resolve the primary barriers for reunification identified in the Family Assessment of Needs and Strengths, and to achieve the permanency planning goal.B. Parent/Caretaker Goals and Objectives 1. List each goal for parent(s) and non-parent adult(s), if applicable, identify specific action steps to address goal, time frame for achieving, and expected outcome. Goals must address the areas prioritized on the Family Assessment of Needs and Strengths. 2. Specify involvement in medical and dental appointments. Any attendance at school conferences 3. Indicate if employment, day care, and/or transportation is a barrier to the parent meeting any of the goals or action steps including parenting time. Indicate the plan to address any of these three items.   MACROBUTTON [b2] "Click Here and Type"  C. Treatment Foster Parent Activities and Discipline and Child Handling Techniques 1. List each goal for foster parent, specific action steps, time frame for achieving, and expected outcome which includes: Participation and attendance in all treatment meetings Implementation of in-home portion of treatment plan Strategies utilized to assist the child in placement in maintaining contact with birth family Interventions utilized by the TFC parent to assist the parent in managing the childs needs Identify activities the TFC parent will provide to nurture childs pro-social network and to nurture childs interests and talents Identify behavior logging expectations 2. Describe the discipline and child handling techniques to be used while the child is in placement. 3. Describe the plan of supervision for the child while in placement. 4. Describe the plan for acceptable activities such as baby sitting, routine household tasks, privileges etc. 5. If the youth is age 14 or older, detail the independent living preparation activities the foster parent / relative caregiver will provide to assist the youth. (See CFF 722-6 Independent Living Preparation.) Justify the tasks and/or additional expenses provided by the caregiver that justifies the Determination of Care Supplement.   MACROBUTTON [b2] "Click Here and Type"  D. Individual Child Activities 1. List for each child, the service goals and action steps, persons responsible, interventions, time frame for achieving, and expected outcome. Goals should address areas prioritized on Child Needs and Strengths Assessment and activities of daily living (if applicable). Identify what agency and parent(s) need to do to meet these specific needs. 2. Identify short term treatment goals, interventions and outcomes for childs treatment in the TFC program. 3. Address sibling visitation, if siblings are split. When separated, the relationship between siblings must be maintained by detailed plan of visits, phone calls and letters. 4. For each ward age 14 or older (including those wards who become 14 years of age during the report period), include a description of the programs and services which will assist the youth to prepare for the transition to a state of functional independence or the ability to take care of oneself physically, socially, economically and psychologically. Identify where, how and by whom these services are to be provided. (See CFF 722-6 Independent Living Preparation.) NOTE: The DHS-4713 (Service Youth Profile Report) is completed quarterly for all youth receiving independent living preparation services. See RFF-4713 for instructions of form completion.   MACROBUTTON [b2] "Click Here and Type"  E. Treatment Foster Care Worker Activities 1. Identify services to be provided to the parent(s), the child(ren), relative caregiver and to treatment foster parents by the treatment foster care worker. State activities that support the services offered to all participants in the service plan. 2. State proposed treatment foster care worker contact with the family, child(ren), caretakers, and service provider, if applicable. 3. If the youth is age 14 or older, detail the independent living preparation activities the worker will provide to assist the youth. (See CFF 722-6 Independent Living Preparation.) 4. Identify what the worker will do to facilitate parenting time and sibling visitation, if applicable. 5. Indicate worker availability and describe crisis plan. 6. Indicate contact plan w/ primary agency worker, birth parent, child and TFC family.   MACROBUTTON [b2] "Click Here and Type"  F. Behavioral Aide Activities Describe activities behavioral aide is responsible for implementing including frequency of contact and with whom.   MACROBUTTON [b2] "Click Here and Type"  G. Parenting Time Identify the parenting time plan for all parents / caretakers and non-parent adults, if applicable. Identify under worker activities what the agency will do to facilitate parenting time. 1. Specify the type, frequency, location, and duration of parenting time. If less than weekly, specify why. a. State how parenting time setting will assure a family friendly environment. b. If location is other than parental home, specify where and what conditions must exist for in-home visits to take place. 2. If parenting time is supervised, specify by whom and what conditions must exist for unsupervised visit. a. If court is limiting parenting time, specify why more frequent parenting time would be harmful to the child and what parent must do to achieve at least weekly parenting time. b. If parent is limiting parenting time, indicate parents reasons for wanting less frequent parenting time and project if and when frequency could be increased. 3. Specify behaviorally specific activity expected of the parents during parenting time. 4. Indicate intervention/coaching expectations of TFC family to assist family and child interactions.  MACROBUTTON [b2] "Click Here and Type"  H. Aftercare Plan Identify recommended after care services including nature of services, frequency, duration and persons responsible for after care services.  MACROBUTTON [b2] "Click Here and Type"  The development of this plan was negotiated with (also list those individuals who were unavailable to participate in the development and why not): Indicate who the plan was negotiated with and any individual who is involved in the plan but was unavailable to participate in its development. If any individual was unavailable, state the reason why they were not involved. If the parents were not involved in developing the case plan, the reason why must be documented. (See CFF 722-6, Parental Involvement in Developing the Plan.) Youth age 14 and older must be involved in the development of the plan and be responsible for its implementation with the assistance of identified individuals.   