ࡱ> =ySl @ Sbjbj yTqRRRRRRRMMM`X[JV _^H`H`H`#a c d$RYRd#a#addRRH`H`&&zzzdRH`RH`zdzz.vRRH`Hq y#Mm@˝8L<A-sRRRRRddzddddd6dz6CHILDREN S FOSTER CARERESIDENTIAL UPDATED SERVICE PLAN (10 - 13 years)Michigan Department of Human Services  MACROBUTTON [sjc] "Click Here to Enter Agency Name and Address"  Date of Report: FORMTEXT      Report Period: FORMTEXT       Through  FORMTEXT      I.Identifying Information A. Child: Enter the child s name, date of birth, case number, the facility name, specific program name and address of the facility, date entered out of home placement, current placement type, date of current placement, and the next anticipated placement of the child and the anticipated placement date as specified by DHS. Indicate the permanency planning goal (as specified by DHS), sex, and race of the child.Name:Date of Birth:Case Number: FORMTEXT       FORMTEXT       FORMTEXT      Child s Address:Date Entered Care: FORMTEXT       FORMTEXT      Current Placement Type:Date of Current Placement:Anticipated Next Placement Type:Date Anticipated Next Placement: FORMDROPDOWN  FORMTEXT       FORMDROPDOWN  FORMTEXT      Perm. Plan Goal FORMDROPDOWN  Sex: Race:Check if Ethnicity is Hispanic/Latino: FORMDROPDOWN  FORMDROPDOWN  FORMCHECKBOX Parent (Caretaker) Name(s): For each adult parent or caretaker, non-parent adult with a significant relationship or who is a potential placement, provide the name and relationship to child, the address and telephone number, date of birth, sex and race of the person. Name:Relationship:Date of Birth: FORMTEXT       FORMTEXT       FORMTEXT      Parent s Current Address:Telephone: FORMTEXT       FORMTEXT      Sex:Race:Check if Ethnicity is Hispanic / Latino: FORMDROPDOWN  FORMDROPDOWN  FORMCHECKBOX C. Commitment or Referral Information:DHS Local Office Name:DHS Worker Name:DHS CDUL No s.:DHS Worker Telephone: FORMTEXT       FORMTEXT       FORMTEXT     FORMTEXT     FORMTEXT     FORMTEXT    FORMTEXT      POS Agency Name:POS Agency Worker Name:POS Agency Telephone: FORMTEXT       FORMTEXT       FORMTEXT      Court ID Number:Judge s Name:Judge s Telephone: FORMTEXT       FORMTEXT       FORMTEXT      II.Legal Status Add the information in this section as requested. Initial Wardship is TCW or MCI Ward as specified by the DHS worker. In the space following this section, add any pertinent narrative concerning court requirements.Initial Wardship Type and DateLast Court Type and Date FORMTEXT       FORMTEXT      Current Wardship Type and DateNext Court Type and Date FORMTEXT       FORMTEXT        MACROBUTTON [1] "Click Here and Type"   III.Social Work Contacts List date, person contacted, role/position, type of contact (telephone, in person, home visit, office visit, etc.) for each contact, attempted contact, and scheduled, but unkept, appointment. If desired, provide a brief narrative statement of the specific reason for the contact. Limit the narrative to one sentence.  MACROBUTTON [1] "Click Here and Type"   IV.Child AssessmentA.Child Status Describe for the child addressed in this report; emotional and physical development, past experiences and, problems since the most recent assessment. Include a physical description of the child, hobbies, likes and dislikes, etc and any changes since the most recent assessment and report. Describe the childs adjustment to residential placement and services. List all Siblings Describe the services provided, offered to or planned for the child, parent(s), guardian, or custodian, and non-parent adult including potential placements, if applicable, to return the child home or move to less restrictive placement. Discuss planning for aftercare. List dates of individual/group counseling/therapy. List primary treatment goals. Describe progress achieved during this report period. Indicate the anticipated next placement and the projected time frame for the placement.  MACROBUTTON [1] "Click Here and Type"   B.Child Needs and Strengths Assessment Address and explain each individual item scored as strength or need on the Child Assessment of Needs and Strengths for the child in the space provided following each item. Provide the reasons that each item is scored as a strength or need. If there are significant discrepancies between facility scoring of any need item and the worker with primary family responsibility, it must be identified and resolved through a conference with the family worker.Item C1.Medical/PhysicalWas there prenatal drug/alcohol exposure? Y N U/K FORMDROPDOWN Is there a need for prenatal care? Y N U/K FORMDROPDOWN a. Good Health +5b. Adequate health 0c. Situational concern -2d. Impaired health -3e. Severely impaired health -5f. Unable to score US FORMDROPDOWN C1. MEDICAL/PHYSICAL HEALTH Was there prenatal drug/alcohol exposure? Answer yes, no, or unknown. Is there a need for prenatal care? Yes, No or unknown. A. Good health. Child has no known health care needs; child receives routine preventive and medical/dental/vision care, immunizations, health screenings, and hygiene care. If child resided in a high risk environment for lead exposure, the child has received a lead exposure screening. Child has knowledge of puberty and is not experiencing any related medical problems. B. Adequate health. Child has no unmet health care needs or has minor health problems (ex. allergy shots/medications, etc.) that can be addressed with routine intervention; age-appropriate immunizations and annual medical exams and required health screenings are current. Child has some knowledge of puberty and is experiencing minor or no related medical problems. C. Situational concern. Child has a special condition(s)/health concern(s) (ex. lice, cold/flu, ear infections, bone fracture, etc.) that may require temporary (anticipated not to exceed 90 days) medical treatment (ex. follow-up with medical personnel, administering of prescription or over-the-counter medications, etc.); and/or child has not received required immunizations or health screenings (including lead exposure if child resided in a high risk environment for lead exposure). D. Impaired health. Child has a medical condition(s) that may impair daily functioning (ex. fragile asthmatic, eczema, allergies, etc.) and requires ongoing interventions. This may include effects of prenatal drug/alcohol exposure and/or effects of lead exposure. Child has limited knowledge of puberty and/or is experiencing some related medical problems. E. Severely impaired health. Child has a serious, chronic, or acute health condition(s), (ex. diabetes, cerebral palsy, or physical disability, pronounced effects of lead exposure, etc.) that severely impairs functioning and requires ongoing intervention(s). Child has no knowledge of puberty and/or is experiencing significant related medical problems..  MACROBUTTON [1] "Click Here and Type"  ItemC2.Mental Health and Well-Beinga. Healthy emotional behavior/coping skills +5b. Appropriate emotional behavior/coping skills 0c. Situational concern -2d. Limited emotional behavior/coping skills -3e. Severely limited emotional behavior/coping skills -5f. Unable to score US FORMDROPDOWN C2 MENTAL HEALTH AND WELL-BEING A. Healthy emotional behavior/coping skills. Child consistently exhibits an age-appropriate range of emotional behaviors; child displays strong age-appropriate coping skills in dealing with disappointment, anger, grief, stress, and daily challenges in home, school, and community; child is also able to identify the need for, seeks, and accepts guidance; child has a positive and hopeful attitude and readily adjusts to new situations. B. Appropriate emotional behavior/coping skills. Child generally exhibits an age-appropriate range of emotional behaviors. Child displays developmentally appropriate emotional coping responses that do not, or minimally interfere with, school, family, or community functioning. Child has age-appropriate ability to cope with a range of emotions and social environments. Child has ability to adjust to new situations. C. Situational concern. Child may demonstrate some symptoms reflecting situational sadness, anxiety, aggression, or withdrawal; maintains situationally-appropriate emotional control. This does not include short-term, adverse reactions to parental visitation, but could include response to initial placement or re-placement (ex. temper tantrums, nightmares, loss of appetite, bedwetting, etc.). D. Limited emotional behavior/coping skills. Child has some difficulty dealing with daily stresses, crises, or problems which interfere with family, school, and/or community functioning. Problems may include but are not limited to, withdrawal from social interaction, flat affect, changes in sleeping or eating patterns, increased aggression, unusually low frustration/tolerance, frequent threats to run away, etc. E Severely limited emotional behavior/coping skills. Child has consistent difficulty in dealing with daily stresses, crises, or problems which severely impair family, school, and/or community functioning. Child may have diagnosed psychiatric disturbance and may demonstrate severe behavior such as fire setting, suicidal behavior, violence toward people and/or animals, self mutilation, runs away from placement, etc.  MACROBUTTON [2] "Click Here and Type"  ItemC3.Family and Kin/Fictive Kin Relationships/Attachmentsa. Nurturing/supportive relationships/attachments +5b. Appropriate relationships/attachments 0c. Situational concern -2d. Limited relationships/attachments -3e. Severely limited or no relationships/attachments -5f. Unable to score US FORMDROPDOWN C3 FAMILY AND KIN/FICTIVE KIN RELATIONSHIPS/ATTACHMENTS Score the childs interaction with his/her family (those individuals the child is related to or views as family). For children in placement, base assessment on visits and other contact such as telephone contact or letters. A. Nurturing/supportive relationships/attachments. Child has positive interactions with and exhibits strong attachments to family, kin, fictive kin, and/or caregiver. Child has sense of belonging with family. B. Appropriate relationships/attachments. Child has positive interactions with and exhibits appropriate attachments to family, kin, fictive kin, and/or caregiver despite some minor conflicts. C. Situational concern. Child experiences temporary strain in interaction with family members. Child may be temporarily angry with the family and/or lacks desire for family interaction (ex. visitation, telephone contact, threaten truancy if visit occurs, refuses to participate in family therapy, etc.). D. Limited relationships/attachments. Child does not have positive interactions with family, does not exhibit appropriate attachments to family, kin, fictive kin, and/or caregiver. Child does not have a sense of belonging with family. E. Severely limited or no relationships/attachments. Child has no interactions or has non-supportive, destructive interactions with family, and exhibits negative attachments to family, kin, fictive kin, and/or caregiver.  MACROBUTTON [2] "Click Here and Type"  ItemC4.EducationDoes child have a special education plan? Y N FORMDROPDOWN Does child need an assessment for special education? Y N FORMDROPDOWN a. Exceptional academic achievement +4b. Adequate achievement 0c. Situational concern -1d. Minor difficulty -2e. Major/chronic difficulty -4f. Unable to score US FORMDROPDOWN C4 EDUCATION Does child have a special education plan? Answer yes or no. Does child need assessment for special education? Answer yes or no. A. Exceptional academic achievement. Child is working above grade level and/or is exceeding the expectations of the childs specific educational plan. B. Adequate achievement. Child is working at grade level and/or is meeting expectations of the childs specific educational plan. C. Situational concern. Child may demonstrate some school difficulties (ex., decreased concentration in the classroom, acting-out behavior, regression in academic performance, etc.) that appear temporary in nature. D. Minor difficulty. Child is working below grade level in at least one, but not more than half of subject areas, indicating that the current educational plan may need modification. The child may be exhibiting some truancy or school behavioral problems. E. Major/chronic difficulty. Child is working below grade level in more than half of subject areas and/or is not meeting the goals of the existing educational plan, indicating that the current plan needs modification, or the child needs a specific educational plan and does not have one in place. Child is frequently truant. Score this item for a child who is legally required to attend school and is not attending, or who has been expelled/excluded from school.  MACROBUTTON [2] "Click Here and Type"  ItemC5.Substance Use (Substances include alcohol, tobacco, and other drugs)a. No substance use +1b. Past experimentation 0c. Situational concern -2d. Periodic substance use -3e. Frequent substance use -4f. Unable to score US FORMDROPDOWN C5 SUBSTANCE USE (Substances include alcohol, tobacco, and other drugs) A. No substance use. Child does not use alcohol, drugs, or other substances and is age-appropriately aware of consequences of use. Child is not in peer relationships/social activities involving alcohol and/or other drugs and/or chooses not to use despite peer-pressured opportunities to use. No demonstrated history or current problems related to substance use. B. Past experimentation. Child may have past experience with alcohol and/or other drugs but there is no indication of sustained use. C. Situational concern. Child may have an isolated incident or experience with alcohol, tobacco, or other drugs that is not recurring. D. Periodic substance use. Childs alcohol and/or other drug use has resulted in problematic behavior at home, school, and/or in the community. Use may include multiple drugs. Child may be involved in peer relationships/social activities involving alcohol, drugs, and other substances. E. Frequent substance use. Childs frequent alcohol, drug, or other substance usage results in severe behavior disturbances at home, school, and/or in the community. Child may require medical intervention to detoxify.  MACROBUTTON [2] "Click Here and Type"  ItemC6.Sexual BehaviorHas child been sexually abused? Y N U/K FORMDROPDOWN Does child demonstrate sexually inappropriate behavior? Y N U/K FORMDROPDOWN a. Healthy sexual adjustment/responsible behavior +1b. Appropriate sexual adjustment/behavior 0c. Situational concern -2d. Compromised sexual adjustment/behavior -3e. Severely compromised sexual adjustment/reckless behavior -4f. Unable to score US FORMDROPDOWN C6 SEXUAL BEHAVIOR Has child been sexually abused? Answer yes, no, or unknown. Does child demonstrate sexually inappropriate behavior? Answer yes, no, or unknown. Examples may include, but are not limited to, a child who engages in persistent self-stimulation, chronically acts-out toward others in sexually inappropriate ways, or engages in sexual contact with others. A. Healthy sexual adjustment/responsible behavior. Child displays no signs or history of sexual abuse or exploitation. Child exhibits developmentally appropriate sexual awareness and interest. Child has accurate knowledge of reproduction. B. Appropriate sexual adjustment/behavior. Child does not show any indications of their past sexual abuse and responds to treatment/intervention. Child may participate in age-appropriate sexual behavior or may show age-appropriate interest in sexuality. Child has some knowledge of reproduction. C. Situational concern. Child exhibits a heightened interest/awareness of sexuality that may be a response to a current change in situation or incident (ex. traumatic event, initial or change in placement, too much stimulus in environment, etc.). D. Compromised sexual adjustment/behavior. Child is displaying inappropriate behavior due to known or suspected sexual abuse or exploitation. Behaviors may include more sexualized behaviors than same aged children, preoccupation with sexual themes, increased masturbation, and/or simulating sex acts. Child participates in sexual activities. E. Severely compromised sexual adjustment/reckless behavior. Child exhibits severe sexual dysfunction. Indicators may include perpetrating behaviors (involving force or coercion), severe sexual preoccupation, compulsive masturbation and sexual victimization. Child engages in high risk sexual behaviors and may become involved in illegal sexual activity such as prostitution or pornography.  