ࡱ>  ~{ B'~bjbjzz *u+N!N!N!N!N!b!b!b!8t\b!e!8####$ %|3&@a?%9e9e9e9e9e9e$gPj,]eQN!s&$$s&s&]eN!N!##e5+5+5+s&N!#N!#a?5+s&a?5+5+n;<7>#P?4O'C= M?e0ec=|kO'|k@7>|kN!E>s&s&5+s&s&s&s&s&]e]e3)s&s&s&es&s&s&s&|ks&s&s&s&s&s&s&s&s&  : ADOPTION CONSENT REQUEST (CHILD IN HOME, NO COMPETING PARTIES) Department of Human ServicesChild s Name (Last, First, Middle)Date of BirthDHS Case Number FORMTEXT       FORMTEXT       FORMTEXT      Adoptive Placement CountyName of Recommended Adoptive Parent(s) FORMTEXT       FORMTEXT       FORMCHECKBOX Foster Family  FORMCHECKBOX Relative FORMCHECKBOX Other FORMTEXT      Date of Placement in the home:  FORMTEXT       FORMCHECKBOX EXPEDITED CONSENT REQUEST (All of the following must apply): FORMCHECKBOX The recommended family is the only family requesting to adopt the child. There are no competing families for adoption. FORMCHECKBOX The childs is residing in the adoptive home and all of his/her physical and emotional needs are being satisfactorily met.  FORMCHECKBOX This is the only child available for adoption OR all available siblings (i.e. PCWs or MCI wards) are being adopted together.  FORMCHECKBOX Criminal record checks and CPS clearances for all adults in the home are current (see policy) no arrests or convictions.  FORMCHECKBOX Fingerprinting of adoptive applicants completed. No arrests or convictions. FORMCHECKBOX The family has no previous complaints, licensing and/or CPS, involving the care of a child. FORMCHECKBOX Three references recommending the family for adoption of these children have been received. FORMCHECKBOX There are no Circumstances Requiring Additional Documentation as defined in the Adoption Policy ADM 850. FORMCHECKBOX Marriage and divorce verifications and medical evaluations of the adopting parent(s) are in the case record. FORMCHECKBOX REGULAR CONSENT REQUEST (One or more of the following apply):Child is not being placed with other siblings who are available for adoption.Family has previous licensing, protective services, or criminal complaints.There are other circumstances existing that require additional documentation.ALL OF THE FOLLOWING ARE REQUIRED FOR EACH CONSENT REQUEST: FORMCHECKBOX Consent to Adoption (PCA309) is attached which includes:County where petition will be filed, Childs name as it appears on the birth certificate and any documented AKA.Full legal name(s) of the adoptive parent(s) as confirmed by birth, marriage or divorce papers. FORMCHECKBOX Copy of the childs birth certificate or other verification of birth. FORMCHECKBOX Legal documentation (Copies of the following legal forms must be included if applicable to the case). A copy of the Order Terminating Parental Rights, Commitment to DHS (JC63).The applicable legal documents committing a child to DHS following a voluntary release (PCA305, 306, 312, 318, 322).Order committing a child to MCI, following a disrupted adoption. FORMCHECKBOX The following required documentation is included and is current within 1 year.Child Assessment and addendum(s).Adoptive Family Assessment or BCAL-3130, Initial Foster Home/Adoption Evaluation and DHS-612, Adoptive Family Assessment Addendum with supervisory approval noted. FORMCHECKBOX Is the child enrolled or eligible for enrollment in a federally recognized tribe? FORMCHECKBOX Yes FORMCHECKBOX NoIf yes, has the tribe consented to the adoption (include written documentation from the tribe, if available) FORMCHECKBOX Yes FORMCHECKBOX NoName of Placement Agency and Address FORMTEXT      Signature of Adoption WorkerAdoption Worker Printed NameDateTelephone Number FORMTEXT       FORMTEXT      ( FORMTEXT    )  FORMTEXT        FORMTEXT      Adoption Worker s email address FORMTEXT      Signature of Adoption Supervisor Approving this PlacementAdoption Supervisor Printed NameDate FORMTEXT       FORMTEXT      Department of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, natio0|~ & B D X Z \ f h j l > @ B V X Z d f h j ~ |jh>O#UjGh>O#UjhmU hm5hmj[hlUjhlUjhlUjh1UmHnHuj-hlUh3jh3Uh5d hl5CJ h 5CJh^&hl.~ @ }rrr $Ifgdm:kdU$$If94h>+)4 9af4$If:kd$$If94h>+)4 9af4*$If@ B j .bkdI$$If94Fh#>+l    4 9af4 -$IfgdJ&Cbkd$$If94Fh#>+l    4 9af4 > @ h I@ -$IfgdFOkd/$$If940h >+N 4 9af4 -$IfgdJ&COkd$$If94 0h >+N 4 9af4 $Ifgdm ( * , : < P R T ^ ` d f r v x ǡ󝖑xg]hX.CJOJQJ jh^}hX.UmHnHujp h^}hX.Ujh^}hX.U hX.5 h^}hX.hX. jh^}h3UmHnHuj h^}h3U h^}h3jh^}h3Ujh3Uj h3Ujh3Uh3jh3U$ . : b d -$IfgdJ&C -$IfgdFd8$IfgdJ&Cd f h j :1#d8$IfgdJ&C -$IfgdFkd$$If94ִh x*>+h h    4 9af4ytX.j l n p r t v -$IfgdJ&Cd8$IfgdJ&C -$IfgdFv x :1(( -$Ifgd#6{ $Ifgd#6{kd$$If94ִh x*>+h h    4 9af4ytX. -$Ifgd#6{ $Ifgd#6{ekd $$If94Fh *>+`     4 9af4ytX.   # $ % ( : > F G I J K L Z [ \ c d e f g u v w x   ¸¸뜊jh1U hF>*CJjh1U hFCJj h1Uj h1Uh1hF0J<>*h1hF0J<hhhF5j h1UjhFU hF5hFhX.5CJOJQJ hX.>*2 G SH:!d8$IfgdJ&C -$IfgdJ&C?kd $$If94h>+)4 9af4ytG$Ifekd $$If94Fh *>+`     4 9af4ytX.G H I J K ] m__T $IfgdJ&C-dL$IfgdJ&Cxkdg $$If94\h(#>+hF4 9af4ytG -$IfgdJ&Cd8$IfgdJ&C c d zo $IfgdJ&C0 dL$IfgdJ&C-dL$IfgdJ&Cbkd $$If94Fh8>+hh'    4 9af4d e f x zo $IfgdJ&C0 dL$IfgdJ&C-dL$IfgdJ&Cbkd$$If94Fh8>+hh'    4 9af4 zo $IfgdJ&C0 dL$IfgdJ&C-dL$IfgdJ&Cbkdz$$If94Fh8>+hh'    4 9af4  WXYZhij-=@ADFGHIWXY񞚏 h15jh1UhjhUjh1Uh5+hhh#6{jh1Ujh1Ujh1Ujh1UjhFU hF5 hFCJhF6 $IfgdJ&C-dL$IfgdJ&Cbkds$$If94Fh8>+hh'    4 9af4W $IfgdJ&C-dL$IfgdJ&Cbkdl$$If94Fh8>+hh'    4 9af4WXYk $IfgdJ&C-dL$IfgdJ&Cbkde$$If94Fh8>+hh'    4 9af4F $Ifgd5+-dL$IfgdJ&Cbkd^$$If94Fh8>+hh'    4 9af4FGHZ $IfgdJ&C-dL$IfgdJ&CbkdW$$If94Fh8>+hh'    4 9af4V?kd$$If94ph>+)4 9af4yt5+$IfbkdP$$If94Fh8>+hh'    4 9af4l^P= & F $If^gdG-dL$IfgdJ&COkd+$$If94 0h>+hn(4 9af4 0$Ifgd -$Ifgd>O#<kdN$$If94h>+)4 9af4lm    KLM[\]  lmnop~CDJKLMN\]^$%ӻӰӝh 1hsj!h1Ujh^}Ujh^}Ujh^}U h^}5h^}jh1UjhFU hF5hFhhh5>lmn 8Rkd=$$If94 0h>+hn(4 9af4yt5+ & F $If^gdG-dL$IfgdJ&CRkd$$If94 0h>+hn(4 9af4yt5+    a?kd]$$If94ph>+)4 9af4yt5+ $IfgdJ&CRkd$$If94 0h>+hn(4 9af4yt5+KL^wlc $Ifgd>O# -$Ifgd>O#<kd1$$If94 h>+)4 9af4!d8$Ifgd<kd$$If94h>+)4 9af4   4Rkd$$If94 0h>+hn(4 9af4yt5+ & F h$If^h`gdUo-dL$Ifgd>O#Okd$$If94 0h>+hn(4 9af4 lmnoA6 -$Ifgd^}?kd$$If94h>+)4 9af4yt5+ /'$If`'gd^}Rkd $$If94 0h>+hn(4 9af4yt5+ & F h$If^h`gdUoBQF: d8$Ifgd^} -$Ifgd^}?kd$$If94h>+)4 9af4yt5+$!$If^!a$gdUoRkd$$If94 0h>+hn(4 9af4yt^} $Ifgd^}BCDE{ & F h$If^h`gd^}-dL$Ifgd^}Rkd$$If94 0h>+hn(4 9af4yt^} $Ifgd^} 1Rkd $$If94 0h>+hn(4 9af4yt5+ & F h$If^h`gd^}-dL$Ifgd^}Rkd$$If94 0h>+hn(4 9af4yt5+ JKLM_E: -$Ifgd>O#?kd(!$$If94h>+)4 9af4yt5+ $If^gd^}Rkd $$If94 0h>+hn(4 9af4yt5+ & F h$If^h`gd^}_~ & F h$If^h`gd@(-dL$Ifgd>O#Okd"$$If94 0h>+hn(4 9af4 $Ifgd>O#wx1Rkd##$$If94 0h>+hn(4 9af4yt 1 & F h$If^h`gd 1-dL$Ifgd>O#Rkd"$$If94 0h>+hn(4 9af4yt5+%)0Nwxyz{  xy  ފjh5+UmHnHuj6)h5+Uj&h5+UjH&h5+UhC$j %h5+Uj$h5+Uj$h5+Ujh5+U h5+5h5+ hF5h 1h^}hF5xyz  $Ifgd5+ -$IfgdO?kd#$$If94h>+)4 9af4yt5+ $If^gdO   x`ULUCUC $IfgdO $Ifgd5+ -$IfgdOkd%$$If94 ֈh#D%`'(>+h !hhv4 9af4yt5+`O /'$If`'gdGnkd4'$$If94 ֈh#D%`'(>+h !hhv4 9af4yt5+|?9-$If<kd($$If94h>+)4 9af4?kdb($$If94ph>+)4 9af4yt 1$If<kd'$$If94h>+)4 9af4JCxkd*$$If94\hz!>+  F~ 4 9af4yt^}$If<kd)$$If94h>+)4 9af4|~wn $Ifgdvzxkd4.$$If94P\hz!>+  F~ 4 9af4yt 1 -$Ifgd^}-$If &(,.BDFPRTVjlnxz|~ڹڮککڞکړj0h5+Uj*/h5+U h5+5j-h5+Uj,h5+Uj,h5+UjJ+h5+Uh5+jh5+UmHnHujh5+Uj*h5+U6^vppp$If?kd/$$If94 h>+)4 9af4ytvz -$Ifgdvz?kd.$$If94 h>+)4 9af4ytvz -$Ifgd^}-$IfekdG0$$If94Fh!>+:~     4 9af4yt^}|4}5}}}}}}}}}}}}}}}}%~&~'~&(*>@BLNPRfʾںڪvjhBsUmHnHuji4hBsUj3hBsUhBsjhBsUh 1hX.hJjhJUhlh^&h5+aJhUhB:h5+^JaJ h5+5h5+jh5+UmHnHujh5+Uj1h5+U+5}d}k}}SJ@@@  Y$If $$Ifa$?kd2$$If94ph>+)4 9af4yt 1$Ifekd:2$$If94PFh!>+:~     4 9af4yt^}nal 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.AUTHORITY: MCL 710.21 et. seq. and P.A. 280 of 1939. RESPONSE: Required. PENALTY: Adoption delay.     DHS-3217 (Rev. 5-12) Previous edition obsolete. 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Check2Module1.FormsSpellCheck2g|(TemplateProject.Module1.FormsSpellCheck2%TemplateProject.SuperPhoneNumber.MAIN%TemplateProject.GranteeFirstName.MAIN$TemplateProject.WorkerExtension.MAIN$TemplateProject.GranteeLastName.MAIN$TemplateProject.GranteeClientID.MAIN$TemplateProject.GranteeAddress1.MAIN$TemplateProject.AddChildInfoRow.MAIN#TemplateProject.WorkerAreaCode.MAIN#TemplateProject.SupervisorName.MAIN#TemplateProject.SuperExtention.MAIN#TemplateProject.AddSvcReferral.MAIN"TemplateProject.SvcRefHeading.MAIN"TemplateProject.SuperAreaCode.MAIN"TemplateProject.GranteeCareof.MAIN"TemplateProject.CoSuppaddress.MAIN"TemplateProject.CoPhoneNumber.MAIN"TemplateProject.ClearCaseInfo.MAIN!TemplateProject.NewParagraph.MAIN!TemplateProject.GranteeState.MAIN!TemplateProject.countynumber.MAIN TemplateProject.WorkerPhone.MAIN TemplateProject.GranteeCity.MAIN TemplateProject.CoExtension.MAIN TemplateProject.ClientState.MAINTemplateProject.WorkerName.MAINTemplateProject.GranteeZip.MAINTemplateProject.CountyName.MAINTemplateProject.CoAreaCode.MAINTemplateProject.ClientCity.MAINTemplateProject.CaseNumber.MAINTemplateProject.WorkerFax.MAINTemplateProject.RemoveRow.MAINTemplateProject.lastname2.MAINTemplateProject.FirstName.MAINTemplateProject.CoAddress.MAINTemplateProject.ClientZip.MAINTemplateProject.RowBreak.MAINTemplateProject.LastName.MAINTemplateProject.District.MAINTemplateProject.CaseInfo.MAINTemplateProject.Address1.MAINTemplateProject.Section.MAINTemplateProject.OtherID.MAINTemplateProject.NoReset.MAINTemplateProject.CoState.MAINTemplateProject.Correct.MAINTemplateProject.AddRows.MAINTemplateProject.Worker.MAINTemplateProject.Hidden.MAINTemplateProject.County.MAINTemplateProject.CoCity.MAINTemplateProject.CareOf.MAINTemplateProject.FaxAC.MAINTemplateProject.Date1.MAINTemplateProject.CoZip.MAINTemplateProject.Unit.MAIN9TEMPLATEPROJECT.UNIT.MAINTEMPLATEPROJECT.COZIP.MAINTEMPLATEPROJECT.DATE1.MAINTEMPLATEPROJECT.FAXAC.MAINTEMPLATEPROJECT.CAREOF.MAINTEMPLATEPROJECT.COCITY.MAINTEMPLATEPROJECT.COUNTY.MAINTEMPLATEPROJECT.HIDDEN.MAINTEMPLATEPROJECT.WORKER.MAIN