ࡱ> cfbi @ * Lbjbj tD lllllll4"""hqaTa0,#$&$&$&$%XY%4%F-//////$1R409l&%%&&0ll&$&$U0(((&l&$l&$F-(&F-((ll(&$b gJ"'(r)k000(4$'4(llll4l(%0%"(%&%%%00dD (dCHILD ADOPTION ASSESSMENT ADDENDUMMichigan Department of Human ServicesName(s): FORMTEXT      DOB: FORMTEXT      Case Number: FORMTEXT      Commitment Date: FORMTEXT      Commitment County: FORMTEXT      Adoption Worker: FORMTEXT      Report Date: FORMTEXT       (Tab through each field.)Dates of Contact:With Whom:Type (phone, etc.) and reason:  Changes in Child s Placement Since Last CAA, Date and Reasons: FORMTEXT      Child s Current Level of Functioning (developmental, emotional, educational, medical, mental health, etc.): FORMTEXT      Child s Special Needs and Type of Family Required to Meet Them: FORMTEXT      Child s Attitude, Willingness and Preparation for Adoption: FORMTEXT      Recommendations: FORMTEXT      Adoption Worker s SignaturePrinted NameDateAdoption SupervisorPrinted NameDateAgency Name FORMTEXT      Agency Address FORMTEXT L   , . B D F P R x z     * , . 8 : X Z n j"hYUhhj@hYUj^hYUj|hYUjhYUjhAUmHnHujhYUhYjhYUh, `hSx hhSxh4JLsj $IfgdSx<kdX$$Ifl4z,z,4 lalf4 $Ifgd<kd$$Ifl4z,z,4 lalf4 $Ifgd(,KLBk|s6<kd`$$Ifl4Pz,z,4 lalf4 $Ifgd(,<kd$$Ifl4z,z,4 lalf4 $Ifgd<kd$$Ifl4z,z,4 lalf4 sd8$If^gdI}ILkd,$$Iflh08z,8B(4 lald8$If^gdI}I$d8<$If^a$gd, `  , T V x =Lkd$$Iflh0z,&4 lald8$If^gdI}Id8$If^gdI}ILkd$$Iflh0z,)4 lal  < =Lkd$$Iflh0z,d$4 lald8$If^gdI}Id8$If^gdI}ILkd$$Iflh0bz,b%4 lal< > X =4 $Ifgd(,Lkdx$$Iflh0Fz,F4'4 lald8$If^gdI}Id8$If^gdI}ILkd$$Iflh0z,%4 laln p r | ~  . 2 4 6 < > D F L N T V \ ^ ` l |  ȾȰըږ~z~rncrrj h~OUhI}IjhI}IUh~Oh\O h.}uCJh.}u hnECJhnE hCJ h5CJ hY>*hI}Ih>*h\ch.}u<B* phfh5"<B* phfh\ch\c<B* phf h5hjhAUmHnHujhYUjhYU& 2 4 ?bkd>$$Ifl4Fz,    4 lalf4$d8$If^a$gdI}I<kd$$Ifl4Pz,z,4 lalf4 $Ifgd(,4 6 8 : < > @ B D x_kd$$Ifl Fz,    4 lald8$If^gdY$d8^a$gd~OD F H J L d8$If^gdY_kd* $$Ifl Fz,    4 lalL N P R T d8$If^gdY_kd $$Ifl Fz,    4 lalT V X Z \ d8$If^gdY_kd $$Ifl Fz,    4 lal\ ^ ` b d T@d8$If^gdI}I<kd $$Ifl4z,z,4 lalf4 $Ifgd(,gd(,_kd $$Ifl Fz,    4 lal    t:9kdz $$Iflz,z,4 lal9kd( $$Iflz,z,4 lald8$If^gdUs <kdZ $$Ifl4z,z,4 lalf4            DFZ\^hjnpr "vxʬjh, `U h, `CJ h, `5h, `jzh0Uh0jh0Ujh~OUjh~OUjhAUmHnHuj$ h~OUhI}IjhI}IUhh hY5hYh\O4    `Ld8$If^gdY9kd $$Iflz,z,4 lald8$If^gdI}I<kd $$Ifl4z,z,4 lalf4d8$If^gdI}I  t`d8$If^gdI}I<kd>$$Ifl4z,z,4 lalf4d8$If^gdI}I9kd $$Iflz,z,4 lal Bwcd8$If^gdI}I9kd^$$Iflz,z,4 lald8$If^gdY9kd $$Iflz,z,4 lalBDlnpt`d8$If^gdY9kd~$$Iflz,z,4 lald8$If^gdI}I<kd$$Ifl4z,z,4 