MACROBUTTON [b2] "Click Here and Type"  By signing below I agree that I have read the above, discussed it with my foster care worker, and understand what is expected of me to facilitate the permanency planning goal. Upon clicking in the Name field below, a question box allows addition of signature lines for Youth Age 14 and Older, if applicable and/or additional Parent / Caretaker signature rows. Parent/Caretaker Name:  FORMTEXT        Parent/Caretaker Signature:  Date:  FORMTEXT      By signing below on behalf of the Department of Human Services we agree to those activities outlined above and will assist the family in their efforts to facilitate the Permanency Planning goal. Upon clicking in the Name field below, a question box allows signatures lines to be added as necessary that will include at least the foster care worker and supervisor. 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$$Ifa$:kdx8$$Ifl4|))4 laf4$Ifukd7$$Ifl4\ "|)D &4 laf4l9n9p999999jj!!v:v:5$If$If:kd8$$Ifl4|))4 laf499999999:hCjjyjjv:s!5$If 4$If$Ifukd :$$Ifl4\F"|)4 laf4::::::J:L:)\)v:Hu:Fjj@!5$If:kd;$$Ifl4|))4 laf4$Ifukd;$$Ifl4\F"|)4 laf4:::":F:J:L:N:b:d:f:p:r:t:x:z:~:::::::::::;;;; ;; ;$;&;0;2;4;6;J;L;N;X;Z;h;j;~;ԷПԷԗЌԷjhPPKUjy?h(UhPPKOJQJj=h(UhPPK5@CJOJQJjh(UmHnHuj<h(Uh(jh(UhPPK5CJOJQJh{J]5CJOJQJhPPKCJOJQJhPPK/L:t:v:x:z:|:~::!jjhC)jF|)j9kdT=$$Iflh|))4 larkd<$$Iflh\p"|)4 la$If5$If:::::;;;;|jjj!jjF#rkd>$$Iflh\F")4 la5$If$If9kd=$$Iflh|))4 la; ; ;";$;&;2;4;\;^;`;b;d;jj!!jj!!shCm1m1m1$Ifrkd?$$Iflh\F"|)4 la5$If 4d$$If$If d;f;h;;;1)!)!5$Ifpkd@$$Ifl\F"|)4 la$If~;;;;;;;;;;;;;;;<@Cźʨʠʨʑ|tlahHOh6CJaJh6CJaJh,0hPPKhh,0h,0hh#h{J]<B* phfh#hPPK<B* phfUhg8B*phjhg8Uhg8CJOJQJhg85CJOJQJ hg85hg8 hPPK5 hPPK5CJhPPKjh(UmHnHujhPPKUj'AhPPKU";;;;;hC)!/|ckdB$$Ifl4h|))04 laf45$If5ckdA$$Ifl4h|))04 laf4;;;;;XY)j)j)!)v:$If5gdg8gdg8:kdC$$Ifl4|))4 laf4 $Ifgdg8 Here and Type"  The local office shall approve, or disapprove, in writing, the ISP for a child in purchased foster care or residential care. The Purchase of Service (POS) agency is responsible for all elements of the service plan in cases where they have accepted responsibility for providing family services per the DHS-3600 (RFF-3600) contract. The local office is responsible for reporting requirements only when the POS agency has not accepted total case responsibility. The report from the local office should not duplicate the POS agency report, but should address those areas for which the POS agency is not responsible per the DHS-3600 contract. Signing the ISP submitted by the POS agency indicates approval. The approved ISP is to be returned to the POS agency within seven days of receipt; a copy is retained in the childs case record. The local office is responsible for knowing what services are being purchased from the POS agency and for monitoring compliance with the DHS-3600. When a noncompliance situation is identified, it is to be brought to the attention of the POS agency both verbally and in writing. If efforts to resolve the area of conflict locally are not successful, the situation is to be brought to the attention of the appropriate Zone Office. If the Zone Office is unable to intervene successfully, then the Division of Child and Family Services is to be involved. (See CFF 914, Monitoring Worker Responsibilities for more information.) Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, 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 DHS-67A (1-09) MSWord  PAGE 1  FILENAME \* MERGEFORMAT 0067-a DHS-67A (1-09) MSWord  PAGE 4  FILENAME \* MERGEFORMAT 0067-a || $If^ $If^ $$Ifa$ckddC$$Ifl4h|))04 laf4 OPQR"~ )v:t_))v:YY$If( !4(:d`]gd<( !(:d`]gdHOskdD$$Iflh0|)d04 la   !'()*+,FGMNOPQR "ҐÐ{qdqh55@CJOJQJh5CJOJQJhPPKh1h<h60J7CJaJ!jh<h60J7CJUaJh6CJaJh<h6CJaJh6hHOh6CJaJh60J7CJaJmHnHuh@n+0J7CJaJmHnHuhHOh60J7CJaJ!jhHOh60J7CJUaJ&#&P0= /!"#$% &P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%# 0&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%DFCCaseNoEnter Foster Care Case Number CaseInfo.MAIN$$If !vh55 5#v#v #v:V l4eN9,55 5/  / / /  4a D FCCaseNameEnter Foster Care Case Name$$If !vh55 5#v#v #v:V l4eN9,55 5/  / / /  4a DFCWorkerLoadNo(Enter FIA Foster Care Worker Load Number$$If !vh55 5#v#v #v:V l4eN9,55 5/ / / / /  4a D FCWorkerName!Enter FIA Foster Care Worker Name$$If !vh5555 5#v#v#v#v #v:V l4eN95555 5/ / / /  4a DPSCaseNo%Enter Protective Services Case Number$$If !vh5555 5#v#v#v#v #v:V l4eN95555 5/ / / /  4a D PSCaseName#Enter Protective Services Case Name$$If !vh5555 5#v#v#v#v #v:V l4eN95555 5/ / / /  4a D DateCompletedEnter Date CompletedDCourtNoEnter Court ID Number$$If !vh5555 5#v#v#v#v #v:V l4eN95555 5/ / / /  4a DeCheck1Check if Initial Service PlanDPOSA&Enter Purchase of Services Agency Name$$If !vh5555 5#v#v#v#v #v:V l4eN9,5555 5/ / / / 4a DeCheck2Check if Updated Service PlanDPOSW-Enter Purchase of Services Agency Worker Name$$If !vh5555 5#v#v#v#v #v:V leN9,5555 5/ / / /  4a L$$If !vh5N9#vN9:V lN95N94a L$$If !vh5N9#vN9:V lN95N94a L$$If !vh5N9#vN9:V lN95N94a $$If !vh55:5:55T5#v#v:#v#vT#v:V lN955:55T5/ / / / /  / / 4a DA fiacasenoFIA Case Number ChildInfoAutoDText7Enter Child NameDf Dropdown3$Select Permanency Planning Goal Code ReunificationAdoption GuardianshipPerm Placement With Relative(Plcmnt In Another Planned Living ArrangeDText9Enter Target DatevDf Dropdown5xSelect Anticipated Next Placement Type: Foster Home, Relative, Residential, Adoptive Home, Own Home, Ind. Living, Other  Parental HomeLic/Unlic RelativeLegal Guardian Adoptive HomeLic Unrelated Foster Home Ind LivingUnrelated CaregiverOther2D NextPlace[Enter Date of Anticipated Next Placement. 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" + Chr(10) "How many ADDITIONAL OTHER AGENC Y SIGN@ATURE Ea>neededothDreport?8=%Example: {Total squir*= 3.} ]{ Minus exing14%Enter addiR1@*= 27CA NCEL pESC if non`e", "WPS0 Prompt$@("You MUST S ave TSDocument Be@e Cont@6ingVXSel}In Fol2d0ndV 8FiHle »inBAs Dialog 'Define pB, \ CI9cmdC ancel@0enExitH2CElse"0"&A!AtveJ.OC U n.tAGPassword:="clw8784F8i@2nq1 St ep -12 Bookmarks("o").c1#c@~.Mown Unit:=wdL*,`;un#SplitTa(bleDpcaB{DisplayACHleteTipTru#achedTe p.Text@rie }, _cA$I@rt$ W:=Range, Rich :=GDS@%Charac_ l++N@ iEnd INfc*PC %R:E suE, No0Rese5, Type!9All@owOnly HmFields '`roB dy  ȣ2($ gU4198Qf 'sfycpled Msgy , vbCrcal`npoi@0of ero>uKawJ `.DescripSA tExkmUor" &.NuDmb & "CbaInf!L a 'RewG At s`af"?