MACROBUTTON [2] "Click Here and Type"  Rate the child according to their current level of functioning.ItemC7.Life Skillsa. Appropriate life skills +3b. Adequate life skills 0c. Situational concern -1d. Limited life skills -2e. Severely limited life skills -3f. Unable to score US FORMDROPDOWN C7 LIFE SKILLS A.  SEQ CHAPTER \h \r 1Appropriate life skills. Child consistently demonstrates age-appropriate ability to feed, bathe, and groom him/herself; the child manages daily routine without intervention. B.  SEQ CHAPTER \h \r 1Adequate life skills. Child demonstrates some age-appropriate ability to feed, bathe, and groom him/herself. Child may need occasional intervention with daily routine. C. Situational concern. Child may need intervention in daily routine due to temporary situation, such as physical injury. D.  SEQ CHAPTER \h \r 1Limited life skills. Child does not consistently demonstrate age-appropriate ability to feed, bathe, and groom him/herself. Child requires intervention with daily routines. E.  SEQ CHAPTER \h \r 1Severely limited life skills. Child rarely demonstrates an age-appropriate ability to feed, bathe, and groom him/herself. Child requires extensive or constant intervention and supervision to manage daily routine.  MACROBUTTON [2] "Click Here and Type"  ItemC8.Peer/Adult Social Relationships (Non-Family)a. Strong social relationships +3b. Adequate social relationships 0c. Situational concern -1d. Limited social relationships -2e. Severely limited social relationships -3f. Unable to score US FORMDROPDOWN C8 PEER/ADULT SOCIAL RELATIONSHIPS (NON-FAMILY) A. Strong social relationships. Child routinely interacts with social groups having positive support and influence, models responsible behavior, participates in constructive age-appropriate activities. Child is actively engaged with a positive support network and has some close, positive relationships with adults. Child displays age-appropriate solutions to social conflict. Child does not exhibit any delinquent behavior. B. Adequate social relationships. Child frequently interacts with social groups having positive support and influence; child displays age-appropriate social behavior; frequently participates in positive age-appropriate activities. Child engages with a positive support network. Child frequently displays age-appropriate solutions to social conflict. C. Situational concern. Child has a situational concern with peer/adult relationships as the result of an experience (ex. a new school, change of placement, relationship loss, etc.) that may require additional support. D. Limited social relationships. Child has limited peer/social relationships and limited adult support. Child demonstrates inconsistent social skills. Child has limited positive interactions with others and demonstrates limited ability to resolve conflicts. Child occasionally engages in high risk behavior/activities. E. Severely limited social relationships. Child has severely limited and/or negative peer social relationships, has minimal or lacks adult support, is isolated and lacks access to a support network. Child is unable to resolve social conflict. Child chronically engages in high risk behaviors/activities.  MACROBUTTON [2] "Click Here and Type"  ItemC9.Cultural/Community Identitya. Strong cultural/community identity +3b. Adequate cultural/community identity 0c. Situational concern -1d. Limited cultural/community identity -2e. Disconnected from cultural/community identity -3f. Unable to score US FORMDROPDOWN C9 CULTURAL/COMMUNITY IDENTITY A. Strong cultural/community identity. Child relates positively to his/her cultural, ethnic, and/or religious heritage. Child identifies with and participates in cultural and community heritage, beliefs, and practices. Child expresses age-appropriate inquiries about his/her cultural/community identity. B. Adequate cultural/community identity. Child relates to his/her cultural, ethnic, and/or religious heritage. Child has a developing sense of identity with his/her cultural and community heritage. Child expresses an age-appropriate awareness of his/her cultural/community identity. C. Situational concern. Child has a situational concern related to the development of a positive cultural/community identity, which causes an interruption in progress toward achievement of such an identity. D. Limited cultural/community identity. Child has some conflict with his/her cultural, ethnic, and/or religious heritage. Childs sense of identity with his/her cultural and community heritage is limited. Child does not express an age-appropriate awareness of his/her cultural identity. E. Disconnected from cultural/community identity. Child lacks a sense of identity with his/her cultural and community heritage, or has a sense of identity but his/her understanding of it results in negative self-concept, distorted perceptions about identity, and/or impaired social functioning.  MACROBUTTON [2] "Click Here and Type"  PRIORITY NEEDS AND STRENGTHS:Based on this assessment, identify below up to three priority needs and strengths of the child (indicate item code and title), if three needs have been scored. Priority needs are the top three domains with a negative number and priority strengths may be the domains that score 0 or a positive number. Address all situational concerns and priority items in the Individual Child Activities and Foster Parent/Relative sections of the Parent Agency Treatment Plan and Service Agreement. If a child has an identified need or situational concern in Medical/Physical, Mental Health and Well-Being and/or Education, it must be addressed with services regardless of priority.ASSESSMENT DOMAINSAREAS TO ADDRESS ON ISP/USPC1 Medical/Physical HealthStrengths: (list priority strength areas a and b responses):1. FORMDROPDOWN C2 Mental Health and Well-Being2. FORMDROPDOWN C3 Family and Kin/Fictive Kin Relationships/Attachments3. FORMDROPDOWN C4 EducationOngoing Needs: (list priority need areas d and e responses)1. FORMDROPDOWN C5 Substance Use2. FORMDROPDOWN C6 Sexual Behavior3. FORMDROPDOWN C7 Life SkillsSituational Concerns: (list all areas assessed as situational concerns c responses)1. FORMDROPDOWN C8 Peer/Adult Social Relationships2. FORMDROPDOWN C9 Cultural/Community Identity3. FORMDROPDOWN  Other Child Strengths Provide information on any other strength for the child not identified in the needs and strengths assessment.  MACROBUTTON [2] "Click Here and Type"   D.Appropriateness of Placement: Based on the child needs assessment, explain why this placement is the most appropriate and least restrictive placement for the child. If the placement is not the least restrictive placement for the child based on the assessed needs, describe the appropriate placement for the child, the services needed to maintain the placement and the reasons for the continuation for residential placement.   MACROBUTTON [1] "Click Here and Type"   E.Prognosis for Placement in Family Setting or Independent Living: What is the prognosis for the child to be able to live in a family setting or independent living? What is the likelihood that the child will be able to live in a family setting or independently following completion of treatment at this facility? Explain how this placement will prepare and assist the child to live in a family setting or to live independently?   MACROBUTTON [1] "Click Here and Type"   F.Parent/Caretaker, Other Significant Individuals Feedback: Provide a summary of any input concerning the childs behavior; history, progress in treatment, etc., from parent/caretakers, siblings or other significant individuals (may be past or projected placements, foster care workers or other treatment providers. Discuss parental or other significant persons support and cooperation with this placement and any barriers they may present to treatment.   MACROBUTTON [1] "Click Here and Type"   G.Progress to Date and Parenting Time: Briefly summarize any changes in the family or the child since the current placement began. Describe current status of child including significant events since placement in this facility. List all visits between the child and others. Identify dates of visits including any missed or cancelled visits by any party. Describe compliance with the parenting time plan and sibling visitation plan, if applicable and any other planned visitation or contacts with appropriate parties. List planned visits for the next planning period under goals and objectives for the child.   MACROBUTTON [1] "Click Here and Type"   V.Family Assessment -This section must be completed if the child has an identified family with a permanency planning goal of return home or if the placing agency has specified that the child will be placed with a parent. This section is not completed if the child is a permanent ward. The primary caretaker is the adult (typically the parent) living in the household who assumes the most responsibility for child care. When two adult caretakers are present and the worker is in doubt about which one assumes the most child care responsibility, the adult legally responsible for the children involved in the incident should be selected. If this rule does not resolve the question, the legally responsible adult who was a perpetrator should be selected. Only one primary caretaker can be identified in a household. If the child is a permanent ward or MCI and there is not an identified family, click no for the question below Does child have family participation in reunification and or treatment planning? and click on the Remove Family Assessment button. Do not complete the assessment for fictive kin or placement resources for the child unless DHS has identified the placement as a legal guardian or parent. If you need more than one family assessment click here. FORMTEXT      Does child have family participation in reunification and or treatment planning? Yes  FORMCHECKBOX  No  FORMCHECKBOX 1.Family Participation If the youth has an identified family participating in services, provide information on the participation in services. Include any relevant information on changes in the family since the last assessment.   MACROBUTTON [1] "Click Here and Type"  2.Family Assessment of Needs and Strengths Briefly outline the observations and other facts that led to each individual item scored as a need or strength on the Family Assessment of Needs and Strengths for either caretaker. If there is more than one household involved in planning for the child, score both households separately. Rate the caretaker(s) on all items, except for Item S14. Select the score that applies to each caretaker under each category. For items where the worker is unable to obtain information at the ISP, Record US for Unable to Score If there are significant discrepancies between facility scoring of any need item and the worker with primary family responsibility, it must be resolved through a conference with the family worker   MACROBUTTON [1] "Click Here and Type"  Family Name FORMTEXT      Primary CaretakerSecondary CaretakerMost SeriousS1.Emotional Stability Behaviora. Exceptional coping skills +2b. Appropriate responses 0c. Some problems -3d. Chronic depression, severely low esteem, emotional problems -5e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S1. EMOTIONAL STABILITY BEHAVIOR A. Exceptional Coping Skills - Caretaker displays the ability to deal with adversity, crises, and long-term problems in a positive manner. Has a positive, hopeful attitude. B. Appropriate responses  Caretaker displays appropriate emotional responses. No apparent dysfunction. C. Some problems  Based on available evidence, caretaker's emotional stability appears problematic in that it interferes to a moderate degree with family functioning, parenting, or employment or other aspects of daily living. Indicators of "some" problems with emotional stability include: staff has repeatedly observed or been given reliable reports of indicators of low self-esteem, apathy, withdrawal from social contact, flat affect, somatic complaints, changes in sleeping or eating patterns, difficulty in concentrating or making decisions, low frustration tolerance or hostile behavior; frequent conflicts with coworkers or friends; few meaningful interpersonal relationships; speech is sometimes illogical or irrelevant; frequent loss of work days due to unsubstantiated somatic complaints; caretaker has been recommended for, or involved in, outpatient therapy within past two years; diagnosis of a mild to moderate disorder; or difficulty in coping with crisis situations such as loss of a job, divorce, or separation or an unwanted pregnancy. D. Chronic or severe problems - Caretaker displays chronic depression, apathy, and/or severe loss of selfesteem. Caretaker is hospitalized for emotional problems and/or is dependent upon medication for behavior control. observed, reported, or diagnosed chronic depression, paranoia, excessive mood swings; inability to keep a job or friends; suicide ideation or attempts; recurrent violence; stays in bed all day, completely neglects personal hygiene; grossly impaired communication (e.g., incoherent); obsessive/compulsive rituals; reports hearing voices or seeing things; diagnosed with severe disorder; repeated referrals for mental health/psychological examinations; recommended or actual hospitalization for emotional problems within past two years; severe impulsive behavior; or incapacitated by crisis situations.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS2.Parenting Skillsa. Strong skills s +2b. Adequate skills 0c. Improvement needed -3d. Destructive/abusive parenting -5e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S2. PARENTING SKILLS A. Strong Skills - Caretaker displays knowledge and understanding of parenting skills and is utilizing these skills with child(ren) on a daily basis. Parent shows an ability to identify positive traits in their children (recognize abilities, intelligence, social skills, etc.), encourages cooperation and a positive identification within the family. B. Adequate skills  Caretaker displays adequate parenting patterns which are age-appropriate for the child in the areas of expectations, discipline, communication, protection, and nurturing. Caretaker has the basic knowledge and skills to parent. C. Improvement needed  Improvement of basic parenting skills needed by caretaker. Caretaker has some unrealistic expectations, gaps in parenting skills, demonstrates poor knowledge of age-appropriate disciplinary methods, is ambivalent about parenting, and/or lacks knowledge of child development which interferes with effective parenting. Includes: frequent parent/child conflict over discipline; children sometimes left unsupervised; parents sometimes inattentive to child's emotional needs or are rejecting; any single preponderance of evidence referral for inappropriate discipline, violent behavior towards child(ren), lack of supervision, or failure to thrive (includes current); parent lacks knowledge/needs assistance in dealing with special needs child(ren); or occasional parent/child role reversal. D. Destructive/abusive parenting  Caretaker displays destructive/abusive parenting patterns. Based on available evidence, it appears that caretaker(s) uses extreme punishment, or that their actions are tantamount to emotional abuse/neglect or that caretaker has abdicated responsibility for supervision, protection, discipline and/or nurturance. Indicators include: two or more preponderance of evidence referrals for inappropriate discipline, violent behavior towards child(ren), lack of supervision, or failure to thrive (prior and current); caretaker makes it clear that child(ren) are not wanted in home; discipline routinely involves use of an instrument (belt, board) or unusual deprivation (lock in cellar or closet); routine badgering and belittling of child(ren); caretaker discipline and control completely ineffective or caretaker makes no effort; caretaker unable to prevent abuse by others; caretaker contributes to child's delinquent involvement; prior termination of parental rights for sibling(s); persistent parent-child role reversal; caretaker refuses/unwilling to acknowledge that child has been sexually abused.