ࡱ> wzv'` ,@bjbj{P{P .v::<& 8888888L1118l\mL&H,2,X4X4X4X4$6 D6X6 DwGwGwGwGwGwG$Ih@L$GE8d66 6d6d6G88X4X4G999d6^8pX48X4D9d6D99<8<X4m PlL˰16^<q@$G0&H<,dM 7HdM<dM8=ld6d69d6d6d6d6d6GGh8Zd6d6d6&Hd6d6d6d6LLL+LLL+LLL888888 PERMANENCY PLANNING CONFERENCEAdministrative Review Activity ReportMichigan Department of Human ServicesFamily NameReview DateTime FORMTEXT       FORMTEXT       FORMTEXT      DHS Case NumberPPC DateTime FORMTEXT       FORMTEXT       FORMTEXT      Review AdministratorTitle FORMTEXT       FORMTEXT      PPC StaffAttendedCaseworker: FORMCHECKBOX Yes FORMCHECKBOX NoSupervisor: FORMCHECKBOX Yes FORMCHECKBOX NoPPC Facilitator: FORMCHECKBOX Yes FORMCHECKBOX NoPPC Facilitator Supervisor: FORMCHECKBOX Yes FORMCHECKBOX NoOther Attending DHS Staff:Title FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Type of PPC: FORMCHECKBOX Emergency Removal FORMCHECKBOX Considered Removal FORMCHECKBOX Change of Placement FORMCHECKBOX Permanency Goal Change FORMCHECKBOX Reunification FORMCHECKBOX Child Returns fr@  2 4 6 @ B D F Z \ ^ h j l n    " $ & : < > H J jh UjfhItUjhItUjh UjhItUjhItUjhrUjh Uh jh U h95hzh98>@vm '$Ifgd9?kd^$$Ifl4y,y,4 lalf4yt<?kd$$Ifl4y,y,4 lalf4yt< *$Ifgd9x@@@Bo  vmmm G$IfgdKG?kd$$Ifl4y,y,4 lalf4yt< '$Ifgd9?kd$$Ifl4y,y,4 lalf4yt<  D l E$IfgdIt E$Ifgd ekdx$$Ifl4F<Z!y,<      4 lalf4yt&m G$IfgdKGekdX$$Ifl4F<Z!y,<      4 lalf4yt&m $ L E$IfgdItekd$$Ifl4F<Z!y,<      4 lalf4yt&mL N x =4 E$IfgdItRkdh$$Ifl40<y,<=4 lalf4yt&m G$IfgdKGekd$$Ifl4F<Z!y,<      4 lalf4yt&m  < > @ J L h j l n  & ( * 4 6 R T V yjTh Uj h Ujj h Uj h Uj h Uj h9h 5Uh9h 5jh9h 5Uj h Uh jhrUjh Uj^h U+  G>> $Ifgd&mRkdT$$Ifl40<y,<=4 lalf4yt< G$IfgdKGRkd$$Ifl40<y,<=4 lalf4yt< E$IfgdIt   B J n t E$Ifgd&m G$Ifgd&mRkd$$Ifl40Z!y,Z!  4 lalf4ytNvt v sjajaj E$Ifgd&m G$Ifgd&mkdp $$Ifl4rZ!"&n(y,Z! t     4 lalf4ytNv  , 4 X ^ sjajaj E$Ifgd&m G$Ifgd&mkdh $$Ifl4rZ!"&n(y,Z!t 4 lalf4ytNv^ ` sjajaj E$Ifgd&m G$Ifgd&mkdR$$Ifl4rZ!"&n(y,Z!t 4 lalf4ytNv 4 6 J L Z \ ^ r t v $&*JLh˵ϧ˜ˑϧˆ{ϧsjh UjhrUjhrUjhrUj8hrUjhrUmHnHuj>hjEUjhjEUhrjhrUh h9h 5jh9h 5Ujh9h 5U+ & 2 sjj G$Ifgd&mkd<$$Ifl4rZ!"