+Ab- @ @ @| pl @\ L @< , @ O@ rr@  H @ X@$ @ h @ __SRP_1cD__SRP_1d6gRemoveSvcRefHeadButton.58I __SRP_20jTrU~| " >8Y99: <=1'* (( I) q Aq>i33a))>)*A*a**y  !IK5 l        |  <     '' ','L(l:N:\lL:<, ::|l:\L<,: : F68lL, |lL<, lL, :\ l lL , ,:<    : `16lL, 32:\ ]32$ 4 !'l$ 4 5l(<(\pE|:\Nll$ 4 8 @| L)|5l7x',(Lll ( c;)xME6 LLLLLLL `lL440x% H`P(82>PZxl @\ L @< @, @ @ @ p @ @ @ @ @ @ @| @l @\ P@L @< @, @ p @ @ @ @ @  @ @ @| pl @\ L @< , @ O@ rr@  H @ X@$ @ h @ / @P@ @| @x X^d@t @p @l P@y:$*\Rffff*0J44c9d017*\R0*#f*\R0*#14*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#cb*\R1*#ca*\R1*#1e*\R1*#129*\R1*#c0*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#14" >H @P 8    ( 0  8 HE`7  Bo2E( H X` h@p x &$&.8m68p x 7 creates message box for response to question Yes or No&0(There is already ONE signature section. $  !How many ADDITIONAL OTHER AGENCY $  3 SIGNATURE rows are needed for this report? $  $  0 Example: {Total Signatures required = 3} $  < { Minus existing = 1} $  < { Enter additional = 2} $  $  CANCEL or ESC if none OTHER SIGNATURES$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt  $& 0e&d (B@* .  signature (%0B@H 86: 2B@4 2B@< >(@  2!JHLAddSignaturerows (!B%DB@F P6: 2B@N signature (%0B@H .k`RXRP|&|$ < 6lL,$ < \$  |o$ < QoL%c%:\%l|$ 4| Xl>)|6lL2x(Ll$ < 6lLE|:\Nll$ 4 8 @| L)|5l N5:\NllcL$ 4 6lL$x  lxf&','L'lM\@ 6lL, mt  ,x  '', lx#p*#l!*FL0>tFl 2pl)6lL, <$#tpl|lL, |lL<, lL, @krU $`nxME(6 << < j`,,0hx%P@y:$*\Rffff*0L44c9d017,"   &0 X` h   0 ,@p    @@  &(P.`86   RemoveSvcRefHeading Macro Macro recorded 01/19/01 by FIA-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt (B@*s r nlMemberReferredCode 2B@ 2!pB@r  2!p 9d5t(ds 9v z9x99|9~999q` 2B@ 2!B@N R8|XP \fsave file cancelled0 " `A@^2 #return to point of error in routined \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errorkho`Xcladd87V (B@,cladd87VX Zl (B@T[reprotect documentHiAttribute VB_Name = "RemoveSvcRefHeadButton" Sub ping() '6 Macro8 recorded 01/19/01 @by FIA! On Error GoTo H andle Prompt$You MUST Save This Document Before Continu" + Chr(10) "Select!In Folder :EntAFile i nA?ialo g Box'Define pX] ActivJeS.]  U ntLPassw:="clapdd87.\ion.what:=wdBookmark,P@MembererredCode"Find.ClearForma tNg&With G A!.TextcRepplaceb@ward True!Wrap@wdDo&@Fals MatchC asWhol eWQWild c%sSoun dsLikAllA)LEnd Q:RCRow Qs.Dt@9 ExitHer|e: Lŕ@o0ReseZ, 0Type*owOnlyA+Fields 'reNd$i  ~XrIfv&4198qen 'sarfadcancelledC Msgc x, vbCritical@xAturn t o poi zof `WmrouS=?EAD ` 'sc0riptcA Ex@g`Z"" &a.Num c"àHInfoY/ ' [ro-fI` e3 saf"!?If'!d(rU~| ! krU $ `nM__SRP_21%lgViewtools8n__SRP_12T__SRP_13gxME(6 << < `0x%P@y:$*\Rffff*0E44c9d017 """0Xh B@FCTools B@o Attribute VB_Name = "Viewtools" Public Sub MAIN() WordBasic.TTbars ColorButtons:=1,@ Large 0, TTip:AN:="FC s", ShowQ End rU~| krU $`n<j }xSvcRefHeading,__SRP_cT__SRP_d1oRemoveRow:cME(6 << < `@66EAdd heading row if Service Referral table expands to a second page. "TemplateProject.SvcRefHeading.MAIN8%y:$*\Rffff*0B44c9d0177 "   (8RP2  2H ` p2   2  0 @2P   2   2  X h x2  2  ( 84H   4   ( 8Xh B@OSD B@g2\ B@ENT B@Pub060 pt0.2"$   B@1% B@9svcrefh1F B@006 B@ B@PPPsvcrefh2F B@ 0 B@ B@000 B@000svcrefh3F B@@@ B@000 B@ 0 B@0 svcrefh4F B@``` B@``` B@``` B@pP svcrefh5F B@@@@ B@00@ B@P@@ B@@@0svcrefh6F B@@0P B@@P` B@`@ B@``svcrefh7F B@`0@ B@P00 B@00@ B@svcrefh8F B@@ B@ B@svcrefh9F B@f B@'L'l B@@  B@ svcrefh10F B@l B@*F B@Fl  B@| svcrefh11F B@ B@ B@ 2B@p  2!(  2!(Xl B@|o˲Attribute VB_Name = "SvcRefHeading" Public Sub MAIN(), ".|DescriptionAdd h row if Service erral table expands to a second page. }hProcDatatInvok@e_FunctTemplate"ject. .QWordBasic.FileSave ToolsUnprot"Document \SelRow @Insert num~s:=" $=C3?CMHh4?$6E5Ev?$|H6膽7"$|8?|9__!!e!1ߝCWW>pSm|.@c3rFp_.BoldpwwdToggltt?;vv{v @NoRese , Typpq2 E@ rU~|  krU $ `ynBJOxME(6 << < `@h#Remove a single row from any table.TemplateProject.RemoveRow.MAIN`%hy:$*\Rffff*0F44c9d017 "   (8Xh B@ B@ B@Xl B@\FIo Attribute VB_Name = "RemoveRow" Public Sub MAIN() D.tDescri ption a single row from any table.Pro cDataRInvoke_FuncRTemplate"ject.-.M WordBasic.ToolsUnprot-Document !Selu D rt ,B+ NoReset:=1, Type:=2 End rU~| krU $`YnrU~| k__SRP_14T__SRP_15oAddHeadDialog;27__SRP_10T__SRP_11 oNewMacrosBj!__SRP_18r__SRP_19".rU $`a nrU~| \rU $`$`$`$`n(AllowOnlyFormFields \ ÎAddSvcRe@fRowYN On Error GoTo H @le responsMsgBox("Do you neANOTHER SERVICE REFERRAL ROW?", vbYesNo +@QuesiDefaultButton2, "@& Ser vice 'erral?"@w!q Lmpt$w"Y$MUSTvzis ű Before Continu@" Chr(10)J"CmIn Folder DV Ent@File inBAialog L':C$?}-}{ 'reEd A~L2~$nC =4198"n $'sT fa]cadncJed c q~Critic?@ABCDEFGHIJKLMNOPQRSTUVWXZ[\]^_`abcdfhijklmnopqrstuvwxyz{|}~/"W`WntUKWc oWoWoWloWaoWoWoWoWoWoWoWr0XoWoWtoWbWZV&wWSV"?vb?dd Workh-xpsnWWWW{8Wd3[Wx0m.7WWW{D_ol䈿˲` Selection.MoveRight Unit:=wdCell SplitTabled$Ap caDisplayAutoCompleteTips = Tru^veDocument.AttachedTe/ate.<TextEntries("AddcrovalSignature"0). _Insert Where:=Range, RichYR:=$Dteyharacter, Coun14UpLin22 GoTo ExitHJ E|lsdnd If":BAProt Password:="cladd87", NoRese]w, TypwdAllowOnlyFormFields 'repddC Sub"2"M-Handl@eError+I f ~4198 Then 'save file cancedMsgBox 5mpt$, vbCritica3+@n to point of e in rout@b'Z&".DescripEx@L"mB, "or" &A-.Number"In Case Inf4o" D#h 'RPŵ C e@ sub afC*'Gy@BY"( 0 h8   `  x ToolHelp+Ux__SRP_16T__SRP_17!oAddFIASignatureAuto(_NTjsxME(6 << < `@x..-View instructions for using FIA-#### buttons.s"TemplateProject.AddHeadDialog.MAIN@ q` h %y:$*\Rffff*0D44c9d017/ ""&8 `&xJPP@>JL 8pN:R8@R>(Ph<RTPPDN@    <@ 2 " 4 PXh] B@15-GT- FIA-52 Tools B@FoDEFINE DIALOG BOXFFIA-52 Tool Help B@,  ,**To CHANGE Case Info WITHOUT closing form** B@d; 21. Click Clear Case Info Button on FIA-52 Toolbar B@d;" 22. Click Change CaseInfo Button on FIA-52 Toolbar B@dR.  to bring up new pop-up screen. B@d;: +3. Enter new case information and click OK. B@d```;H -The new information will fill in on the form. B@d \ **To ADD Child(ren) Row** B@d;h 0Click Add Children Row Button on FIA-52 Toolbar B@d | **To ADD Legal Status Row** B@d; 4Click Add Legal Status Row Button on FIA-52 Toolbar B@dsvcr  "**To ADD Social Work Contact Row** B@d; 4Click Add SocWk Contact Row Button on FIA-52 Toolbar B@d  **To ADD Child Information Row** B@d; 1Click Add Child Info Row Button on FIA-52 Toolbar B@d  **To Add Service Referal Row** B@d; 3Click Add Svc Referral Row Button on FIA-52 Toolbar B@d  5**To Add Column Headings for Service Referral Table** B@d; 1Click Add SvcRef Heading Button on FIA-52 Toolbar B@d  %**To Remove Entire Row from any table B@d;( /Click Remove Table Row Button on FIA-52 Toolbar B@d J B@d Z B@d j B@d^N B@ B@]F !!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  !%'  OK BUTTONGet user info from INI file. Update other Form Fields on Form & Exit MacrokoAttribute VB_Name = "AddHeadDialog" Public Sub MAIN(), ".|DescriptionView i@nstruc&s for using FIA-# tons.ePProcData\Invok@e_Func\Template"ject. .QDim iRet WordB asic.Toolbars ColorButA:=1, LarDge0, T8ips"':="k52s", Show 'DEFINE DIALOG BOX 'Begin 582, 40= ' Help i fText 9, 1513, "**To CHANGE Case Info WITHOUT cloƨm**)52!1. C@k@earK |?W W34, G2Fhange7,lM6Er" to brup npop-q@eenPS>58 (3. EntTercSiSrDmaandTick OK7JSTheB wilHl finStoh@h9B}ADD Child(ren) Rowx10Jb< iC  0ekQ2 &Legal Status~3f9aZgf5j Soc@ k\@ontact6jE` We;18j 3*Y(vc/c?.5ddd!umnadCӪ!Tablez6hSvc` 8/hRemo$veair@+ow from any t29pi 2-dl\Tg33u4Mu6~OKH4R735@723&0GqEn dlgUserA"eAs Ob: Set =a?4CurValu8es.sy1'GET USER INFO FRO MIЌLE AND PuIT0 TO~ISPL AYhRESPO0 Qo`G C( ИIFf0-1 en 'OK BUTTON up#INIge UpdД oPgr Form F`ields}& Exit MacroP If q` rU~| krU $`QnrU~| % aA? @@: <=1'* (( I) q AAi33a))>wmxME(6 << <` @` `**  `-- `33@ CleP%(y:$*\Rffff*0H44c9d017"   ,0 ` h   08 ("0 8 b@   h    >0P X ` h p@h   &. 