lalf4prt`d8$If^gdI}I<kd"$$Ifl4z,z,4 lalf4d8$If^gdI}I9kd$$Iflz,z,4 lal tkkk $IfgdM<kdB$$Ifl4Pz,z,4 lalf4d8$If^gdI}I9kd$$Iflz,z,4 lal "$&(*0bkdH$$Ifl4PF%z,    4 lalf4 $IfgdMbkd$$Ifl4F%z,    4 lalf4*Rlvxz|~bkd$$Ifl4F%z,    4 lalf4 $IfgdM~C: $IfgdMOkd6$$Ifl40=z,==4 lalf4 $IfgdMbkd$$Ifl4PF%z,    4 lalf4HH HHHHzK|K~KKKKKKKKKKLLLL L\\\&\(\*\>\@\B\ɾɳujjhYqUjhYqUhYqjhYqUhA0JmHnHu hUs 0JjhUs 0JUhAhYhUs h(V hh0hB:h0^JaJh0Uj6h, `Uh, `jhAUmHnHujh, `Ujh, `U(Hi` $IfgdMOkd$$Ifl40=z,==4 lalf4 $IfgdM<kd8$$Ifl4z,z,4 lalf4     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. DHS-606 (Rev. 5-09) Previous edition obsolete. MS Word  PAGE 1 HHHH|K~Kk.<kdX$$Ifl4z,z,4 lalf4dL$If^gd9kd$$Iflz,z,4 lal $Ifgd0<kd$$Ifl4z,z,4 lalf4~KKLLL L(\P\x\\\\]:]^]]]]] ^H^j^^^^NMLKJIHGFEDCBA@?>=<gd(V(&P/ =!"#$%4 00&P:p\c/ =!"#$%1 0&P:p\c/ =!"#$%V$$Ifl!vh5z,#vz,:V l45z,4alf4V$$Ifl!vh5z,#vz,:V l45z,4alf4V$$Ifl!vh5z,#vz,:V l45z,4alf4V$$Ifl!vh5z,#vz,:V l45z,4alf4V$$Ifl!vh5z,#vz,:V l4P5z,4alf4tDText1l$$Ifl!vh585B(#v8#vB(:V lh,585B(4altDText1l$$Ifl!vh55)#v#v):V lh,55)4altDText1l$$Ifl!vh55&#v#v&:V lh,55&4altDText1l$$Ifl!vh5b5%#vb#v%:V lh,5b5%4altDText1l$$Ifl!vh55d$#v#vd$:V lh,55d$4altDText1l$$Ifl!vh55%#v#v%:V lh,55%4altDText1l$$Ifl!vh5F54'#vF#v4':V lh,5F54'4alV$$Ifl!vh5z,#vz,:V l4P5z,4alf4t$$Ifl!vh555#v#v:V l4554alf4t$$Ifl!vh555#v#v:V l ,554alt$$Ifl!vh555#v#v:V l ,554alt$$Ifl!vh555#v#v:V l ,554alt$$Ifl!vh555#v#v:V l ,554alt$$Ifl!vh555#v#v:V l ,554alV$$Ifl!vh5z,#vz,:V l45z,4alf4V$$Ifl!vh5z,#vz,:V l45z,4alf4vDText11P$$Ifl!vh5z,#vz,:V l5z,4alP$$Ifl!vh5z,#vz,:V l5z,4alV$$Ifl!vh5z,#vz,:V l45z,4alf4vDText12P$$Ifl!vh5z,#vz,:V l5z,4alP$$Ifl!vh5z,#vz,:V l5z,4alV$$Ifl!vh5z,#vz,:V l45z,4alf4vDText13P$$Ifl!vh5z,#vz,:V l5z,4alP$$Ifl!vh5z,#vz,:V l5z,4alV$$Ifl!vh5z,#vz,:V l45z,4alf4vDText14P$$Ifl!vh5z,#vz,:V l5z,4alP$$Ifl!vh5z,#vz,:V l5z,4alV$$Ifl!vh5z,#vz,:V l45z,4alf4vDText15P$$Ifl!vh5z,#vz,:V l5z,4alV$$Ifl!vh5z,#vz,:V l4P5z,4alf4$$Ifl!vh555#v#v:V l455/ / /  / 4alf4$$Ifl!vh555#v#v:V l4P55/ / / 4alf4$$Ifl!vh555#v#v:V l455/ / /  / 4alf4$$Ifl!vh555#v#v:V l4P55/ / / 4alf4$$Ifl!vh5=5=#v=:V l45=/  / / /  4alf4jD]d$$Ifl!vh5z,#vz,:V l45z,/ 4alf4$$Ifl!vh5=5=#v=:V l45=/  / / /  4alf4jD]d$$Ifl!vh5z,#vz,:V l45z,/ 4alf4P$$Ifl!vh5z,#vz,:V l5z,4ald$$Ifl!vh5z,#vz,:V l45z,/ 4alf4DAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityDBureau#8@8 YNormal_HmH sH tH B@B Heading 3 $<5CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List @O@ BLANKLINEd CJOJQJJOJ Captions 7pt ^ CJOJQJNON Captions 8pt ^CJOJQJkHNO"N Captions 9pt ^CJOJQJkHJO2J Captions 10pt ^ OJQJkH< @B< Footer   CJOJQJLORL Form Title 10pt$a$ OJQJkHPObP Form Title 11pt$a$CJOJQJkHPOrP Form Title 12pt$a$CJOJQJkH\O\ Form Title 12pt Bld$a$5CJOJQJkHHOH User Input ^5OJQJkHVOV Letter Text 10pt$^a$ OJQJkH@O@ Letter Text 11ptCJZOZ Letter Text 12pt$^a$CJOJQJkH4@4 Header  !.)