&n(y,Z! t     4 lalf4ytNv2 4 \ PGG E$IfgdjERkd$$Ifl40Z!y,Z!  4 lalf4yt&m E$IfgdItRkd>$$Ifl40Z!y,Z!  4 lalf4ytNv (*,PG G$IfgdKGRkdb$$Ifl40Z!y,Z! 4 lalf4yt< E$IfgdjERkd $$Ifl40Z!y,Z! 4 lalf4yt&m,.HJn(Lzvi`i`i`i` G$IfgdKG E$IfgdNv?kdP$$Ifl4y,y,4 lalf4yt< $Ifgd9?kd$$Ifl4y,y,4 lalf4yt< hjl(*FHJ|~:d:f:::::::::*;,;H;J;L;;;;膂hrjhrUjfh Ujh Ujh UUj"h Ujh Ujh Ujh Uj0h Uh jh Ujh U/z|:-$- G$IfgdKG E$IfgdNvkd$$Ifl4ִh <Z!"y,h  r t     4 lalf4yt&mom Absent without Legal Permission (AWOLP) Status FORMCHECKBOX Child in Care for Nine Months FORMCHECKBOX Child Legally Free for Adoption FORMCHECKBOX OtherAppealed by:Title:Reason Appealed: FORMTEXT       FORMTEXT       FORMCHECKBOX Policy Issue FORMCHECKBOX Safety IssueExplain: FORMTEXT      New Information: FORMTEXT       Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.     DHS-963 (3-10) MS Word d:::::*;N;Z;Jkd $$Ifl4ֈh Z!"y,h t 4 lalf4ytNv E$IfgdNv G$IfgdKGZ;\;^;`;z;;}=44 G$IfgdIt?kd$$Ifl4y,y,4 lalf4yt< G$IfgdKGxkd$$Ifl4\h y,h 4 lalf4yt<;;;;; <:<^<x< E$IfgdItekd$$Ifl4Fy,    4 lalf4yto[ G$IfgdIt;;;;;;;;;;<<<:<<<X<Z<\<<<<<<<<<<<<<=====r@v@x@z@~@@@@@쓌zrnrnrnhxRjhxRU hk"h;hB:h ^JaJ ho[h ho[j"hjEUjhrUmHnHuj!hjEUjh Uj`h Ujh UjhjEUhrh jhrUjhjEU+x<z<<`W $Ifgd&mkdH $$Ifl4ֈJ%'y,s4 lalf4yto[<<<<<<vm-?kd"$$Ifl4y,y,4 lalf4yt< $Ifgd&m?kd"$$Ifl4y,y,4 lalf4yt< E$IfgdIt?kd>!$$Ifl4y,y,4 lalf4yto[<== = ==t@`T G$$Ifa$gdUx{?kd#$$Ifl4y,y,4 lalf4yt< G$IfgdKG?kdV#$$Ifl4y,y,4 lalf4yt< 0 N($Ifgdo[ E$IfgdItt@v@x@|@~@@@@@@@@@@@@@@@ $dLa$gdxSy$ $ d8gd;gdk"?kd.$$$Ifl4y,y,4 lalf4ytUx{@@@@@@@@@@@@@@@@@@@```&`(`*`>`@`B`L`N`P`R`{{wpkckk[kPkkjUmHnHujs%Uj$U jU hk"h;hxh:!hwRh:B*CJRHsaJphhjZ3B*CJOJQJaJphhfhB*CJOJQJaJphh<B*CJOJQJaJph%hzGh:B*CJOJQJaJphhUx{B*CJOJQJaJphh:B*CJOJQJaJphhxRjhxRU@@@@@@@@@@@@(`P`x````a:a^aaaaa bgdk"gdJp6&P/R :pM/ =!"#h$% \$$Ifl!vh5y,#vy,:V l45y,4alf4yt<\$$Ifl!vh5y,#vy,:V l45y,4alf4yt<\$$Ifl!vh5y,#vy,:V l45y,4alf4yt<\$$Ifl!vh5y,#vy,:V l45y,4alf4yt<$$Ifl!vh5<5 5 #v<#v #v :V l45<5 5 /  4alf4yt&mtD-Text1jDjD$$Ifl!vh5<5 5 #v<#v #v :V l45<5 5 / 4alf4yt&m$$Ifl!vh5<5 5 #v<#v #v :V l45<5 5 /  4alf4yt&mtD-Text1jDjD$$Ifl!vh5<5 5 #v<#v #v :V l45<5 5 / 4alf4yt&m$$Ifl!vh5<5=#v<#v=:V l45<5=/  4alf4yt&mtD-Text1tD-Text1$$Ifl!vh5<5=#v<#v=:V l45<5=/ 4alf4yt<$$Ifl!vh5<5=#v<#v=:V l45<5=/ 4alf4yt<$$Ifl!vh5Z!5 #vZ!#v :V l4,5Z!5 /  /  /  / 4alf4ytNvtDeCheck1tDeCheck1$$Ifl!vh5Z!5t555 #vZ!#vt#v#v#v :V l4,5Z!5t555 /  / / /  /  / 4alf4ytNvtDeCheck1tDeCheck1$$Ifl!vh5Z!5t555 #vZ!#vt#v#v#v :V l4,5Z!5t555 / / /  / / 4alf4ytNvtDeCheck1tDeCheck1$$Ifl!vh5Z!5t555 #vZ!