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS3.Substance Abusea. No evidence of problem 0b. Caretaker w/substance problem/current treatment issues -3c. Caretaker with serious problem -4d. Problems resulting in chronic dysfunction -5e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S3. SUBSTANCE ABUSE A. No evidence of problems  No evidence of a substance abuse problem with caretaker. Based on available evidence, it does not appear that the use of substances interferes with the caretaker's or the family's functioning. Use does not affect caretaker's employment, criminal involvement, marital or family relationships, or his/her ability to provide supervision, care, and nurturance for children. B. Caretaker with problem or current treatment issues  Caretaker displays substance abuse problem resulting in disruptive behavior or causing discord in family. Based on available evidence, it appears that caretakers substance abuse creates problems for the caretaker or the family. Consider as problems the following: the caretaker has been arrested once in the past two years for alcohol or drug-related offenses or has refused breathalyzer (PBT) testing; caretaker has experienced work-related problems in the past year as a result of substance use; staff have observed or received reliable reports that children have, on more than one occasion, been left unsupervised, inadequately supervised or let longer than planned by the caretaker because of substance abuse (i.e., caretaker physically absent due to use or passed out or seeking drugs); staff have observed or received reliable reports that caretakers substance abuse results in conflict in family over use (e.g., arguments between spouses or between children and caretaker over use); staff have observed withdrawal symptoms: twitching and tweaking (uneasiness), restlessness, runny nose, flu-like complaints, overly tired, multiple bathroom breaks in a short period of time, mood swings; house is in disarray, Activities of Daily Living not tended to; caretaker admits that he/she is experiencing some problems due to substance abuse; caretaker is currently in out-patient treatment (including AA/NA); caretaker has received treatment for substance abuse and has been in recovery for less than one year. OR, caretaker is currently receiving treatment or is attending a support program for substance abuse. C. Caretaker with serious problem  Caretaker has serious substance abuse problem resulting in such things as loss of job, problems with the law, family dysfunction. Based on available evidence, it appears that caretakers substance abuse creates serious problems for the caretaker or the family. Consider the following criteria as indicators of a serious problem: child born positive for drug exposure or Fetal Alcohol Disorder; caretaker has ever been fired for substance abuse (and has not sought or benefited from treatment); home raided; caretaker has been arrested two or more times for alcohol or drug-related offenses within the last year; staff have observed indicators of intoxication such as slurred speech, glassy eyes, unsteady gait, order of alcohol, drug paraphernalia; unusual strong order in home similar to cat urine, nail polish remover, ammonia or ether; large amounts of products such as cold medicines, antifreeze, drain cleaners, lantern fuel, duct tape, coffee filters, batteries or clear glass beakers and containers; reliable reports of, or staff have observed, violence toward family members by caretaker while under the influence; reliable reports of daily intoxication; caretaker has been diagnosed as substance dependent and has received treatment within past two years and is still using; child or spouse reports observation of caretaker using drugs, or children have knowledge of whereabouts of drugs in household; history of positive and/or missed urine screens and PBTs. D. Problems resulting in chronic dysfunction  Caretaker has chronic substance abuse problems resulting in a chaotic and dysfunctional household/lifestyle. There has been a pattern of serious, long-term problems related to substance abuse. Other examples may include but are not limited to: multiple job losses; multiple arrests that are related to the caretakers substance abuse; caretaker has had a serious problem with substance abuse, has been in treatment multiple times, and has had multiple relapses; caretaker has a serious medical problem(s) resulting from substance abuse: Hepatitis B, C or D, HIV, cirrhosis, esophageal problems, irritable bowel, acute pancreatitis, repeated Sexually Transmitted Diseases; toxic psychosis; extreme weight loss; there has been regular pre-natal exposure of children to substances - this includes exposure in more than one pregnancy, children diagnosed Fetal Alcohol Spectrum Disorder, or children medically determined substance dependent at birth.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS4.Sexual Abusea. No evidence of problem 0b. Caretaker has failed to protect child(ren) from sexual abuse -4c. Caretaker has abused child(ren) sexually -5d. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S4. SEXUAL ABUSE A. No evidence of problem  Caretaker is not known to be a perpetrator of child sexual abuse. B. Failed to protect  Caretaker has failed to protect a child from sexual abuse. C. Evidence of sexual abuse  Caretaker is known to be a perpetrator of child sexual abuse.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS5.Domestic Relationsa. Supportive Relationship +2b. Single caretaker not involved in domestic relationship 0c. Domestic discord, lack of cooperation -2d. Serious domestic discord/domestic violence -4e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S5. DOMESTIC RELATIONS A. Supportive relationship  Supportive relationship exists between caretakers and/or adult partners. Caretakers share decision making and responsibilities. B. Single caretaker not involved in domestic relationship  Single caretaker. C. Domestic discord, lack of cooperation  Current marital or domestic discord. Lack of cooperation between partners, open disagreement on how to handle child problems/discipline. Frequent and/or multiple partners. D. Serious domestic discord/domestic violence  Serious marital discord or domestic violence. Repeated history of leaving and returning to abusive spouse or partners. Involvement of law enforcement in domestic violence problems, restraining orders, criminal complaints.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS6.Social Support Systema. Strong support system +2b. Adequate support system 0c. Limited support system -2d. No support or destructive relationships -4e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S6. SOCIAL SUPPORT SYSTEM A. Strong support system - Caretaker has a strong, constructive support system. Active extended family (may be blood relations or close friends) who provide material resources, child care, supervision, role modeling for parent and children, and/or parenting and emotional support. B. Adequate support system  Caretaker uses extended family, friends, community resources to provide a support system for guidance, access to child care, and available transportation, etc. C. Limited support system  Caretaker has limited support system, is isolated, or reluctant to use available support or support system is negative. D. No support or destructive relationships  Caretaker has no support system and/or caretaker has destructive relationships with extended family and community resources.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS7.Communication/Interpersonal Skillsa. Appropriate skills 0b. Limited or ineffective skills -2c. Isolating/hostile/destructive -4d. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S7. Communication/Interpersonal Skills A. Appropriate skills  Caretaker appears to be able to clearly communicate needs of self and children and to maintain both social and familial relationships. B. Limited or ineffective skills  Caretaker appears to have limited or ineffective interpersonal skills within the family and community which limit ability to make friends, keep a job, communicate needs of self or children to schools or agencies. C. Isolated/hostile/destructive  Caretaker isolates self/children from outside influences or contact, and/or have interpersonal skills that are hostile/destructive towards family members or others. Available evidence indicates very chaotic, disrespectful communication or behavior patterns or extreme isolation; very diffuse or extremely rigid personal boundaries; extreme emotional separateness or attachment.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS8.Housinga. Adequate housing 0b. Some housing problems, but correctable -2c. No housing, eviction notice -4d. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S8. HOUSING A. Adequate housing  Family has adequate housing of sufficient size to meet their basic needs. B. Some housing problems, but correctable - Family has housing, but it does not meet the health/safety needs of the children due to such things as inadequate plumbing, heating, wiring, housekeeping, or size. C. No housing, eviction notice  Family has eviction notice, house has been condemned, is uninhabitable, or family has no housing.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS9.Intellectual Capacitya. Average or above functional intelligence 0b. Some impairment, difficulty making skills -2c. Severe limitation -4d. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S9. INTELLECTUAL CAPACITY A. Average or above functional intelligence  Caretaker appears to have average or above average functional intelligence. B. Some impairment, difficulty in decision making skills  Caretaker has limited intellectual and/or cognitive functioning which impairs ability to make sound decisions or to integrate new skills being taught, or to think abstractly. Available evidence indicates that caretaker's intellectual ability impairs their ability to function independently and to care for child(ren). Indicators include: deficiencies, even after instruction, in everyday living skills such as taking a bus, shopping for food or clothing, or using money; difficulties in performing, even after instruction, such basic child care tasks as preparing formula, changing diapers, taking temperatures, administering medication, preparing meals, or dressing children appropriately for weather conditions; grossly inappropriate social behavior for chronological age; previous school placement in a special education or developmental disabilities program; caretakers' IQ indicates that he/she is mentally impaired (score of 50-55 to approximately 70).  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS10.Literacya. Literate 0b. Marginally literate -2c. Illiterate -3d. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S10. LITERACY A. Literate - Caretaker has functional literacy skills, is able to read and write adequately to obtain employment, and assist children with school work. B. Marginally literate  Caretaker has marginally functional literacy skills that limit employment possibilities and ability to assist children. C. Illiterate  Caretaker is functionally illiterate and/or totally dependent upon verbal communication. D. Severe limitation  Caretaker is limited intellectually and/or cognitively to the point of being marginally able or unable to make decisions and care for self, or to think abstractly. It appears that the caretaker has severely limited intellectual ability and that it seriously limits or prohibits ability to function independently and to care for child(ren). Indicators of a major problem include: caretakers IQ indicates that he/she is moderately, severely, or profoundly mentally impaired (score below 50-55); caretaker's employment is in a sheltered workshop or is unable to work; outside assistance is provided or has been recommended for caretaker's daily living; previously placed in, or recommended for, residential treatment facility, or specialized group home because of limited intellectual ability; inability to recognize and respond appropriately to situations requiring prompt medical attention (e.g., diarrhea, fever, vomiting) or emergency medical care (e.g., potential broken bones, serious burns) for family members; restricted ability to make judgments to protect the child(ren) from abuse, neglect, or injury.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS11.Resource Availability/Managementa. Strong money management skills +1b. Sufficient income to meet needs 0c. Income mismanagement -2d. Financial crisis -3e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S11. RESOURCE AVAILABILITY/MANAGEMENT A. Strong money management skills  Family has limited means and resources but family's minimum needs are consistently met. B. Sufficient income  Family has sufficient income to meet basic needs and manages it adequately. C. Income mismanagement  Family has sufficient income, but does not manage it to provide food, shelter, utilities, clothing, or other basic or medical needs, etc. D. Financial crisis  Family is in serious financial crisis and/or has little or no income to meet basic family needs.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS12.Employmenta. Employed +1b. No need 0c. Unemployed but looking -1d. Unemployed, not interested -2e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S12. EMPLOYMENT A. Employed - One or both caretakers are gainfully employed. B. No need - One or both caretakers are gainfully employed, or are out of labor force, e.g., fulltime student, disabled person, or homemaker. C. Unemployed, but looking  One or both caretakers need employment or are under-employed and engaged in realistic job seeking or job preparation activities. D. Unemployed, but not interested  One or both caretakers need employment, have no recent connection with the labor market, are not engaged in any job preparation activities nor seeking employment.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS13.Physical health Issuesa. No problem 0b. Health problem or physical limitation that affects family -1c. Serious health problems or physical limitation -2d. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S13. PHYSICAL HEALTH ISSUES A. No problem  Caretaker does not have health problems that negatively affect family functioning. B. Health problem, physical limitation that negatively affects family - Caretaker has a health problem or physical limitation that negatively affects family functioning. This includes pregnancy of the caretaker. C. Serious health problem, physical limitation  Caretaker has a serious/chronic health problem or physical limitation that affects ability to provide for and/or protect children.  MACROBUTTON [1] "Click Here and Type"  Primary CaretakerSecondary CaretakerMost SeriousS14.Child Characteristicsa. Age appropriate, no problems 0b. Minor physical, emotional, intelligence problems -1c. One child has severe/chronic problems that result in substantial dysfunction -2d. Children have severe/chronic problems that result in substantial dysfunction -3e. Unable to score US FORMDROPDOWN  FORMDROPDOWN  FORMDROPDOWN S14. CHILD CHARACTERISTICS A. Age appropriate  Child(ren) appears to be age-appropriate, with no abnormal or unusual characteristics. B. Minor problems  Child(ren) has minor physical, emotional, or intellectual difficulties. Minor child is pregnant. C. Significant problems - One child has significant physical, emotional, or intellectual problems resulting in substantial dysfunction in school, home, or community which puts strain on family finances and/or relationships. D. Severe problems  More than one child has significant physical, emotional, or intellectual problems resulting in substantial dysfunction in school, home, or community which puts strain on family finances and/or relationships.  