TEMPLATEPROJECT.ADDROWS.MAIN TEMPLATEPROJECT.CORRECT.MAIN TEMPLATEPROJECT.COSTATE.MAIN TEMPLATEPROJECT.NORESET.MAIN TEMPLATEPROJECT.OTHERID.MAINTEMPLATEPROJECT.SECTION.MAINTEMPLATEPROJECT.ADDRESS1.MAINTEMPLATEPROJECT.CASEINFO.MAINTEMPLATEPROJECT.DISTRICT.MAINTEMPLATEPROJECT.LASTNAME.MAINTEMPLATEPROJECT.ROWBREAK.MAINTEMPLATEPROJECT.CLIENTZIP.MAINTEMPLATEPROJECT.COADDRESS.MAINTEMPLATEPROJECT.FIRSTNAME.MAINTEMPLATEPROJECT.LASTNAME2.MAINTEMPLATEPROJECT.REMOVEROW.MAINTEMPLATEPROJECT.WORKERFAX.MAINTEMPLATEPROJECT.CASENUMBER.MAINTEMPLATEPROJECT.CLIENTCITY.MAINTEMPLATEPROJECT.COAREACODE.MAINTEMPLATEPROJECT.COUNTYNAME.MAINTEMPLATEPROJECT.GRANTEEZIP.MAINTEMPLATEPROJECT.WORKERNAME.MAIN TEMPLATEPROJECT.CLIENTSTATE.MAIN! TEMPLATEPROJECT.COEXTENSION.MAIN" TEMPLATEPROJECT.GRANTEECITY.MAIN# TEMPLATEPROJECT.WORKERPHONE.MAIN$!TEMPLATEPROJECT.COUNTYNUMBER.MAIN%!TEMPLATEPROJECT.GRANTEESTATE.MAIN&!TEMPLATEPROJECT.NEWPARAGRAPH.MAIN'"TEMPLATEPROJECT.CLEARCASEINFO.MAIN("TEMPLATEPROJECT.COPHONENUMBER.MAIN)"TEMPLATEPROJECT.COSUPPADDRESS.MAIN*"TEMPLATEPROJECT.GRANTEECAREOF.MAIN+"TEMPLATEPROJECT.SUPERAREACODE.MAIN,"TEMPLATEPROJECT.SVCREFHEADING.MAIN-#TEMPLATEPROJECT.ADDSVCREFERRAL.MAIN.#TEMPLATEPROJECT.SUPEREXTENTION.MAIN/#TEMPLATEPROJECT.SUPERVISORNAME.MAIN0#TEMPLATEPROJECT.WORKERAREACODE.MAIN1$TEMPLATEPROJECT.ADDCHILDINFOROW.MAIN2$TEMPLATEPROJECT.GRANTEEADDRESS1.MAIN3$TEMPLATEPROJECT.GRANTEECLIENTID.MAIN4$TEMPLATEPROJECT.GRANTEELASTNAME.MAIN5$TEMPLATEPROJECT.WORKEREXTENSION.MAIN6%TEMPLATEPROJECT.GRANTEEFIRSTNAME.MAIN7%TEMPLATEPROJECT.SUPERPHONENUMBER.MAIN8(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2@ L  @@UnknownG* Times New Roman5Symbol3. * Arial?= * Courier New5. *aTahoma;WingdingsA$BCambria Math"hbGbG'r c$4mm 2QHX?3*!xx >Adoption Consent Request (Child in Home, No Competing Parties)Forms & Mail Management,Department Of Technology Management & Budget@         ^k 6Oh+'0 0D |    @Adoption Consent Request (Child in Home, No Competing Parties)Forms & Mail Management5-12 3217.dot0Department Of Technology Management & Budget2Microsoft Office Word@F#@q @lF94@lF94՜.+,0L hp  +(Michigan Department of Human Servicesm ?Adoption Consent Request (Child in Home, No Competing Parties) Title  !"#$%&'()*+,-./0123456789:;<=>?@AxCDEFGHIJKLMNOPQRSTUVWXYZ[]^_`abcdefghijklmnopqrstuvwxyz{|}~ Root Entry FP9?4Data BW1Table\WordDocument*SummaryInformation(DocumentSummaryInformation8MacrosFD` ?4` ?4VBA` ?4` ?4dirj Unit  2CoZip ADate1  P  !"#$%&'()*+,-./013456789:;<=>?@BCDEFGHIJKLMNOQRSTUVWXYZ[\]^`abcdefghijklmopqrstuvwxyz{|~0* pHdTemplateProjectQH@  = | ^"9 J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\STDOLE@2.TLB# Automation0MSForms>SFFrms3ED452EE1-E08F-@101A-8-02608C4D0BB4EFM20.DLL#Microsoft E: ^ Ob Library/;D1u00}#0F#0 11B0288-DD3E-49B5-A37E-2A97CC021D6I.DOCUME~1\bushd2\LOCALS\VBE\K.exd`3@!.E .`M COffi"cDOf@ijcB 12DF8D04C-5BFA_B-BHDE5@AAA@4 2_gram Files\C`ommon_Shared\OF@FICE145OLh& 8.0h@%E:5ThisDocumentGT Ti@D@cu@enU 2 HB1%,B,!5"B+BSuperPhoneNumberXG `p@-rP o`eNUbr2r 5!e@Uni&U i$Y2o ! :k !GranteeFirstName!Ga`jteiNab6!m!}! !!aWorkerExtensE G>W@Irk4Ex$AJsin 26"L"La*8"L() )a)ClisIDc)5 Ci*tIDd) AddresTs1A dSes1 _ ?E_ PChildInfoRowS COl0 I4f0)R0^wT S n`o_ O\ |C0AreaCo.dp>3ABajC d`R[2/r1_W H YvisorsHSvYv=s rpY5HQ [ _W GaGGtG V _  Q(SvcRef`erral $STvR0f0rpa= (X _je0r@KlRwk' PcHeadingG0V H ap2ip2g.2/*t ? 1 'o1 a% u3- ?͟ Vof3=Zae1f4* u/roPE D Co7p^aY C1p"daspY+ /% `aA- ?( /!  ClearCaseb51C0s`ub ) /b ࢽ9 !NewParaphNwаQ ag@&a-h@&? `? /StP3 {,SaÄ/3 5 ߴ"1P`,"05!0+ countynumberG"ounty umber^2^KHG:  /WorkerPhoneG#rkPJh n  ,2 ,FEFGranteeCityF*GaeBC~iFFFCFCoExtenPsionFCETxAeIs@#oC# C# c#AQ#lientStabtDjCl@ A"tS$a%D# E#+ c#OL# ƍNam#Na@fe@K 2U !M!ZipGBˀZHp!G !Q !K!Cb{!?%{!_'1aIAreaCod2 Ahe`2ady2|Co%-WPy>Ux&_'U%UaseN$as` N஧&/+S eFaPxGeF@3xT2?!Q0RemoveRow#R mvRw$#/ q_0lastn 2#ls`nm2$# a ]0Firstt0FrAtGt0#?[P7ddress39dd":sfGo_YC6S19ReW9cg-/0(B@JkG'B4Jk@ ]92?M?