@. Page NumberVOV (VCaptions 9pt Bold dL CJOJQJXOX (VForm Title 10pt Bld d8( 5OJQJPOP (VUser Input 10pt!d8(OJQJH"H h Balloon Text"CJOJQJ^JaJR*R`R%&LMNOPQZnot ,@AB\]oz uv!"6789JK_`ab~   08 0< 08 0< 08 0< 08 0< 08 0< 08 08 0< 08 08 0< 08 08 0< 08 08 0< 08 08 0< 08 08 0< 08 08 0< 0808 0< 08 08 08 0< 008 08 08 0< 08 08 08 0< 08 08 08 0< 08 08 08 0< 08 08 08 0< 008 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 0< 08 08 08 0< 08 08 08 0< 08 08 08 0< 08 08 08 0< 08 08 0< 08 0< 08 08 0< 08 0< 08 0< 08 0< 0@0@00#L%&LMNOZnot @A\]ouv!"6789JK_`ab~   @00 \'/D4,J@00 /D4,J @00 8)/D4,J @00@/@00\/@00\$ @00\$/@00\@/@00\@` @00\@`/@00\\`/@00\P @00\P/@00\l/@00\ @00\/@00\ /@00\4 @00\4/@00\/@00O @00O-@00 @00P-@00 @00d/@00/A00͵@00qA00͵@00q A00hε@00q A00ε@00q A00@00q @0(0` R4@0 @0(0` R4@0 @0,0` S4@0 @0.0` TS4@0 @0.0` TS4@0 @020` @0 @04` @0@04` @0@08` (@0@040` @0@040` @0 @080` (@0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 A0000x& 00x& @0X@00CCCCCCCCCCCCCCCFZflt ,8>v".4KW]FFFFFFFFFFFFFF7>@F!8@0(  B S  ?Text1Text11Text12Text13Text14Text15[w#Lm5^K<[=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace &LMMZmt ,?A[ v"579K^bb     @"!My ,L Us 0SxN #_K#b$(,\0nEI}I*eJ\O~OhQ, `pAe.}u zI{5"0Y i\cA(VO9h(\%&LMNOPQZnot ,@A\]oz uv!"6789JK_`ab~   VPRVPR  Spell Check Spell CheckNh!Nh!Nh!Nh!Nh! 0(  Spell CheckForms Spell Check2Module1.FormsSpellCheck2gTemplateProject.MyInfo.Main(TemplateProject.Module1.FormsSpellCheck2TEMPLATEPROJECT.MYINFO.MAIN(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2@ gl(;6gg4`` ``HUnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New5& zaTahoma"hTFZ&Z&  r cq#r4da3QH(?(V,DHS-0606, Child Adoption Assessment AddendumCompputmanalL@LNormal#CJ OJQJ_HmHnHsH tH uDAD Default Paragraph FontViV  Table Normal :V 44 la (k(No List VV Oh+'0  ( D P \ ht|0DHS-0606, Child Adoption Assessment AddendumComp 0606.DOTputmana7Microsoft Word 10.0@ԭ@EJ@;@EJ՜.+,0$ hp  State of Michigan  -DHS-0606, Child Adoption Assessment Addendum Title  !"#$%&'()+,-./012345689:;<=>?@ABCDEFGHIJKLMNOPQSTUVWXY[\]^_`adehklmnopqrstuvwxyz{|}~Root Entry F gJg(Data *Z81Table7pWordDocumenttSummaryInformation(RDocumentSummaryInformation8ZMacros0kgJ0ܭgJVBA 0kgJ0ܭgJdir!MyInfo jq3Module1 __SRP_0 *|  !"