MACROBUTTON [1] "Click Here and Type"  Based on this assessment, identify below the priority needs and strength of the family below (indicate S code only). Address the priority items in the Treatment Plan and Service Agreement and any needs scored under Substance Abuse:Household Name: FORMTEXT      PRIMARY NEEDSS1 Emotional Stability BehaviorS8 Housing1. FORMDROPDOWN S2 Parenting SkillsS9 Intellectual CapacityS3 Substance AbuseS10 Literacy2. FORMDROPDOWN S4 Sexual AbuseS11 Resource Availability / MgmtS5 Domestic RelationsS12 Employment3. FORMDROPDOWN S6 Social Support SystemS13 Physical Health issuesS7 Comm. / Interpersonal SkillsS14 Child CharacteristicsPRIMARY STRENGTHSS1 Emotional Stability BehaviorS8 Housing1. FORMDROPDOWN S2 Parenting SkillsS9 Intellectual CapacityS3 Substance AbuseS10 Literacy2. FORMDROPDOWN S4 Sexual AbuseS11 Resource Availability / MgmtS5 Domestic RelationsS12 Employment3. FORMDROPDOWN S6 Social Support SystemS13 Physical Health issuesS7 Comm. / Interpersonal SkillsS14 Child Characteristics3.Family Strengths Provide information on any other strength for the family not identified in the needs and strengths assessment.  MACROBUTTON [1] "Click Here and Type"   FORMTEXT       VI. PARENT  AGENCY TREATMENT PLAN AND SERVICE AGREEMENT This treatment plan is developed to assure that each child will receive safe and proper care and services by the following activities.A. SERVICE REFERRAL TABLEBarrier/Needs Addressed C1 = Medical/Physical Health C2 = Mental Health and Well Being C3 = Family and Kin/Fictive Kin Relationships/Attachments C4 = Education C5 = Substance Use C6 = Sexual Behavior C7 = Life Skills C8 = Peer/Adult Social Relationships (Non-Family) C9 = Cultural Community Identity S1 = Emotional Stability S2 = Parenting Skills S3 = Substance Abuse S4 = Sexual Abuse S5 = Domestic Relations S6 = Social Support System S7 = Communication/Interpersonal Skills S8 = Housing S9 = Intellectual Capacity S10 = Literacy S11 = Resource Availability/Management S12 = Employment S13 = Physical Health Issues S14 = Child CharacteristicsService Referral Type Codes AD = Alcohol / Drug Abuse Rehabilitation DC = Day Care DV = Domestic Violence ED = Education FC = Family / Outreach Counseling FR = Reunification Services HS = Homemaker Services or Parent Aid IL = Independent Living JT = Job Training MD = Medical ServicesMH = Mental Health Services OT = Other Program Needs PS = Parenting Skills Training TH = Individual / Group Therapy WP = Wrap Around Family Member Name Barriers/ Needs Addressed  Service Type Code  Service Provider Name  Mo/Yr Re- ferred  Mo/Yr Start Target Com- pletion Date (Mo/Yr) Service Status  Completed Services  Com- pletion Date (Mo/Yr)  FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMDROPDOWN  FORMDROPDOWN  FORMTEXT       Parent - Agency Treatment Plan and Service Agreement (continued) In this section, provide the specific goals, objectives, activities, and parenting time (schedule and expected activities), sibling visitation and other activities for all parties, the placement provider, the child, and the foster care worker. The goals and objectives must be clear, measurable, with expected outcomes to assist the child to live in the least restrictive setting possible.B. Child Goals, Objectives and Expected Outcomes 1. List childs service goals and action steps (include time frames and responsibility). Goals should address areas prioritized on Child Needs and Strengths Assessment and activities of daily living (if applicable). Identify what agency and parent(s) need to do to meet these specific needs. 2. If the child is age 14 or older (including those wards who become 14 years of age during the report period), include a description of the programs and services which will assist the youth to prepare for the transition to a state of functional independence or the ability to take care of oneself physically, socially, economically and psychologically and identify where, how and by whom these services are to be provided.   MACROBUTTON [b2] "Click Here and Type"   C. Parent Activities - If child is permanent ward or has no participating parent, write NA 1. List each goal for parent(s) and non-parent adult(s), if applicable, specific action steps, time frame for achieving, and expected outcome. Goals must address the areas prioritized on the Family Assessment of Needs and Strength. If applicable, specify involvement in medical and dental appointments, attendance at school conferences and in treatment with the child. Identify how the facility will coordinate the activities with the supervising agency. 2. Indicate if employment, day care, and/or transportation is a barrier to the parent meeting any of the goals or action steps including parenting time. Indicate the plan to address any of these three items.   MACROBUTTON [b2] "Click Here and Type"   D. Residential Care Treatment Activities 1. Identify clinical services to be provided to the child and family and all other parties, as appropriate. This includes any other potential placement for the child. 2. Identify day to day activities completed by facility staff. 3. State proposed residential worker contact with the child and family, if applicable. 4. For each ward age 14 or older (including those wards who become 14 years of age during the report period), include a description of the programs and services which will assist the youth to prepare for the transition to a state of functional independence or the ability to take care of oneself physically, socially, economically and psychologically. Identify where, how and by whom these services are to be provided. (See CFF 722-6 Independent Living Preparation.)   MACROBUTTON [b2] "Click Here and Type"   E. Parenting Time Identify under worker activities what the agency will do to facilitate parenting time. Identify here what the parent must do during parenting time with the child. If there is no parent, Write NA) in the space provided below. 1. Specify type, frequency, location, and duration of parenting time. If less than weekly, specify why. 2. If agency is limiting parenting time, specify why more frequent would be harmful to the child and what parent must do to achieve at least weekly parenting time. If parent is limiting, indicate parents reasons for wanting less frequent visits and project if and when frequency could be increased. 3. State how parenting time setting will assure a family friendly environment. If location is other than parental home, specify where and what conditions must exist for in-home visits to take place. 4. If parenting time is supervised, specify by whom and what conditions must exist for unsupervised visit. 5. Specify length of parenting time. 6. Specify expected activity during parenting time by all participants.   MACROBUTTON [b2] "Click Here and Type"   F. Visitation with Siblings and Others .0HVtv j l n p r   ( * , 6 8 : < > v x z hiCJOJQJjhpy(Uj4hpy(Ujh{zGUmHnHujhpy(UhTRjhTRUhiB*phjhiUhi5OJQJh&hi5hqahShvhiOJQJhi3.0J(PSPSJ(PSPSwJ(!<!:kd$$Ifl40*")4 lazf4 .$IfgdJJ:kdT$$Ifl40*")4 lazf4:kd$$Ifl40*")4 lazf4 0$IfgdJJÑ##p r t J(J(xhT{v:K $IfgdJJ# @d$IfgdJJ# @dgdi7kdP$$Ifl0*")4 laz$a$gdi:kd$$Ifl40*")4 lazf4 $$Ifa$gdJJ : < > @ F Ky'>57v: $IfgdJJ:kd$$Ifl4)(@)4 lazf4skd,$$Ifl4\a x)S a#@)4 lazf4 $IfgdJJ #$IfgdJJF v x z %% 'v:KB6| $IfgdJJ:kd$$Ifl4)(@)4 lazf4Dr$If^r`gdJJr$If^r`gdJJMkd$$Ifl40)~&@)4 lazf4 $IfgdJJ   $&(2468LNPZ\^øǪßǪǒÇǪǒ|ǪqǪj>hpy(Ujhpy(UjZhpy(Uhi5>*CJOJQJjhpy(Ujh{zGUmHnHuj\hpy(UhTRjhTRUhiCJOJQJhohiB* phfhohJJB* phfhihUhhi5OJQJ* 6^2| |62  $$Ifa$gdJJ $IfgdJJ]kd$$IflF&) u @)    4 laz $IfgdJJ^`|D|HPS? $IfgdJJOkdX$$Ifl40!)q @)4 lazf4 $IfgdJJ]kd$$IflF&) u @)    4 laz,bD |u| |>| $$Ifa$gdJJ $Ifgd:+Okd$$Ifl40!)q @)4 lazf4 $$Ifa$gdJJ  "$&0246RTVXZnpr|~8:VXZ\^z~ynjBh{zGU ha5 h;haha5CJOJQJjh{zGUhaj hpy(U hi@j| h{zGUjh{zGUmHnHuj hpy(Uhi5CJOJQJj h{zGUhTRjhTRUhi hi5+ 4X} }um }>$$If^a$gdJJ $$Ifa$gdJJukdB $$Ifl4\j")\ M @)4 lazf4.||'Ykd6$$Ifl40)@)4 lazf4p $Ifgdoukd $$Ifl4\j")\ M @)4 lazf46.k|k|V|V|D|D| $IfgdoYkd!$$Ifl40)@)4 lazf4p 6$Ifgdo 68\0kV{D $$Ifa$gdJJ 6$IfgdJJ $$Ifa$gdabkd$$Ifl4 FQ !)C.@)    4 lazf4z|~  $&(2468LNPZ\^`Ǻ쟔{pj haCJjhpy(Uj@hpy(Ujh{zGUmHnHujhpy(UhTRhaCJOJQJhaOJQJ ha>*hoha<B* phfha5OJQJ ha5jh{zGUjhaUhajhTRUjh{zGU''Z:kd$$Ifl4)(@)4 lazf4 $IfgdJJ`kd$$Ifl4FQ !)C.@)    4 lazf4'v:'j[R|R|R| $IfgdJJ:kd$$Ifl4)(@)4 lazf4d$IfgdJJ r$If^rgdJJN & F$Eƀjf.IfgdJJ6^`4`kdJ$$Ifl4F% )] v @)    4 lazf4 $IfgdJJ`kd4$$Ifl4F% )] v @)    4 lazf4`f?||?Q|9||Mkd<$$Ifl40% )v @)4 lazf4 $IfgdJJMkd$$Ifl40% )v @)4 lazf4 $IfgdJJ fhj&(*ǞǓ{u haCJha5CJOJQJ ha5CJ haCJjfh{zGUjhaUjh{zGUjBh{zGUjhpy(Uhajh{zGUmHnHujPhpy(UhTRjhTRUhaCJOJQJ haCJ*fh9! .$IfgdJJ $IfgdJJ`kd$$Ifl4F)@)    4 lazf4(h(ZIh(r$If^r`gdY2:kd$$Ifl4N*@)@)4 lazf4 $IfgdJJ`kdh$$Ifl4F)@)    4 lazf4(*Xz | |||($If^gdJJ($If]^gdJJ ($IfgdJJ:kdJ$$Ifl4N*@)@)4 lazf4|}  ob $If^gdJJ$If]^gdJJ $IfgdJJukd$$Ifl4\ P N* [ ^ @)4 lazf4 .0268:<PRTXZ\^rtvz|~HJL`֊֊haCJOJQJj"hpy(Uj"hpy(Uj!hpy(Uj hpy(Uj2 hpy(Ujhpy(Uhajh{zGUmHnHujFhpy(Uhpy(jhpy(U6H~|~#|k|($If]^gdJJ ($IfgdJJukd$#$$Ifl4\ P N* [ ^ @)4 lazf4HJr|}#$If]^gdJJ $IfgdJJbkd#$$Ifl4F N* @)    4 lazf4`bdnprt*,@BDNPRThjlvxz|ڻְ֥֚ڻڐzhoha<B* phfha5OJQJhaCJOJQJj'hpy(Ujz'hpy(Uj'hpy(U ha5jZ%hpy(Uj$hpy(Uhpy(hajh{zGUmHnHujhpy(Ujz$hpy(U0(|Q||($If^gdJJ ($IfgdJJbkd%$$Ifl4F N* @)    4 lazf4(*Rz|}Q $If^gdJJ $IfgdJJbkdV&$$Ifl4F N*w) @)    4 lazf4?(|Y!P7v:P0&v:P0&j $IfgdJJ7kd($$Ifl%*)@))4 laz ($IfgdJJbkdN($$Ifl4F N*w) @)    4 lazf4;md7j[|[| $IfgdJJ $IfgdJJ9kd)$$IflN*@)@)4 laz  $If^ gd|Jkd.)$$Ifl0%*'@))4 laz  $&(2468:&PRTVX۷۬ۡhi5CJOJQJhiB*phjhiUhij,hpy(UjP,hpy(Uj*hpy(Ujh{zGUmHnHujd*hpy(Uhpy(jhpy(Uhaha5CJOJQJhaCJOJQJ/6i7j $IfgdJJ $IfgdJJ`kd)$$Ifl4FN*@)    4 lazf468:x7j|| $IfgdJJ $IfgdJJ`kdP+$$Ifl4FN*@)    4 lazf4i7j $IfgdJJ $IfgdJJ`kd+$$Ifl4FN*@)    4 lazf4VXZ\")")jNUIgdi1kd-$$If0*")a $IfgdJJ $If^gdJJ^gdi`kd<-$$Ifl4FN*@)    4 lazf4XZ\df  012456:KLOR_` !!m"o"ı׊rereVrhoha<B* aJphfhoha<B* phfhohi<B* phfh!5CJOJQJhihi>*CJhiB*phjhiUh,hiCJOJQJ$hohM<B* CJOJQJphf$hohi<B* CJOJQJphfhi5OJQJ h&hihihi5CJOJQJhiCJOJQJ!\fDv:&v:|s(j8i:kdp.$$Ifl4*|)4 lazf4 $IfgdJJMkd.$$Ifl40**`'4 lazf4%$ /tF <!D%'()$Ifa$gdJJ#d$IfgdJJ 3456:K(( Dv:&v: $IfgdJJ $$Ifa$gdJJ$a$gdi2kd.$$Ifl*)4 laz @ P $If^ gdJJ @ P^gdiKLMNOR_` u:(jqihDj_R|hh#jhh#jVV $Ifgdi $IfgdJJ $IfgdJJ5kd|/$$Ifl*|) 4 laz$F$If^Fa$gdJJHkd/$$Ifl40**j'4 lazf4 n"o""""""{({( F$If^FgdJJ^gdi[kd/$$Ifl4F*T**@$    4 lazf4 $Ifgda $Ifgdio""""""""""""# #!#"###$$+$,$$$%%8%9%G%H%мxhc[WLj1h{zGUhpy(jhpy(U hV5hohV56<B* phfhohM5<B* phfhohV5<B* phfhohM<B* phfhohV<B* phf hVCJh!hVh:+hiB*phjhiUhihiCJOJQJ$hahi<B*OJQJaJphhohi<B* aJphf"""""# #!#"#$ 0*1R|^#|^#|e0\RS $IfgdV $IfgdVMkd0$$Ifl40*T**6$4 laf4 $IfgdVgd:+7kdO0$$Ifl*)4 laz $$$$%%%%8%R|| |GR||\|`kdq1$$Ifl4F*T**v!    4 laf4 $IfgdVMkd1$$Ifl40*T**6$4 laf4H%I%J%K%x%y%%%%%%9&:&H&I&J&L&h&&&&&a(p())++--2-x.󹤏yyyyjZjhoh@<>*B* aJphfhoh@<B* aJphf+hoh@<>*B* CJOJQJaJphf(hoh <<B* CJOJQJaJphf(hoh@<B* CJOJQJaJphf#hohV5<B* CJaJphfj7h{zGU hX5j3h{zGUhpy(hX hV5hVjhpy(U8%J%K%L%M%x%% |yR|y|y\|y | $Ifgd4uskd{2$$Ifl4\*T**v4 4 laf4 $IfgdV%%%%%%%{R{{\{`{| Z $IfgdVskd3$$Ifl4\*T**v4 4 laf4%%%%%%%x|hRhh\h`h| Z $IfgdVkdM4$$Ifl4r*T6$**v48T4 laf4%%%%%%%x|hRhh\h`h| Z $IfgdVkd4$$Ifl4r*T6$**v48T4 laf4%%%%%%%x|hRhh\h`h| Z $IfgdVkd5$$Ifl4r*T6$**v48T4 laf4%%%%&&&x|hRhh\h`h| Z $IfgdVkdQ6$$Ifl4r*T6$**v48T4 laf4& &!&"&9&K&x|hRhh\\  $$Ifa$gdV Z $IfgdVkd6$$Ifl4r*T6$**v48T4 laf4K&L&h&&&&w``I$Td7$8$H$^Ta$gd <$d7$8$H$^a$gd@! @d$^gd@skd8$$Ifl4\*T**v4 4 laf4&^()+-z.......&R|| | $IfgdVgdV7kdK9$$Ifl**`'4 la $If^gdV p>^p`>gd@$p>d7$8$H$^p`>a$gd@ x.y.z.{.........//////000E011q334#56698:8;8L8ݢ~h~h~h~h~h~V"hd1<B*CJOJQJaJph+hoh<8<>*B* CJOJQJaJphf(hoh<8<B* CJOJQJaJphfhohi%<B* CJphfhohV<B* CJphfjW=h{zGUhpy(jhpy(U h hV hVCJhVB*phhVjhVUhohVB* phfhoh=xB* phf!.....//R\y`y| $$Ifa$gdV Z $IfgdV $IfgdV`kd9$$Ifl4F*T**v!    4 laf4////7/8/9/{|rRrb\V`V| $$Ifa$gdV Z $IfgdV $IfgdVkd:$$Iflr*T6$**v48T4 la9/:/;/d7$8$H$^p`>a$gd<8.$ T^a$gd4u.$ ^a$gd<8skdU>$$Ifl4\*T**v4 4 laf4698:8d8e8f8k8o88&|wnR|n|a  $IfgdV $IfgdVgdV7kd>$$Ifl**`'4 la  d$If^dgdV$  pd7$8$H$^p`a$gdd1$p>d7$8$H$^p`>a$gd<8L8a8b8c8d8l8m8u888888>9W9l9999999999:::;;;t<<=ÿ󥖥lVlVlVl+hohJ<>*B* CJOJQJaJphf(hohJ<B* CJOJQJaJphf(hoh<8<B* CJOJQJaJphfhohX<B* CJphfhohV<B* CJphfjCh{zGUhpy(jhpy(Uh1hV5<B*ph hvhVhX hVCJjhVUhVhVB*ph!8888888R\`| Z @JB$IfgdV`kdG?$$Ifl4F*T**v!    4 laf48888999{|kRkk\k`k| Z @JB$IfgdVkd?$$Iflr*T6$**v48T4 la9999.9/909{|kRkk\k`k| Z @JB$IfgdVkdm@$$Iflr*T6$**v48T4 la09192939\9]9^9{|kRkk\k`k| Z @JB$IfgdVkdA$$Iflr*T6$**v48T4 la^9_9`9a9999{|kRkk\k`k| Z @JB$IfgdVkdA$$Iflr*T6$**v48T4 la999999{|kRkk\_  $$Ifa$gdV Z @JB$IfgdVkd_B$$Iflr*T6$**v48T4 la99:::;q<{`??? $ Pp>d7$8$H$^p`>a$gdJ$ Pd7$8$H$^a$gdJ.$ @^a$gdJskdD$$Ifl4\*T**v4 4 laf4q<=>i????????&pkbR|b|b\|b | $IfgdVgdV2kdD$$Ifl**`'4 la $If^gdV p>^p`>gdJ $ Pp>d7$8$H$^p`>a$gdJ $ Pp>d7$8$H$^p`>a$gdJ ==>>h?i?j?{?????????????(@)@7@8@9@D@c@d@@@@@@@AAAAAAAмддЊІІІд{lhohV<B* CJphfjKh{zGUh[UhlcejFh{zGU hV5 hH@hVjEh{zGUhpy(jhpy(UhXhVB*phjhVUhV(hohJ<B* CJOJQJaJphf+hohJ<>*B* CJOJQJaJphf(??????R||\| | $IfgdVkkdD$$Ifl\*T**v4 4 la????(@:@R||\| | $IfgdVkkdF$$Ifl\*T**v4 4 la:@;@<@=@e@f@g@R\`| Z  $IfgdVkkd'G$$Ifl\*T**v4 4 lag@h@i@j@@@@|pRpp\p`p| Z  $IfgdV~kdG$$Iflr*T6$**v48T4 la@@@@@@@|pRpp\p`p| Z  $IfgdV~kdyH$$Iflr*T6$**v48T4 la@@@@@@@|pRpp\p`p| Z  $IfgdV~kdI$$Iflr*T6$**v48T4 la@@@@@@@|pRpp\p`p| Z  $IfgdV~kdI$$Iflr*T6$**v48T4 la@@@@AA|pRpp\d  $$Ifa$gdV Z  $IfgdV~kdkJ$$Iflr*T6$**v48T4 laAA$AdAACBBiiNN$p>d7$8$H$^p`>a$gd$d7$8$H$^a$gdJ.$ ^a$gdJnkdL$$Ifl4\*T**v4 4 laf4AA$AAAAFBZBBBCCDDhFiFjFkF|FFFFFFFFFFF=G>GGGOG`GaGG͸xrnc_[[[h4uh{hV5<B*phhX hVCJhVB*phjhVUhV+hoh5<B* CJOJQJaJphf+hoh<>*B* CJOJQJaJphf(hoh<B* CJOJQJaJphf(hohJ<B* CJOJQJaJphfhohV<B* CJphfhohX<B* CJphf#BCDiFjFFFFFFF&zulR|l|W V$If^V`gdV $IfgdVgdV2kdL$$Ifl**`'4 la d$If^dgdV^gdV$p>d7$8$H$^p`>a$gd $  p>d7$8$H$^p`>a$gd FFFFFGGR\`| Z  $IfgdV`kdM$$Ifl4F*T**v!    4 laf4GGGGG G!G{|kRkk\k`k| Z  $IfgdVkdM$$Iflr*T6$**v48T4 la!G"G#G$G?G@GAG{|kRkk\k`k| Z  $IfgdVkd'N$$Iflr*T6$**v48T4 laAGBGCGDGbGcGdG{|kRkk\k`k| Z  $IfgdVkdN$$Iflr*T6$**v48T4 ladGeGfGgGGGG{|kRkk\k`k| Z  $IfgdVkdsO$$Iflr*T6$**v48T4 laGGGGGG{|kRkk\X $ Z  $Ifa$gdV Z  $IfgdVkdP$$Iflr*T6$**v48T4 laGGGGGGGGGGGHHjI~IIJvJJKKjLkLlLmL~LLLLշ}}}}}g\TLThVB*phjhVUhohVB* phf+hoh5<B* CJOJQJaJphf+hoh<>*B* CJOJQJaJphf(hoh<B* CJOJQJaJphfhohw9<B* CJphfhohV0JE<B* phfhohX<B* CJphfhohV<B* CJphfhVjPh{zGUhpy(jhpy(UGGGGgIIsJK|~nOOOO$ "p>d7$8$H$^p`>a$gd.$ T^a$gd4u.$ ^a$gdpkdQ$$Ifl\*T**v4 4 laKkLlLLLLLLLL&R||\| | $IfgdVgdV2kd[R$$Ifl**`'4 la d$If^dgdV^gdV$p>d7$8$H$^p`>a$gd LLLLLLLLLLL2M3MAMBMCMDMEM|M}MMMMNaNbNpNqNrNtNuNvNwNNNO$PP Q R RS*SZToooo+hohe<>*B* CJOJQJaJphf(hohe<B* CJOJQJaJphfhohX<B* CJphfhohV<B* CJphfjgXh{zGUh+hojaTh{zGU hV5j9Sh{zGUhpy(jhpy(UhXhV hVCJ+LLLLLLR||\| | $IfgdVkkdR$$Ifl\*T**v4 4 laLLLL2MDMR||\| | $IfgdVkkdS$$Ifl\*T**v4 4 laDMEMFMGM~MMRz\  Z @JB$IfgdV $IfgdVkkdT$$Ifl\*T**v4 4 laMMMMMM|Rz\  Z @JB$IfgdV $IfgdVkkdU$$Ifl\*T**v4 4 laMMMMMM|Rz\  Z @JB$IfgdV $IfgdVkkd'V$$Ifl\*T**v4 4 laMMMMNN|Rz\  Z @JB$IfgdV $IfgdVkkdV$$Ifl\*T**v4 4 laNNNNENFN|Rz\  Z @JB$IfgdV $IfgdVkkdGW$$Ifl\*T**v4 4 laFNGNHNINaNsN|Rz\n  $$Ifa$gdV Z @JB$IfgdV $IfgdVkkdW$$Ifl\*T**v4 4 lasNtNNNOOP RSiiNNNN$p>d7$8$H$^p`>a$gde$d7$8$H$^a$gde.$ @^a$gdenkdeY$$Ifl4\*T**v4 4 laf4SWTUU V V V VLV&R|^#| $Ifgd4ugdV4kd Z$$Iflx**`'4 la d$If^dgdV p>^p`>gde$p>d7$8$H$^p`>a$gdeZTTUUUUUVVV V V VLVMVbVcViVsVVVVVVVVVVVVVVW W W W*W+W9W:W;W=WԿ~zo~j^h{zGUhpy(jhpy(Uh9phNw~hI h+5 h+CJh+ hVCJhVB*phhVjhVUhe(hoh =<B* CJOJQJaJphf(hohe<B* CJOJQJaJphf+hohe<>*B* CJOJQJaJphf)LVMVRVVVbVcVdVeVR|| |G>R> $Ifgd4u`kdZ$$Ifl4F*T**v!    4 laf4 $Ifgd4uMkd[Z$$Ifl40*T**6$4 laf4eVVVVVVVVVV\`|b|R\`|kdE[$$Iflr*T6$**v48T4 la $Ifgd4u Z  $Ifgd4u VVVVVVV{|rRrb\r`r| Z  $Ifgd4u $Ifgd4ukd[$$Iflr*T6$**v48T4 laVVVVVVV{|rRrb\r`r| Z  $Ifgd4u $Ifgd4ukd\$$Iflr*T6$**v48T4 laVVVVWWW{|rRrb\r`r| Z  $Ifgd4u $Ifgd4ukd7]$$Iflr*T6$**v48T4 laWWWW*W^p`>a$gd-.$ T@^a$gd+.$ @^a$gd-skd_$$Ifl4\*T**v4 4 laf4 =W@WKWLWMWPWQWeWfW}WXX,X-XAXXXRYSYgYhY{YZZ-Z.ZJZ[[[[+[,[-[.[0[G\H\V\Ӿysogchpy(jhpy(UhV hICJhIB*phjhIUhI+hoh-<>*B* CJOJQJaJphf4jhoh-<>*B* CJOJQJUaJphf(hoh-<B* CJOJQJaJphfhohS<B* CJphfhoh+<B* CJphfhohI<B* CJphf&[.[/[0[5[9[f[g[&R|| |U[kds`$$Ifl4F*T**v!    4 laf4 $IfgdVgdV2kd%`$$Ifl**`'4 la d$If^dgd4ug[h[i[[[[[[[[R\ |R\ nkd`$$Ifl4\*T**v4 4 laf4 Z @JB$IfgdV [[[[[[|R\  Z @JB$IfgdVnkda$$Ifl4\*T**v4 4 laf4[[[[[[|R\  Z @JB$IfgdVnkdb$$Ifl4\*T**v4 4 laf4[[[[,\-\|R\  Z @JB$IfgdVnkdb$$Ifl4\*T**v4 4 laf4-\.\/\0\G\Y\|R\t  $$Ifa$gdV Z @JB$IfgdVnkdKc$$Ifl4\*T**v4 4 laf4V\W\X\Z\\\\\7^T^__p``aabbbbbcccc,d-d;d*B* CJOJQJaJphf(hoh-<B* CJOJQJaJphfhoh{<B* CJphfhohV<B* CJphfhVjhpy(Ujch{zGU Y\Z\\\4^_m`abbeeeeXX p^p`gd-$pd7$8$H$^p`a$gd-.