8(6`"  d  0   x ( 8DH     @    ( 0&8`.p86  "( 0 h8   `  x         0  @ FP        @     & H .X  8 6   0  CheckSpelling MacroB@& Macro recorded 10/10/99 by Sandy CainFo 6 2B@ Tool 6  2B@  2(NGE !OU (B@form**d (B@k 6 2B@ Case cladd87V (B@,l o@)Do you need ANOTHER SERVICE REFERRAL ROW?    Add Service Referral?$^'p scre  -You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompten) (B@*B@d 6: 2B@ Butto 2B@<2 Tool >(@d  2!JHL AddSvcRefRow (!B%DB@F P6: 2B@NAdd Le 86: 2B@ IA-52 Rdx&pkhR`cladd87V (B@,B@T| &| \fsave file cancelled " `A@^ #return to point of error in routined \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errork o+Do you need another PARENT SIGNATURE BLOCK?    Add Parent Signature?$^'  -You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt (B@* 86: 2B@4 2B@< >(@  2!JHLAddParentSignature (!B%DB@F P6: 2B@N 86: 2B@ Rd&kRcladd87V (B@,B@T|x&p|h` \fsave file cancelled " `A@^ #return to point of error in routined \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errorkxop`$Do you need another SIGNATURE BLOCK?    "Add Worker - Supervisor Signature?$^'  -You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt (B@* 6 2B@ 6 2B@ 6 2B@ 6 2B@ 6 2B@ 6 2B@ 6 2B@ 2B@< >(@  2!JHLAddApprovalSignature (!B%DB@F P6: 2B@N 86: 2B@ Rd&kR|H&@|80 \fsave file cancelled " `A@^ #return to point of error in routined \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errorkHo@8cladd87V (B@, cladd87VX Zl (B@Tcladd87VX Zl (B@T[reprotect documentcladd87VX Zl (B@T[reprotect documentcladd87VX Zl (B@T[reprotect document` @Attribute VB_Name = "NewMacros" Sub CheckSpelling() ' T `, recorded 10/99 by Sandy CainP ActiveDocument.Unprotect@ PasswB:="cladd8F71Selion.HomeKey Unit:=wdStory#V$End#, Extend4LanguageIDwdEnglishUS@If OptAs.Gramma`rWithTrue Thev[v ,Else0nd \If"@P, NoReseVA2, Type:= _C'wd FIAsignature (%0B@H 86: 2B@4D 2B@< >(@   2!JHLAddSignaturerows (!B%DB@F P6: 2B@N FIAsignature (%0B@H .kPRHR@|&| \fsave file cancelled " `A@^ #return to point of error in routine<d( \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errorkocladd87V (B@,cladd87VX Zl (B@T[reprotect documentAttribute VB_Name = "AddFIASignatureAuto" Sub d() ' creates message box for response to questi0on YP6No On Err GoTo Handle numrowsInputBox("There@ is alrdy ONE DHS s. " + Chr(10) "How many ADDI@TIONAL1SIGNATURE-  >a7neededhth>report? 49 Example: {Total squir*= 3}X{ Minus exing14%Enter 0addiAh@*= 27CANCEL mESC if none", "bUS@0@ Prompt$'"You MUST Save TSDocum@ent Bee Cont5ingWSelectIn Fold/ndV 8Fil$e inBAs Dialog @'Define pB, A\CI@9ƣcmdCancel@0enABExitH@2CCElse"0"&A!ActiveJ.OC Un.tAGPassword:="dclv8784Foidlo1 S@tep -12 Bookmarks("m").1Gc|.Mown Unit:=(wdL +,;un3Split Table#Ap caQ.DisPplay!C@Il@eteTip!Tru $ achedTe p`.Text Arieq!} _c$Irt W:=Range@, Rich :v=GDT%Charac@l_,IAU,N i#End IfcPC R:lFs5F, NoRe se 6, Type9AllowOnlyHmFi@elds 'roB dz  2$gCU4198g T'sAfAzcqlDed Msgy Ď, vbCrcal "napoiof eѠroudK!xJ `.Des0cripTA ExlmU or" &.Numb& "CaInfaL a A 'ReExFt saf"?+Ab-A@ h @ / @P@ @| @__SRP_1e\__SRP_1f$ gCaseInfop,__SRP_2>$)*A*a**y  !I!GEFK5 l        |  <     '' ','L(l:"N:\#lL:<$, ::|l:\L<,: : F68lL, |lL<, lL, :\ l lL , ,:<  Lz: =xME(6 << < `@p&&+View instructions for using FIA-67 buttons.TemplateProject.ToolHelp.MAIN.do@ J` (%y:$*\Rffff*0G44c9d017' "",8 h,JVVX>HL8>V< X`TVDhT(  HX <x 2 "( 4P ] B@& MFC TP and SA Tools B@DEFINE DIALOG BOXF@FCTP and SA Tool Help B@  ,**To CHANGE Case Info WITHOUT closing form** B@d; 71. Click Clear Case Info Button on FCTP and SA Toolbar B@d;" 72. Click Change CaseInfo Button on FCTP and SA Toolbar B@d?R.  to bring up new pop-up screen. B@dR: ) Enter new case information and click OK. B@d;H -The new information will fill in on the form. B@d De \ **To Add Child Information Row** B@d:;h 8 Click Add Child Info Row Button on FCTP and SA Toolbar B@dfR | **To Add Service Referal Row** B@d6; : Click Add Svc Referral Row Button on FCTP and SA Toolbar B@d  5**To Add Column Headings for Service Referral Table** B@d6Y; 8 Click Add SvcRef Heading Button on FCTP and SA Toolbar B@d+  &**To Remove Entire Row from any table B@dJ%; 6 Click Remove Table Row Button on FCTP and SA Toolbar B@dFi  B@dN B@ B@]F !!.6GET USER INFO FROM INI FILE and PUT IT INTO DIALOG BOX,DISPLAY DIALOG BOX and RESPOND TO USER INPUT  !%'  OK BUTTONGet user info from INI file. Update other Form Fields on Form & Exit Macrokpoh`4Attribute VB_Name = "ToolHelp" Public Sub MAI`N() D.rDescriptionView instruc&s for using FI A-67 tons.cNPro cDataZInvoke_Funcemplate"ject..LDim iRet WordBasic.'bars Co@lorBut}:=1, Larg"e0, Tips"':="FC TP and SAs", Show 'DEFINE DIALOG BOX *BeginDialog 582, 32@*5)  kText 9, 15013, "**To CHANGE Case Info WITHOUT clom**52"1. C@k@eareM }FC,[ 34, 2hangeB-AQ46x" to brup npop-8eenA58I) EntercUiUrmaecBHOKAU71JUTheB will finUtj@j9BAdd ChilFd~(RowY|10j2>K ` 2)T2 Service ReferalA 3f;]Svc3>*15* '*olumn@qad`IcTable6Jj,`  8 Remo$veWir-ow fromy tu2'u- B @-2 $OKM4523e@]730!GLE$ndc dl gUser"As Ob!: Se$t I= 'CurValues.! GET USER INFO FROM IؔLEP`IT` TOJISPL AY"RESPpOND  ` G(If`-1 @n 'OK B UTTON#'G=u ">IN Ie Upd oFr Form Fields\& Exit MacroP If q  : `16lL, 32:\ ]32$ 4 !'l$ 4 5l(<(\pE|:\Nll$ 4 8 @| L)|5l7x',(Ll$ < 6lL,$ < \$  |o$ < QoL%c%:\%l|$ 4| Xl>)|6lL2x(Ll$ <  xME`@6 LLLLLLLLLLLLLLPZxl @\ L @< @, @ @ @ p @ @ @ ``@ @ @ @| `@l ``@\ `pP@L p@< `@@, @`@ @Pp @ `@@ `@ ``@ `@ P` p@ @ ``@| ``pl `@\ 00L @< `, @  @  H @ X@$ @ h @ / @P@ @| @x X^d@t @p @l P@y:$*\Rffff*0K44c9d017*\R0*#f*\R0*#14*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#cb*\R1*#ca*\R1*#1e*\R1*#129*\R1*#c0*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#1*\R0*#f*\R1*#c1*\R1*#c6*\R1*#cb*\R1*#ca*\R1*#129*\R1*#c0*\R0*#194" >H @P (        (x 8 EP7p  Bo2 E 8 HP X@` hp x&$&.8m6(` h 7 creates message box for response to question Yes or Noew0$There is already ONE DHS signature. $  "How many ADDITIONAL DHS SIGNATURE $  ) rows are needed for this report? $  $  0 Example: {Total Signatures required = 3} $  < { Minus existing = 1} $  < { Enter additional = 2} $  $  CANCEL or ESC if none DHS SIGNATURES$'s-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt  $& 0e&d (B@*K .  6lLE|:\Nll$ 4 8 @| L)|5l N5:\NllcL$ 4 6lL$x  lxf&','L'lM\@ 6lL, mt  ,x  '', lx#p*#l!