#$%&'()+,-./0123456789:;<=>?ABDFHIJKLMNOPQRSTUVXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~0* pHdTemplateProjectQH@  = | AB? J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#Microsoft : ^ Ob Library/;D~1u00}#0#k0 B11B0288-DD3E-49B5-A37E-2A97CC021D66DOCUME~1\bushd2\LOCALS\VBE\T.exd;@!.E .`M OfficOf@ic 12DF8D04C-5BFAgB-BDER5IAA42ggram Files\CommonhShared\ 105Op 8.0p@%5»ThisDocumentG T@i"Dcuen@ 2 (HB1%XB,!T5""+qM@yInfoG MPyIfM2 ' u ! bnodule1Gdnou1r2bѩ"\5x'5uxME(6 << < `@`Enter Personal InformationgNormal.MyInfo.Main@ >VP1&P ]\P"ngP$y.P&P(P*P,P.P0P2P4P6P8P:P<P>P@PB`P %PxpAB?$*\Rffff*194b2b7c91 " (08@HPX`hpx &((0*X&(&&((&P$x&$$&$@&h&(N$0$X&&*$"(0PT$$(H hx <468H6864(6`846 4@ 2x 2 4 2 4X : : 2 H ` & 4 6 8 6P 8 6 4 60 8h 4 6 42H2424(:`: "0284p2420P2402 0X..0.0H6x6 ":>PB>F2`:>66P.2::02p62BF` 4 2 & (@ *h .  2 4 X ` p ]x]]]]]]] ]8]P]h]]]]]]]](]@DEFINE DIALOG BOXF,MyInfo DB@Fm ^YourName DB@Hm8^ YourTitle DB@HmP^ YourOffice DB@Hmi^ YourAddress DB@H2xYourCity DB@HT( YourState DB@HFYourZip DB@Hn(AreaCode DB@HP YourPhone DB@H<YourExt DB@Hr(FAXAC DB@HPYourFax DB@H(YourCO DB@H(YourDI DB@H(YourSEC DB@HT(YourUN DB@H(YourWKR DB@Hm^BossName DB@Hm^ BossTitle DB@Hk  /Enter the following information about yourself. DB@d#2 Name: DB@d;2 Title: DB@dR< Office: DB@dkU Address: DB@d City-ST-Zip: DB@d7 Phone: DB@d>% FAX: DB@dCO-DI-SEC-UN-WKR: DB@dK 6Enter the following information about your supervisor. DB@dnt2 Name: DB@d 2 Title: DB@d X DB@J"X DB@L DB@N]XF D!R!T.P6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoName MYINFO.ini D%X P(VUserInfoTitle MYINFO.ini D%X P(ZUserInfoAreaCode MYINFO.ini D%X P("UserInfoPhone MYINFO.ini D%X P(\UserInfoYourExt MYINFO.ini D%X P(&UserInfoFaxAC MYINFO.ini D%X P((UserInfoFax MYINFO.ini D%X P(*UserInfoOffice MYINFO.ini D%X P(^UserInfoAddress MYINFO.ini D%X P(`UserInfoCity MYINFO.ini D%X P(bUserInfoState MYINFO.ini D%X P(dUserInfoZip MYINFO.ini D%X P(fipUserInfoCO MYINFO.ini D%X P(hUserInfoDI MYINFO.ini D%X P(jUserInfoSEC MYINFO.ini D%X P(lUserInfoUN MYINFO.ini D%X P(nUserInfoWKR MYINFO.ini D%X P(pUserInfo Boss Name MYINFO.ini D%X P(@UserInfo Boss Title MYINFO.ini D%X P(B,ݒ,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT Ve P D!r%T'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoName P!V MYINFO.ini DB@tUserInfoTitle P!Z MYINFO.ini DB@tUserInfoAreaCode P!" MYINFO.ini DB@tUserInfoPhone P!\ MYINFO.ini DB@tUserInfoYourExt P!& MYINFO.ini DB@tUserInfoFaxAC P!( MYINFO.ini DB@tUserInfoFax P!* MYINFO.ini DB@tUserInfoOffice P!