(reL0( L$(5=cDistrictsD'/rpc`05=a CMInfoECreIf?5=YoA/1A..15=m%SectPF5i n2G__k_OtherIDGUBOhrD?TS __i_NoResve% N0[nt_TS _u5w_M4QJ|CoS _u_PrrArD4SW_y`s_,K[C*ss`,S _q\`+3G2W`ٴ2CoaBUa2 HiddeHpPp͓   {P#A#? ,Qy:!p+(CoCityG ,oCity*t2:Z H 1 oareOfoareO|foo#o oOFaxACG axAq 2 44Date1Ճ4D4tl1k4 4 44dModul5dul7l2Ob@(Mn I\c5 :xMEH &8 " 0Unit, (B@*ndoXPiAttribute VB_Name = "Unit" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:=Endv \c5:xMEH &8 " 0cozip, (B@*oXPoAttribute VB_Name = "CoZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cDozEndx \c5:xMEH &8 " 0date1, (B@*oXPlAttribute VB_Name = "Date1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="dEndx \c5:FaxAC _CareOf nCoCity}County xMEH &8 " 0FaxAC, (B@*oXPjAttribute VB_Name = "FaxAC" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx \c5:xMEH &8 " 0careof, (B@*oXPqAttribute VB_Name = "CareOf" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coEndz \c5:xMEH &8 " 0cocity, (B@*oXPpAttribute VB_Name = "CoCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cocEndz \c5y:xMEH &8 " 0county, (B@*oXPnAttribute VB_Name = "County" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=""cEndz 5{:xMEHiddenqWorkerAddRowsqCorrect &@p(Makes the selection hidden text (toggle)TemplateProject.Hidden.MAINh "10PR TVXZL\^0 pt`0 ptbdf0bArialhjl (B@NophxAttribute VB_Name = "Hidden" Public Sub MAIN(X) D.nDescription|Makes the selec,h text (toggle)Pro cDataWInvoke_FuncWTemplaTte"jV..JWordBasic.FormatFont Points:="10", Underline:=0, Color@:=9, SkeThrough SuperjFb<:=1mallCap1)ASpacinBg=0 pt>PosiKernMinTabd ArialBoldIIta End \c5:xMEH &8 " 0worker, (B@*oXPlAttribute VB_Name = "Worker" Public Sub MAIN() tdBasic.WW7_EditGoTo Destination:="wEndz {5q:xME &@p+Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAINh "0@ (B@d0\ (B@ZAoH@Attribute VB_Name = "AddRows" Public Sub MAIN() D.pDescription~s row to table FOLLOWING cursor loca\NProcDataZInvoke_FuncZTemplateA"ject..KWordBasic.LineDown 1 TInserBt Numt:D="Ends t{s5s:xME` & @> tr  " V*h    ]@Q This serves as a replacement to the spell checker within a protected documentCheck spelling now? (%@'> > (B@< (B@B (B@DLl (B@Jko0Attribute VB_Name = "Correct" Public Sub MAIN() Dim ans Rem This se@rves a replacement to the spell checker within @a proted docu3 ZWordBasic.MsgBox("C?King now ?", 3If4-1en  QATools4UnoDi %St`artOf"S7d>0Pg NoReset:=1, Type:=2 End If \c5u:xMEH &CoStateModule1NoReset/OtherID'&8 "(8costate, (B@* oPHqAttribute VB_Name = "CoState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cosEnd|       !"#$%'()*+,-./012346789:;<=>?@ABCEFGHIJKLMNOPQRTUVWXYZ[\]^_`acdefghijklmnoprstuvwxyz{|}~\5üxME(<~<< <h z |X0 %"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it. ! cladd87 B@kPerform Spelling/Grammar check. (E | !tin |!( |!B@ | ReProtect the document. ! cladd87L l B@koAttribute 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>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, N oRese&, o:=wdAllowOnlyAbAAe\co5w:xMEH &8 " <H hx8 This saves as a form without resetting the form fields.>dLl (B@JForoAttribute VB_Name = "NoReset" Public Sub MAIN() Rem This saves a form without rztin g the4fields. WordBasic.ToolsProtectDocument ~:=1, Ty pe:=2End \c5i:xMEH &8 "(8otherid, (B@*oPHsAttribute VB_Name = "OtherID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=$"oidEnd| \c5k:xSection5Address1DCaseInfo!DistrictSMEH &8 "(8Section, (B@*oPHjAttribute VB_Name = "Section" Public Sub MAIN() WordBasic.WW7_EditGoTo Desti$nar:=End| \c5m:xMEH &8 "(8Address1, (B@*oPHnAttribute VB_Name = "Address1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ \c5a:xMES5o:xME &@`bEnter Personal InformationTemplateProject.CaseInfo.MAIN|x@ B@>PPFPPPU PPPPu@ ` Pc " (08@HPX `"& (&0(X&(&&& $H Np*,* .P*,44.P   <FHXFJF8HLLHh 2 & FHHFJ Fp H L LP H " B DX B F B0 Dx H H DP " 6 : B8>6:N8NB 4 X` p ]]]]]]]]0]H]`]xOPEN FCTPSA TOOLBAR (B@ FCTPSA Tools (B@FDEFINE DIALOG BOXF,CaseInfo (B@  YourFCCNo (B@ 8 YourFCCN (B@ P  YourFCWLNo (B@ i YourFCWN (B@   YourPSCNo (B@  YourPSCN (B@ fYourHAL (B@ fYourHAF (B@ >fYourDC (B@ Dk  0Enter the following information about this case. (B@dcr# FC Case No.: (B@d; FC Case Name: (B@dR FC Load No.: (B@d(B@@k FC Worker Name: (B@dcr PS Case No.: (B@d PS Case Name: (B@d Household Ass'd Last: (B@d Household Ass'd First: (B@d Date Completed: (B@d,X (B@  (B@]F (!!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXnvUserInfoFCCaseNoC:\Windows\CaseInfo.ini (% (UserInfo FCCaseNameC:\Windows\CaseInfo.ini (% (UserInfoFCLoadNoC:\Windows\CaseInfo.ini (% (UserInfo FCWorkerNameC:\Windows\CaseInfo.ini (% (UserInfoPSCaseNoC:\Windows\CaseInfo.ini (% ( UserInfo PSCaseNameC:\Windows\CaseInfo.ini (% ("UserInfo HouseholdLastC:\Windows\CaseInfo.ini (% ($UserInfoHouseholdFirstC:\Windows\CaseInfo.ini (% (&UserInfo DCompletedC:\Windows\CaseInfo.ini (% ((,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  (!