*FL0>tFl 2pl)6lL, <$#tpl|lL, |lL<, lL, @krU $`nrU $`anA Drq B@teProjFC TP and SA Tools B@ InfBorders* B@Database* B@-Drawing* B@Forms* B@ Define promptخR(You MUST SAVE this document to continue! $  $  Select Save In Folder and $  $Enter File Name in SaveAs Dialog Box ' " (B@*save the documentw infoDEFINE DIALOG BOXI^CaseInfo B@\  YourFCCNo B@,8 YourFCCN B@,liP  YourFCWLNo B@,h YourFCWN B@,  YourPSCNo B@, YourPSCN B@, S YourCTNO B@,To^YourPOSA B@,t ^YourPOSW B@,fYourDC B@,k  0Enter the following information about this case. B@d# FC Case No.: B@d; FC Case Name: B@dS DHS FC Load No.: B@dk DHS FC Worker Name: B@d PS Case No.: B@d PS Case Name: B@d Court ID No.: B@dT POS Agency Name: B@dT POS Worker Name: B@d Date Completed: B@d^X B@X B@.` B@]F !!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoFCCaseNoC:\caseinfo.ini %2 (0UserInfo FCCaseNameC:\caseinfo.ini %2 (4UserInfoFCLoadNoC:\caseinfo.ini %2 (6UserInfo FCWorkerNameC:\caseinfo.ini %2 (8UserInfoPSCaseNoC:\caseinfo.ini %2 (: UserInfo PSCaseNameC:\caseinfo.ini %2 (<UserInfoCOURTNOC:\caseinfo.ini %2 (>UserInfoPOSAC:\caseinfo.ini %2 (@UserInfoPOSwC:\caseinfo.ini %2 (BUserInfo DCompletedC:\caseinfo.ini %2 (D,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  !%'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo !0C:\caseinfo.ini B@FUserInfo FCCaseName !4C:\caseinfo.ini B@FUserInfoFCLoadNo !6C:\caseinfo.ini B@FUserInfo FCWorkerName !8C:\caseinfo.ini B@FUserInfoPSCaseNo !:C:\caseinfo.ini B@FUserInfoPSCaseNo !:C:\caseinfo.ini B@FUserInfo PSCaseName !<C:\caseinfo.ini B@FUserInfoCOURTNO !>C:\caseinfo.ini B@FUserInfoPOSA !@C:\caseinfo.ini B@FUse( "1xME86 LLLLLL<<<H `@oSEnter Case Information, i.e., FC Case Name, FC Case Number, FC Worker Load #, etc. TemplateProject.CaseInfo.MAIN @l InfPhrm**PdP` CleP\on FPX P T P"PCaseP$Land P&H?P(D to ` scre%8 8hx (\`^ur@@ P@0 No @ @0  @H Your@` @P @ @ To@ Your@ @ @ @ p @` @P"\@hL @< X @, ~@ 1@ @  @LP @ @( @ y:$*\Rffff*2D40f7e290*\R1*#17b*\R1*#c1*\R0*#f*\R1*#c6*\R0*#13*\R0*#1a*\R0*#19*\R0*#1*\R0*#14*\R1*#c1*\R0*#f*\R1*#c6*\R0*#19 " (08@HPX `"6,.".".".( .P p xl "0 X.p(:&:(:&:(:0&:X&:&:&:$:N: *:p,:.:2:*:8,:h,:0:.:.:( 4X4x  0 <>C@CP>CBC>C@CX>C:C:C @CX 2 1  & >:0 @:p >: B: >:8 >:x @: >: ::8 ::x @: " :? <?` :? >? :? <?`:?6?6?<?P "6U:UBU0>Ux6U:U6U0.Uh.UBU 4HP X` h&$p&.8m6P X h]]]]] ]8]P]h]]]OPEN FC TP and SA TOOLBARrInfoPOSw !BC:\caseinfo.ini B@FUserInfo DCompleted !DC:\caseinfo.ini B@FGet user info from INI fileUserInfoFCCaseNoC:\caseinfo.ini %2' UserInfo FCCaseNameC:\caseinfo.ini %2' UserInfoFCLoadNoC:\caseinfo.ini %2' UserInfo FCWorkerNameC:\caseinfo.ini %2' UserInfoPSCaseNoC:\caseinfo.ini %2' UserInfo PSCaseNameC:\caseinfo.ini %2' UserInfoCOURTNOC:\caseinfo.ini %2' "UserInfoPOSAC:\caseinfo.ini %2' $UserInfoPOSwC:\caseinfo.ini %2' &UserInfo DCompletedC:\caseinfo.ini %2' ( Update Form with user info FCCASENO %HGFCCASENO  B@Jj FCCASENAME %HG FCCASENAME  B@JjFCWORKERLOADNO %HGFCWORKERLOADNO  B@Jj ' FCWORKERNAME %HG FCWORKERNAME  B@JjPSCASENO %HGPSCASENO  B@Jj PSCASENAME %HG PSCASENAME  B@JjCOURTNO %HGCOURTNO " B@JjPOSA %HGPOSA $ B@JjePOSW %HGPOSW & B@Jj DATECOMPLETED %HG DATECOMPLETED ( B@Jj. Update other Form Fields on Form & Exit Macrod k R |  \fsave file cancelled " `A@^ #return to point of error in routined \!b LError \!f In Case InfoA@^R+Reprotect Document and exit sub after errork o -Attribute VB_Name = "CaseInfo" Public Sub MAI`N() D.rDescriptionEnt(er  rma2, i.e.p, FC4umberWork?Load #, etc. vProcDataInvoke _FuncTe@mplate"ject..LDim iRet UserF`CCNo$ WLWNPS CCTNOOSA WDC 'OPENTP and SA TOOLBAR  dBasic.ViewToolbars ColorButtons:=1, Large0, qTip":="@j@s",` ShowB order Hide sb( @rawing Form& On Error G oTo H]le'Define promp $You MUSThVE this document to continue!" + Ch r(10)J"Sel Save FolM} "File in As Dialog BoxctiveD%D!.B'stheF'5EFINE DIALOG BOX GL Begin 585, 35 IText 1@32, 2618, " %l56{8` !vE7 104O WN[ 12`k 5N!7N!!r7@-20 4.Pg:22 !W5! 4 !10 & DCR 107",, 413AYRfolloaAx infs abou hic@. 9!R` 39 Qo.:w517o`8 DHSN `!`lAyx13 PS317JCourtp ID !x?; 120@ 34& AgencyRJ:!B2P!O n5J`ceo0eted]LOKspK26 8+21Cancel41LabRes^ NPOcT EndSS3d,lga [Obq: Set =CurVal0ues. 'GET USER INFO FROMI FILE AND PUT I NTO;].X lG [G@etPrivffStru$](" pvNoC:\9;.ini" CN~gr`+*FCQ_C1?o//(% Dϡg__("u>_ ety @&rE/xA/&|,0{!ǟ OSW6W`FW("DATECOMPLETED/,E @other@Fields on& `,t Macro ElsePnd IfHere:Sub HandleErrorE! 4198C'save can@celledM@sgBox mpt$, vbCriticalaFme 'return to point of e1 rouK?@ A .Description!ExclaPmait"or" Prr.Numb`& "In 1  'Reprotect Docume  exit sub aft EdC __SRP_3=4 oClearCaseInfo__SRP_e*T__SRP_f*&,oxME(6 << < `@PRemove previous Case Information from file so that new information may be added."TemplateProject.ClearCaseInfo.MAINrU~| \ q q  A  9 Y 9 a  Ai9q Ay!Q)I1 QQAqi Iy1a 9iI q9yIy  !IqG?P6(0%(%(%@$ @@ @.:0%(%@$ @@ @.:0 %(%@$ @@ @.:0 %(%@$ @@ @.:0 %(%@$ @@ @.:0%(%@$ @@ @Kl:0    :   p:``1\6p`@$ 4@ @.(0I%(^%:%@$ @@@:(0%( %( %(L%:,%@$ @@@:(0%(8%( %(L%:,%@$ @@@:(0%(P%( %(L%:,%@$ @@@:(0%(h%( %(L%:,%@$ @@@:(0%(%( %(L%:,%@$ @@@:(0%(%( %(L%:,%@$ @@@:(0%(%( %(L%:,%@$ @@@:(0%(%(^%(L%:,%@$ @@@:(0%(%(^%(L%:,%@$ @@@:(0%(%(f%(L%:, %@$ @@@:(0k%( %(%(L %:,!%@$ @@"@:(0%(#%(%(L %:,#%@$ @@"@:(0%(;%(%(L %:,$%@$ @@"@:(0%(S%(%(L %:,Z%@$ @@"@:(0%(k%(%(L %:,[%@$ @@"@:(0%(%(%(L %:,'%@$ @@"@:(0%(%(%(L %:,(%@$ @@"@:(0%(%(%(L %:,)%@$ @@"@:(0%(%(T%(L %:,*%@$ @@"@:(0%(%(T%(L %:,+%@$ @@"@:(0%(%(%(L %:,,%@$ @@"@4(0^%(%(X%(L%@$ @@-@4(0%(%(X%(L%@$ @@.@K@$ @@/@.@$ @@W0A14@6C:L2%:03%:4%:5%@$ @@%6@5C:L2%:03%:7%:5%@$ @@%8@5C:L2%:03%:9%:5%@$ @@%:@5C:L2%:03%:;%:5%@$ @@%<@5C:L2%:03%:=%:5%@$ @@%>@5C:L2%:03%:?%:5%@$ @@%@@5C:L2%:03%:A%:5%@$ @@%B@5C:L2%:03%:C%:5%@$ @@%D@5C:L2%:03%:E%:5%@$ @@%F@5C:L2%:03%:G%:5%@$ @@%H@51 @@$ @@WIB1l@5l(0]3{::03%:4%W6%:5%@$ @@J@5::03%:7%W8%:5%@$ @@J@5::03%:9%W:%:5%@$ @@J@5::03%:;%W<%:5%@$ @@J@5::03%:=%W>%:5%@$ @@J@5::03%:=%W>%:5%@$ @@J@5::03%:?%W@%:5%@$ @@J@5::03%:A%WB%:5%@$ @@J@5::03%:C%WD%:5%@$ @@J@5::03%:E%WF%:5%@$ @@J@5::03%:G%WH%:5%@$ @@J@5?:L2%:03%:4%:5%@$ @@`1h@5?:L2%:03%:7%:5%@$ @@`1d@5?:L2%:03%:9%:5%@$ @@`1`@5?:L2%:03%:;%:5%@$ @@`1\@5?:L2%:03%:=%:5%@$ @@`1X@5?:L2%:03%:?%:5%@$ @@`1T@5?:L2%:03%:A%:5%@$ @@`1P@5?:L2%:03%:C%:5%@$ @@`1L@5?:L2%:03%:E%:5%@$ @@`1H@5?:L2%:03%:G%:5%@$ @@`1D@5,:0K%@$ @@L@5{):0K%h@@$ @@M@,:0N%@$ @@L@5):0N%d@@$ @@M@,:0O%@$ @@L@5%):0O%`@@$ @@M@,:0P%@$ @@L@5z):0P%\@@$ @@M@,:0Q%@$ @@L@5):0Q%X@@$ @@M@,:0R%@$ @@L@5$):0R%T@@$ @@M@,:0A%@$ @@L@5y):0A%P@@$ @@M@,:0C%@$ @@L@5):0C%L@@$ @@M@,:0S%@$ @@L@5#):0S%H@@$ @@M@,:0T%@$ @@L@5x):0T%D@@$ @@M@}$ U@@ Vlf@&'''\M0@ W6 Jm U@@ ,V U V''Xl#*#Y*F">F W2)@6 P\DDLhTXH\d`l\P@ @p`k0N%y:$*\Rffff*0C44c9d017 "  Rc:\T caseinfo.iniVXZ\^|d`bdfhjlnpr B@P1)c:\caseinfo.ini B@t4oPH̱Attribute VB_Name = "ClearCaseInfo" Public Sub MAIN(), ".