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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective

Date:

Volume:

X

Forms

Chapter:

A

Forms

3-29-2010

Subchapter:

1

Forms

Issuance:

11.36

CP&P Form 11-36, Child's Summary - Daily Routine for School-Age Child

 

Click here to view CP&P Form 11-36.

 

PURPOSE AND USE

 

The form is used to describe the daily routine of the school-age child.

 

INSTRUCTIONS FOR COMPLETING THE FORM

 

When adoption is determined to be the case goal, the Caseworker records data directly on the form.

Child Enter the name of the child.

Case ID # Enter the child's case ID number.

Each question is self-explanatory. Remove any identifying data from copy given the adoptive parent at the time of the child's placement.

 

DISTRIBUTION

Original          -     

Adoptive parent

Copy             - 

Child's case record