$ T@^a$gd+nkdd$$Ifl4\*T**v4 4 laf4 bcc ccc.c/c&R|| |U[kde$$Ifl4F*T**v!    4 laf4 $IfgdVgdV2kde$$Ifl**`'4 la d$If^dgdV/c0c1c[c\c]c^c_cccR\ |R\ nkdQf$$Ifl4\*T**v4 4 laf4 Z  $IfgdV cccccc|R\  Z  $IfgdVnkdf$$Ifl4\*T**v4 4 laf4cccccc|R\  Z  $IfgdVnkd}g$$Ifl4\*T**v4 4 laf4ccccdd|R\  Z  $IfgdVnkdh$$Ifl4\*T**v4 4 laf4dddd,d>d|R\t  $$Ifa$gdV Z  $IfgdVnkdh$$Ifl4\*T**v4 4 laf4>d?d^d_defyghipUUUUH p>^p`>gd-$p>d7$8$H$^p`>a$gd-.$ T@*^*a$gdV.$ *^*a$gd-nkd=j$$Ifl4\*T**v4 4 laf4_dbddeeff|gghhiiiiiiiiiii j jllllllllll8m9m:mwrjbjhpy(Uh^6hV>* h{)~5h^6hV5CJh^6hV5 hSh[?Xh^6hVCJ h^6hV h/CJ hVCJhVB*phjhVUhV(hz h-<B*CJOJQJaJph+hoh-<>*B* CJOJQJaJphf(hoh-<B* CJOJQJaJphf$iiii j jl&^#)qa^#D[$$Ifa$gdV<kd/k$$Ifl48T*6$6$4 laf4 d$IfgdVgd/2kdj$$Ifl**`'4 la d$If^dgdVlllllll D[ D[ D[J; D[ V$Ifgdu4bkdk$$Ifl48FT*   6$    4 laf4 $$Ifa$gdV $IfgdV<kdk$$Ifl4T*6$6$4 laf4ll5m8m9mKmLmMm D[ D[D[D[Dkdm$$Ifl4ֈT !t"%s* `hh{6$4 laf4 6$IfgdV $IfgdV $IfgdV:mHmImJmKmLmMmPmqmrmsmmmmmmmmmmmmmmmmmmmmmmmmmm*n+n,n:n;nn?n@nBnOnQnTnUnVndn̯̯ڷ̯⚒ѯ̯jrh{zGUh^6hV>* h{)~>*j1ph{zGU hV5h^6h{)~5h^6hV5CJjPnh{zGU h{)~5h^6hVCJh^6hV5 h^6hVjhpy(Uj}lh{zGUhpy(4Mmmmnmqmrmmm D[D[D[ 6$IfgdV $IfgdV $IfgdV V$Ifgdu4mmmmmmmeV D[V D[GGD[>D[ $IfgdV $IfgdV V$Ifgdu4kdjo$$Ifl4ֈT !t"%s* hh{6$4 laf4mmmmmm'n*n\|M D[> D[> D[>D[ $IfgdV V$Ifgdu4kdKq$$Ifl4ֈT !t"%s* hh{6$4 laf4 6$IfgdV*n+n=n>n?nPnQnD[SD D[5 $IfgdV V$Ifgdu4kd2s$$Ifl4ֈT !t"%s* `hh{6$4 laf4 6$IfgdV $IfgdVQnTnUngnhnin|nD[D[D5 D[ V$Ifgdu4kdu$$Ifl4ֈT !t"%s* hh{6$4 laf4 6$IfgdV $IfgdV $IfgdVdnenfngnhninjnln{nnnnnnnnnnnnnnnnoooooooooo6o8o;o*h^6hV>*h^6hVCJjuh{zGUhpy( h{)~5h^6h{)~5h^6hV5CJh^6hV5 h^6hVjhpy(Ujsh{zGU3|n}nnnnnnD[D[Dkdv$$Ifl4ֈT !t"%s* hh{6$4 laf4 6$IfgdV $IfgdV $IfgdVnnnnnooo D[ D[ D[D[D[ 6$IfgdV $IfgdV $IfgdV V$Ifgdu4oo7o8o;oD[5 6$IfgdV $IfgdV $IfgdV V$Ifgdu4kdx$$Ifl4ֈT !t"%s* `hh{6$4 laf4NoOoPoooposoto\M D[>>D[5D[ $IfgdV $IfgdV V$Ifgdu4kdz$$Ifl4ֈT !t"%s* hh{6$4 laf4 6$IfgdVoooooooo ppppp"p7p8p9p:p;pp@pBp^p`pppqqqƸƠƘƠƒƒ}p}eZeOhvhvB*phhohMB* phfhohvB* phfhv5>*CJOJQJhv5CJOJQJhvCJOJQJ hK 2CJhK 2B*phjhK 2U hK 25hohK 2B* phfhohK 25<B* phfhK 2hk@"CJOJQJh^6hVCJh^6hV5 h^6hVjhpy(Ujo{h{zGUtooooooop\ZQ`Hp#|H $IfgdK 2 $IfgdK 2kd|$$Ifl4ֈT !t"%s* hh{6$4 laf4 6$IfgdVppp:p;ppApBp`p''k f]6j]j]j]h#j $IfgdvgdK 22kd}$$Ifl*n(4 la $If^gdK 2^gdK 2JkdP}$$Ifl0T*8H$(4 la `pqqqqrryl'l' &$If^&gdvF^Fgdvskd~$$Ifl4\*T*h@$4 laf4 D$Ifgdvqqqqrrrrrrr^r`rrrUsVsssssssssssss5t8t7u8uuuuuuuuuuuuuvvvvwwUwVwwʿʿʡ$hohM<B* CJOJQJphf$hohv<B* CJOJQJphfhohMB* phfhohvB* phfhv5CJOJQJhv5>*CJOJQJhvCJOJQJhvB*phjhvUhv5rrrrrr`rss 6jjjh#jh#j D$Ifgdvd$Ifgdv $Ifgdvgdv2kd~$$Ifl*x(4 lasssssssz'z'G Bgdv2kd|$$Ifl*x(4 la &$If^&gdv^gdvnkd~$$Ifl4\*T*h@$4 laf4sss8tuuuuuu6jRjh#jh#jzm'm' &$If^&gdv^gdv[kd$$Ifl4F*T**@$    4 laf4d$Ifgdv D$Ifgdv $Ifgdv uuuuuvTxUxVx 6jR|h#jh#jM[kd$$Ifl4F*T**@$    4 laf4 $$Ifa$gdv $Ifgdv $Ifgdvgdv2kdJ$$Ifl*x(4 lawwwTxVxWxXxix~xxxxxxxxxyyUzXz|{{{{{)||||ĺyly^yyPyhohv56B* phfhohv5>*B* phfhohv>*B* phfhohv5B* phfhohvB* phfhvCJOJQJ hvCJ hv5hvB*phjhvUhvhvCJOJQJ$hohv<B* CJOJQJphf'hohM6<B* CJOJQJphf'hohv6<B* CJOJQJphfVxWxxxxxxxxx'' (|p|<&|7kdf$$Ifl*)4 laz $Ifgdvgdv2kd$$Ifl*x(4 la $If^gdv^gdv xxxxyy{{L}M}jj D$Ifgdv $$Ifa$gdv $IfgdvJkd$$Ifl0*v'4 laz ||K}M}N}P}}}}}}~ ~ ~~~~~~~~~~~~ zpk[pQjhv5Ujh{zGh{zG5U hp5jhp5U hK 25hvCJOJQJho5CJOJQJ hQ~hojh{zGUmHnHujhpy(Uhpy(jhpy(U ho5>* ho5hoCJOJQJ hv5hohvB* phfhohv5B* phfhohM5B* phfM}N}O}P}}~jj@|z H$Ifgdo $Ifgdo $$Ifa$gdo $Ifgdo]kd$$IflF* '     4 laz~~~~ijyjp2&| $Ifgdv $$Ifa$gdv $Ifgdvpkd$$Ifl\* 4 laz   JpqrtuЀрzrjbj[MhohK 26<B* phf hK 25>*hvB*phjhvUh_ @hv<'hohK 26<B* CJOJQJphf$hohM<B* CJOJQJphf$hohK 2<B* CJOJQJphfhK 25>*CJOJQJhv5CJOJQJhvCJOJQJhv hv5 hv5>*jhv5Ujh{zGh{zG5U i(|`WjW6jKj $$Ifa$gdv $Ifgdv7kd$$Ifl*) 4 laz $Ifgdv]kd$$IflF* '     4 laz Jqrstp$j`WF( &$If^&gdv^gdvpkd`$$Ifl\vF*hH% 4 laz $Ifgdv%$ /tF <!D%'()$Ifa$gdK 2рӂ(|wjk6jkjbbb $IfgdK 2 $$Ifa$gdv $Ifgdv:kd>$$Ifl4*))4 lazf4 $Ifgdv$a$gdv2kd$$Ifl*)4 laz р()mnӂƒÃăŃǃكڃރ߃ jl~„ŽŵŽɪvpf_f hv5\h[hv5\ hx)CJjh{zGUmHnHujNhpy(Uhpy(jhpy(Uhx) hpCE5CJhpCEh%+ hhvhvB*phjhvUhv hv5h_ @hv5<hohK 25<B* phfhohM<B* phfhohK 2<B* phf$ăŃƃo(42:kd($$Ifl4 *))4 lavf4$*$If^*a$gdv $^a$gdvskd$$Ifl4\vF*hN%)4 lazf4ƃǃȃɃʃ˃׃؃ك0*1D[D[)D[D[ )|  $$Ifa$gdpCEd($IfgdpCE $Ifgdx) p$If^pgdpCE $IfgdpCEgd%+كڃۃ܃݃ރU|LD[LD[L)D[?D[6 6$Ifgdx) p$If^pgdpCE $IfgdpCEkd|$$Ifl֞ F2 *v T )4 lav:b|yp<pp5pqpipv $IfgdvkdĈ$$Iflr *)4 lav|~I|@<|/| $If]gdv $Ifgdvkdn$$Iflֈ F#* IAN)4 lavp<„ĄƄȄ5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdv„ƄȄʄ̄ NRVXZ\ ')*89:<=KLMOP^_`bc㻷㻷㻷hohv<B* CJphfjhh{zGUj\h{zGUjPh{zGUhpy(jhpy(U hv5CJ h5hvh5hvCJOJQJ hv5hv hvCJh5hv5h5hv5CJ/Ȅʄ̄I@<D[*D[@5D[  $If]gdv $Ifgdvkdi$$Iflֈ F#* IAN)4 lavp<qiv|7.<D[ $Ifgdvkdd$$Iflֈ F#* IAN)4 lavp< $Ifgdv 6$IfgdvPRTVXD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvXZ\I@<D[)D[@5D[  ʈ$If]gdv $Ifgdvkd_$$Iflֈ F#* IAN)4 lavp<qiv|7.<D[ $IfgdvkdZ$$Iflֈ F#* IAN)4 lavp< $Ifgdv 6$Ifgdv D[D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv()I|@<D['D[@5D[  $If]^`gdv $IfgdvkdU$$Iflֈ F#* IAN)4 lavp<);<NOab 6$$Ifa$gdv 6$Ifgdvbc/"" B @h^hgdvkdt$$Ifl E F#'* )$$$$4 lav5J(؋LMVlnopqÏơ̶̼̬̆̎́zs̎́z̎́ hv5CJ h5hvh5hvCJOJQJ hv5h5hv5h5hv5CJ hv5\h[hv5\ hvCJhvB*phjhvUhvhohv<B* phf#hohv<>*B* CJaJphf hohv<B* CJaJphf-2QIB & FEƀjfgdvIB & FEƀjfgdv B0^`0gdv B^`gdvHuk!IB & FEƀjfgdvIB & FEƀjfgdvIB & FEƀjfgdvFk!IB & FEƀjfgdvIB & FEƀjfgdvIB & FEƀjfgdvDIB & FEƀjf gdvIB & FEƀjf gdv B0^`0gdv B^`gdv Bp0^p`0gdv1Ek!IB & FEƀjf gdvIB & FEƀjf gdvIB & FEƀjf gdvҍk!IB & FEƀjfgdvIB & FEƀjfgdvIB & FEƀjfgdv\k!IB & FEƀjfgdvIB & FEƀjfgdvIB & FEƀjfgdvΎkfY(  $If^ gdv?gdvIB & FEƀjfgdvIB & FEƀjfgdv !"4HU;5qiv $Ifgdvgdv2kd$$Ifl*|)4 lazUVZkI|@;|/| $If]gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<klmno5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvopqI@;D[*D[@5D[  $If]gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvÏI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkdۖ$$Iflֈ B#* IAN4 lavp<ÏďŏƏǏȏqiv|7.;D[ $Ifgdvkd֗$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvŏƏǏȏ +,-/0>?@BC\iʑŒPQRcxyz{|ȽȲȧzrzhvB*phjhvUhohv<>*B* CJphfhohv<B* CJphf hvCJjh{zGUjؚh{zGUj̙h{zGUhpy(jhpy(U hv5h5hvCJOJQJhe;hv5hv hv5CJ h5hv,ȏD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv I@;D['D[@5D[  $If]^`gdv $Ifgdvkdј$$Iflֈ B#* IAN4 lavp< ./AB 6$$Ifa$gdv 6$IfgdvBCX/" B @h^hgdvkd$$Ifl A B#'* $$$$4 lavXY@f^IB & FEƀjfgdvIB & FEƀjfgdv B^`gdvfbk!IB & FEƀjfgdvIB & FEƀjfgdvIB & FEƀjfgdvޕߕNOYIB & FEƀjfgdv B^`gdvBgdvIB & FEƀjfgdvDk!IB & FEƀjfgdvIB & FEƀjfgdvIB & FEƀjfgdv>kk!IB & FEƀjf"gdvIB & FEƀjf!gdvIB & FEƀjf gdvٙPk!IB & FEƀjf%gdvIB & FEƀjf$gdvIB & FEƀjf#gdvPQ{|}~(;5qiv $Ifgdv7kd$$Ifl*|)4 laz  $If^ gdv?gdv |}ɚ˚͚̚Κ#$13456Z\^_`Ϋyrjf[jHh{zGUhpy(jhpy(U h07hvh07hvCJOJQJh07hv5hfhvCJ hfhvhfhvCJOJQJhfhv5 hv5CJ h5hvh5hvCJOJQJ hv5 hvCJh5hv5h5hv5CJ hv5\h[hv5\hv#ȚI|@;|/| $If]gdv $Ifgdvkdf$$Iflֈ B#* IAN4 lavp<Țɚʚ˚̚5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdv͚̚ΚI@;D[*D[@5D[  $If]gdv $Ifgdvkda$$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkd\$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdv%01234D[D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv456[\I|@;D[)D[@5D[  ʈ$If]gdv $IfgdvkdW$$Iflֈ B#* IAN4 lavp<\]^_`aqiv|7.;D[ $IfgdvkdR$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvaD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvI@;D['D[@5D[  $If]^`gdv $IfgdvkdM$$Iflֈ B#* IAN4 lavp<›Лћқԛ՛8IP&ܭ°°Š°°|jY hohaQ<B* CJaJphf#hohaQ<>*B* CJaJphfhaQ<B* CJaJphf#hohv5<B* CJaJphf&hohv5<>*B* CJaJphf#hohv<>*B* CJaJphf hohv<B* CJaJphf hvCJj`h{zGUjTh{zGUhpy(hvjhpy(Uӛԛ 6$$Ifa$gdv 6$Ifgdv/"Bgdv B h^hgdvkdl$$Ifl A B#'* $$$$4 lavϞО[YIB & FEƀjf'gdvIB & FEƀjf&gdvBgdv B^`gdvsk!IB & FEƀjf*gdvIB & FEƀjf)gdvIB & FEƀjf(gdvsIk!IB & FEƀjf-gdvIB & FEƀjf,gdvIB & FEƀjf+gdvIƥPIB & FEƀjf/gdv B^`gdvB^gdvBgdvIB & FEƀjf.gdvƥ*7k!IB & FEƀjf2gdvIB & FEƀjf1gdvIB & FEƀjf0gdv)+k!IB & FEƀjf5gdvIB & FEƀjf4gdvIB & FEƀjf3gdvǨ@k!IB & FEƀjf8gdvIB & FEƀjf7gdvIB & FEƀjf6gdv3YIB & FEƀjf:gdv B^`gdaQBgdvIB & FEƀjf9gdv3yk!IB & FEƀjf=gdvIB & FEƀjf<gdvIB & FEƀjf;gdvܭݭ 2?(pg;gg5gqgigv $Ifgdv2kd$$Ifl*|)4 laz  $If^ gdv?gdvIB & FEƀjf>gdv ܭݭޭ 67@RSTUVWsuwxy®îĮ辴蔍مxqh蔍`jhgUh$MhvCJ h$Mhvh$MhvCJOJQJh$Mhv5 h5hvh5hvCJOJQJ hv5 hvCJh5hv5h()hv5\h()hv5CJ hv5\h[hv5\ hv5CJhvB*phhvjhvUhohvB* phf%?@DQI|@;|/| $If]gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<QRSTU5D[qiv| $Ifgdv $Ifgdv $If]gdvUVWtuI@;D[*D[@5D[  $If]gdv $Ifgdvkdݩ$$Iflֈ B#* IAN4 lavp<uvwxyzqiv|7.;D[ $Ifgdvkdت$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdvz®D[D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv®îĮI|@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkdӫ$$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkdά$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdv"#56HID[5D[ 6$$Ifa$gdv 6$Ifgdv $Ifgdv  $If]^`gdv !#$23467EFGIJ[_uίϯ'fhij{°ɺxphp^h[hv5\hvB*phjhvUhohv<B* phf#hohM<>*B* CJaJphf#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjկh{zGUjϮh{zGUhvjhgUjɭh{zGUhg#IJ[\/"Bgdv B h^hgdvkd۰$$Ifl A B#'* $$$$4 lav\ hi˰(;5qiv $Ifgdvgdv2kd$$Ifl*|)4 laz  $If^ gdv?gdv B^`gdv °ð̰ :IKMNOP{}αбѱ߱Ϋyrjf[jj3h{zGUhgjhgU h#hvh#hvCJOJQJh#hv5h5hvCJ h5hvh5hvCJOJQJh5hv5 hv5CJ h5hvh5hvCJOJQJ hv5 hvCJh5hv5h5hv5CJhvh[hv5\ hv5\#˰̰аI|@;|/| $If]gdv $IfgdvkdQ$$Iflֈ B#* IAN4 lavp<5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdv I@;D[*D[@5D[  $If]gdv $IfgdvkdL$$Iflֈ B#* IAN4 lavp< qiv|7.;D[ $IfgdvkdG$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvJKLMND[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvNOP|}I@;D[)D[@5D[  ʈ$If]gdv $IfgdvkdB$$Iflֈ B#* IAN4 lavp<}~qiv|7.;D[ $Ifgdvkd=$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvϱбI@;D['D[@5D[  $If]^`gdv $Ifgdvkd8$$Iflֈ B#* IAN4 lavp<б  6$$Ifa$gdv 6$Ifgdv "%<²5LMVqstuvijyogh5hv5h5hv5CJ hv5\h[hv5\ hv5CJhvB*phjhvU#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjKh{zGUhvj?h{zGUhgjhgU& !"/"Bgdv B @h^hgdvkdW$$Ifl A B#'* $$$$4 lav"  !"4HU(;5qiv $Ifgdv2kd$$Ifl*|)4 laz  $If^ gdv?gdv B^`gdvUVZpI|@;|/| $If]gdv $Ifgdvkdͼ$$Iflֈ B#* IAN4 lavp<pqrst5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvtuvI@;D[*D[@5D[  $If]gdv $IfgdvkdȽ$$Iflֈ B#* IAN4 lavp<vصڵܵݵ޵(*+9:;=>LMNPQ_`acdƿۮxmg hvCJjh{zGUjh{zGUjh{zGUhgjhgU h5hvh5hvCJOJQJh5hv5h` hvCJ h` hvh` hvCJOJQJh` hv5 hv5CJ h5hvh5hvCJOJQJhv hv5%qiv|7.;D[ $Ifgdvkdþ$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvٵڵI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<ڵ۵ܵݵ޵ߵqiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdvߵ D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv)*I@;D['D[@5D[  $If]^`gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<*<=OPbc 6$$Ifa$gdv 6$Ifgdvcd~/"Bgdv B @h^hgdvkd$$Ifl A B#'* $$$$4 lavdXn "#$%=?ABCะ~xsf_ h5hvh5hvCJOJQJ hv5 hvCJh5hv5h5hv5CJ hv5\h[hv5\ hv5CJhvB*phjhvUhv#hohv6<B* CJaJphf#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf"U¹ùĹֹ(;5qiv $Ifgdvgdv2kd$$Ifl*|)4 laz  $If^ gdv?gdv B^`gdvI|@;|/| $If]gdv $IfgdvkdI$$Iflֈ B#* IAN4 lavp< !"#5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdv#$%>?I@;D[*D[@5D[  $If]gdv $IfgdvkdD$$Iflֈ B#* IAN4 lavp<?@ABCDqiv|7.;D[ $Ifgdvkd?$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvDhijklD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvCiklmnºúѺҺӺպֺĽ֮֮֮փtgtV hohv<B* CJaJphfhohv<B* phfhohv<B* CJphf hvCJj<h{zGUj6h{zGUj0h{zGUhgjhgU hv5CJ h5hvh5hvCJOJQJ hv5hvh` hvCJ h` hvh` hvCJOJQJh` hv5!lmnI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd:$$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkd5$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvºԺպD[5D[ 6$$Ifa$gdv 6$Ifgdv $Ifgdv  $If]^`gdv/"Bgdv B @h^hgdvkdB$$Ifl A B#'* $$$$4 lav&лǼDEFWlmnopqоҾԾվ־ -/0ظاؚ؍wjcZwjchhvCJ hhvhhvCJOJQJhhv5 hv5CJ h5hvh5hvCJOJQJ hv5h5hv5h5hv5CJ hv5\h[hv5\ hvCJhvB*phjhvUhv hohv<B* CJaJphf#hohv<>*B* CJaJphf#DEopqrst(;5qiv $Ifgdv2kdj$$Ifl*|)4 laz  $If^ gdv?gdv B^`gdv I|@;|/| $If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvѾҾI@;D[*D[@5D[  $If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<ҾӾԾվ־׾qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$Ifgdv׾D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv ,-I@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<-./012qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$Ifgdv012GIJXYZ\]klmop~CDEVklmnop󻬛yrhh[hv5\ hv5CJhvB*phjhvU#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjh{zGUjh{zGUjh{zGUhgjhgU hv5hvhhvCJ&2HI[\noD[5D[ 6$$Ifa$gdv 6$Ifgdv $Ifgdv  $If]^`gdv/"Bgdv B @h^hgdvkd$$Ifl A B#'* )$$$$4 lavCDnopqrs(;5qiv $Ifgdv2kd$$Ifl*|)4 laz  $If^ gdvgdv B^`gdv -/012IKMNOPeghvwxz{놂w놂l놂ajh{zGUjh{zGUjh{zGUhgjhgUh` hvCJ h` hvh` hvCJOJQJh` hv5 hv5CJ h5hvh5hvCJOJQJ hv5 hvCJh5hv5h5hv5CJhvh[hv5\ hv5\&I|@;|/| $If]gdv $Ifgdvkd'$$Iflֈ B#* IAN)4 lavp<5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvI@;D[*D[@5D[  $If]gdv $Ifgdvkd"$$Iflֈ B#* IAN)4 lavp<qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$Ifgdv,-./0D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv012JKI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<KLMNOPqiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$IfgdvPfgyzD[5D[ 6$$Ifa$gdv 6$Ifgdv $Ifgdv  $If]^`gdv9n123DYZ[\]^ͻͻ󡚡voh`hhv5 hv5CJ h5hvh5hvCJOJQJ hv5h5hv5h5hv5CJ hv5\h[hv5\hvB*phjhvU#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJhvjhgU /"Bgdv B @h^hgdvkd $$Ifl A B#'* )$$$$4 lav6I<^IB & FEƀjf@gdvIB & FEƀjf?gdv B^`gdv<y1k!IB & FEƀjfCgdvIB & FEƀjfBgdvIB & FEƀjfAgdv12\]^_`as(;5qiv $Ifgdv2kdH$$Ifl*|)4 laz $If^gdv^gdv I|<;|+| $If]gdv $If^gdvkd$$Iflֈ B#* IAN)4 lavp<5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvI@;D[*D[@5D[  $If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$IfgdvD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv  ./023ABCEFUX`ƿ߷߷߷ߌ}lZlZlZ#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjh{zGUjh{zGUj}h{zGUhgjhgU hv5CJ h5hvh5hvCJOJQJ hv5hvhhvCJ hhvhhvCJOJQJ#I@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$Ifgdv 12DED[5D[ 6$$Ifa$gdv 6$Ifgdv $Ifgdv  $If]^`gdvEFTU/"" B @^gdvkd$$Ifl A B#'* )$$$$4 lavUz{6YIB & FEƀjfEgdvIB & FEƀjfDgdvBgdv B^`gdvWXYj 79;<=>XZ\]^wyٹ٨َََٛٛٛxkh` hvCJOJQJh` hv5 hv5CJ h5hvh5hvCJOJQJ hv5h5hv5h5hv5CJ hv5\h[hv5\ hvCJhvB*phjhvUhv#hohv<>*B* CJaJphf hohv<B* CJaJphf'6k!IB & FEƀjfHgdvIB & FEƀjfGgdvIB & FEƀjfFgdvWX(pg;gg5gqgigv $Ifgdv2kd$$Ifl*|)4 laz  $If^ gdvgdvIB & FEƀjfIgdv I|<;|+| $If]gdv $If^gdvkd$$Iflֈ B#* IAN4 lavp<5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdv I@;D[*D[@5D[  $If]gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdv89:;<D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv<=>YZI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<Z[\]^_qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdv_vwxyzD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvz{|I@;D['D[@5D[  $If]^`gdv $Ifgdvkd$$Iflֈ B#* IAN4 lavp<y{|szHI{qj hv5\h[hv5\hvB*phjhvU#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjh{zGUjh{zGUjh{zGUhgjhgU hv5hv h` hv) 6$$Ifa$gdv 6$Ifgdv/"" B @^gdvkd $$Ifl A B#'* $$$$4 lavpw0DQ(;5qiv $Ifgdv2kd3$$Ifl*|)4 laz  $If^ gdv^gdv B^`gdvQRWbI|<;|+| $If]gdv $If^gdvkd$$Iflֈ B#* IAN4 lavp<IRcefghwy{|}~'()+򖒇|qj{h{zGUjoh{zGUjch{zGUhgjhgU hhvhhvCJOJQJhhv5 hv5CJ h5hvh5hvCJOJQJ hv5 hvCJh5hv5h5hv5CJhvh[hv5\,bcdef5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvfghxyI@;D[*D[@5D[  $If]gdv $Ifgdvkd|$$Iflֈ B#* IAN4 lavp<yz{|}~qiv|7.;D[ $Ifgdvkdw$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdv~D[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkdr$$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkdm$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvI@;D['D[@5D[  $If]^`gdv $Ifgdvkdh$$Iflֈ B#* IAN4 lavp<*+ 6$$Ifa$gdv 6$Ifgdv+,<=/"" B @^gdvkd$$Ifl A B#'* $$$$4 lav+,=@H} #nop @JLļĴļĭģĒąxqiihhv5 h5hvh5hvCJOJQJ hv5h5hv5h5hv5CJ hv5\h[hv5\ hv5CJhvB*phjhvUhv#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJ$=z no(;5qiv $Ifgdv2kd$$Ifl*|)4 laz  $If^ gdv^gdv B^`gdvI|<;|+| $If]gdv $If^gdvkd$$Iflֈ B#* IAN)4 lavp<5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvI@;D[*D[@5D[  $If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$Ifgdv KLMNOD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdvLNOPQ`4_ƿ߷߷߷ߌ}lZlZlZ#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjh{zGUjh{zGUjh{zGUh%zjh%zU hv5CJ h5hvh5hvCJOJQJ hv5hvhhvCJ hhvhhvCJOJQJ#OPQI@;D[)D[@5D[  ʈ$If]gdv $Ifgdvkd$$Iflֈ B#* IAN)4 lavp<qiv|7.;D[ $Ifgdvkd$$Iflֈ B#* IAN)4 lavp< $Ifgdv 6$IfgdvD[5D[ 6$$Ifa$gdv 6$Ifgdv $Ifgdv  $If]^`gdv/"" B @^gdvkd $$Ifl A B#'* )$$$$4 lav]1';H(;5qiv $Ifgdv2kd $$Ifl*|)4 laz  $If^ gdv^gdv B^`gdv _ ?@Ieghij$&()*뺲렙렙렙}vnjh%zU hhvhhvCJOJQJhhv5 hv5CJ h5hvh5hvCJOJQJ hv5h5hv5h5hv5CJ hv5\h[hv5\ hvCJhvB*phjhvUhv hohv<B* CJaJphf*HINdI|<;|+| $If]gdv $If^gdvkdl $$Iflֈ B#* IAN4 lavp<defgh5D[qD[iD[v| $Ifgdv $Ifgdv $If]gdvhijI@;D[*D[@5D[  $If]gdv $Ifgdvkdg $$Iflֈ B#* IAN4 lavp<qiv|7.;D[ $Ifgdvkdb $$Iflֈ B#* IAN4 lavp< $Ifgdv 6$IfgdvD[5D[qiv| $Ifgdv 6$Ifgdv $Ifgdv  ʈ$If]gdv%I@;D[)D[)D[  ʈ$If]gdv $Ifgdvkd]$$Iflֈ B#* IAN4 lavp<%&'()*5D[qiv|.