*%'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo !C:\Windows\CaseInfo.ini (B@,UserInfo FCCaseName !C:\Windows\CaseInfo.ini (B@,UserInfoFCLoadNo !C:\Windows\CaseInfo.ini (B@,UserInfo FCWorkerName !C:\Windows\CaseInfo.ini (B@,UserInfoPSCaseNo ! C:\Windows\CaseInfo.ini (B@,UserInfo PSCaseName !"C:\Windows\CaseInfo.ini (B@,UserInfo HouseholdLast !$C:\Windows\CaseInfo.ini (B@,UserInfoHouseholdFirst !&C:\Windows\CaseInfo.ini (B@,UserInfo DCompleted !(C:\Windows\CaseInfo.ini (B@,Get user info from INI fileUserInfoFCCaseNoC:\Windows\CaseInfo.ini (%' UserInfo FCCaseNameC:\Windows\CaseInfo.ini (%' UserInfoFCLoadNoC:\Windows\CaseInfo.ini (%' UserInfo FCWorkerNameC:\Windows\CaseInfo.ini (%' UserInfoPSCaseNoC:\Windows\CaseInfo.ini (%' UserInfo PSCaseNameC:\Windows\CaseInfo.ini (%' UserInfo HouseholdLastC:\Windows\CaseInfo.ini (%' UserInfoHouseholdFirstC:\Windows\CaseInfo.ini (%' UserInfo DCompletedC:\Windows\CaseInfo.ini (%'  Update Form with user infoFCCASENO (%.GFCCASENO  (B@0j FCCASENAME (%.G FCCASENAME  (B@0jFCWORKERLOADNO (%.GFCWORKERLOADNO  (B@0j FCWORKERNAME (%.G FCWORKERNAME  (B@0jPSCASENO (%.GPSCASENO  (B@0j PSCASENAME (%.G PSCASENAME  (B@0jHOUSEHOLDASSESSEDLST (%.GHOUSEHOLDASSESSEDLST  (B@0jHOUSEHOLDASSESSEDFST (%.GHOUSEHOLDASSESSEDFST  (B@0j DATECOMPLETED (%.G DATECOMPLETED  (B@0j<(<. Update other Form Fields on Form & Exit Macrod (B@2'~kxophmAttribute VB_Name = "CaseInfo" Public Sub MAI`N() D.rDescriptionEnter Personal rma:zProcDataIInvoke_FuncITemplateA"ject..yLDim iRet  UserFCCNo$ I WL WNPS HALFDCSelU 'OPEN FCTPSA TOOLBAR WordBasic.ViewToolbars ColorButtons:=1, Large0, Tipc"':=";/s", Show+'DEFINE DIALOG BOXBeginDialog 582, 30 Ʌ 1Text@Box 15 3 265, 18, "Youdka 56,  8/ wW 7@ 10ˀ& N13]\ 5A  2AY1y510QO 24 F i24 $DC@ 4 1079` 4B3;c|the following info} about this c. 19K$,1 FC | No.:w5p!YLoad #Y^k{x 1` PS} ,5,3 1 93(Household AsHs'd`st2B;FirD`eted3IOKc26% 821 EndÏdlgA Oba: SHet I= GCurValues.! GET USER INF@O FROM I FILE AND PUT I@NTO .@G[GetPrivfileSng$]("\NoaC:\Windows\!.ini" p H?u $T???C5?u?oNCp`9Q9_er"\OON OOjS##2bdaDLastooegHAF???KϒGOOHDC??>DCoKCDISPLAYAbCRESPOCPCED * HHIf(x>P?If0-1 Then 'OK BUTTONWRITE NEWXLIN6LYTQH`zHeB,G~OJo<O e4:CN;&HM_R] GW % GEo k SGO"qrA GL >FFFDCr fromr?cqfD)dC:("UserInfo", "FC CaseNXC:\Windows\P.ini"p) N$ = WordBasic.[GetPrivateProfileString$]1amev"jWLNo5lLoad(ՆWjkerNkPSC5k)ց4#'5HALsHouseholdLastdHAF<HFirfDC3DCompleted5 ' Upd Form with @Er &iIfExistBook mark(AASENO") ThDen SetR`esult ,2 yo$_ G AME CC A WORKERLOAD N'f N?!@j#/]4# ?$_ "H HOUSEHOLDASSE@DLST^B_#AnF"F?!DATECOMPLET@HABCDFWGIZJKLMNOPQRSTUVXjY[d\]^_`abcemfghiklnopqrstuvwyz{|}xMEH &8 "(8 casenumber, (B@*ntoPHuAttribute VB_Name = "CaseNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cnEnd \c5U:xMEH &8 "(8 clientcity, (B@*8loPHuAttribute VB_Name = "ClientCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="ccEnd \c5W:xME     !"#$%&'(*+,-./012345679:;<=>?@ABCDEFHIJKLMNOPQRSTUWXYZ[\]^_`abcdfghijklmnopqrsuvwxyz{|}~H &8 "(8 coareacode, (B@*8zXoPHxAttribute VB_Name = "CoAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coa"cEnd \c5I:xMEH &8 "(8 countyname, (B@*?2moPHuAttribute VB_Name = "Countyh" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=4"cnEnd \c5K:xMEGranteeZipWorkerName(*)ClientState8CoExtension)-GH &8 "(8 GranteeZip, (B@*400oPHpAttribute VB_Name = "GranteeZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End \c5M:xMEH &8 "(8 workername, (B@*.0oPHtAttribute VB_Name = "Workerh" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wnEnd \c5O:xMEH &8 "(8 clientstate, (B@*oPHvAttribute VB_Name = "ClientState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="csEnd \c5A:xMEH &8 "(8 coextension, (B@*oPHtAttribute VB_Name = "CoExtension" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatr@:="coeEnd \c5C:GranteeCityVWorkerPhone,.ecountynumbertGranteeState+7xMEH &8 "(8 GranteeCity, (B@*t0oPHqAttribute VB_Name = "GranteeCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End \c5E:xMEH &8 "(8 workerphone, (B@*oPHuAttribute VB_Name = "WorkerPhone" Public Sub MAIN() dBasic.WW7_EditGoTo DestinationP:="wpEnd \c5G:xMEH &8 "(8 Countynumber, (B@*eoPHtAttribute VB_Name = "countynumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="C End \c55xMEH &8 "(8 GranteeState, (B@*oPHrAttribute VB_Name = "GranteeState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:= End \c55xMENewParagraph^ThisDocument02_VBA_PROJECT "7ClearCaseInfo15VH &8 " (@`px (B@6 (B@<dFor $ (B@FFLl (B@JH (B@joŰAttribute VB_Name = "NewParagraph" Public Sub MAIN() WordBasic.ScreenUpdating 0 >ToolsUnprotectDo@cument Insert Chr(13[?P = NoReset:=1, Type:=2 QCharRight 1 End 55#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}8(%HxAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2\c55xMEa  *\G{000204EF-0000-0000-C000-000000000046}#4.1#9#C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA7\VBE7.