^ MYINFO.ini DB@tUserInfoAddress P!` MYINFO.ini DB@tUserInfoCity P!b MYINFO.ini DB@tUserInfoState P!d MYINFO.ini DB@tUserInfoZip P!f MYINFO.ini DB@tUserInfoCO P!h MYINFO.ini DB@tUserInfoDI P!j MYINFO.ini DB@t|UserInfoSEC P!l MYINFO.ini DB@terUserInfoUN P!n MYINFO.ini DB@tUserInfoWKR P!p MYINFO.ini DB@tUserInfo Boss Name P!@ MYINFO.ini DB@tUserInfo Boss Title P!B MYINFO.ini DB@tGet user info from INI fileUserInfoName MYINFO.ini D%X' UserInfoTitle MYINFO.ini D%X' UserInfoAreaCode MYINFO.ini D%X' "UserInfoPhone MYINFO.ini D%X' $UserInfoYourExt MYINFO.ini D%X' &UserInfoFaxAC MYINFO.ini D%X' (UserInfoFax MYINFO.ini D%X' *UserInfoOffice MYINFO.ini D%X' ,TraUserInfoAddress MYINFO.ini D%X' .UserInfoCity MYINFO.ini D%X' 0UserInfoState MYINFO.ini D%X' 2UserInfoZip MYINFO.ini D%X' 4UserInfoCO MYINFO.ini D%X' 6UserInfoDI MYINFO.ini D%X' 8UserInfoSEC MYINFO.ini D%X' :UserInfoUN MYINFO.ini D%X' <UserInfoWKR MYINFO.ini D%X' >UserInfo Boss Name MYINFO.ini D%X' @UserInfo Boss Title MYINFO.ini D%X' B Update Form with user info WorkerName D%vG workerName  DB@xj WorkerTitle D%vG WorkerTitle  DB@xjWorkerAreaCode D%vGWorkerAreaCode " DB@xj WorkerPhone D%vG WorkerPhone $ DB@xjWorkerExtension D%vGWorkerExtension & DB@xjoFaxAC D%vGFaxAC ( DB@xj WorkerFax D%vG WorkerFax * DB@xj Countynumber D%vG Countynumber 6 DB@xjDistrict D%vGDIstrict 8 DB@xjSection D%vGSECtion : DB@xjUnit D%vGUNit < DB@xjWorker D%vGWorker > DB@xj CountyName D%vG CountyName , DB@xjRat CoAddress D%vG CoAddress . DB@xjCoCity D%vGCoCity 0 DB@xjCoState D%vGCoState 2 DB@xjCoZip D%vGCoZip 4 DB@xjSupervisorName D%vGSupervisorName @ DB@xjSupervisorTitle D%vGSupervisorTitle B DB@xj. Update other Form Fields on Form & Exit Macroz- 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 = - 1kpoh`(Attribute VB_Name = "MyInfo" Public Sub Main(X) D.nDescription|Enter Personal rma:zProcDataIInvoke _FuncINoi8l..nADim iRet B  User$ATitleAreaCod-PhonYourExtFax|AC Offic $AddressCitByStat Zip ODILSEB;UN WKRBoss|| 'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 300,} G TextBox 109@ A 5@ 18@ I @ey 56 * 83 _[ 105WDi 2A3321A5r 34 _  | 9 7 @ 1$55E [1 Pi 23` 6i`cV3jFAXAC41e lV1@,CO629 *DI7m pV? UN6z4!l1.yVm23n`~64`'Fz7,, c3z#the followin`g infa@bout ys0elf. ", ׂ !:w5f"bC #1z0@8O$351{1A-ST- u5 abm3r13@? gY  ;"C O-DI-T-U,N-@H47224*; supervisor!a 124f6p6iOKButtY48 8pR21 fCanctel3kEndn ҂dlg!u! As Object: Se$t = CurValues. vGET USER INFO FROMI FILE AND@ PUT I NTOzx.t[GetPrivfileS@@ng$](" "'P:qMY.ini"r hl ? pa"4??>? Mpn_1r &.nAC `axU/-Y??