Transcription of ChildPlacedbyAgencyinGroupHome
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Example: air traffic controller
ChildPlacedbyAgencyinGroupHome
I have read the foregoing and agree to conform to these requirements. The terms of this agreement shall remain in force until changed by mutualagreement of both parties or this child is removed from the group OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESAGENCY --- GROUP HOME AGREEMENTC hild Placed by Agency in Group HomeName of ChildParent s NameBirthdate of ChildDate PlacedCase NumberAnticipated duration of placement agency will pay $perfor room and board, clothing, personal needs, recreation, transportation, education,incidentals, supervision and social services. First payment to be made within 45 days after placement with subsequent payments to be made additional amounts are to be paid, the reason, amount and conditions shall be set forth here:Special problems: Yes No If yes, Agrees ToGroup Home Agrees To1. Provide the group home with knowledge of the background and needs of the child necessary for effective care.
I have read the foregoing and agree to conform to these requirements. The terms of this agreement shall remain in force until changed by mutual
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