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.5#0#C:\Program Files\Microsoft Office\Office14\MSWORD.OLB#Microsoft Word 14.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\STDOLE2.TLB#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{011B0288-DD3E-49B5-A37E-2A97CC021D64}#2.0#0#C:\DOCUME~1\bushd2\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.5#0#C:\Program Files\Common Files\Microsoft Shared\OFFICE14\MSO.DLL#Microsoft Office 8.0 Object Library: ^"99 $#"!('&%,+*)0/.-432187655:ThisDocument0h5072e11f!ThisDocument5% SuperPhoneNumber0i5072e11f$ SuperPhoneNumber5%Unit0j5072e11f.Unit :0 GranteeFirstName0k5072e11f0 GranteeFirstName5H%WorkerExtension0l5072e11f2WorkerExtension5`%GranteeLastName0m5072e11f4GranteeLastName5x%GranteeClientID0n5072e11f6GranteeClientID5%GranteeAddress10o5072e11f8GranteeAddress15%AddChildInfoRow0p5072e11f:AddChildInfoRow5WorkerAreaCode0q5072e11fNWorkerAreaCode5SupervisorName0r5072e11fPSupervisorName5SuperExtention0s5072e11fRSuperExtention5AddSvcReferral0t5072e11fTAddSvcReferral5 SvcRefHeading0u5072e11fVSvcRefHeading58 SuperAreaCode0v5072e11fpSuperAreaCode5PGranteeCareof0w5072e11frGranteeCareof5hCoSuppaddress0x5072e11ftCoSuppaddress5CoPhoneNumber0y5072e11fvCoPhoneNumber5ClearCaseInfo0z5072e11fxClearCaseInfo5 NewParagraph105072e11fNewParagraph5 GranteeState115072e11fGranteeState5countynumber125072e11fcountynumberG: WorkerPhone135072e11fWorkerPhoneE: GranteeCity145072e11fGranteeCityC:( CoExtension155072e11fCoExtensionA:@ ClientState165072e11fClientStateO:XWorkerName175072e11fWorkerNameM:pGranteeZip185072e11fGranteeZipK:CountyName195072e11fCountyNameI:CoAreaCode1:5072e11fCoAreaCodeW:ClientCity1;5072e11fClientCityU:CaseNumber1<5072e11fCaseNumberS:WorkerFax1=5072e11fWorkerFaxQ:RemoveRow1>5072e11fRemoveRow_:qlastname21?5072e11flastname2]:0FirstName1@5072e11fFirstName[:HCoAddress1A5072e11fCoAddressY:`ClientZip1B5072e11fClientZipg:xRowBreak1C5072e11fRowBreake:MLastName1D5072e11fLastNamec:District1E5072e11fDistricta:CaseInfo1F5072e11fCaseInfoo:YAddress11G5072e11f4Address1m:Section1H5072e11f6Sectionk:OtherID1I5072e11f8OtherIDi: NoReset1J5072e11fLNoResetw:8uCoState1K5072e11f:CoStateu:PCorrect1L5072e11f<Corrects:hyAddRows1M5072e11fFAddRowsq: Worker1N5072e11fH Worker: CoZip1O5072e11fJ CoZip: Hidden1P5072e11fL Hidden{: County1Q5072e11fn Countyy: CoCity1R5072e11fp CoCity: CareOf1S5072e11fr CareOf: FaxAC1T5072e11ft FaxAC:( Date11U5072e11fv Date1:@Module11V5072e11fxModule1üXbxX0P8Hx(H8X`@ x @h(PRWN:#ܬVQ{@6<>zS6K|0_NVbڱqAnÜĘ~KM-uR/C(5MH6!t!Z$BSKws/\^|I5ˑ^7l'bH S"|81#LOHt q~?FdOP_o{JBWm6iK ìnq_ -IWQiӌiy {uTCq^6=9IK\bWWq I4^0<78eA _㻡'A@}Ypx9CAWKXK2",u% DV)]45L9fGXĞMw8?y9r@RUVWXYZ[\]^_ `!a"b#d$e%f&g'h(p)qAH &8 "&  | c:\windows\~ caseinfo.inid (B@zc:\windows\caseinfo.ini (B@noH@EAttribute VB_Name = "ClearCaseInfo" Public Sub MAIN() WordBasic.File@Find Slch:=" ",! Path c:\wJows\4Jceie.ini0ubDir:=0, Title6Autho" Keywysject Option=`MatchKex#ternDateSavedFrom# LToByC(?2msvcrefh2BDF (B@@n D (B@`dll,-2 (B@^ (B@>Bsvcrefh3BDF (B@@SvcR (B@^B (B@bF (B@>svcrefh4BDF (B@@F (B@^.dot (B@b (B@>321svcrefh5BDF (B@@ (B@^ (B@b (B@>svcrefh6BDF (B@@ (B@^ (B@b (B@>svcrefh7BDF (B@@ (B@^ (B@b (B@>svcrefh8BDF (B@@ (B@^ (B@>svcrefh9BDF (B@@ (B@^ (B@b (B@> svcrefh10BDF (B@@s (B@^e (B@bf (B@>a svcrefh11BDF (B@@ (B@^ (B@bAdd Instruction Row (B@dh (B@f& (B@H (B@j0 (B@l4 (B@>8  (B@j> (B@lB (B@n (B@H SvcRefH12BDF (B@@X (B@>\ svcrefH13BDF (B@@jLl (B@JroAttribute VB_Name = "SvcRefHeading" Public Sub MAIN() WordBasic.ToolsUnprotectDocu@ment Ba@bleSelSvcRefF1BDF (B@@ndo (B@>rreSvcRefF2BDF (B@@1* (B@>|?SvcRefF3BDF (B@@i (B@>SvcRefF4BDF (B@@of (B@>SvcRefF5BDF (B@@ (B@>nt$SvcReff6BDF (B@@.dot (B@>SvcRefF7BDF (B@@ (B@>SvcRefF8BDF (B@@ F (B@>SvcRefF9BDF (B@@%) (B@> SvcRefF10BDF (B@@ (B@>x SvcRefF11BDF (B@@- (B@HLl (B@JoAttribute VB_Name = "AddSvcReferral" Public Sub MAIN(X) ".~Descriptions a row and fields for A. Ser`vice ePProcData\Invoke_Func\Template"ject. . WordBasic.ToolsU nprot2Document NextCell WW7_EditAutoT" :="F1", Cont :=1, InsertAs:=0 <22a23?YmK4?5?f6?