>OMA\C$$a&gp Op | DIpp/-UN0 | {p y QaserInfo", "Boss Name`MYINFO.ini") dlgU.Title = WordBasic.[GetPrivateProfileString$]("t| 'DISPLAY DIALOG BOX AND RESPOTO USER INPUT iRet Dialog.p (If 3-1 Then 'OK BUTTON ?WRI@TE NEW3FO6I FILE xSx wYour ?, - -AreaCod|PhonEExtE@FaxACL+@OfficZ|Address0$ L+gCity ? : |StP  z Zo%  CoCity  ! CoStat$c b CoZip  "Supervi8sor<`, Boss! /Titl% b ' Upd. other  FieldsH on& t Macro Rem" SelA}ed$=G$ ("Curre8ntD9'`Serial = Today() + 14$5()lDure",a"GEditGoTo 0"Cre : Unlink'Grante@efirst3"ToolsProtDocum! .No@et`1, .Type@2/ .8= 2 `0 Else#FileClose D c.@- 1$nd #Sub ME(<<< <h ~ XEx%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it. ! cladd87 B@kPerform Spelling/Grammar check. (  ! !( !B@  ReProtect the document. ! cladd87 l B@koAttribute VB_Name = "Module1" Sub FormsSpellCheck2() Dim x As wdNo Then  9ZPassword:="c@ladd87E nd If'P(erf ing/Gramma8r clK.Op2tBs.vWi thFalse EachIn JsZx.Range.iof>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, n orese&, o:=wdAllowOnlyAbAAeK*srU~~~~~~~~k 7TOʶAr    iQ TemplateProject ThisDocumentMyInfoF /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLLVBA 1 Y0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord )Q@0FC:\WINDOWS\system32\stdole2.tlbstdole 9aP.E .`M C:\WINDOWS\system32\FM20.DLLMSForms aa`>ݵI~*d 0C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd AaipL-[DR?C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLLOffice 1YMain Module1 __SRP_1@__SRP_2 CT__SRP_3EoThisDocumentGrU Enter Personal InformationNormal.MyInfo.MainfrU~| krU $`an55#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2as  *\G{000204EF-0_VBA_PROJECTWPROJECTPROJECTwmVCompObjj000-0000-C000-000000000046}#4.0#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{011B0288-DD3E-49B5-A37E-2A97CC021D64}#2.0#0#C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library  AB?5ThisDocument174b2b7c63ThisDocument5% MyInfo194b2b7c91 MyInfou'Module11;4b2b7cab|Module10bP0CDsL`3ܷHo?v[r@Yꋍ/A~Yy[0PQD0WordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _EvaluateMyInfo@Main,iRet,pUserName\ UserTitleV9AreaCode UserPhoneYourExthLFaxACjYourFaxrN UserOffice0 UserAddressFUserCity UserStateUserZipDUserCOUserDIUserSEC4UserUN0UserWKR,BossNamef BossTitleH WordBasic BeginDialogFTextBoxQOKButton| CancelButton EndDialogmP dlgUserInfo2" CurValuesȤ UserDialogYourName;RGetPrivateProfileString$x YourTitleA# YourPhone YourOffice YourAddressYourCity YourStateYourZipYourCOYourDIYourSECvYourUNVYourWKRnDialogfSetPrivateProfileString=ExistingBookmark