|kdX$$Iflֈ B#* IAN4 lavp< $Ifgdv 6$Ifgdv $Ifgdv*+`;D[D[D[5D[qiv| $Ifgdv 6$Ifgdv  ʈ$If]gdv $IfgdvI|@;D['D[@5D[  $If]^`gdv $IfgdvkdS$$Iflֈ B#* IAN4 lavp<bp`bɺvq hv>*hhvCJhhv5hvB*phjhvU#hohv<>*B* CJaJphf hohv<B* CJaJphfhohv<B* CJphf hvCJjfh{zGUjZh{zGUhvjh%zUjNh{zGUh%z+ 6$$Ifa$gdv 6$Ifgdv/"" B @^gdvkdr$$Ifl A B#'* $$$$4 lav_(:(D[h|7kd$$Ifl *)")4 laz $Ifgdv2kd$$Ifl*|)4 laz $If^gdv^gdv B^`gdv `bdfh:(|D[D[6D[|D[*  H$Ifgdv $Ifgdv $Ifgdv7kd6$$Ifl *)")4 laz d`$Ifgdv +,-/0]bc EJKĹĮģjh{zGUjh{zGUjh{zGUh%z hv5 hvCJ hv5CJhvjh{zGUmHnHujh%zUjhU=v_gD[^6D[^D[^D[^* D[ $Ifgdv $Ifgdvkd"$$Ifl4 r.0*T ")4 lazf4 x|i D[ZD[KD[B6D[BD[ $Ifgdv $Ifgdv \$Ifgdv \$Ifgdvkd$$Ifl4r^.0* ")4 lazf4./0D]* @1 D[1D[ \$Ifgdvkd$$Ifl4֞ d^.0* ~ h ")4 lazf4 6$Ifgdv $Ifgdv]^_`abcD[6D[D[D[* D[:|kd$$Ifl4֞ d^.0* ~ h ")4 lazf4 $Ifgdv $Ifgdvcv D[D[D[6D[D[*  6$Ifgdv $Ifgdv $Ifgdv $Ifgdv \$IfgdvRE D[6D['D[ $Ifgdv \$Ifgdv  \$Ifgdvkd$$Ifl4֞ d^.0* ~ h ")4 lazf46D[D[D[* D[I|: D[ \$Ifgdvkd$$Ifl4֞ d^.0* ~ h ")4 lazf4 $IfgdvD[D[6D[D[*  6$Ifgdv $Ifgdv $Ifgdv $Ifgdv \$Ifgdv*EFRC D[CD[4D[ $Ifgdv \$Ifgdvkd$$Ifl4֞ d^.0* ~ h ")4 lazf4FGHIJKk6D[D[D[* D[I|: D[ \$Ifgdvkd $$Ifl4֞ d^.0* ~ h ")4 lazf4 $IfgdvkD[D[6D[D[D[* D[ $Ifgdv $Ifgdv \$IfgdvR|C D[CD[4D[ $Ifgdv \$Ifgdvkd!$$Ifl4֞ d^.0* ~ h ")4 lazf46D[D[D[* D[I|: D[ \$Ifgdvkd"$$Ifl4֞ d^.0* ~ h ")4 lazf4 $IfgdvD[D[6D[D[D[* D[ $Ifgdv $Ifgdv \$IfgdvR|C D[4D[%D[ $Ifgdv \$Ifgdv $Ifgdvkd~#$$Ifl4֞ d^.0* ~ h ")4 lazf46D[D[* 7kd%$$Ifl4֞ d^.0* ~ h ")4 lazf4 6$Ifgdv $Ifgdv $Ifgdv"#EHIWXY[\ FJKLMORceҼֲuhv5<>*B*phhohv<>*B* phfhohv5<>*B* phf hv5>*hv5CJOJQJhvCJOJQJj*h{zGUjx'h{zGUh%z hvCJ hv5 hv5CJhvjh%zUj\$h{zGU- !" D[D[D[6D[D[D[* D[ $Ifgdv $Ifgdv \$Ifgdv $Ifgdv"#6CFR|C D[4D[%D[ $Ifgdv V$Ifgdv $Ifgdvkd&$$Ifl4֞ d^.0* ~ h ")4 lazf4FGHZ[\6D[D[* 7kd($$Ifl4֞ d^.0* ~ h ")4 lazf4 6$Ifgdv $Ifgdv $Ifgdv\l D[D[D[6D[D[D[* D[ $Ifgdv $Ifgdv \$Ifgdv $IfgdvR|C D[4D[%D[ $Ifgdv \$Ifgdv $Ifgdvkd)$$Ifl4֞ d^.0* ~ h ")4 lazf46D[D[* D[1kd+$$Ifl4֞ d^.0* ~ h ")4 lazf4 \$Ifgdv $Ifgdv $Ifgdv  D[D[D[6D[D[D[* D[ $Ifgdv $Ifgdv \$Ifgdv $Ifgdv +EFR|C D[4D[%D[ $Ifgdv \$Ifgdv $Ifgdvkd,$$Ifl4֞ d^.0* ~ h ")4 lazf4FGHIJKL6D[D[* D[@J(D[kd-$$Ifl4֞ d^.0* ~ h ")4 lazf4 6$Ifgdv $IfgdvLMNOR|j6jj $Ifgdv $$Ifa$gdv $Ifgdv:kd.$$Ifl40*")")4 lazf4}p(=7^2kdz/$$Ifl*)4 laz d$If^dgd!&^&gdvgdvskd.$$Ifl4\tA0*f$")4 lazf4  ",.024:< TU۾ۺwrwgwgwgwgwghohpCEB* phf h$\<hoh$\B* phfhoh$\5B* phfhk@"5OJQJhk@"56OJQJ hM5 hk@"5hk@"hh!^JhD3jh{zGUmHnHuj/hUh%zjh%zUh%+h&hvB*phhvjhvU(0240*10*D[7s7|v8v:u:v8v:`u:v8v:7kd0$$Ifl:N9:4 lal7kdD0$$Ifl:N9:4 lal$Ifh^hB$a$^^gd!^gd%+ 1S()Bu::kd=1$$Ifl4:N9:4 lalf4 @$Ifgdo7kd0$$Ifl:N9:4 lal()=>XZln ,.024P彸zvhVj4h{zGUhjhUh|/hV5jh{zG5UmHnHuj)4hh5U h5jh5U h$\5@ h$\5 h$\<hoh$\5B* phfh$\hohpCEB* phfhoh$\B* phf-BXm8IfJkd1$$Ifl0.:z:4 lal @$Ifgdo !=c{( @$Ifgdo:kd1$$Ifl4:N9:4 lalf4()*29>?IOYZ[chm`````jj{jj$$Ifa$gdo $$Ifa$gdo $$Ifa$gdo]kdX2$$IflFq%:,:    4 lalmnoxj:::::::::$$Ifa$gdo $$Ifa$gdo $$Ifa$gdo ]]]]]] $$Ifa$gdo $$Ifa$gdo 8 kd2$$Ifl4 F#&)Z-)26:8B|t5:((((4 lalf42V~>f`j::]$$If^a$gdo $IfgdV $Ifgdo PRTVXlnpz|~8:<޺޲٢޺޲ْ޺޲ق޺޲~s~hj9h{zGUjQ8h{zGUhj7hh5Uje7hh5Uj6hh5Uh|/hV5jh{zG5UmHnHuj6hh5U h5jh5UhVjhUj5h{zGU(<>@TVXbdfh¾uhuhuUMjhk@"U$hohk@"<B* CJOJQJphfhohM<B* phfhohk@"<B* phf hohk@"5B* OJQJphf hohM<B* OJQJphf hohk@"<B* OJQJphfhk@"5OJQJhk@"h$\h|/hV5jh{zG5UmHnHujS:hh5U h5jh5UhVfh|kd:$$Ifl4 F#&)Z-)26:8B|t5:((((4 lalf4hjlnprtvxz|~``j::]|)v:$If $P$Ifa$$Pa$^Ffu=$$If^a$gdo $Ifgdo)|)v:ig])]) h$If^h5kd?$$Ifl4|))4 laf4$If^`$If^`h$If^h`5kd_?$$Ifl4|))4 laf4 rsop*?@ABCDEW9ԻԮ󮡮Ԯ旊hohRd<B* phfhRd hk@"CJhohM<B* phfhohk@"<B* phfhohk@"B* phfhohM5<B* phfhohk@"5<B* phfhM hk@"5jhk@"Uhk@"hk@"B*ph5 )|rh)h) h$If^h5kdF@$$Ifl4|))4 laf4$If$If^`h$If^h`2kd?$$Ifl|))4 la AB )j)v:rh) h$If^h5kd@$$Ifl4|))4 laf4$If^`$If^`$If2kd@$$Ifl|))4 la BCDEW9$lm)sm)j)v:$If$If^`$If^` h$If^h$If2kd-A$$Ifl|))4 lah$If]^h 9lnopXtXuXXYYY>Z?Z@ZAZBZTZiZjZkZoZ[[[[[B\C\\\!]$]%]7]L]M]N]R] ^Ÿςςhk@"5CJOJQJhohk@"B* phf$hohk@"<B* CJOJQJphfhohM<B* phfhohk@"<B* phfUhk@"B*phhk@"jhk@"U hk@"5hRdhohRd<B* phfhohRd5<B* phf/mnoX?YY)) )jugg$If^` h$If^h$If2kdA$$Ifl|))4 la h$If^h:kdvA$$Ifl4|)))4 laf4 Identify under worker activities what the agency will do to facilitate time with siblings and others as appropriate. Identify the goals and objectives of the visits. 1. Specify type, frequency, location, and duration of visitation with siblings or others. Specify the name of the visitor and relationship to the child. 2. If visitation is supervised, specify by whom and what conditions must exist for unsupervised visit. 3. Specify length of visitation and the location of the visit. 4. Specify behaviorally specific activity expected by all parties during the visitation.   MACROBUTTON [b2] "Click Here and Type"   The development of this plan was negotiated with (also list those individuals who were unavailable to participate in the development and why not): Indicate who the plan was negotiated with and any individual who is involved in the plan but was unavailable to participate in its development. If any individual was unavailable, state the reason why they were not involved. If the parents were not involved in developing the case plan, the reason why must be documented. (See CFF 722-6, Parental Involvement in Developing the Plan.) Youth age 14 and older must be involved in the development of the plan and be responsible for its implementation with the assistance of identified individuals.   MACROBUTTON [b2] "Click Here and Type"   By signing below I agree that I have read the above, discussed it with my residential care worker, and understand what is expected of me to facilitate the permanency planning goal.CLICK HERE TO ADD YOUTH SIGNATURE FOR YOUTH AGE 14 AND OLDER  FORMTEXT    Parent/Caretaker Name:  FORMTEXT        Parent/Caretaker Signature:  Date: By signing below on behalf of the Department of Human Services we agree to those activities outlined above and will assist the family in their efforts to facilitate the Permanency Planning goal. Name and Title:  FORMTEXT       Signature: Date: Distribution of Plan:   MACROBUTTON [b2] "Click Here and Type"   DHS Local Office Name:  FORMTEXT      DHS Local Office Approval: Signature:  Date:  Title:  FORMTEXT       Date:  FORMTEXT       The local office shall approve, or disapprove, in writing, the Initial Service Plan for a child in purchased foster care or residential care. The Purchase of Service Agency is responsible for all elements of the Service Plans in cases where they have accepted responsibility for providing family services per the DHS-3600 contract. The local office is responsible for reporting requirements only when the Purchase of Service Agency has not accepted total case responsibility. The report from the local office should not duplicate the Purchase of Service agency report, but should address those areas for which the Purchase of Service Agency is not responsible per the DHS-3600 contract. Approval shall be indicated by signing the Initial Service Plan submitted by the purchase agency. The approved Initial Service Plan is to be returned to the purchase agency within seven days of receipt; a copy is retained in the child's case record. The local office is responsible for knowing what services are being purchased from the purchase agency and for monitoring compliance with the DHS-3600. When a noncompliance situation is identified, it is to be brought to the attention of the purchase agency both verbally and in writing. If efforts to resolve the area of conflict locally are not successful, the situation is to be brought to the attention of the appropriate Zone Office. If they are unable to intervene successfully, then Office of Child and Family Services is to be involved. YY>Z?Z@ZAZlZmZnZoZ[))g bY)j $$Ifa$$a$2kd]B$$Ifl|))4 la h$If^h5kdB$$Ifl4|))4 laf4@$If@d$If^` h$If^h [!]"]#]$]O]P]Q]R]^)v:))| )j2kdB$$Ifl|))4 la$If$a$5kdB$$Ifl4|))4 laf4 $$Ifa$$If ^^^^^^^_ _ _)v:rdil |il |^NjXNRjRv:$If$If d$If $Ifgde3Jkd%D$$Ifl4|))   4 laf4p x$If:kd>C$$Ifl4|))4 laf4 ^^^^^^^^^^^^^^^^^^___ _J_L_N_P_Z_\_b_d_f__ɹѧɣ}nf[S[he3hk@"5hk@"5CJOJQJh|/hk@"5jh{zG5UmHnHujDhh5U h5jh5U he3hk@"hk@"#jh{zGB*UmHnHphujChk@"B*Uphhk@"B*phjhk@"B*UphhMB*phhk@"5B*CJOJQJphhk@"CJOJQJ ____J_L_N_P_\_^_`_v:U|l ||l |NjvNjjv:v:$If $Ifgde3skdaE$$Ifl4\ "|)D &4 laf4$If `_b_d_f_`U)v:Ju:A)j $$Ifa$:kdF$$Ifl4|))4 laf4$IfskdF$$Ifl4\ "|)D &4 laf4__``aa(a*a,a6a8a:araaaaaaaaabbb,b0b2b4bHbJbLbVbXbZb^b`bdbjbbbbbbbbbbbb̼ѭѥ۝ە۝ߊzѭѥߊj\Jhh5Uh5CJOJQJhk@"B*phjhk@"Uh|/hk@"5jh{zG5UmHnHujWGhh5U h5jh5Uhk@"hk@"CJOJQJhk@"5CJOJQJhg5CJOJQJ0```aa:aa v: |v:v:$If$If$If:kdG$$Ifl4|))4 laf4>a@aBaXaZa\ahajala  | ||||||$Ifskd)H$$Ifl4\2 "|) 4 laf4lanaparaaa0)v:Ju:)j)j:kduI$$Ifl4|))4 laf4$IfskdH$$Ifl4\2 "|) 4 laf4aaaaaabb0b2bZb\b^b)) ~ j~ j~j~j$If7kdJ$$Ifl|))4 la$If:kdI$$Ifl4|))4 laf4 ^b`bbbdbb 4)jL|4)j9kdK$$Iflh$0* *4 la$IfrkdJ$$Iflh\$ #0* 4 labbbbbbbbbb|jjjjjjjj$If9kdK$$Iflh$0* *4 la bbbbbccccc.j.jy!sjjjj$If 6d$$If$IfrkdBL$$Iflh\$ #0*4 la bbbbbcccccccc0c2c4c>c@cBcDcFc0d1dddee@fCfRfSfffggҤsfsYsfsYsfsfsYhohg<B* phfhohM<B* phfhohk@"<B* phf hk@"5 hk@"5CJj>Nhk@"hk@"5Uhk@"hk@"5jhk@"hk@"5Uhk@"hk@"5CJOJQJhk@"CJOJQJh|/hk@"5jh{zG5UmHnHujLhh5U h5jh5U"ccBcDc4)4)$IfrkdM$$Iflh\$* #0*4 laDcFcNgOgqiri vv $If^ $If^ $$Ifa$Z^ZckdO$$Ifl4h$0* *04 laf4 gggohphiiri‘Ñԑ֑ב  JKLM_`ghijʿʿҊҊuҊҊlbjhb10J8Uh{zGmHnHujhb1U*h{zGmHnHu*jhb1Uh{zG0J8CJaJmHnHuh_Jhb10J8CJaJ!jh_Jhb10J8CJUaJh_Jhb1CJaJh_JCJaJhb1 hk@"5hk@" hghUhohM<B* phfhohk@"<B* phf%Department of Human Services (DHS) will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, height, weight, marital status, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area.AUTHORITY: P.A. 280 of 1939. RESPONSE: Voluntary. PENALTY: None DHS-366-A (Rev. 7-09) Previous edition obsolete. MSWord  PAGE 17  FILENAME \p S:\OSD\Mrbig2\Forms\DHS Forms\0300-0399\0366-A.dot  DATE \@ "M/d/yy" 7/30/09  PAGE 18  FILENAME \* MERGEFORMAT 0366-A.dot ‘Ñ ~ 0*v:0*v:x)vmvv0*v:g$If * !|)* !|)d`gd_Jgd_JZ^ZlkdO$$Ifl0Z*04 la jpqstuvGHJɃxncho5<B* phfho<B* phfho6<B* phf5>* B*ph jU h_ @<!ho6<B* CJOJQJphfho<B* CJOJQJphf5>*CJOJQJ5CJOJQJ CJOJQJ5h_Jhb1h{zG0J8mHnHuh_J0J8mHnHujhb10J8U hb10J8&% 0:pi/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%#&P0= /!"#$% &P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$%# 0&P/ =!"`#$%& 00&P/ =!"`#$% 0/ =!@"`#$`%R$$Ifz!vh5")#v"):V l45")4azf4R$$Ifz!vh5")#v"):V l45")4azf4R$$Ifz!vh5")#v"):V l45")4azf4R$$Ifz!vh5")#v"):V l45")4azf4L$$Ifz!vh5")#v"):V l5")4azDDate2 M/dd/yyyyAutoSave|D M/dd/yyyy|D M/dd/yyyy$$Ifz!vh5S 55a5##vS #v#va#v#:V l4@)5S 55a5#4azf4R$$Ifz!vh5(#v(:V l4@)5(4azf4h$$Ifz!vh55~&#v#v~&:V l4@)55~&4azf4R$$Ifz!vh5(#v(:V l4@)5(4azf4$$Ifz!vh55 5u #v#v #vu :V l@)55 5u /  4azvDText31DText32 M/dd/yyyyvDText33$$Ifz!vh55 5u #v#v #vu :V l@)55 5u /  4azz$$Ifz!vh5q 5#vq #v:V l4@)5q 5/  4azf4jDDText34 M/dd/yyyyz$$Ifz!vh5q 5#vq #v:V l4@)5q 5/ 4azf4$$Ifz!vh5\ 5M5 5#v\ #vM#v #v:V l4@)5\ 5M5 5/  4azf4Df Foster HomeIndependent LivingRelative Residential Adoptive HomeOwn HomeOthervDText35Df  Residential Parental HomeLic/Unlic relativeLegal Guardian Adoptive HomeLic Unrelated Foster HomeIndependent LivingUnrelated CaregiverOthervDText46$$Ifz!vh5\ 5M5 5#v\ #vM#v #v:V l4@)5\ 5M5 5/ 4azf4$$Ifz!vh55#v#v:V l4@)55/  4azf4p\Df ReunificationAdoption Guardianship!Permanent Placement with Relative*Placement in Another Planned Living Arrang$$Ifz!vh55#v#v:V l4@)55/  4azf4p$$Ifz!vh5C5.5#vC#v.#v:V l4 @)5C5.5/  4azf4Df Dropdown7 MFDf Dropdown1Select child's race. WhiteBlack or African AmericanAmerican Indian/Alaskan NativeAsian&Native Hawaiian/Other Pacific IslanderUnable to DeterminetDeCheck7$$Ifz!vh5C5.5#vC#v.#v:V l4@)5C5.5/ 4azf4R$$Ifz!vh5(#v(:V l4@)5(4azf4R$$Ifz!vh5(#v(:V l4@)5(4azf4$$Ifz!vh55] 5v #v#v] #vv :V l4@)55] 5v /  4azf4~D parentnameD RelationshipDText39 M/dd/yyyy$$Ifz!vh55] 5v #v#v] #vv :V l4@)55] 5v /  4azf4v$$Ifz!vh55v #v#vv :V l4@)55v /  4azf4vDText38vDText37v$$Ifz!vh55v #v#vv :V l4@)55v / 4azf4$$Ifz!vh555#v#v#v:V l4@)555/  4azf4Df MFDfSelect child's race. WhiteBlack or African AmericanAmerican Indian/Alaskan NativeAsian&Native Hawaiian/Other Pacific IslanderUnable to DetermineDeTerminationFromFoste&Check if child has been returned home.PromptAddParentRows$$Ifz!vh555#v#v#v:V l4@)555/ 4azf4R$$Ifz!vh5@)#v@):V l4@)5@)4azf4R$$Ifz!vh5@)#v@):V l4@)5@)4azf4$$Ifz!vh5 5[ 5^5 #v #v[ #v^#v :V l4@)5 5[ 5^5 /  4azf4vDText48vDText52DText60Enter 2 digit County NumberDEnter 2 digit District NumberDEnter 2 digit Unit NumberDEnter 2 digit Load NumberjD$$Ifz!vh5 5[ 5^5 #v #v[ #v^#v :V l4@)5 5[ 5^5 / 4azf4$$Ifz!vh555 #v#v#v :V l4@)555 /  / / 4azf4vDText54jDjD$$Ifz!vh555 #v#v#v :V l4@)555 / 4azf4$$Ifz!vh5w5)5 #vw#v)#v :V l4@)5w5)5 /  / / 4azf4vDText55jDjD$$Ifz!vh5w5)5 #vw#v)#v :V l4@)5w5)5 / 4azf4L$$Ifz!vh5)#v):V l@))5)4azb$$Ifz!vh55'#v#v':V l@))55'4azP$$Ifz!vh5@)#v@):V l@)5@)4az~$$Ifz!vh555#v#v#v:V l4@)5554azf4vDText42vDText44~$$Ifz!vh555#v#v#v:V l4@)5554azf4~$$Ifz!vh555#v#v#v:V l4@)5554azf4vDText41vDText43~$$Ifz!vh555#v#v#v:V l4@)5554azf4H$$If!vh5")#v"):V 5")4ah$$Ifz!vh55`'#v#v`':V l455`'4azf4R$$Ifz!vh5|)#v|):V l45|)4azf4L$$Ifz!vh5)#v):V l5)4azh$$Ifz!vh55j'#v#vj':V l455j'4azf4Q$$Ifz!vh5|)#v|):V l 5|)4az~$$Ifz!vh55*5@$#v#v*#v@$:V l455*5@$4azf4L$$Ifz!vh5)#v):V l5)4azh$$If!vh5*56$#v*#v6$:V l45*56$4af4h$$If!vh5*56$#v*#v6$:V l45*56$4af4~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4Df YNU/K$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4Df YNU/K$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l45*5v54585T4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l45*5v54585T4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l45*5v54585T4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l45*5v54585T4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l45*5v54585T4af4Df1Select each child's current level of functioning. +50-2-3-5US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4aDf1Select each child's current level of functioning. +50-2-3-5US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4aDf1Select each child's current level of functioning. +50-2-3-5US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 4aDf YN$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 / 4aDf YN$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 / 4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T/ 4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4aDf1Select each child's current level of functioning. +40-1-2-4US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4aDf1Select each child's current level of functioning. +10-2-3-4US$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 / 4aL$$If!vh5`'#v`':V l5`'4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 4aDf YNU/K$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 / 4aDf YNU/K$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 / 4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 / 4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 4a$$If!vh5*5v545 #v*#vv#v4#v :V l5*5v545 4aDf1Select each child's current level of functioning. +10-2-3-4US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4P$$If!vh5`'#v`':V lx5`'4ah$$If!vh5*56$#v*#v6$:V l45*56$4af4~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4a$$If!vh5*5v54585T#v*#vv#v4#v8#vT:V l5*5v54585T4aDf1Select each child's current level of functioning. +30-1-2-3US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4Df1Select each child's current level of functioning. +30-1-2-3US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a~$$If!vh5*5v5!#v*#vv#v!:V l45*5v5!4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 4af4Df1Select each child's current level of functioning. +30-1-2-3US$$If!vh5*5v545 #v*#vv#v4#v :V l45*5v545 / 4af4L$$If!vh5`'#v`':V l5`'4a\$$If!vh56$#v6$:V l486$,56$4af4\$$If!vh56$#v6$:V l46$,56$4af4$$If!vh5 5 5 #v #v #v :V l486$5 5 5 / 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{/ 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+,5 55h55{/ 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{/ 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{/ 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{/ 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{/ 4af4Df1Select first child s second ranked primary need.  