#vt#v#v#v :V l4,5Z!5t555 / / /  / / 4alf4ytNvtDeCheck1tDeCheck1$$Ifl!vh5Z!5t555 #vZ!#vt#v#v#v :V l4,5Z!5t555 /  / /  / /  4alf4ytNv$$Ifl!vh5Z!5 #vZ!#v :V l4,5Z!5 /  /  4alf4ytNvjDEjD$$Ifl!vh5Z!5 #vZ!#v :V l45Z!5 /  / 4alf4yt&mjDEjD$$Ifl!vh5Z!5 #vZ!#v :V l45Z!5 / 4alf4yt&mjDEjD$$Ifl!vh5Z!5 #vZ!#v :V l45Z!5 / 4alf4yt<j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<tDeCheck1tDeCheck1tDeCheck1tDeCheck1 $$Ifl!vh5h5 55 55r 5t5 #vh#v #v#v #v#vr #vt#v :V l45h5 55 55r 5t5 / /  / 4alf4yt&mtDeCheck1tDeCheck1tDeCheck1$$Ifl!vh5h5 555t5 #vh#v #v#v#vt#v :V l45h5 555t5 / / 4alf4ytNvtDeCheck1tDeCheck1$$Ifl!vh5h5 55#vh#v #v#v:V l45h5 55/ /  / 4alf4yt<j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<z$$Ifl!vh555#v:V l45/  4alf4yto[jDjDtDeCheck1tDeCheck1$$Ifl!vh555555s#v#v#v#v#vs:V l455555s/ / /  / 4alf4yto[j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yto[jDj$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<jDj$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4yt<j$$Ifl!vh5y,#vy,:V l45y,/ 4alf4ytUx{DAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered). ClientCityDBureau#Enter your BureauI8@8 Normal_HmH sH tH B@B Heading 3 $<5CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List POP BLANKLINEdx5CJOJQJkHTOT Captions 6ptd(CJ OJQJkHDOD Captions 6pt bold5`O"` Captions 6pt boxd<5CJ OJQJkHDO2D Captions 6pt Nbox<DOBD Captions 7pt dtCJDOARD Captions 7pt Bold5BOqbB Captions 7pt box5^Or^ Captions 7pt NBoxdt<CJOJQJkHdOd @Captions 8pt Char Char d`CJOJQJkH^O^ Captions 8pt Bold d`5CJOJQJkHFOF Captions 8pt box <DOD Captions 8pt NboxPPOP Captions 9pt dLCJOJQJkHJOJ ACaptions 9pt BolddLCJFOF Captions 9pt Box dDOD Captions 9pt Nbox5POP C Captions 10pt d`( OJQJkH^O^ Captions 10pt Bold!d`(5OJQJkHXO"X Captions 10pt box"d`P OJQJkHHO2H Captions 10pt Nbox#P5J @BJ Footer$dt !CJOJQJkHRORR Form Title 10pt%$d8a$ OJQJkH^Ob^ Form Title 10pt Bld&$d8a$5OJQJkHVOrV Form Title 11pt'$d$a$CJOJQJkHLOaL Form Title 11pt Bld(d$CJVOV Form Title 12pt)$da$CJOJQJkHbOb =Form Title 12pt Bld*$da$5CJOJQJkH4@4 Header + !HOH Small Blank Line ,CJbOb DUser Input 10pt Char-d8(5OJQJkHTOT User Input 11pt.d$5CJOJQJkH\O\ User input 12pt/d((5CJOJQJkHTOT >Letter Text 10pt0$d$a$ OJQJkHFOF ?Letter Text 11pt1dCJXO"X Letter Text 12pt2$da$CJOJQJkHLO2L Captions 10pt 2 line 3<FOBF Date 08pt45CJOJQJkH6OAR6 Date 09pt5CJ6OAb6 Date 10pt6CJ2Oar2 Date 11pt7CJ.O. Memo Body80U@0 Hyperlink>*B*@V@@ FollowedHyperlink>*B* HH _C Balloon Text;CJOJQJ^JaJ.)