SetFormResultDocumentjModule1bFormsSpellCheck2gzxo FormFieldActiveDocument\ProtectionTypewdNoProtection Unprotect?PasswordOptionsCheckGrammarWithSpelling FormFields-|Range  NoProofing] CheckSpellingW AlwaysSuggestProtectfnoresetgwdAllowOnlyFormFields!l }6ID="{9A04BC2A-1F9B-4486-9DD2-A1F1E94056C0}" Document=ThisDocument/&H00000000 Module=MyInfo Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="BDBF5B55BB41BF41BF41BF41BF" DPB="ADAF4B65CB54CC54CC54" GC="9D9F7B759B649C649C9B" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C MyInfo=0, 0, 0, 0, C Module1=0, 0, 0, 0, C ThisDocumentThisDocumentMyInfoMyInfoModule1Module1  FMicrosoft Word Document MSWordDocWord.Document.89q @ ZBkbjbj t4^"4^"WWWWW#WGW`qaqaTa#WHm,bdfffff.?jklllllll$tnRpl-WlfflllWWffmllllWfWfllllllWW5\tlfb gJGWlll m0Hmlplpl#W#WWWWWpWlllllllllll#W#W$GWl#W#WGW 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        FORMTEB\L\N\P\R\f\h\v\x\z\\\\\\\\\\\\\\\\]]]]](]*]8]:]<]P]R]T]Z]\]^]`]t]v]]]]]]]]]jhYqUj*hYqUjthYqUjhYqUjhYqUjHhYqUjhYqUjhYqUjShYqUhYqjhYqUjhYqUmHnHu3]]]]]]]]]]]^^^ ^"^6^8^F^H^J^^^`^b^f^h^j^l^^^^^^^^^^^^^^^^^ynyj$hYqUjhYqUmHnHuj6$hYqUj#hYqUjhYq5UmHnHuj"hYq5U hYq5jhYq5UjJ"hYqUj!hYqUj hYqUjhYqUjL hYqUhYq+^^^^^^^_______$_&_(_*_>_@_N_P_R_f_h_v_x_z________________`hhh hhh~jp*hYqUUj)hYqUj)hYqUj&(hYqUj]'hYqUj&hYqUjhYqUmHnHuj&hYqUjUmHnHuj%U jUhYqjhYqU1^_(_P_x____h@hhhhhhi*iLipiiii j,jPjxjedcba`_^]\[ZYXWVUTSRQPOkXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       hhh.h0h>h@hBhVhXhfhhhjh~hhhhhhhhhhhhhhhhhiiiii(i*i,i@iBiDiHiJiLiNibidifilinipirij 0hYqUjhYqUmHnHuj_/hYqUj.hYqUjX.hYqUj-hYqUj-hYqUjl,hYqUj+hYqUj0+hYqUjhYqUhYq3riiiiiiiiiiiiiiiiijjjj j j j"j$j(j*j,j.jBjDjFjLjNjPjRjfjhjvjxjzjjjjjjjjjjjj5hYqUjd5hYqUj4hYqUj4hYqUjX3hYqUjhYqUmHnHuj2hYqUj32hYqUj{1hYqUjhYqUj0hYqUhYq3xjjjjk@kBkjihgfjjjjjjjjkkkkk.k0k2kkBkj7hYqUj47hYqUjhYqUmHnHujhYqUjX6hYqUhYq/ =!"#$%#Enter your Bureau/Office/Unit name.DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)Address1D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City. ClientStateD ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation. ClientZipD ClientZip UppercaseKEnter the Addressee's Zip Code (+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 CoAreaCodeEnter the County's Area CodeDCoCity UppercaseEnter the County's City.D CoExtensiond8(OJQJ_HmH sH tH XOX CaseNumber1?d8(OJQJ_HmH sH tH XOX ClientCity1@d8(OJQJ_HmH sH tH ZOZ ClientState1Ad8(OJQJ_HmH sH tH ZO"Z ClientZip1BdtCJOJQJ_HmH sH tH VO2V CoAddress1Cd8(OJQJ_HmH sH tH XOBX CoAreaCode1 