C1C2C3C4C5C6C7C8C9C10$$If!vh5 55h5h55{#v #v#vh#v#v{:V l46$+5 55h55{/ 4af4b$$If!vh585H$#v8#vH$:V l(585H$4aL$$If!vh5n(#vn(:V l5n(4a$$If!vh555h5@$#v#v#vh#v@$:V l4555h5@$4af4L$$If!vh5x(#vx(:V l5x(4a$$If!vh555h5@$#v#v#vh#v@$:V l4555h5@$4af4L$$If!vh5x(#vx(:V l5x(4a~$$If!vh55*5@$#v#v*#v@$:V l455*5@$4af4L$$If!vh5x(#vx(:V l5x(4a~$$If!vh55*5@$#v#v*#v@$:V l455*5@$4af4L$$If!vh5x(#vx(:V l5x(4aL$$Ifz!vh5)#v):V l5)4azb$$Ifz!vh5v5'#vv#v':V l5v5'4azx$$Ifz!vh555 '#v#v#v ':V l 555 '4azDyes AddFamAssess$$Ifz!vh5555#v#v#v#v:V l 55554azhDeDeFamilyPartNoMSGx$$Ifz!vh555 '#v#v#v ':V l 555 '4azL$$Ifz!vh5)#v):V l 5)4az$$Ifz!vh5h555H%#vh#v#v#vH%:V l 5h555H%4azL$$Ifz!vh5)#v):V l5)4azR$$Ifz!vh5)#v):V l4)5)4azf4$$Ifz!vh5h555N%#vh#v#v#vN%:V l4)5h555N%4azf4R$$Ifv!vh5)#v):V l4)5)4avf4$$Ifv!vh55555v 55T #v#v#v#v#vv #v#vT :V l)55555v 55T 4avvDText61$$Ifv!vh55555#v#v#v#v#v:V l)555554av$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. 0-3-4-5US Df;Select most serious score between two caretakers in family. 0-3-4-5US Df;Select most serious score between two caretakers in family. 0-3-4-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-4-5USDf;Select most serious score between two caretakers in family. 0-4-5USDf;Select most serious score between two caretakers in family. 0-4-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +10-2-3US Df;Select most serious score between two caretakers in family. +10-2-3US Df;Select most serious score between two caretakers in family. +10-2-3US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +10-1-2US Df;Select most serious score between two caretakers in family. +10-1-2US Df;Select most serious score between two caretakers in family. +10-1-2US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-1-2USDf;Select most serious score between two caretakers in family. 0-1-2USDf;Select most serious score between two caretakers in family. 0-1-2US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. 0-1-2-3US Df;Select most serious score between two caretakers in family. 0-1-2-3US Df;Select most serious score between two caretakers in family. 0-1-2-3US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4azL$$Ifz!vh5)#v):V l")5)4azL$$Ifz!vh5)#v):V l")5)4azDText4Enter household name.$$Ifz!vh5555T5 #v#v#v#vT#v :V l4 "),5555T5 4azf4$$Ifz!vh55555 #v#v#v#v#v :V l4")55555 4azf4JDf9Select first of top three priority needs for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4LDf:Select second of top three priority needs for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4JDf9Select third of top three priority needs for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4RDf=Select first of top three priority strengths for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4TDf>Select second of top three priority strengths for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4RDf=Select third of top three priority strengths for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4R$$Ifz!vh5")#v"):V l4")5")4azf4$$Ifz!vh5f555$#vf#v#v#v$:V l4")5f555$4azf4L$$Ifz!vh5)#v):V l5)4az|D NewAssessQ$$If !vh5N9#vN9:V l:5N94alQ$$If !vh5N9#vN9:V l:5N94alQ$$If !vh5N9#vN9:V l:5N94alW$$If !vh5N9#vN9:V l4:5N94alf4g$$If !vh5z5#vz#v:V l:5z54alW$$If !vh5N9#vN9:V l4:5N94alf4o$$If !vh5,55#v,#v:V l:5,54al^$$Ifl!v h5585B5|555t55 5 5#v#v8#vB#v|#v#vt#v#v #v 5:V l4:5585B5|55t55 5 5/ /  / / / / 4alf4vDText11Df C1C2C3C4C5C6C7C8C9S1S2S3S4S5S6S7S8S9S10S11S12S13S14DfADDCDVEDFCFRHSILJTMDMHOTPSTHWPjDvDM/yyyyvDM/yyyyvDM/yyyyZDfD1 = Service Unavailable 2 = Continue Services 3 = Refused Services 1=Svs Unavlbl 2=Cont Svs 3=Refusd Svs4=NewDf S=Satisfact U=UnsatisfDM/yyyyPopUpPrompt2.MAINl$$Ifl!v h5585B5|555t55 5 5#v#v8#vB#v|#v#vt#v#v #v 5:V l4:5585B5|55t55 5 5/ /  / / / / / 4alf4$$Ifl!v h585585B5|555t5 5 5 5#v8#v#v8#vB#v|#v#vt#v #v #v 5:V l:585585B5|55t5 5 5 54alkdY<$$Ifl 8F#&)Z-)26:88B|t5:,,,,4 lalM$$If!vh5)#v):V l45)4f4M$$If!vh5)#v):V l45)4f4G$$If!vh5)#v):V l5)4M$$If!vh5)#v):V l45)4f4G$$If!vh5)#v):V l5)4M$$If!vh5)#v):V l45)4f4G$$If!vh5)#v):V l5)4M$$If!vh5)#v):V l4)5)4f4G$$If!vh5)#v):V l5)4M$$If!vh5)#v):V l45)4f4G$$If!vh5)#v):V l5)4M$$If!vh5)#v):V l45)4f4G$$If!vh5)#v):V l5)4M$$If!vh5)#v):V l45)4f4DText16AddYouthSignaturel$$If!vh5)#v):V l4   5)4f4p DText15Enter Parent/Caretaker NamePopUpPrompt3.MAIN$$If!vh5D 5&55#vD #v&#v#v:V l4,5D 5&55/ 4f4$$If!vh5D 5&55#vD #v&#v#v:V l4,5D 5&55/ / 4f4M$$If!vh5)#v):V l45)4f4M$$If!vh5)#v):V l45)4f4DText12Enter Foster Care Worker's NamePromptNameTitle$$If!vh5 555#v #v#v#v:V l45 555/ 4f4$$If!vh5 555#v #v#v#v:V l45 555/ / 4f4M$$If!vh5)#v):V l45)4f4M$$If!vh5)#v):V l45)4f4G$$If!vh5)#v):V l5)4DEnter FIA Local Office Name$$If!vh5 555#v #v#v#v:V lh5 555/ 4aP$$If!vh5 *#v *:V lh5 *4aP$$If!vh5 *#v *:V lh5 *4a$$If!vh5555#v#v#v#v:V lh5555/ / 4aDText14!Enter Local Office Approval Title$$If!vh5555#v#v#v#v:V lh55554aDText13(Enter Worker name, typist initials, etc.$$If!vh5 *#v *:V l4h05 */ 4af4$$If!vh55#v#v:V l0554aL$$Ifz!vh5)#v):V l 5)4az$$Ifz!vh5h555H%#vh#v#v#vH%:V l 5h555H%4azL$$Ifz!vh5)#v):V l5)4azR$$Ifz!vh5)#v):V l4)5)4azf4$$Ifz!vh5h555N%#vh#v#v#vJ8@8 Normal_HmH sH tH V@V Heading 1$pp@&]p^p5>*CJOJQJZ@Z Heading 2$$pp@&]p^pa$5CJOJQJL@L Heading 3$$@&a$5>*CJOJQJT@T Heading 4$h@&^h`5CJOJQJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k(No List POP BLANKLINEdx5CJOJQJkH^O^ User Input 11pt$d8(a$CJOJQJkHTOT Captions 6ptd(CJ OJQJkHDO"D Captions 6pt bold5`O2` Captions 6pt boxd<5CJ OJQJkHDOBD Captions 6pt Nbox<DORD Captions 7pt dtCJDOQbD Captions 7pt Bold5`Or` Captions 7pt boxdt<5CJOJQJkH^O^ Captions 7pt NBoxdt<CJOJQJkHLOL Captions 8pt d` CJOJQJ^O^ Captions 8pt Bold d`5CJOJQJkHFOF Captions 8pt box <DOD Captions 8pt NboxPPOP E Captions 9pt dLCJOJQJkHJOJ Captions 9pt BolddLCJFOF Captions 9pt Box dDOD Captions 9pt Nbox 5POP Captions 10pt!d`( OJQJkHLO"L Captions 10pt 2 line "<^O2^ Captions 10pt Bold#d`(5OJQJkHXOBX Captions 10pt box$d`P OJQJkHHO1RH Captions 10pt Nbox%P5LObL Date 08pt &d8(5CJOJQJkH6Oar6 Date 09pt'CJ6Oa6 Date 10pt(CJ2O2 Date 11pt)CJJ @J Footer*dt !CJOJQJkHROR Form Title 10pt+$d8a$ OJQJkH^O^ Form Title 10pt Bld,$d8a$5OJQJkHVOV Form Title 11pt-$d$a$CJOJQJkHLOL Form Title 11pt Bld.d$CJVOV Form Title 12pt/$da$CJOJQJkHbOb Form Title 12pt Bld0$da$5CJOJQJkH4@4 Header 1 !TO"T Letter Text 10pt2$d$a$ OJQJkHFO!2F Letter Text 11pt3dCJXOBX Letter Text 12pt4$da$CJOJQJkHHORH Small Blank Line 5CJTObT User Input 10pt6d8( OJQJkH\Or\ User input 12pt7d((5CJOJQJkH.)@. Page NumberTOT CoState9d8(OJQJ_HkHmH sH tH `O` CoSuppaddress:d8(OJQJ_HkHmH sH tH 2O2 E31;_HmH sH tH ZOZ Identinfo1<d(5OJQJ_HmH sH tH >'> Comment ReferenceCJ44  Comment Text>6O6 Blankline 6pt?2O2 Style1@ 5<B*>Oa> User Input 09ptACJBO"B Captions 11ptB CJOJQJhC@2h Body Text IndentC^`6B*CJOJQJaJphLB@BL Body TextD$a$<B*CJOJQJphXOQX VCaptions 9pt CharCJOJQJ_HmH sH tH RR@bR iBody Text Indent 2Fhdx^h0U@q0 =x Hyperlink>*B*BOB v User InputHdE 5OJQJHH D3 Balloon TextICJOJQJ^JaJt - Z ^%%,,3399C/C(HTHP-PVW\4]a]_>_`abc{ee-lYlSooyy! 9ß9eֱ(?>j{O}r 4b[  ' K l   ՘   ; _   ř   . O s   ٚ   B c   ɛ   2 S w   ݜ  " F g   Н   6 Z {     ) J n   ԟ   = ^   Ǡ   - Q r   ܡ  & K s     2 Z   ̣ zzzzzzzz z z z z zz v"zzt - Z ^%%,,-3399=C/C(HTHNP-PVW\4]a]_>_`abc{ee-lYlSoooyyT}!S 9Ŝß9eֱ(?>j{O}r 4b[W1_                  |            IJpqrst #;<=G&:;L_`t%7KL\]^pqrsxy%9MNhst   23J[k,BCWk      + ? @ A ` y z { ) * + , - W X Y Z ^ o p q r s v CDEF  '()*\nopq !ABCDEF]op;#$%&'([\]^_`{|}~ => "#]%^%%%%%%%%%%&&&&&&2&3&4&5&6&7&R&S&T&U&V&W&&&&&&&&&&&&&&&&$'((()*+,,,,,,,,,,,,----L-^-_-`-a------------------------- . .....(.:.;.H...g//0133333334 4 4 4#4$4%4&4'4(4C4D4E4F4G4H4c4d4e4f4g4h4444444444444444 5!56778999999999999:::::V:h:i:j:k::::::::::::::::%;&;';(;);i;j;k;l;m;;;;;;==>.?%@{ACC-C.C/C0CpCqCvCzCCCCCCCCCCCCCCCCCCCCCCC D D D D DD2D3D4D5D6D7DND`DaDpDqD8EEsF9G'H(HRHSHTHYH]HHHHHHHHHHHHHHHHHHHHI I!I"I#IPIQIRISITIkI}I~IIIXKLMNPP+P,P-P2P6PRPSPTPUPPPPPPPPPPPPPPPPPPPPQ5Q6Q7Q8Q9QPQbQcQQQRSTUV WWW-W.WYYYYYYZ!ZYZ\Z]ZoZpZqZZZZZZZZZZZZZZZZ [[K[N[O[a[b[c[t[u[x[y[[[[[[[[[[[[[ \#\$\6\7\8\[\\\_\`\r\s\t\\\\\\\\\\\2]3]4]^]_]`]a]b]e]f]]____;_<_=_>_?_B_C__````aaaaa!a\abbbbcccccc@cxeyeze{eeeeeeeeeeeeffhhpjqjrjsjtjjjjjjAkBkCkDkEkFkIk^k*l+l,l-lWlXlYlZl[l\l]l`llnPoQoRoSo}o~oooooooooooooooooooooooooppppp p p+p,p-p.p/p0p1pLpMpNpOpPpQpRpfpgphpipjpkplpppppppppppppppqqq(q)qq>rasbstttu_uuu^v_vKLPXYZ[\]^uvwxyz{Щѩҩөԩթ֩%&'34d)=JKOefghijkЬѬҬӬԬլ֬ 01CDE_`ڭghuձֱ+89>GHIJKLM\]^_`ab|}~²òղֲ#ڶ/&'()*+=Q^_dܹݹ޹߹ 67IJ\]opqw¼Լ  !"/012345RSTUVWXyz{|}~νϽнK=>?@ABThuv{*+,-./0FGYZlm 1234567nopqrst$%&'()*@ASTfgyz{xX=>hijklTUVWXh|}'*+,>?@Pqrstuvw)*+,-./01234567IJKLMNOPp{~1234567M\_`astuxyz{1@Shy#;V~ &'CDEn|1Gc| &+,-37>?@FLMTYagopqy,@Rdxyz{|}~NOLMNOz{|}opqrp fY1234_`ab//n ./01789:;<&'()*567=>?@ABXYZ[ *+,{00P 0T 00P 0T .0P 0T 0P 0T 00P 0T #0#0P 0#0P 00T 0P 0T 0P 0P0P 0T 0PD0P!0T 0P 0P 0P 0T 0000T 0P 0P 0T 000T 0P 0P 0P 0P 0T 00000T 0P 0P 0T 6060P 0T 0P0P 0P0P 0P0P 0T 06000T 0P 0T  0P0P0P 0T 0P 0P 0P 0T 0P 0P 0P 0T 0P 0P 0T 0P 0P 0T 0P 0P 0P 0T 0P 0P .0P 0T 0P 0T 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0T 0P 0P 0P 0T 0P 0P 0P 0T 0P 0P 0P 0T 0P 0T 0P 0P0P 0T 0P!0T 0P 0P 0P 0T 0P 0P 0P 0T 0P 0P 0P 0T 0P 0P 0P 0T 00P0P 0T 0#0P 0P0P!0T 0P 0T 00P0P 0T 00P 0P 0T 0P 0T 0P 0P 0P0P0P0P0P0P0P!0T 00P0P 0T 0 00P 0P0P 0T 0P 0P!0T 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T !0000000000P 0T 00P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .0.00000000P 0T 00P 0P 0P!0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .00000000 0P 0T 0 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .0000 000000P 0T 0 0P 0P 0P!0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .0.00000000P 0T 0 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .00000 000000P 0T 00P 0P 0T 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .0.00 0x00 0 00P 0T 00P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .0.00000000P 0T 00P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T 0P 0P 0P 0P 0T .0.0000000P 0T 0 0P 0T 0P 0T 0P 0P 0P 0T 0P 0P0P 0P 0P 60P 60P 0T 0P 0P 0P 0P 60P 60P 0T 0P0P 0P 0P 0P 60P 60P 0T 0P 0P0P 0P 0P 60P 60P 0T 0P 0P 0P 0P 60P 60P 0T 0P 0P 0P 0P 60P 60P 0T 0P 0P0P 0P 0P 60P 60P 0T 0P 0P 0P 0P 60P 60P 0T 0P 0P 0P 0P 60P 60P 0T 0 0P 0P0P 0T 0 0P0P 0T 00P 0P 0P 0PD0PD0P!0T 00P0P 0T 00P 0P 0P 0PD0P0P 0T 00P0P 0T 00P 0P 0PD0P0P 0T 00P0P 0T 00P 0P 0P0P0P 0T 00P0P 0T 0 0P 0T 0P 0P 0T 0P 0P D0PD0PD0PD0PD0PD0P!0T 0P 0P 0P H0P 0T 0P 0P 0P 0T 0P 0T 0P 0P 0P 0P0P0P!0T 0 0P 0T 0 0P 0T 0P 0P 0P 0P0P0P0P!0T 00P 0T 000P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 60P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0B0 B0 B0 B0  B0 B0 B0  B0 B0B0B0B0 B0 B0 B0 B0 B0 B0 B0 B0  B0 B0 B0 B0 B0 ?00P 0T 0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0B0 B0 B0 B0 B0 B0 B0 B0 B0B0 B0  B0  B0  B0  B0 B0  B0 B0  B0 B0?00P 0T ?0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0 B0 B0 B0 B0 B0 B0 B0 B0 B0 B0B0B0B0B0 B0 B0 B0 B0  B0  B0  B0 B0 B0 B0  B0 B0 B0B0 B0 B0  B0 B0 B0?00P 0T ?00P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0?00P 0T 0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0 B0 B0 B0B0B0?00P 0T ?00P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0B0?00P 0T 0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0?00P 0T ?0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B000P 0T 00P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0 B0 B0 B0  B0  B0 00P 0T 0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0B0B0 B0 B0 B0 B0 B0 B0 00P 0T 0 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B0B000P 0T 00P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0 B0B0 B0 B0B000P 0T 00P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0B000P 0T 00P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 0P 0T 0P 0P0P 0P 60P 60P 0P 0T 0P 0P0P 0P 60P 60P 0P 0T 0P 0P 0P 60P 60P 60P 60P 60P 60P 0T B0B0B0B0 B0B000P 0T 0 0P 0T 0P 0T 0P 0P 0P 0P H0P 0T 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 60P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 60P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 60P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 60P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 60P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 0P 0P 0T 0P 0P 0P 0P 0P 60P 0P 0T 0P 0T 0P 0P 0P 0P!0T 000P 0T 00000B000P 0T 0P 0T 0P 0T @0P@0P!0T!@0P@0P@0P@0P@0P@0P@0P@0P@0P@0P!@0P@0P@0P@0P@0P@0P@0P@0P@0P@0P@0P@0P@0P@0P!0T @0P@0P!0T!@0P@0P@0P@0P@0P@0P!@0P@0P@0P@0P@0P!@0P@0P@0P@0P@0P!0T 0P0P0P0P 0P0P0P0P0P 0P0P0P0P0P 0P0P0P0P0P 0P0P0P0P0P 0P0P0P0P 0P0P0P0P0P 0P0P0P0P0P0P 0P0P0P0P0P0P 0P0P0P0P0P0P 0T 0( 0( 0( 0( 0( 0( 0( 0( 0( 0( 0, 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0P 0T 000P0P 0T 0P0P0P0P 0T 00P0P 0T 00P0P0P0P 0T 00P0P 0T 00P0P0P0P0P0P 0T 0 0P0P 0T 0 0P0P0P0P0P0P0P0P0P 0T 00P0P 0T 0 0P0P0P0P0P@0P@0P!0T 00P0P 0T 0 0P0P0P 0T 00P0P 0T 00P 0T 0( 0, 0P0P 0P0P 0P 0P0P 0T 0P0P 0P0P 0P0P 0P0P 0T 0P 0T 0P 0T 0P0P 0P0P 0P 0P 0T 0P0P 0P 0P0P 0P0P 0T 0P 0T 0P0P 0T 00P0P 0T 0 0P0P 0P0P 0P 0P 0T 0P 0T 0P 0T 0P0P 0P0P 0P0P 0P0P 0T 0P0P 60P0P 0P0P 0P0P 0T 0(0( 0, 00 000P 0P0P0P 0T 00*0@0@*0@0xIJpqrst #;<=G&:;L_`t%7KL\]^pqrsxy%9MNhst   23J[k,BCWk      + ? @ A ` y z { ) * + , - W X Y Z ^ o p q r s v CDEF  '()*\nopq !ABCDEF]op;#$%&'([\]^_`{|}~ => "#]%^%%%%%%%%%%&&&&&&2&3&4&5&6&7&R&S&T&U&V&W&&&&&&&&&&&&&&&&$'((()*+,,,,,,,,,,,,----L-^-_-`-a------------------------- . .....(.:.;.H...g//0133333334 4 4 4#4$4%4&4'4(4C4D4E4F4G4H4c4d4e4f4g4h4444444444444444 5!56778999999999999:::::V:h:i:j:k::::::::::::::::%;&;';(;);i;j;k;l;m;;;;;;==>.?%@{ACC-C.C/C0CpCqCvCzCCCCCCCCCCCCCCCCCCCCCCC D D D D DD2D3D4D5D6D7DND`DaDpDqD8EEsF9G'H(HRHSHTHYH]HHHHHHHHHHHHHHHHHHHHI I!I"I#IPIQIRISITIkI}I~IIIXKLMNPP+P,P-P2P6PRPSPTPUPPPPPPPPPPPPPPPPPPPPQ5Q6Q7Q8Q9QPQbQcQQQRSTUV WWW-W.WYYYYYYZ!ZYZ\Z]ZoZpZqZZZZZZZZZZZZZZZZ [[K[N[O[a[b[c[t[u[x[y[[[[[[[[[[[[[ \#\$\6\7\8\[\\\_\`\r\s\t\\\\\\\\\\\2]3]4]^]_]`]a]b]e]f]]____;_<_=_>_?_B_C__````aaaaa!a\abbbbcccccc@cxeyeze{eeeeeeeeeeeeffhhpjqjrjsjtjjjjjjAkBkCkDkEkFkIk^k*l+l,l-lWlXlYlZl[l\l]l`llnPoQoRoSo}o~oooooooooooooooooooooooooppppp p p+p,p-p.p/p0p1pLpMpNpOpPpQpRpfpgphpipjpkplpppppppppppppppqqq(q)qq>rasbstttu_uuu^v_vKLPXYZ[\]^uvwxyz{Щѩҩөԩթ֩%&'34d)=JKOefghijkЬѬҬӬԬլ֬ 01CDE_`ڭghuձֱ+89>GHIJKLM\]^_`ab|}~²òղֲ#ڶ/&'()*+=Q^_dܹݹ޹߹ 67IJ\]opqw¼Լ  !"/012345RSTUVWXyz{|}~νϽнK=>?@ABThuv{*+,-./0FGYZlm 1234567nopqrst$%&'()*@ASTfgyz{xX=>hijklTUVWXh|}'*+,>?@Pqrstuvw)*+,-./01234567IJKLMNOPp{~1234567M\_`astuxyz{1@Shy#;V~ &'CDEn|1Gc| &+,-37>?@FLMTYagopqy,@Rdxyz{|}~NOLMNOz{|}opqrp fY1234_`ab//n ./01789:;<&'()*567=>?@ABXYZ[ *+,{000000.0000000#0#00#0000000000D000000000000000000000000000006060000000000600000 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0!0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0 0#0 00!0 0 0 000 0 00 0 0 0 0 0 0 0000000!0 000 0 000 00 0 0 0!0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 !0000000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0.00000000 0 00 0 0!0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .000000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0000000000 0 00 0 0!0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0.00000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .00000000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0.00000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0.00000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0.0000000 0 00 0 0 0 0 0 0 0 0 00 0 0 60 60 0 0  0 0 0 60 60 0 00  0 0 0 60 60 0 0 00 0 0 60 60 0 0  0 0 0 60 60 0 0  0 0 0 60 60 0 0 00 0 0 60 60 0 0  0 0 0 60 60 0 0  0 0 0 60 60 0 00 00 0 000 0 00 0 0 0D0D0!0 000 0 00 0 0 0D00 0 000 0 00 0 0D00 0 000 0 00 0 000 0 000 0 00 0 0 0 0 0 0 D0D0D0D0D0D0!0 0 0 0 H0 0 0 0 0 0 0 0 0 0 0 000!0 00 0 00 0 0 0 0 0000!0 00 0 000 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 00 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B0 B0 B0 B0 B0 B0 B0 B0 B0B0B0B0 B0 B0  B0  B0  B0  B0  B0 B0 B0 B0 B0 B0 B0?00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B0 B0 B0 B0 B0 B0 B0B0B0B0 B0 B0 B0 B0 B0 B0  B0! B0" B0# B0$?00 0 ?00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 00 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0 B0% B0& B0' B0( B0) B0* B0+ B0, B0-B0B0B0B0B0 B0. B0/ B00 B01 B02 B03 B04 B05 B06 B07 B08B0@B0B0 B09 B0: B0; B0< B0=?00 0 ?00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 00 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0?0@0 @0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B0?00 0 ?00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B0?00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0?00 0 ?00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0 B0> B0? B0@ B0A B0B00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B0B0 B0C B0D B0E B0F B0G B0H00 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 60 0 0 0 0 0 60 60 0 0 0 00 0 60 60 0 0 0 00 0 60 60 0 0 0 0 0 60 60 60 60 60 60 0 B0B0B0B0B0B000 0 00 0 0 0 0 0 0 0 H0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0!0 000 0 00000B000 0 0 0 0 0 @0@0!0!