_27?8 u_X.?9 1^0 ~t CharLeft p45 i @NoRese, Type:=2 E \c55xMEH &8 " (8superextension, (B@*oPH|Attribute VB_Name = "SuperExtention" Public Sub MAIN() WordBasic.WW7_EditGoTo DestinBar:="sesEnd \c55xMEH &8 " (8supervisorname, (B@*oPH{Attribute VB_Name = "Supervisor" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="snCEnd \c55xMEWorkerAreaCodeAddChildInfoRow <>GranteeAddress1 GranteeClientID =AH &8 " (8workerareacode, (B@*oPH|Attribute VB_Name = "WorkerAreaCode" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wacEnd \c55xMEH &8 "  4( `4p 4 4 84H 4 4 @P (B@<8 (B@>gCL ChildInfo1BDF (B@@5F (B@>963 ChildInfo2BDF (B@@pe (B@>eNu ChildInfo3BDF (B@@ (B@>i ChildInfo4BDF (B@@of (B@> ChildInfo5BDF (B@@ (B@>nt$ ChildInfo6BDF (B@@.dot (B@> ChildInfo7BDF (B@@\S (B@HBLl (B@J4\DoAttribute VB_Name = "AddChildInfoRow" Public Sub MAIN () WordBasic.ToolsUnprotectDocument BNextCell &WW7_EditAutoT" :="1"@, Cont:=0, InsertAs :=1U>f2c33c34c3567CharLeft( 30RP N@oReset, Type:=2 EndA \c55xMEH &8 ""0@GranteeAddress1, (B@*soH@uAttribute VB_Name = "GranteeAddress1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End \c55xMEH &8 ""0@GranteeClientID, (B@*$FoH@uAttribute VB_Name = "GranteeClientID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End \c55xMEGranteeLastName WorkerExtension @BGranteeFirstName"CSuperPhoneNumber"H &8 ""0@granteelastname, (B@*1d0oH@~Attribute VB_Name = "GranteeLast" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="glnEnd \c55xMEH &8 ""0@workerextension, (B@*oH@xAttribute VB_Name = "WorkerExtension" Public Sub MAIN() dBasic.WW7_EditGoTo DestinaBtr:="weEnd \c55xMEH &8 ""0@granteefirstname, (B@*oH@Attribute VB_Name = "GranteeFirstL" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="g5fnEnd       !"#$%&'()*+,-./012346789:;<=>?@ABCDEFGHIJKLMNOPQRSU\c55xMEH &8 ""0@superphonenumber, (B@*%oH@Attribute VB_Name = "SuperPhoneNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="spnEnd ID="{235CFC89-6A2E-460C-9267-5608AFCF3C44}" Document=ThisDocumePROJECTE PROJECTwm5CompObjTrnt/&H00000000 Module=SuperPhoneNumber Module=GranteeFirstName Module=WorkerExtension Module=GranteeLastName Module=GranteeClientID Module=GranteeAddress1 Module=AddChildInfoRow Module=WorkerAreaCode Module=SupervisorName Module=SuperExtention Module=AddSvcReferral Module=SvcRefHeading Module=SuperAreaCode Module=GranteeCareof Module=CoSuppaddress Module=CoPhoneNumber Module=ClearCaseInfo Module=NewParagraph Module=GranteeState Module=countynumber Module=WorkerPhone Module=GranteeCity Module=CoExtension Module=ClientState Module=WorkerName Module=GranteeZip Module=CountyName Module=CoAreaCode Module=ClientCity Module=CaseNumber Module=WorkerFax Module=RemoveRow Module=lastname2 Module=FirstName Module=CoAddress Module=ClientZip Module=RowBreak Module=LastName Module=District Module=CaseInfo Module=Address1 Module=Section Module=OtherID Module=NoReset Module=CoState Module=Correct Module=AddRows Module=Worker Module=Hidden Module=County Module=CoCity Module=CareOf Module=FaxAC Module=Date1 Module=CoZip Module=Unit Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="8B896CFBF3FFF3FFF3FFF3FF" DPB="1614F170F7708371837183" GC="A1A3468B478B4774" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=0, 0, 0, 0, C SuperPhoneNumber=0, 0, 0, 0, C GranteeFirstName=0, 0, 0, 0, C WorkerExtension=0, 0, 0, 0, C GranteeLastName=0, 0, 0, 0, C GranteeClientID=0, 0, 0, 0, C GranteeAddress1=0, 0, 0, 0, C AddChildInfoRow=0, 0, 0, 0, C WorkerAreaCode=0, 0, 0, 0, C SupervisorName=0, 0, 0, 0, C SuperExtention=0, 0, 0, 0, C AddSvcReferral=0, 0, 0, 0, C SvcRefHeading=0, 0, 0, 0, C SuperAreaCode=0, 0, 0, 0, C GranteeCareof=0, 0, 0, 0, C CoSuppaddress=0, 0, 0, 0, C CoPhoneNumber=0, 0, 0, 0, C ClearCaseInfo=0, 0, 0, 0, C NewParagraph=0, 0, 0, 0, C GranteeState=0, 0, 0, 0, C countynumber=0, 0, 0, 0, C WorkerPhone=0, 0, 0, 0, C GranteeCity=0, 0, 0, 0, C CoExtension=0, 0, 0, 0, C ClientState=0, 0, 0, 0, C WorkerName=0, 0, 0, 0, C GranteeZip=0, 0, 0, 0, C CountyName=0, 0, 0, 0, C CoAreaCode=0, 0, 0, 0, C ClientCity=0, 0, 0, 0, C CaseNumber=0, 0, 0, 0, C WorkerFax=0, 0, 0, 0, C RemoveRow=0, 0, 0, 0, C lastname2=0, 0, 0, 0, C FirstName=0, 0, 0, 0, C CoAddress=0, 0, 0, 0, C ClientZip=0, 0, 0, 0, C RowBreak=0, 0, 0, 0, C LastName=0, 0, 0, 0, C District=0, 0, 0, 0, C CaseInfo=0, 0, 0, 0, C Address1=0, 0, 0, 0, C Section=0, 0, 0, 0, C OtherID=0, 0, 0, 0, C NoReset=0, 0, 0, 0, C CoState=0, 0, 0, 0, C Correct=0, 0, 0, 0, C AddRows=0, 0, 0, 0, C Worker=0, 0, 0, 0, C Hidden=0, 0, 0, 0, C County=0, 0, 0, 0, C CoCity=0, 0, 0, 0, C CareOf=0, 0, 0, 0, C FaxAC=0, 0, 0, 0, C Date1=0, 0, 0, 0, C CoZip=0, 0, 0, 0, C Unit=0, 0, 0, 0, C Module1=0, 0, 0, 0, C