Dd`CJOJQJ_HmH sH tH PORP CoCity1Ed8(OJQJ_HmH sH tH ZObZ CoExtension1Fd8(OJQJ_HmH sH tH ^Or^ CoPhoneNumber1Gd8(OJQJ_HmH sH tH ROR CoState1Hd8(OJQJ_HmH sH tH ^O^ CoSuppaddress1Id8(OJQJ_HmH sH tH XOX CountyName1Jd8(OJQJ_HmH sH tH \O\ CountyNumber1 Kd`CJOJQJ_HmH sH tH ROR CoZip1LdtCJOJQJ_HmH sH tH NON Date11 Md`CJOJQJ_HmH sH tH TOT District2 Nd`CJOJQJ_HmH sH tH LOL FaxAC Od`CJOJQJ_HmH sH tH VOV FirstName1Pd8(OJQJ_HmH sH tH XOX FirstName21Qd8(OJQJ_HmH sH tH `O"` GranteeAddress1 Rd`CJOJQJ_HmH sH tH \O2\ GranteeCareof Sd`CJOJQJ_HmH sH tH XOBX GranteeCity Td`CJOJQJ_HmH sH tH `OR` GranteeClientID Ud`CJOJQJ_HmH sH tH dObd GranteeFirstName2 Vd`CJOJQJ_HmH sH tH bOrb GranteeLastName1Wd8(OJQJ_HmH sH tH ZOZ GranteeState Xd`CJOJQJ_HmH sH tH VOV GranteeZip Yd`CJOJQJ_HmH sH tH TOT LastName1Zd8(OJQJ_HmH sH tH VOV LastName21[d8(OJQJ_HmH sH tH ROR OtherID1\d8(OJQJ_HmH sH tH ROR Section2 ]d`CJOJQJ_HmH sH tH ^O^ SuperAreaCode1 ^d`CJOJQJ_HmH sH tH `O` SuperExtension1_d8(OJQJ_HmH sH tH dOd SuperPhoneNumber1`d8(OJQJ_HmH sH tH `O` SupervisorName1ad8(OJQJ_HmH sH tH LO"L Unit2 bd`CJOJQJ_HmH sH tH PO2P Worker2 cd`CJOJQJ_HmH sH tH `OB` WorkerAreaCode1 dd`CJOJQJ_HmH sH tH bORb WorkerExtension1ed8(OJQJ_HmH sH tH TObT WorkerFax fd`CJOJQJ_HmH sH tH XOrX WorkerName1gd8(OJQJ_HmH sH tH \O\ WorkerName2hd8(5OJQJ_HmH sH tH ZOZ WorkerPhone1id8(OJQJ_HmH sH tH ^O^ WorkerTitle1jd8(5OJQJ_HmH sH tH LOL Emailkd8(OJQJ_HmH sH tH t@0 0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumber CoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictEmail/FaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherID Section! SuperAreaCode"SuperExtension#SuperPhoneNumber$SupervisorName%Unit&Worker'WorkerAreaCode(WorkerExtension) WorkerFax* WorkerName+ WorkerName2, WorkerPhone- WorkerTitle.0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstName1GranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitleUser Input 10pt(<Pdu$5I]n  4EYm(<Pdxn B\]^hrijBk"012679 < 4 D L T \   Bp *~H~K^xjBk  !#'(38Bk  &(4:<HNP\bdpsu"$035AGIU[]ilnz   ,24@CEQWYekmy"&(4:<HNP\bdpvxFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddress CountyName CountyNumberCoZipdate1DistrictEmailFaxAC FirstName FirstName2GranteeAddress1 GranteeCareOf GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherIDSection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerName2 WorkerPhone WorkerTitle)=Qev%6J^o !5FZn)=Qey  !"#$%&'()*+,-./';Oct#4H\m 3DXl';OcwYq@ gl(;6gg(`\`^`hUnknownG: Times New Roman5Symbol3& : Arial?5 z Courier New5& zaTahoma"h0@?Yq