|DescriptionRemove previous  rmaFfrom file so that new is!may be added.sProcDataInvoke _FuncTe@mplate"ject. .QWordBasic.FDFind$ S~ch:=" ",Patbhc:\ cCW.iniubDir:=0, Title Autho "Keyw8s ;LO Match%extÃAtern }eSavedFg ToByCre ! ViewBSort4, Lis(SelTM QKill "I GEWub rU~| krU $`an4()AddSvcRefButton . __SRP_1aY__SRP_1b- egServiceReferralAuto(#:xME(6 LLLLLL<,<0<4<8<<< v`H0vx%(H2>PZ0x @h X @H 8 @(  @ p @ @ @  P@y:$*\Rffff*0I44c9d017*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#1e*\R1*#129*\R1*#c0*\R1*#91*\R1*#cb*\R1*#ca"   &0 X `P7p  @o20p0  AddSvcRefButton Macro Macro recorded 01/19/01 by FIAOC (B@*\FIA F 86: 2B@4 2B@<  >(@+  2!JHL AddServiceRef (!B%DB@F P6: 2B@NB@ 86: 2B@ H*o@(cladd87V (B@, cladd87VX Zl (B@ThAttribute VB_Name = "AddSvcRefButton" Sub T() ' . Macro0 recorded 01/19/01 by FIAB ActiveDocument.SaveUnprotect PasswT:="cladd87JSelion.MoRwn Unit:=wdLine, Coun1`.Spl@itTabl=pcat%DisplayAutoCompleteTipsTruUachedTBeate.T extEnes(ervice").Inse0rt _LeWh ere:=QRangaRich%:=?DzCharactefr}AJUpILhPa, NoReseXA', Typ15wdAllowOnlyFormFields End @ ArU~|  q Aa))QE)*A*a**Ei33x$ 4x x!'Xx$ 4x x5X7'(8Xx$ <x x6X8x$ <x \xx$ x |xox$ <x Qo8%c%:h%X $ 4 XX> )x 6X82(8Xx$ <x x6X8E :h NXXx$ 4x 8 @  L)x 5X5:h NXXc8x$ 4x x6X8$ (x X8krU $`nrU~| @^R+Reprotect Document and exit sub after errork`oXPcladd87V (B@,cladd87VX Zl (B@T[reprotect documentPsAttribute VB_Name = "ServiceReferralAuto" Sub d() On Error GoTo Hand le 8numrowsInputBox("There is already OTNE^ y 6. " + Chr(10) "How many ADDITIONAL SERVICE REFERR!ROWS 7 apneeded fth}report? 6 Example: {Total children being #,= 3};!{ Minus@ exist,= 1:(Enter additiobn\= 2 (;C@ANCEL @GESC if nopne", X0~Prompt$v"You MUST Save TWDocume nt Be\e hCon@5u6V\S electIn Fold0ndV 8File BinBAs Di`alog 'Define pB, _CI9cmdCance2l@0enExhitH2CElse"0"&A!ActiveJ.OC Un.tAGPassword:="clw8784Fpidހ1 Step8 -1CCY@.MoAwn Uni@t:=wdL$, 5unSplitTableDpcaK.DisplayCBleteTip~8Trukac hedTekate.Text:ries("Addref").Insert _KaWA:=GRange, RidchA :=DLCharac`eW!%Up$BN  i:End If JGH:'!i<, N`oRese2, Type6AllowOnly>mFields ' roB ddp X @ Y$'?I$]`J41D98\ 'sa}fEaocfled Msgn , vbCr`cal@@turn @to poi of Xnu$GAmJ `.Des0cripOA ExamQor" &A.Numb& "Cas`e Infڡ äe" 'Reemf#t s af">+@?",=p @ @ @ @ @  @ 8__SRP_6g__SRP_7( gChildInfoAuto__SRP_4 I-A+ ,, $$&1'* (( I) q Aa))-)*A*a**y  !IK l        |  <     '' ','L(l:N:\lL:<, ::|l:\L<,: : F68lL, |lL<, lL, :\ l lL , ,:<    : `16lL, 3:\ ]3$ 4 !'l$ 4 5l(<(\p7',(Ll$ < 6lL,$ < \$  |o|$ < Q|oL%c%:\%lx$ 4x Xl>)x6lL2(Ll$ < 6lL7',(Ll$ < 6lL, N5:\NllcL$ 4 6lL$  lf5&','L'lM\@ 6lL, mt  , || '',l#p*#l*FL0>tFl 2pl)|6lL, <$#tpd (  )xME86 LLLLL<<< x`lL220xx% @XH(82>PZxl be@\ edL @< @, @ @ e@ 1}p @ @ @ En@ on@ x@ @| @l @\ H@L @< @, @ p @ @ @ @ @  @ 8 @| hl @\ L @< , @  @  @ me:@ XNo.:@$ @ Name` @ No./ POS 8H@ `(| @x X^d@t @p .@l PP@y:$*\Rffff*2G40f7e362*\R0*#f*\R0*#14*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#1e*\R1*#129*\R1*#c0*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#12"  @        ( 7( H X@oh27   @H  (&$0&X.h8m6  p+There is already ONE Service Referral row. $  )How many ADDITIONAL SERVICE REFERRAL ROWS $   are needed for this report? $  $  4 Example: {Total children being reported = 3} $  B { Minus existing = 1} $  B { Enter additional = 2} $  $  CANCEL or ESC if none SERVICE REFERRAL$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt  $& 0e&d (B@* .  86: 2B@4 2B@< >(@  2!JHL AddServiceref (!B%DB@F P6: 2B@N 86: 2B@  .kRR|&x|ph \fsave file cancelled " `A@^ #return to point of error in routined \!b dError \!f In Case InfoAl|xlL, |lL<, lL, @krU $`nrU~| # 'Y!1"" $$&1'* (( I) " Define prompt  $& 0e&d (B@* .  86: 2B@4 2B@< >(@ 2!JHL CHILDINFOROW (!B%DB@F P6: 2B@N .eno kRR|X&P|H@ \fsave file cancelled " `A@^ #return to point of error in routined \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errorkXoPH nl fiacaseno 2B@oucladd87V (B@,cladd87VX Zl (B@T[reprotect documentAttribute VB_Name = "ChildInfoAuto" Sub L() 'AddT Identifying lrmation at beginn0of form On Error GoTo Hand lenumrowsInputBox("There is already ONE{osecAw. " +r(10) "(How many ADDITIONAL CHILD INFORMA  ROWS a?neede"db thFre port?Ch; Example: {Total cren#,= 3}B%{ Minus exist,= 1:(Enter addiU1@.= 2 ;CA NCEL uESC if none",NZ, 0@ Prompt$z"You MUST Save TWDocu"m@ Be@e dCo@nu@6\S elIn FoldA0ndV 8 File inBAs Dialog 'De@fine pB, 6 \CI:cmdCancel@0 enExitH2CElse"0"&A!AveJ.OC) Un.tAGPassword:="cl;87:F 8i@2q@t1 Step -1# #, |.MoAwn Unit:=wdL$, 5unSplitTableDpc.DisplayACBleteTipTrukachedTe!kate.Text:ries("|b|OW").Insert W :=Range, Rich:=GD`K%Characd1"?wha"#Bookmark,bM:=("fiacaseno"ba0N i;End If!%HBI>:("j<oRese A, Type6Allo wOnly?mFields ' troB dDq A 2$'Ih$]@K4198] 'sA~fAp"cgled Ms go Ą, vbCr`cal@ turn to point `e̠yrouH!nJ `.Des0cripaA Exb#؀or" &!.Numb& "C6ݤg e" 'ReEnGF`t s`af"G>@+?b, @ / 8q Aa))))*A*a**y  !Iq>i33AK l        |  <     '' ','L(l:N:\lL:<, ::|l:\L<,: : F68lL, |lL<, lL, :\ l lL , ,:<    : `16lL, 3:\ ]3$ 4 !'l$ 4 5l(<(\p7',(Ll$ < 6lL,$ < \$  |o|$ < Q|oL%c%:\%lx$ 4x Xl>)x6lL2(Ll$ < 6lLF|:<"NLL'',l$ < )|6lL, N5:\NllcL$ 4 6lL$  lfD&','L'lM\@ 6lL, mt  , || '',l#p*#l*FL0>tFl 2pl)|6lL, <$#tpl|xlL, |lL<, F )xMEt@6 LLLLLLLLLLLLLLLLLPnxl @\ L @< @, @ @ @ p @ nt@ na@ NC@ if@ x@ @| ark @l @\ H@L @< "@, X@ p @ @ @ @ @  @ 8 @| hl @\ L @< , @  @  @ @ X@$ @ ` @ / 8_lH@ Wi`(| Le@x a \\1X`^dTRE\@t 07@p A_@l 02PP@y:$*\Rffff*2F40f7e343*\R0*#f*\R0*#14*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#1e*\R1*#129*\R1*#c0*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#1*\R0*#f*\R1*#c1*\R1*#c6*\R1*#129*\R1*#c0*\R1*#cb*\R1*#ca*\R0*#19*\R0*#f*\R1*#c1*\R1*#c6*\R1*#129*\R1*#c0*\R1*#1f*\R0*#194" < H @P P   ( 0@ H  P `7x  6o2&FP    ( 0@8@H P&$X&.8m68 @ 6Add Child Identifying Information at beginning of form00There is already ONE Child Information section. $  &(How many ADDITIONAL CHILD INFORMATION $  ) ROWS are needed for this report? $  $  4 Example: {Total children being reported = 3} $  B { Minus existing = 1} $  B { Enter additional = 2} $  $  CANCEL or ESC if none CHILD INFORMATION$'*i2J-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box '  lL, @krU $`nrU~| * q A 0-y. 01'* (( I)a))0)*A*a*Q11__SRP_530gAddYouthSignatureAuto,_!__SRP_8 __SRP_96 gor this report? $  $  " Enter EXACT NUMBER NEEDED} $  $  CANCEL or ESC if none YOUTH SIGNATURE$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define prompt  $~F 0e~d 86: 2B@  .  2B@< >(@  2!JHLAddYouthSignature (!B%DB@F P6: 2B@N 86: 2B@ "$4 ."k nlparent 2B@ 2!pB@r 2!p9d5t(d^9v z9x99|9~999q~~&How many ADDITIONAL PARENT / CARETAKER $  5 SIGNATURE rows are needed for this report? $  $  4 Example: {Total Parent Signatures needed = 3} $  F { Minus existing = 1} $  F { Enter additional = 2} $  $  CANCEL or ESC if none PARENT / CARETAKER SIGNATURE$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' " Define promptany (B@* HOUSE  $0RX 0eeeR@d8 . PARENT (%0B@H: {Tot 86: 2B@4} 2B@<?  >(@   2!JHLAddParentSignature (!B%DB@F P6: 2B@N PARENT (%0B@H $0 .0 k RR|&| \fsave file cancelledaf " `A@^ #return to point of error in routinedH \!b dError \!f In Case InfoA@^R+Reprotect Document and exit sub after errorkocladd87V (B@,fo2cladd87VX Zl (B@T[reprotect document` pAttribute VB_Name = "AddYouthSignatureAuto" Sub l() ' creates message box for response to question YP6No On Err GoTo @Handle ActiveDocumen@t.SaveUnprotect Password:="cladd87 nu mrowsInputBox("How many YOUTH SIGNATURE ROWS " + Chr(10b)"(FO l14 R older) are neededwthisypor,t? #( Enter EXACT NUMBER NEEDED}CANCEL HESC if none", " d 0 Prompt$~"a@ MUST FTTV Beke ContinuingV Sel[In FAADV A9File inB As Dia0log d@j'Define s@, I7ocmdC ancel@.en\ ‹C7:A ElseJ"0" 9 AeC7.MoveUp Unit:=wdL&,Gun1 i@VE1 St0ep -DSplitTabl@IApca.DisplayC@kleteTipATru €achedTemte.Text[ries(`"). _. Irt Where:=Range, Rich :=gD@#CharacY-$+')4N i1nd If!!cb>wha"2Bookmark,"KpqntI Find.CleDar`6mat\gWith ' {.! 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E5(5"4ruADDITIONAL PARENT / CTAKERK"'d'bHExake: {Totalr`Њ fsž= 3쵷 {lM s exi ng81 B @i@= 2 h?eerofhouof|of#9jofyofofjfAt9hh.ExitH`T#;S_hVhߢgw3A6 ee P_S0_amDownmm3kk`kt|<  )xMEx@6 LLLL*LLLLLLLLL*LLLLL<|<( |`o^^0|x%8P8hPh0`( 82>Pn@x be@h ed@X @H @(8 @( @ e@ 1}@ @@ @ @X En@p on@ x@ @ @x @h @X @0H @H8 @`( @x @ @ @ @ @ @ @  @ @x P"@$t @p @.` ⤗@P @8@/ @< @8 P4H`d%P0  zZ\`^d@$ @ @ @ @ @ @  @ @` x8>@/ `>`F@ @ @ P@y:$*\Rffff*2H40f7e3c0*\R1*#17b*\R1*#c1*\R1*#c6*\R0*#f*\R0*#14*\R1*#1e*\R1*#129*\R1*#c0*\R1*#1f*\R1*#d6*\R1*#d7*\R1*#b5*\R1*#cb*\R1*#ca*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#1*\R1*#c1*\R1*#c6*\R0*#f*\R1*#129*\R1*#c0*\R1*#d6*\R1*#d7*\R1*#cb*\R1*#ca*\R0*#19^" >H  P)8 ` h   0@ HX `7h  Do27( H X  F`* $                   E70 P `Dop2E   @5X   (0 8&$@&h.x8m6 (  7 creates message box for response to question Yes or No0 (B@*How many YOUTH SIGNATURE ROWS $  8(For Youth age 14 and older) are needed f kT0kP\6kekn.k&tkkfl aQAl/" $#{.Rno0Rese pe, HTyp{wdYo wOnlyZFields 'reűdD + 2x1`!pJ4198 'Rs fqclDedMsg0 C`$, vbCr@Ical  npoint` of e r@05.DescripN!ExP~. or" &.NumbQ& "EuInfAα 1Q= '$Zt s`afq q=*1Q712 44!67i33q/y  !IG $ KWx$ 4x x):h)NXXx$ 4x x5X X         ''''((:XNHH:hXH:8(::x h F6&XH(hH(:h X XH ( (:8     : `16XH( t3m?:h]3m?7p'((HXx$ <x x6XH(`(8(hp@?x$ <x \xx$ x |xo<x$ <x Q)x86XH2p(HXx$ <x x6XH7p'((HXx$ <x x6XH( `@$F<:8NHH''(Xx$ <x )x<6XH(*<x$ <x < )x<$<x$ <x Q<4x 4 x4 x Dx 4 ,4  4  4 H 4 ` 4 P 4 X 4 @c4m X          (   ''''($:N:hXH:8(::xh:XH(:8 F62XH(hH($:h X XH ( (:8     : `16XH(x$ 4x x t3>:h]3V`(8(hpE8:h NXX<x$ 4x 8< @!8 L")x<85X7p'((HXx$ <x x6XH(x$ <x \xx$ x |xo<x$ <x Q)x86XH2p(HXx$ <x x6XHE8:h NXX<x$ 4x 8< @!8 L")x<85X `p5:h)NXXcHx$ 4x x6XH$p $xx %lpfx&'('H'XMh@ &6XH(  m $xx ,%p $<< %''('lp#*#(*FH0>FX &2)x<6XH( $ H0 4P@`t x<8XH(hH($krU $`n< sxPopUpPrompt2 __SRP_22 __SRP_239o_VBA_PROJECT!ME (6 L< `@xk-View instructions for using FIA-#### buttons. X !TemplateProject.PopUpPrompt2.MAIN@l ` %@h @X @H @ 8 @8( 7e@P @h @ @@ @ ywe@ @ @ @y:$*\Rffff*0B47d00e42*\R1*#17b*\R1*#c1 " ..(P:X>:F:404P  p0 < 210 "P 4x]DEFINE DIALOG BOXFpAdd Service Referral Row B@  2**To Add Additional Row(s) for Service Referrals** B@d;  After entering Completion Date, B@d;0 'Click ADD SVC REF ROW Button on Toolbar B@d^RN B@RX B@. B@]F !!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  !%'  OK BUTTONGet user info from INI file. 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MoveRightwdCell MoveUp(AddParentSignatureYN|6(AddSignatureRowYNIJ ToolHelpT( AddFIASignatureAuto CaseInfo UserFCCNoBUserFCCN7 UserFCWLNoyUserFCWN UserPSCNoOUserPSCNqUserCTNOUserPOSAPUserPOSWeUserDCHide9zTextBoxQ CancelButton YourFCCNo+GetPrivateProfileString$xYourFCCN. YourFCWLNoYourFCWN0 YourPSCNo9YourPSCNP<YourCTNO~9YourPOSA/)YourPOSWDas  *\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{A0153031-6DFC-47FD-A17B-72A4FAA1D82C}#2.0#0#C:\DOCUME~1\bushd2\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 Library  y:   ThisDocument0A44c9d017ThisDocument AddSignatureAuto0J44c9d017 AddSignatureAuto;)i,RemoveSvcRefHeadButton0L44c9d017h,RemoveSvcRefHeadButton0Viewtools0E44c9d017ViewtoolsMHSvcRefHeading0B44c9d017SvcRefHeading}` RemoveRow0F44c9d017RemoveRowOxPAddHeadDialog0D44c9d017AddHeadDialogspNewMacros0H44c9d017NewMacroswmToolHelp0G44c9d017ToolHelp=@ &AddFIASignatureAuto0K44c9d017&AddFIASignatureAutoCaseInfo2D40f7e290CaseInfo1"ClearCaseInfo0C44c9d017NClearCaseInfoq  AddSvcRefButton0I44c9d017vAddSvcRefButton) &ServiceReferralAuto2G40f7e362x&ServiceReferralAuto )8ChildInfoAuto2F40f7e343zChildInfoAuto)P*AddYouthSignatureAuto2H40f7e3c0|*AddYouthSignatureAuto)hPopUpPrompt20B47d00e42PopUpPrompt2s hPH80 )YourDCSetPrivateProfileString=ExistingBookmark SetFormResult vbExclamaitonф ClearCaseInfohFileFind SearchName֡ SearchPath.SubDir+Title~AuthorKeywordsTSubjectRP PatternMatch DateSavedFromu= DateSavedTojdSavedByDateCreatedFrom DateCreatedToViewISortByoListBy+ SelectedFile\Kill( AddSvcRefButton( ServiceReferralAutoA (ChildInfoAuto"c(AddYouthSignatureAutozPromptSignatureDocumentj _B_var_Chr\; _B_str_Promptl_B_var_vbExclamaitonoX_B_var_numrows_B_var_cmdCancelS_B_var_i Itemz ConvertToPDFModule1b PopUpPrompt2 _B_var_WhatMwm wdgotobookmar 'O    w y {i }!$%& ,.2dir__SRP_0<'|(__SRP_10PROJECTwm? = | y: 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 AA0153031-6DFC-47FD-A17B-72A4FA@A1D82C6DOCUME~1\bushd2\L`OCALS\VBE\T.exd;@!.E .`0M OfficOf@ic 12DF8D04@C-5BFAgB -BDE5IAA5421gram Files\CommonhShared\i 105Op 8.0p@%ӈ»ThisDocumentG *T@iDcuen@ 2 HB1BE,!""+AddSignaturbedG rdQbiga uTr@/A`t`r2`oioH;)!eRemoveSvcRefHeadButtonGQRm vSvE!f`"heaB"an 2  ViewtoolsGi*w-olB-2/?M + @g)ingG#>'i@gMN2\/ o#},c=Rowc#;R#wc#/vP-cOp# cLDPialod#A@?dUFJD5aodyJc#W/p -sp#NewMVac#NFM\c}toFc#3@Iwm{#-TAP+HelpGr@TQ|Hlp92?0@=BAFIALK&,FIAK0u5@YM<2OOC  -CasePInfoC@sPI6fPo5=`]1;Clear0C—ap#.o-/ qߜ ᦀ3H%]\K\n20ob:__ @] g'0ServgerXralrA#S rW@gAHfrl;'Oo'OOom ðc hild's h0Ll%~./?13?1 ddYouth<=*6 Y1Ah=42em?= PopUp mpt2P pUOPYmt+p`K23o= sG &FIA FC Worker Name: PS Case No.:YourFCCNo PS Case Name: Court ID No.: "POS Agency Name: POS Worker Name: Date Completed:OKButtonCancelButtonEndDialogCurValuesUserDialog UserInfo FCCaseNo C:\caseinfo.ini 0GetPrivateProfileString$ FCCaseNameYourFCCN FCLoadNoYourFCWLNo FCWorkerNameYourFCWN PSCaseNoYourPSCNo PSCaseNameYourPSCN COURTNOYourCTNO POSAYourPOSA POSwYourPOSW DCompleted YourDC DialogAddSvcRefRowYN .SetPrivateProfileString FCCASENO  ExistingBookmarkSetFormResult FCCASENAME FCWORKERLOADNO FCWORKERNAME PSCASENO PSCASENAME POSW DATECOMPLETEDfĤIx8< Error In Case InfoI VBE6.DLL CheckSpelling `  S  `There is already ONE Child Information section.  L(How many ADDITIONAL CHILD INFORMATION R ROWS are needed for this report? FDocument @ h Example: {Total children being reported = 3}# { Minus existing = 1}# { Enter additional = 2} *CANCEL or ESC if none "CHILD INFORMATION ZYou MUST Save This Document Before Continuing 2Select Save In Folder and 0u Fp F CHILDINFOROWAutoTextEntries WhereRichText Insert T 0 VThere is already ONE Service Referral row.  