@. wR Page NumberhOh *!Form Title 12pt Bld Char5CJOJQJ_HmH sH tH ZOZ 0}Letter Text 10pt CharOJQJ_HmH sH tH FOF 1\Letter Text 11pt CharCJlOl xCaptions 8pt Char Char CharCJOJQJ_HmH sH tH fOf xCaptions 9pt Bold Char5CJOJQJ_HmH sH tH j#j Cl Table Grid7:VB0BTO1T MCaptions 10pt CharOJQJ_HmH sH tH fOAf -xSyUser Input 10pt Char Char5OJQJ_HmH sH tH TORT iUser Input 10ptEd8( 5OJQJVObV H;Captions 8pt Char Fd` CJOJQJLOrL ; Captions 8pt Gd` CJOJQJdOd F;Captions 8pt Char Char1CJOJQJ_HmH sH tH  q              qV FGmnop|&'<BCWklmnoy,/0L^btwx$%7I[n2Dbcu/<=FG[\mn:;<>?ABDEGH_`abcdefghijklmnor*0 0 *0 0 '0 0 '0 0 G0 G0 G0 0 E0 E0 E0 0 @G0 @G0 @G0 @0 E0 E0 E0 0 @G0 @G0 @0 E0 E0 0 @G0 @G0 @0 @ 0 @ 0 @0 @G0 @E0 @G0 @E0 @G0 @0 @G0 @E0 @G0 @E0 @G0 @0 @G0 @E0 @G0 @E0 @G0 @0 @G0 @E0 @G0 @E0 @G0 @0 @G0 @G0 @0 E0 E0 0 E0 E0 0 E0 E0 0 G0 0 @0 @0 @E0 @G0 @E0 @G0 @E0 @G0 @E0 @G0 @0 @E0 @G0 @E0 @G0 @E0 @G0 @0 @E0 @G0 @E0 @G0 @0 @G0 @0 @G0 @G0 @G0 @0 E0 E0 E0 G0 E0 G0 0 @0 @0 E0 0 @0 @0 E000 0 @G0 @0 @G0 @0 0@000@000@000@000@$0@$0@0004 0000000000000@S&'BCkl/0wx$%bc<=FG[\mn:;r000000%n 00&,n7002d 00'dn7002d 00&n7002d 00002d 0 0# o700. 0000. 00.@0` 0 0.@0` 0 0. D@0` 0 0.@0` 00\p70 0 00p70 0 0070 0 0070 0 00 0 0 00*@0000*$0 0 00*\0 0 0 0 00*0000Y00000-0 .r 0-0 .r7@0 00$q7@00203Ps7@00#0$$q7@0 00t %%%( $COUWci*L\br %5IYn~2Bcs-GSYnzqFFFFFFFFG$G$G$G$G$G$G$G$FFFFFFG$G$G$G$G$G$G$G$G$FFG$G$FF  /X"$@/Cڡ/d b$w<+v7"yl@H 0(  ( 0(  $. B S  ?q(Text1Check1rr<<>>??ABDEGHabr<<>>??ABDEGHabr E $PUdin{;<<>>??ABDEGHLOQUWZ__abddr E $PUdin{{;<<>>??ABDEGHLOQUWZ__abddr8Bhh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH8          @ @Cg;CE5] nfq|\5l rx u0 #Ng? Z+&ml +XO]a?CwP OZ!k"Yi#$"j$t$0%3'_](4)%h*wT,L--.&.p!/?2.3jZ31_36=:M:[:d:U ;#;,=!>Z>q7B`BLjCF1#F*F^F(kGJ{LCM\TMNg4O-ASjSUbVXXhX+Zo[P]aY]frffh iEi|i=lClkp|rs"s~sIt5uNvxWHxxSy zUx{-|9c}KG9Gd58owemZkPSPcG6;V%&twSJpsp?E"2x[D 8A_Cs\y7 6|uEzIM(pzwRjEzG/\xRo1uqp/:e8HT[ADGbflnrCCCCy0y0y0V8V8VV8V8V  Spell Check Spell CheckLfQ+LfQ+LfQ+LfQ+LfQ+0(  Spell CheckForms Spell Check2Module1.FormsSpellCheck2g'TemplateProject.UpdateField.UpdateField(TemplateProject.Module1.FormsSpellCheck2'TEMPLATEPROJECT.UPDATEFIELD.UPDATEFIELD(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2@( @{@q :UnknownGz Times New Roman5Symbol3& z ArialI"  Arial (W1)Arial?5 z Courier New5& zaTahoma;Wingdings"hrrm( ( r c#4d9902QXZ ?8o*MDHS-963, Permanency Planning Conference, Administravie Review Activity Report Tech Support$Department Of Information Technology @Oh+'0(4L |    PDHS-963, Permanency Planning Conference, Administravie Review Activity ReportTech SupportDHS-0963.dot(Department Of Information Technology2Microsoft Office Word@@dyʰ@4,˰@4,˰(՜.+,0X hp  :(Michigan Department of Human Services 9' NDHS-963, Permanency Planning Conference, Administravie Review Activity Report Title  !"#$%&'()*+-./0123456789:;<=>@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdeghijklmopqrstuxy|}~Root Entry F@oL˰{-Data ,6D1Table?~WordDocument.vSummaryInformation(fDocumentSummaryInformation8nMacrosP`jL˰P`jL˰VBA P`jL˰P`jL˰dirKModule1 i__SRP_0(__SRP_1 ?r  !"#$%&')*+,-./0123456789:;<=>@BCEGIKLMNOPQRSTUVWXYZ[\]_`abcdefghijklmnoprstuvwxyz{|}~G0* pHdTemplateProjectQH@  = | DreK0 J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0EOfficEOficEE2DF8D04C-5BFA-101B-BDE5EAAC42Egram Files\@CommonMicrosoft Shared\@10\MSO.0DLL# 1@0.0 Ob LibraryKE-ThisDocumentGTisDcumU7n] 2 QHB1BxҰB,!( q"B+B" UpdFi@eldG p}a!eFi$l 2 O#M#!E#@Module1G EdE1m2OM I-xME(<*6 < < &` (X%%(phDreK0$*\Rffff*0z4b767395"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it.e !, .cladd872 B@0cenkPerform Spelling/Grammar check.e 4(6iat ( !8H (!:(<H@ (!:B@> ( ReProtect the document. !, .cladd872D Fl B@BkoAttribute 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~~~~~~~~~d ;E&v  $ i  )Project1TemplateProject ThisDocumentF /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLLVBA 9 a` F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord 1Yp0FC:\WINDOWS\System32\stdole2.tlbstdole AiL-[DR?C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLLOffice ak Fg٘I%xw̫ F۲/HCGkb FDocument @Module1 UpdateField  F F 0 FModule2MyInfoFormsSpellCheck2rU~}   !prU 04!aI0`rU @nrU~| k__SRP_2A__SRP_3 DB__SRP_4FT__SRP_5HgrU $`n-xMEPUpdateFieldJThisDocument^_VBA_PROJECTq?PROJECT<<<<< <<<x `p@p%X5(55@x 5@t 5@p h6H"-( !"B@$.Do`XXAttribute VB_Name = "UpdateField" Sub D () ActiveDocu ment.Zs.P End p <jx- q#<g٘I%xw̫ F۲/HCGkbx۲/HCGkbg٘I%xw̫ME(SLSS6"N0{00020906-0000-0000-C000-000000000046}(%H` % %`h8@0DreK0$*\Rffff*0J4a238d294xAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2as  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation(*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 10.0 Object Library DreK0-ThisDocument0J4a238d29ThisDocument qUpdateField1;4b657244UpdateFieldModule10z4b767395Module18Pp82nc@cNcPcRcfcjf2Uj1Uj~1Uj0UjUmHnHuj0Uja/Uj5UmHnHuj.5U5 j5Uj&.U jUjc-U7 bHbjbbbbc(cPcxccccl@lhllllm*mLmpmmm543210/.-,+*)('&%$#"! fchcvcxczccccccccccccccccdlll lllll.l0l>l@lBlVlXlflhljl~lllllllllllllllllmmmj4:Uj9Uj8UjH8Uj7Uj 7UjUmHnHujL6UUj5Uj4Uj4U jUj93U:XT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       mmm(m*m,m@mBmDmHmJmLmNmbmdmfmlmnmpmrmmmmmmmmmmmmmmmmmnnnn n n n"n$n(n*n,n.nBnDnFnLnNnPnRnfnhnvnxnznnj@Uj?Uj4?Uj>Uj>UjW=Uj<Uj;UjUmHnHuj;;U jUj:U=mm n,nPnxnnnno@oBo?>=<;:9876 nnnnnnnnnnnnnnnnnooooo.o0o2oo@oBoh"YYjCUjCUjUmHnHuj4BUjAU jUj@AU,1h/ =!"#$% /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 \O\ WorkerTitle?d8(5OJQJ_HmH sH tH v0x0Address1BureauCareOf CaseNumber ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumber CoState CoSuppaddress CountyName CountyNumberCoZipDate1DistrictEmailFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2 OtherID!Section" SuperAreaCode#SuperExtension$SuperPhoneNumber%SupervisorName&Unit'Worker(WorkerAreaCode)WorkerExtension* WorkerFax+ WorkerName, WorkerName2- WorkerPhone. WorkerTitle/0 Address11BureauCareOf1 CaseNumber1 ClientCity1 ClientState1 ClientZip1 CoAddress1 CoAreaCode1CoCity1 CoExtension1CoPhoneNumber1CoState1CoSuppaddress1 CountyName1 CountyNumber1CoZip1Date11 District2EmailFaxAC FirstName1 FirstName21GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstName2GranteeLastName1 GranteeState GranteeZip LastName1 LastName21OtherID1Section2SuperAreaCode1SuperExtension1SuperPhoneNumber1SupervisorName1Unit2Worker2WorkerAreaCode1WorkerExtension1 WorkerFax WorkerName1 WorkerName2 WorkerPhone1 WorkerTitle1(<Pdu$5I]n  4EYm(<Pdx h;@R`bfcmnBo$)2358: L  t ^ 2 ,zZ;;x<<<t@@ bmBo !"#%&'(*49Bo  &(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';Ocw"YYC';Oct#4H\m 3DXl';Ocw000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000@( @{(`blUnknownGz Times New Roman5Symbol3& z ArialI"  Arial (W1)Arial?5 z Courier New5& zaTahoma;Wingdings"0h0HP?C2