ThisDocumentThisDocumentSuperPhoneNumberSuperPhoneNumberGranteeFirstNameGranteeFirstNameWorkerExtensionWorkerExtensionGranteeLastNameGranteeLastNameGranteeClientIDGranteeClientIDGranteeAddress1GranteeAddress1AddChildInfoRowAddChildInfoRowWorkerAreaCodeWorkerAreaCodeSupervisorNameSupervisorNameSuperExtentionSuperExtentionAddSvcReferralAddSvcReferralSvcRefHeadingSvcRefHeadingSuperAreaCodeSuperAreaCodeGranteeCareofGranteeCareofCoSuppaddressCoSuppaddressCoPhoneNumberCoPhoneNumberClearCaseInfoClearCaseInfoNewParagraphNewParagraphGranteeStateGranteeStatecountynumbercountynumberWorkerPhoneWorkerPhoneGranteeCityGranteeCityCoExtensionCoExtensionClientStateClientStateWorkerNameWorkerNameGranteeZipGranteeZipCountyNameCountyNameCoAreaCodeCoAreaCodeClientCityClientCityCaseNumberCaseNumberWorkerFaxWorkerFaxRemoveRowRemoveRowlastname2lastname2FirstNameFirstNameCoAddressCoAddressClientZipClientZipRowBreakRowBreakLastNameLastNameDistrictDistrictCaseInfoCaseInfoAddress1Address1SectionSectionOtherIDOtherIDNoResetNoResetCoStateCoStateCorrectCorrectAddRowsAddRowsWorkerWorkerHiddenHiddenCountyCountyCoCityCoCityCareOfCareOfFaxACFaxACDate1Date1CoZipCoZipUnitUnitModule1Module1  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q{ bjbjzz *k&k&ğ˦t\ğ_R,ݰ|YIIIIIIIfI-IvII5P?450IIV v:  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT '~(PxȌ:^֍ Bj܎"JrIHGFbDChA@?>=<;:987654ifhjtvxzČƌȌʌތ(*8:<PRTZ\^`tŤڙڎڃxj:hBsUj9hBsUjE9hBsUjQ8hBsUjhBs5UmHnHuj7hBs5U hBs5jhBs5Uj6hBsUhBsjhBsUmHnHujhBsUj5hBsU+tvčƍȍҍԍ֍؍ "68:>@BDXZhjl莉|mjhBs5UmHnHuj@hBs5U hBs5jhBs5Uj?hBsUj>hBsUj >hBsUj=hBsUjhBsUmHnHuj<hBsUj<hBsUhBsjhBsUj;hBsU*ʎ̎Ύ؎ڎ܎ގ "$8:<FHJL`bdnprtj=GhBsUjEhBsUjDhBsUjYChBsUjBhBsUj3BhBsUjhBsUmHnHujyAhBsUj@hBsUjhBsUhBsjhBs5U4ď؏ڏ܏(*,68:<PR`bdxz|œĜҜԜ֜jMhBsUj=MhBsUjLhBsUjKhBsUj KhBsUjJhBsUjEIhBsUUj}HhBsUhBsjhBsUmHnHujhBsU6:bԜ$Fj&Jrž`_^]\[edXWVUcSRQPONjLKJ       FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       "$&:<>BDFH\^`fhjlНҝ$&(<>@jShBsUjShBsUjwRhBsUjQhBsUjPhBsUj@PhBsUj|OhBsUjhBsUmHnHujNhBsUjhBsUjGNhBsUhBs3@FHJL`bprtžĞ؞ڞܞjVhBsUjUhBsUjBUhBsUjThBsUjAThBsUhBsjhBsUjhBsUmHnHu(/ =!"#$% GranteeFirstName=Enter the Grantee's First Name (and Middle Initial, if known)GranteeLastNameTDAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered).2DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)D ClientCity UppercaseEnter the Addressee's City.D ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation.D ClientZip UppercaseKEnter the Addressee's Zip Code (+4 if known) (Example: 48909 or 48909-7537)D CoAddress UppercaseaEnter the County's mail address (street address, PO Box, etc., where the mail will be delivered).D CoAreaCodeEnter the County's Area CodeDCoCity UppercaseEnter the County's City.D CoExtension6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH L@LNormal#CJ OJQJ_HmHnHsH tH uDAD Default Paragraph FontViV  Table Normal :V 44 la (k(No List VV Address1d8(OJQJ_HkHmH sH tH RR CareOfd8(OJQJ_HkHmH sH tH ZZ CaseNumberd8(OJQJ_HkHmH sH tH Z"Z ClientCityd8(OJQJ_HkHmH sH tH \2\ ClientStated8(OJQJ_HkHmH sH tH XBX ClientZipd8(OJQJ_HkHmH sH tH XRX CoAddressd8(OJQJ_HkHmH sH tH ZbZ CoAreaCoded8(OJQJ_HkHmH sH tH RrR CoCityd8(OJQJ_HkHmH sH tH \\ CoExtensiond8(OJQJ_HkHmH sH tH `` CoPhoneNumberd8(OJQJ_HkHmH sH tH TT CoStated8(OJQJ_HkHmH sH tH `` CoSuppaddressd8(OJQJ_HkHmH sH tH NON County d`CJOJQJ_HmH sH tH ZZ CountyNamed8(OJQJ_HkHmH sH tH PP CoZipd8(OJQJ_HkHmH sH tH PP Date1d8(OJQJ_HkHmH sH tH VV District d8(OJQJ_HkHmH sH tH XX FirstName!d8(OJQJ_HkHmH sH tH Z"Z FirstName2"d8(OJQJ_HkHmH sH tH f2f GranteeFirstName#d8(OJQJ_HkHmH sH tH dBd GranteeLastName$d8(OJQJ_HkHmH sH tH VRV LastName%d8(OJQJ_HkHmH sH tH XbX LastName2&d8(OJQJ_HkHmH sH tH TrT OtherID'd8(OJQJ_HkHmH sH tH TT Section(d8(OJQJ_HkHmH sH tH `` SuperAreaCode)d8(OJQJ_HkHmH sH tH bb SuperExtension*d8(OJQJ_HkHmH sH tH ff SuperPhoneNumber+d8(OJQJ_HkHmH sH tH bb SupervisorName,d8(OJQJ_HkHmH sH tH NN Unit-d8(OJQJ_HkHmH sH tH RR Worker.d8(OJQJ_HkHmH sH tH bb WorkerAreaCode/d8(OJQJ_HkHmH sH tH dd WorkerExtension0d8(OJQJ_HkHmH sH tH ZZ WorkerName1d8(OJQJ_HkHmH sH tH \"\ WorkerPhone2d8(OJQJ_HkHmH sH tH \2\ WorkerTitle 3d` CJOJQJ_HkHmH sH tH TOBT Address11 4d`CJOJQJ_HmH sH tH PORP CareOf1 5d`CJOJQJ_HmH sH tH \Ob\ CaseNumber16d8(OJQJ_HkHmH sH tH XOrX ClientCity1 7d`CJOJQJ_HmH sH tH ZOZ ClientState1 8d`CJOJQJ_HmH sH tH ^O^ ClientZip19dt CJOJQJ_HkHmH sH tH ZOZ CoAddress1:d8(OJQJ_HkHmH sH tH XOX CoAreaCode1 ;d`CJOJQJ_HmH sH tH TOT CoCity1<d8(OJQJ_HkHmH sH tH ^O^ CoExtension1=d8(OJQJ_HkHmH sH tH ^O^ CoPhoneNumber1 >d`CJOJQJ_HmH sH tH VOV CoState1?d8(OJQJ_HkHmH sH tH bOb CoSuppaddress1@d8(OJQJ_HkHmH sH tH \O\ CountyName1Ad8(OJQJ_HkHmH sH tH ^"^ CountyNumberBd8(OJQJ_HkHmH sH tH VO2V CoZip1Cdt CJOJQJ_HkHmH sH tH NOBN Date11 Dd`CJOJQJ_HmH sH tH XRX District1Ed8(OJQJ_HkHmH sH tH LObL FaxAC Fd`CJOJQJ_HmH sH tH VOrV FirstName1 Gd`CJOJQJ_HmH sH tH XOX FirstName21 Hd`CJOJQJ_HmH sH tH `O` GranteeAddress1 Id`CJOJQJ_HmH sH tH \O\ GranteeCareof Jd`CJOJQJ_HmH sH tH XOX GranteeCity Kd`CJOJQJ_HmH sH tH `O` GranteeClientID Ld`CJOJQJ_HmH sH tH hh GranteeFirstName1Md8(OJQJ_HkHmH sH tH fOf GranteeLastName1Nd8(OJQJ_HkHmH sH tH ZOZ GranteeState Od`CJOJQJ_HmH sH tH ZOZ GranteeZip Pd` CJOJQJ_HkHmH sH tH XOX 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