RHow many ADDITIONAL SERVICE REFERRAL ROWS 8 are needed for this report? SER    N !"#$%&'()*+,-./023456789:;<=>?@BCDEFGHIJKLMK*s0          rU ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~& gE,膺   #A ) p ) q8I )   )   )   )   ) @ 8A8 ) ( 1A ) QQa )   )  A ) XA ) PA ) !!a ) hIIa ")  IBqQTemplateProject ThisDocumentAddSignatureAutoRemoveSvcRefHeadButton Viewtools SvcRefHeading RemoveRow AddHeadDialog NewMacrosToolHelpAddFIASignatureAutoCaseInfo ClearCaseInfoAddSvcRefButtonServiceReferralAuto ChildInfoAutoAddYouthSignatureAutoF 9p /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLLVBA  q0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord y@0FC:\WINNT\System32\STDOLE2.TLBstdole YP.E .`M C:\WINDOWS\System32\FM20.DLLMSForms 9`1AQګyC:\TEMP\VBE\MSForms.EXDL-[DR 2C:\Program Files\Microsoft Office\Office\MSO97.DLLOffice 1MAIN  F FI q ColorButtonsLargeButtonsToolTipsViewToolbars $FC TP and SA ToolsToolbarShow BordersHide Database Drawing Forms PYou MUST SAVE this document to continue! 4Select Save In Folder and  HEnter File Name in SaveAs Dialog Boxk F CaseInfoBeginDialog YourFCCNoTextBox YourFCCN YourFCWLNo YourFCWN YourPSCNo YourPSCN YourCTNO YourPOSA YourPOSW YourDC `Enter the following information about this case.Text FC Case No.: FC Case Name: FIA FC Load No.: VICE REFERRAL AddServiceref <How many YOUTH SIGNATURE ROWS  p(For Youth age 14 and older) are needed for this report? $AddParentSignaturels*Czׁ D Enter EXACT NUMBER NEEDED} YOUTH SIGNATURE "AddYouthSignature parent F F LHow many ADDITIONAL PARENT / CARETAKER j SIGNATURE rows are needed for this report?g Fh FR7L*H!7 F h Example: {Total Parent Signatures needed = 3}% { Minus existing = 1}% { Enter additional = 2} 8PARENT / CARETAKER SIGNATURE PARENTAddParentSignatureYNAddSignatureRowYNRemoveSvcRefHeading PThere is already ONE signature section.  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"TemplateProject.AddHeadDialog.MAIN #Remove a single row from any table.TemplateProject.RemoveRow.MAIN +View instructions for using FIA-67 buttons.TemplateProject.ToolHelp.MAIN !TemplateProject.PopUpPrompt2.MAINCThisDocumentThisDocumentSvcRefHeadingSvcRefHeadingClearCaseInfoClearCaseInfoAddHeadDialogAddHeadDialogViewtoolsViewtoolsRemoveRowRemoveRowToolHelpToolHelpCaseInfoCaseInfoNewMacrosNewMacrosAddSvcRefButtonAddSvcRefButtonServiceReferralAutoServiceReferralAutoChildInfoAutoChildInfoAutoAddYouthSignatureAutoAddYouthSignatureAutoAddSignatureAutoAddSignatureAutoAddFIASignatureAutoAddFIASignatureAutoRemoveSvcRefHeadButtonRemoveSvcRefHeadButtonPopUpPrompt2PopUpPrompt2ID="{8346C37E-C099-4A34-B815-F6FAFA30D391}" Document=ThisDocument/&H00000000 Module=SvcRefHeading Module=ClearCaseInfo Module=AddHeadDialog Module=Viewtools Module=RemoveRow Module=ToolHelp Module=CaseInfo Module=NewMacros Module=AddSvcRefButton Module=ServiceReferralAuto Module=ChildInfoAuto Module=AddYouPROJECT?K CompObj`jthSignatureAuto Module=AddSignatureAuto Module=AddFIASignatureAuto Module=RemoveSvcRefHeadButton Module=PopUpPrompt2 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="1416F6EC1E0422042204220422" DPB="282ACA0DCB0DCB0D" GC="3C3EDE34E649E749E7B6" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=110, 110, 557, 539, SvcRefHeading=25, 25, 469, 366, ClearCaseInfo=75, 75, 519, 416, AddHeadDialog=110, 145, 749, 592, Viewtools=75, 75, 519, 416, RemoveRow=125, 125, 569, 466, ToolHelp=50, 50, 494, 391, CaseInfo=132, 132, 579, 561, NewMacros=100, 100, 544, 441, AddSvcRefButton=132, 174, 771, 621, ServiceReferralAuto=0, 0, 444, 341, ChildInfoAuto=44, 58, 683, 505, AddYouthSignatureAuto=50, 50, 494, 391, AddSignatureAuto=66, 87, 705, 534, AddFIASignatureAuto=88, 116, 727, 563, RemoveSvcRefHeadButton=150, 150, 594, 491, PopUpPrompt2=110, 145, 749, 592, Z @ jbjbj E0nXh"""""\~$>@@@@@@'Ry@9""@""y"">>" 6&l0yyy@@ Name and Title:  FORMTEXT       Signature: Date:  FORMTEXT       Parent/Caretaker Name:  FORMTEXT        Parent/Caretaker Signature:  Date:  FORMTEXT        FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMTEXT       Name and Title:  FORMTEXT       Signature: Date:  FORMTEXT       Member Referred Code Family Member Name Barriers/ Needs Addressed  Service Type Code  Service Provider Name  Mo/Yr Re- ferred  Mo/Yr Start Target Com- pletion Date (Mo/Yr) Service Status  Completed Services  Com- pletion Date (Mo/Yr)  Youth Name (Youth Age 14 & Older Only):  FORMTEXT "$LNPRTjlnz| $IfikdE$$Ifl4\F"x)4 lf4$If$If "$&:<>HJRThjlnxz|~ DFHJTVXZnpr|~ѹѹѹjIU jUjHh5UjlGh5Uj9Fh5Uh55CJOJQJh55@CJOJQJh5CJOJQJjh5UmHnHujDh5Ujh5Uh56|$If %d$If$IfikdF$$Ifl4\F"x)4 lf4  DFHJVX$If$$If$Ifikd H$$Ifl4\ "x)D &4 lf4 Dl !$$If^a$!$Ifikd1I$$Ifl4\ "x)D &4 lf4 246@BDFZ\^hjln h5CJOJQJjTUj TUjRUjRRUjQUj~QUjQUjNUjTJUjUmHnHu jU<kdZU$$Ifl Z pR#&)f-826: |t5]9((((4 la *,TVXZ\rtv $IfikdW$$Ifl4\F"x)4 lf4$If$If (*,.BDFPRZ\prtv13KM^`ln䨣䨜丒jh5CJOJQJUh5CJOJQJ h55@ h5; h55j#Xh5Uh55CJOJQJjh5UmHnHujVh5Ujh5Uh5h5CJOJQJh55@CJOJQJ4 !$$Ifa$ $$Ifa$ikdX$$Ifl4\F"x)4 lf4 (-234=GLMNTX_`agmnuz !$$Ifa$ $$Ifa$ !$$Ifa$ $$Ifa$kdVY$$Ifl 8N dF#&)Z-)26:|t5,,,,4 l:<>@Likda[$$Ifl4\ "x)D &4 lf4 p$If]p$If :>LNPdftz|46ƾƳƮwjy`Uj_UjA^Uj]Uh{J]jUmHnHuj%]U jUj\h5Ujh5Uh5h55CJOJQJUjh5CJOJQJU!jZh5CJOJQJUh5CJOJQJ.       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Aval./MagmtHousing Child Char.DfAD=Alcoh/Drg Abuse Rehab DC=Day CareDV=Dom Violence Prog ED=EducationFC=Fam Couns/Outrch CounsFR=Reunification SvsHS=Homemkr Svs or Par AidIL=Independent Living SvsJT=Job Trng/Empl AssistMD=Medical SvsMH=Mental Health SvsOT=Other Program NeedsPS=Parenting Skills TrngTH=Individual/Group TherWP=Wrap AroundjD6jDjDjDdDfD1 = Service Unavailable 2 = Continue Services 3 = Refused Services 1=Svs Unavlbl 2=Cont Svs 3=Refusd Svs4=NewDf S=Satisfact U=UnsatisfDPopUpPrompt2.MAINf$$If !v h5 555|555t55 5 5#v #v#v#v|#v#vt#v#v #v 5:V l]95 555|55t55 5 5/ /  / / / / / 4aD4,Enter Name and Title of Worker or Supervisor$$If!vh5555#v#v#v#v:V l45555/ 4af4D Text15M/d/yyyy$$If!vh5555#v#v#v#v:V l45555/ / 4af4i$$If !v h55555|555t5 5 5 5#v#v#v#v|#v#vt#v #v #v 5:V l5555|55t5 5 5 5/ /  / / / / / 4aD(Enter Parent/Caretaker Name$$If!vh5D 5&55#vD #v&#v#v:V l45D 5&55/ 4af4D Text15M/d/yyyy$$If!vh5D 5&55#vD #v&#v#v:V l45D 5&55/ 4af4DA FIA Case NumberD&Text7Enter Child NameDf Dropdown3$Select Permanency Planning Goal Code ReunificationAdoption GuardianshipPerm Placement With Relative(Plcmnt In Another Planned Living ArrangeD Text9Enter Target DatevDf Dropdown5xSelect Anticipated Next Placement Type: Foster Home, Relative, Residential, Adoptive Home, Own Home, Ind. 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