ࡱ> WZV~ @  bjbj `$ lllllll8xhLh6h^444   3363636363636$28R:W6-lM"  M"M"W6ll446$$$M"(l4l43$M"3$$r0Tll14Hi 06Vu"(m01606{0;";1llll;l1 Zi @$ 4 p   W6W6$  $ Permanent Placement with a Fit and Willing Relative Agreement(Permanent Court Wards and MCI Wards)The Permanent Placement with a Fit and Willing Relative goal is established to provide the child a permanent home with their relative(s) who are unable, or are unwilling to pursue adoption or guardianship at this time. Adoption and guardianship are preferred permanency goals and will continue to be explored if appropriate. The court must continue to hold semi-annual review hearings and annual permanency hearings until the childs case is closed through a permanent placement or age. The foster care worker will maintain regular monthly home visits and provide support services as outlined in this agreement. AGREEMENT The persons involved in this agreement believe that it is in the best interest of the child or youth to be allowed to remain in the home of the relative(s) with all of the supports, privileges and responsibilities that being a member of this family brings. This agreement is being established as a statement of our mutual commitment to a permanent relationship. Although the foster care placement in this home will end when the foster care case closes, it is the relative(s) intent to continue a caring relationship into the child or youths adulthood. By signing this agreement, the relative(s) agree: To maintain the responsibilities of a relative caregiver(s) for the child/youth until adulthood. To request support and services from the assigned foster care agency if there are situations that cause concern or conflicts that require assistance. To only terminate this agreement after all possible solutions are tried or under serious or unusual circumstances. To facilitate visitations with siblings and members of the extended birth family based on the discussion between the caseworker and all parties involved. To share information as required by the agency and as determined appropriate with the birth family. To ensure that the youth is enrolled in and attending school on a full-time basis. To facilitate health and dental care as required. By signing this agreement, the caseworker and assigned foster care agency agree: To maintain and support the long-term placement of the child/youth in the relative(s) home. To respond to requests for services and supports to ensure positive family relationships and stability with the home. To not disrupt this placement except under serious or unusual circumstances and only through an administrative level decision. To develop the 90-day Transitional Plan for Youth aging out of foster care to ensure that transitioning youth services are in place.To not disrupt this placement except under serious or unusual circumstances and only through an administrative level decision. To ensure that the agreed upon visitation and sharing of information is provided to siblings. To facilitate between all parties to arrange appropriate scheduling and required transportation for visitation. To respond to requests for facilitation if an issue arises between the parties. By signing this agreement, the child/youth agrees: To remain in the home of the relative(s) with all of the supports, privileges and responsibilities that being a member of this family brings. To ask the foster care worker for support and advice in dealing with issues that arises. Child/Youth SignatureDate FORMTEXT      Relative Placement SignatureDate FORMTEXT      Agency Caseworker SignatureDate FORMTEXT      Foster Care Supervisor SignatureDate FORMTEXT      DHS Local County Director SignatureDate FORMTEXT      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. 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