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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

3-15-2018

Subchapter:

1

Forms

Issuance:

26.91

CP&P Form 26-91, Department of Children and Families Consent of Parent or Guardian to Photograph, Interview and/or Identify Client

 

Click here to view or print the CP&P Form 26-91.

 

Click here to view or print the CP&P Form 26-91(S).

 

PURPOSE AND USE

 

The form is used to obtain the consent of a parent or guardian for a CP&P client to be photographed, interviewed or identified by the press, film or television. Unavailability of the parent or guardian is construed as denial of consent to photograph, interview or identify the child.

 

INSTRUCTIONS FOR COMPLETING THE FORM

 

Print the form from the manual. The child's parent or guardian indicates consent or no consent by circling the desired category as listed on the consent form.

The parent signs and dates the form and the Worker signs as the witness and indicates the name of the Local Office.

 

DISTRIBUTION

 

Original          -     

Child's case record

Copy             - 

Child's parent or guardian

Copy             - 

Residential center, if appropriate