@0@0@0@0@0@0@0@0@0@0!@0@0@0@0@0@0@0@0@0@0@0@0@0@0!0 @0@0!0!@0@0@0@0@0@0!@0@0@0@0@0!@0@0@0@0@0!0 0000 00000 00000 00000 00000 0000 00000 000000 000000 000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0000 0 000 0 00000 0 000 0 0000000 0 000 0 0000000000 0 000 0 000000@0@0!0 000 0 00P0P0P 0T 00P0P 0T 00P 0T 0P 0T 0P0P 0P0P 0P 0P0P 0T 0P0P 0P0P 0P0P 0P0P 0T 0P 0T 0P 0T 0P0P 0P0P 0P 0P 0T 0P0P 0P 0P0P 0P0P 0T 0P 0T 0P0P 0T 00P0P 0T 00P0P 0P0P 0P 0P 0T 0P 0T 0P 0T 0P0P 0P0P 0P0P 0P0P 0T 0P0P 60P0P 0P0P 0P0P 0T 0P0P 0T 00000P 0P0P0P 0T 0 0[ $@*0xFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFt  $&28`lrt#%57CI^n#%179EKtCOUWcikw} # ) + 7 = { - U \l]m ^%%&&,,,-L-\-(.8.334499::V:f:;;C+CND^DtDD;EPEvFFfhtz,<aq{$*,8>@PRbdpvOxr4] $[ "(3FFFFFFFFS FS FS S S G$FFFFFS S G$FFFFFFFFFFFFFFFFF333S S S 3S 3S 3S S S 3S 3S S S 3S     3S 3S 3S S S S S S S S S 33333FG G$33FS S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3S S S 3FS S S S S S 3FFS S FFFFS S F333333FFF3FFFt8?BFT!44!8@0(  B S  ? Date2Text31Text32Text33Text34Text35Text46 Dropdown7 Dropdown1 parentname RelationshipText39Text38Text37Text48Text52Text60Text54Text55Text42Text44Text41Text43needs12yes NewAssessText11Text16Text15Text12Text14Text13'u8&:uD , | Zj %9$J$8LV* > Zj % )%6^osvy}  ? G I Q \mqsty]npr  &!)!&&&&&&,-----L-]-a-b-(.9.;.=.>.G.444444::::: :V:g:k:l:;;;;;;ND_DaDcDdDhDkI|I~IIIIPQaQcQeQfQxQ]ZnZqZsZtZzZZZZZZZZZZZZ[O[`[c[e[f[o[y[[[[[[[[[[[[$\5\8\:\;\E\`\q\t\v\w\\\\\\\\>k?kpppppqq qzzzzzzzz|{{RU`c˂΂RcevxGJřǙؙڙtΠߠ Sdfwy$') /1BEGMPòԲֲָٸ7HJ[]nqtͽнӽGXZkm~ARTegx{~ ,=@BCI aruwx~7=Y`@QRcFGcdop%6^ofn\m]n &&,-L-]-(.9.n334477::V:g:;;q<t<ND_DkI|IPQaQ]ZnZZZZZO[`[y[[[[$\5\`\q\\\>k?kpppppquuryyzzzzzzv{|{[eRcevxcjřǙؙڙtde.Πߠs;Sdfwy$ /1BGMuòԲֲEJ7HJ[]nͽGXZkm~ARTegx,=ar@QRcFGcdop::::::::::::::::::::::::::: %&9`st$%67J^o$%89LtCVWjk~ * + > { \m]n &&,-L-]-(.9.44::V:g:;;ND_DtDD;EQEvFFk?koopppppqzzzzzzRcevxřǙؙڙtΠߠSdfwy$ /1BòԲֲ7HJ[]nͽGXZkm~ARTegxh{,=ar+,?@QRcdw % )FGcdopq ^" _$\a^:,uf t e_e  hd#fX% W_+  5s0.P5(}L"; QL6B;-G K :O Y%Z q`U ` ~b|Vf h Co 5M%r `v ZSL b*^`o(.@0^`0OJQJo(hHC pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.rr^r`o(. BB^B`hH.  L ^ `LhH.   ^ `hH. ^`hH. L^`LhH. RR^R`hH. ""^"`hH. L^`LhH.^`<B*.h^`B*OJQJo(phh   ^ `OJQJo(oh   ^ `OJQJo(h xx^x`OJQJo(h HH^H`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh ^`OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo(@h^`. hh^h`OJQJo( hh^h`OJQJo(h^`B*OJQJo(phh pp^p`OJQJo(oh @ @ ^@ `OJQJo(h ^`OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h PP^P`OJQJo(oh   ^ `OJQJo(h^`B*OJQJo(phh pp^p`OJQJo(oh @ @ ^@ `OJQJo(h ^`OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h PP^P`OJQJo(oh   ^ `OJQJo( hh^h`OJQJo(hh^h`5CJ OJPJQJ^Jo(l 88^8`OJQJo(o ^`OJQJo(   ^ `OJQJo(   ^ `OJQJo(o xx^x`OJQJo( HH^H`OJQJo( ^`OJQJo(o ^`OJQJo( hh^h`OJQJo(hh^h`. hh^h`OJQJo( hh^h`OJQJo(808^8`06B*CJOJQJo(ph.h^`B*OJQJo(phpLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L. hh^h`OJQJo(^`o(. TT^T`hH. $ L$ ^$ `LhH.   ^ `hH. ^`hH. L^`LhH. dd^d`hH. 44^4`hH. L^`LhH. hh^h`OJQJo( hh^h`OJQJo(hh^h`. hh^h`OJQJo( hh^h`OJQJo(88^8`o(. ^`hH.  L ^ `LhH.   ^ `hH. xx^x`hH. HLH^H`LhH. ^`hH. ^`hH. L^`LhH.FCohd#_$q`^.P5 55M%rW_+Vf`vL";X%,ufY%ZQL6B:O;-G~b"qthe_e `KZSF @h ^`OJQJo(ځqLg? =i@=g+ Rd[U%Lg!SX+M{l).B-JI/\1RQI.vvz]Hd1nV[hqayC4uYQg'+K%+<8{25=rsz94K{IJpqrst #<=&:;L_`t%7KL\]^pqrx%9MNhst   23J[k,BCWk     + ? @ A ` y z { ) * + , - X Y Z ^ o p q r s v DEF  '()*\nopq !ABCDEF]op#$%&'([\]^_`{|}~ ^%%%%%%%%%%&&&&&&2&3&4&5&6&7&R&S&T&U&V&W&&&&&&&&&&&&&&&&,,,,,,,,,,,,----L-^-_-`-a------------------------- . .....(.:.;.3333334 4 4 4#4$4%4&4'4(4C4D4E4F4G4H4c4d4e4f4g4h444444444444444499999999999:::::V:h:i:j:k::::::::::::::::%;&;';(;);i;j;k;l;m;;;;C-C.C/C0CpCqCvCzCCCCCCCCCCCCCCCCCCCCCCC D D D D DD2D3D4D5D6D7DND`DaD(HRHSHTHYH]HHHHHHHHHHHHHHHHHHHHI I!I"I#IPIQIRISITIkI}I~IP+P,P-P2P6PRPSPTPUPPPPPPPPPPPPPPPPPPPPQ5Q6Q7Q8Q9QPQbQcQV WWW-W.WYYYYYYZYZ\Z]ZoZpZqZZZZZZZZZZZZZZZ [K[N[O[a[b[c[t[u[x[y[[[[[[[[[[[[ \#\$\6\7\8\[\\\_\`\r\s\t\\\\\\\\\\2]3]4]_]`]a]b]e]f]___<_=_>_?_B_C_```aaaa!abbbcccccyeze{eeeeeeeeeeeqjrjsjtjjjjjjAkBkCkDkEkFkIk+l,l-lWlXlYlZl[l\l]l`lQoRoSo}o~ooooooooooooooooooooooooppppp p p+p,p-p.p/p0p1pLpMpNpOpPpQpRpfpgphpipjpkplppppppppppppppqqqyyyyyyyyyyyyzzzzzzz,z-z.z/z0z1z2zGzHzIzJzKzLzMzfzgzhzizjzkzlzzzzzzzzzzzzzzzzz !"#$6JWX\lmnopqrԅՅօׅ؅مڅ56789:;QRdewx˜֘bcdefghƙǙٙڙ 789:;<Nbopt !"#$%&WXYZ[\]stŜƜŸßğşƟ؟789:;<=Z[\]^_`}~͠Π"#9cdefghzäĤŤƤǤȤɤ 6789:;<RSefxy*>KLPXYZ[\]^uvwxyz{Щѩҩөԩթ֩%&')=JKOefghijkЬѬҬӬԬլ֬ 01CDEuձֱ+89>GHIJKLM\]^_`ab|}~²òղֲ&'()*+=Q^_dܹݹ޹߹ 67IJ\]opq¼Լ  !"/012345RSTUVWXyz{|}~νϽн=>?@ABThuv{*+,-./0FGYZlm 1234567nopqrst$%&'()*@ASTfgyz{=>hijklTUVWXh|}'*+,>?@Pqrstuvw)*+,-./01234567IJKLMNOPp{~1234567M\_`astuxy{&'DEG,?Mo,@Rdxyz{|}~NOMNO{|}pqr 234`ab .079:;<&'()56=?@ABYZ[ +,{VV V VV V V!V"V# V$V%V& V'V(V)V*V+ Residential ISPResidential ISP}3}3}3}3}3 0"(Add Parent RowsAdd Parent RowsNewMacros.AddParentRows"(Remove Family Assessment Delete FANNewMacros.DeleteFAN"(Add Svc Ref RowAdd Svc Ref RowNewMacros.AddSvcRefRowResidential ISP 2Residential ISP 2}"N}"N}"N}"N}"N 0"(Add Parent SignatureAdd Parent SignatureNewMacros.AddParentSignature"( Add Name RowsAdd Name Title SignatureNewMacros.AddNameTitleSignature"(Remove Table RowRemove Table RowNewMacros.RemoveTableRow Spell Check Spell CheckQ+Q+Q+Q+Q+ 0(  Spell CheckForms Spell Check2Module1.FormsSpellCheck2g"TemplateProject.AddHeadDialog.MAIN/TemplateProject.NewMacros.AddNameTitleSignature'TemplateProject.NewMacros.AddParentRows,TemplateProject.NewMacros.AddParentSignature&TemplateProject.NewMacros.AddSvcRefRow+TemplateProject.NewMacros.AddYouthSignature#TemplateProject.NewMacros.DeleteFAN)TemplateProject.NewMacros.FamilyPartNoMSG-TemplateProject.NewMacros.PromptAddParentRows)TemplateProject.NewMacros.PromptNameTitle(TemplateProject.NewMacros.RemoveTableRow!TemplateProject.PopUpPrompt2.MAIN!TemplateProject.PopUpPrompt3.MAIN"TemplateProject.SvcRefHeading.MAIN)TemplateProject.AddFamAssess.AddFamAssess(TemplateProject.Module1.FormsSpellCheck2!TemplateProject.AutoSave.AutoSave!TEMPLATEPROJECT.AUTOSAVE.AUTOSAVE!TEMPLATEPROJECT.POPUPPROMPT2.MAIN!TEMPLATEPROJECT.POPUPPROMPT3.MAIN"TEMPLATEPROJECT.ADDHEADDIALOG.MAIN"TEMPLATEPROJECT.SVCREFHEADING.MAIN #TEMPLATEPROJECT.NEWMACROS.DELETEFAN!&TEMPLATEPROJECT.NEWMACROS.ADDSVCREFROW"'TEMPLATEPROJECT.NEWMACROS.ADDPARENTROWS+(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2#(TEMPLATEPROJECT.NEWMACROS.REMOVETABLEROW$)TEMPLATEPROJECT.ADDFAMASSESS.ADDFAMASSESS%)TEMPLATEPROJECT.NEWMACROS.FAMILYPARTNOMSG&)TEMPLATEPROJECT.NEWMACROS.PROMPTNAMETITLE'+TEMPLATEPROJECT.NEWMACROS.ADDYOUTHSIGNATURE(,TEMPLATEPROJECT.NEWMACROS.ADDPARENTSIGNATURE)-TEMPLATEPROJECT.NEWMACROS.PROMPTADDPARENTROWS*/TEMPLATEPROJECT.NEWMACROS.ADDNAMETITLESIGNATURE@ tt,ttT    $ $ jkop @$@4@<@~@ @@@@@^`b@ @UnknownDesktopG: Times New Roman5Symbol3& : Arial?5 z Courier New5& zaTahoma9WP MathA;WingdingsURITC Zapf Dingbats (D1)"hC׆׆.E$7}$7}r cq#4dAAx2QH?[hSDHS-0366-A, Children's Foster Care Residential Updated Service Plan (10 - 13 years)compputmana                        JP@PNormal'CJ OJPJQJ_HmHnHsH tH u^^ Heading 1$pp@&]p^p5>*CJOJPJQJuOh+'0$0D T` |   TDHS-0366-A, Children's Foster Care Residential Updated Service Plan (10 - 13 years)comp 0366-A.dotputmana46Microsoft Word 10.0@-*Q@ V#@0v@ V#$7՜.+,0L hp  ,State of Michigan}A TDHS-0366-A, Children's Foster Care Residential Updated Service Plan (10 - 13 years) Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQR7TUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstmvwxyz{|~  Root Entry FTy#ZData S21TableWordDocumentyTSummaryInformation(uDocumentSummaryInformation8}Macros! /2y#gky#VBA /2y#gky#ThisDocument AddHeadDialogNewMacros Z__SRP_4   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKMNOPQRSTUVWY[\]^_`abcdefghijklmnopqrstuvwxyz{|}~/[n;r#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}H(%0(8K&xAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2f*0F47a837dd*\R1*#129*\R1*#c6*\R1*#c1*\R0*#f*\R0*#19*\R0*#1a*\R0*#13*\R1*#91*\R1*#c0*\R1*#129*\R1*#1e*\R1*#c6*\R1*#c1*\R1*#17b*\R0*#14*\R0*#1*\R0*#f*\R1*#c0*\R0*#19*\R1*#a4*\R1*#106*\R1*#a5*\R1*#e3"   ,0 ` hx0 "  ,T  & "   , 0w8  & "  ( 0 ,H x  89I[nxME`@6 LLLLLLLLLLLLJL 8pN:R8@R>(Ph<RTPPDN@    <@ 2 " 4 PXh]"$& B@  FIA-52 Tools(* B@ DEFINE DIALOG BOXFFIA-52 Tool Help B@,  ,**To CHANGE Case Info WITHOUT closing form** B@d; 21. Click Clear Case Info Button on FIA-52 Toolbar B@d;" 22. Click Change CaseInfo Button on FIA-52 Toolbar B@dR.  to bring up new pop-up screen. B@d;: +3. Enter new case information and click OK. B@d;H -The new information will fill in on the form. B@d \ **To ADD Child(ren) Row** B@d;h 0Click Add Children Row Button on FIA-52 Toolbar B@d | **To ADD Legal Status Row** B@d; 4Click Add Legal Status Row Button on FIA-52 Toolbar B@d  "**To ADD Social Work Contact Row** B@d; 4Click Add SocWk Contact Row Button on FIA-52 Toolbar B@d  **To ADD Child Information Row** B@d; 1Click Add Child Info Row Button on FIA-52 Toolbar B@d  **To Add Service Referal Row** B@d; 3Click Add Svc Referral Row Button on FIA-52 Toolbar B@d  5**To Add Column Headings for Service Referral Table** B@d; 1Click Add SvcRef Heading Button on FIA-52 Toolbar B@d  %**To Remove Entire Row from any table B@d;( /Click Remove Table Row Button on FIA-52 Toolbar B@d J B@d Z B@d j B@d^N B@. B@0]F !4!6.26GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT 2 !8%6'  OK BUTTONGet user info from INI file. Update other Form Fields on Form & Exit MacrokoAttribute VB_Name = "AddHeadDialog" Public Sub MAIN(), ".|DescriptionView i@nstruc&s for using FIA-# tons.ePProcData\Invok@e_Func\Template"ject. .QDim iRet WordB asic.Toolbars ColorButA:=1, LarDge0, T8ips"':="k52s", Show 'DEFINE DIALOG BOX 'Begin 582, 40= ' Help i fText 9, 1513, "**To CHANGE Case Info WITHOUT cloƨm**)52!1. C@k@earK |?W W34, G2Fhange7,lM6Er" to brup npop-q@eenPS>58 (3. EntTercSiSrDmaandTick OK7JSTheB wilHl finStoh@h9B}ADD Child(ren) Rowx10Jb< iC  0ekQ2 &Legal Status~3f9aZgf5j Soc@ k\@ontact6jE` We;18j 3*Y(vc/c?.5ddd!umnadCӪ!Tablez6hSvc` 8/hRemo$veair@+ow from any t29pi 2-dl\Tg33u4Mu6~OKH4R735@723&0GqEn dlgUserA"eAs Ob: Set =a?4CurValu8es.sy1'GET USER INFO FRO MIЌLE AND PuIT0 TO~ISPL AYhRESPO0 Qo`G C( ИIFf0-1 en 'OK BUTTON up#INIge UpdД oPgr Form F`ields}& Exit MacroP If q` , @ p 999@ @ @ @ @ KKK (   @ X @ @ @x XZ  Ht 8@p @l @  `BP Hl sss@\ X @L @< ~~~@, @ p @ @ @ @ @ (    @ X @ @ @x XZ@t 8@p @l @V^X @l D@\ @(L @p< @@, L$v@X @ @ \@ @ @ @ #v@ PT  PBP 8l @\ h@L (@< @, @ X'vp @ @ @ D@ @ X@ &vX(@ @ (X @ @ @x &vXZ8 @t @p @@l PB8l @\ %vh@L @< @, @ p @ @ @ @ @ X@ X(@ @ @ @ @ ^XZX @ O @| @x 4 PVZX@l @ \ @8L @h< @, PT(a@ }@ PB8l @\ @L @< @, @ )pp @ 2@ @ 4@ @ @ <( @ @ 0@ @ @ D8^XZX @ @| *@x  K&$*\Rfff  P*`   (08H"` @ & .0`8h6"   , HP X    70 P `>op27 @  &$( &P .`  8m 6   "  ( ,H x   8  P 7`     >i 2 7 "< (^H 7p "< (^ / 5 &^ 0 858 p x &$ & .  8m 6(`  h"p x  ,     P5  @o207P p@p &$&.8m6P "   , t1 &x "  " ,     x5555(5@5X5p  Bi27"<0(^X7"<(^5&^50H@p x&$&.8m6(`h"p x  ,     P5  @o207P p@x &$&.8m60h p8 RemoveTableRow MacroB@ & Macro recorded 03/03/00 by Sandy Cain BB@Dx B!FB@Hcladd87L >B@@l o8 PromptAddParentRows Macro& Macro recorded 08/21/00 by Sandy Cain%Check if Ethnicity Hispanic or Latino $V "and Click 'Add Parent Rows' Button $V to add Additional Parent ' T Define prompt T ZA@XoH FamilyPartNoMSG Macro& Macro recorded 08/22/00 by Sandy Cain If NO LEGAL FAMILY, enter X and, $V 'Click 'Remove Family Assessment' Button $V on Toolbar to $V Delete Family Needs Assessment ' T Define prompt T ^A@Xo DeleteFAN Macro& Macro recorded 08/22/00 by Sandy Cainb`-You MUST Save This Document Before Continuing $V $V Select Save In Folder and $V $V $Enter File Name in SaveAs Dialog Box ' T Define prompt >B@d f!h!j!l f!h!j(l f!h!j(l B!nB@p B!nfamily history9d5r(d9t x9v99z9|9~99q B!nB@  f!h!j(l   BB@  BB@H  f!h!j(lcladd87L >B@@B@J|b fsave file cancelled T ^A@X #return to point of error in routinedX ! ZError ! In Case InfoA@X+Reprotect Document and exit sub after errorko AddSvcRefRow Macro& Macro recorded 03/27/00 by Sandy Cainbh-You MUST Save This Document Before Continuing $V $V Select Save In Folder and $V $V $Enter File Name in SaveAs Dialog Box ' T Define prompt >B@d  BB@ BB@ (  B! AddSvcRefRow >!%B@  BB@H  BB@cladd87L >B@@B@J|xbp fsave file cancelled T ^A@X #return to point of error in routined ! ZError ! In Case InfoA@X+Reprotect Document and exit sub after errorko AddParentSignature Macro& Macro recorded 04/06/00 by Sandy Cainb-You MUST Save This Document Before Continuing $V $V Select Save In Folder and $V $V $Enter File Name in SaveAs Dialog Box ' T Define prompt >B@d  BB@ BB@ (  B!AddParentSignature >!%B@  BB@H  BB@   BB@Captions 9pt Bold >% B(  BB@   BB@Captions 9pt Bold >% B(  B!(  BB@User Input 11pt >% B(PLN Pl >B@JTreprotect document|b fsave file cancelled T ^A@X #return to point of error in routined ! ZError ! In Case InfoA@X+Reprotect Document and exit sub after errork o AddYouthSignature Macro& Macro recorded 08/24/00 by Sandy Cainb-You MUST Save This Document Before Continuing $V $V Select Save In Folder and $V $V $Enter File Name in SaveAs Dialog Box ' T Define prompt >B@d  BB@ BB@ (  B!YouthSignature >!%B@  BB@H  BB@cladd87L >B@@B@J|b fsave file cancelled T ^A@X #return to point of error in routinedH ! ZError ! In Case InfoA@X+Reprotect Document and exit sub after errork o  PromptNameTitle Macro& Macro recorded 08/24/00 by Sandy Cain)To add Additional Name and Signature Rows $V Click 'Add Name Rows' Button ' Ta Define prompt T ZA@Xo @ AddNameTitleSignature Macro& Macro recorded 08/25/00 by Sandy CainbX -You MUST Save This Document Before Continuing $V $V Select Save In Folder and $V $V $Enter File Name in SaveAs Dialog Box ' T Define prompt >B@d  BB@  BB@  BB@  BB@  BB@  BB@  BB@ BB@ (  B!AddNameTitleSignature >!%B@  BB@H  BB@   BB@Captions 9pt Bold >% B(  BB@   BB@Captions 9pt Bold >% B(  BB@User Input 11pt >% B(  BB@ cladd87L >B@@B@J|b fsave file cancelled T ^A@X #return to point of error in routinedH ! ZError ! In Case InfoA@X+Reprotect Document and exit sub after errorko AddParentRows Macro& Macro recorded 08/25/00 by Sandy CainbX-You MUST Save This Document Before Continuing $V $V Select Save In Folder and $V $V $Enter File Name in SaveAs Dialog Box ' T Define prompt >B@d  BB@ BB@ (  B! AddParentRows >!%B@  BB@H  BB@|pbh fsave file cancelled T ^A@X #return to point of error in routined ! ZError ! In Case InfoA@X+Reprotect Document and exit sub after errorkoxpcladd87L >B@@ cladd87LN Pl >B@Jcladd87LN Pl >B@J[reprotect documentcladd87LN Pl >B@J[reprotect documentcladd87L >B@@cladd87LN Pl >B@J[reprotect documentcladd87LN Pl >B@J[reprotect documentcladd87LN Pl >B@J[reprotect documentAttribute VB_Name = "NewMacros" Sub RemoveTableRow()  6.Description recorde d 03/0 by Sandy` CainhRProcData^Invoke_Func^Template"jec4t.. a' '  "S ActiveDocument.Unprot? Passwt:="cladd87<Sel.% s.Dte2q1, noreset:=True, Type:= _$@wdAllowOnlyFormFields End Sub|mptAddPar@8&} 8/21/0oSׂR- $ACheck if Ethnicity Hispa or Latino" + Chr(10)@" Cli 'Y@Z AZ' Button to @ ial 4Define m uMsgBox ), vbExm#onJ|Family=tNoMSG=?=0`&2;=p @> =&<?,)6lL,2(Ll$ <   6lL7'<(Ll$ <   6lL<<<(Ll$ <   6lL<^:\Nll$ 4   0 QoL$ <  P )6lL7'<(Ll$ <   6lL<<<(Ll$ <   6lL<^:\Nll$ 4   0 QoL$ <  P )6lL5'<'Ll $ <   6lL<^:\"Nll$ 4   0 QoL$ <  P )6lL5'<'Ll $ <   6lL<5:\NllcL$ 4   6lL$  lf&'<'L'lM\@ 6lL< wm  ,  ','<l#|*#x*FL0>Fl 2|x)6lL<, w|(P|xlL<, KD:\ l lL < <,:    :`16lL<, $ 4   !'l$ 4   5l5'<'Ll $ <   6lL<$ <  \ $   | o$ <  QoL%c%:\%l$ 4  X l>,)6lL,2(Ll$ <   6lL7'<(Ll$ <   6lL<5:\NllcL$ 4   6lL$  lf&'<'L'lM\@ 6lL<  mt  ,  ','<l#p*#l*FL0>tFl 2pl)6lL<, (LtpllL<,  >$ <   6lL<<<(Ll$ <   6lL<^:\Nll$ 4   0 QoL$ <  P )6lL/~$ <  <  0!)5'<'Ll $ <   6lL<^:\"Nll$ 4   0 QoL$ <  P )6lL5:\NllcL$ 4   6lL$  lf&'<'L'lM\@ __SRP_5PopUpPrompt2 __SRP_8L__SRP_9XorU~|  &i)) A)    1YA#y## $$I%0  T:\ l lL:<,   :`16 lL, &','L'l0M\@ 6lL,($lL, w:\ l lL:<,   :  :`16lL, &','L'lM\@ 6lL,N(0 lL, 0   KF:\ l lL < <,:    :`16lL<, $ 4   !'l$ 4   5l7'<(Ll $ <   6lL<$ <  \ $   | o$ <  QoL%c%:\%l$ 4  X l>,)6lL,2(Ll$ <   6lL7'<(Ll$ <   6lL<5:\NllcL$ 4   6lL$  lf&'<'L'lM\@ 6lL< mt  ,  ','<l#p*#l*FL0>tFl 2pl)6lL<, (LtpllL<, <Km:\ l lL < <,:    :`16lL<, $ 4   !'l$ 4   5l7'<(Ll$ <   6lL<$ <  \ $   | i$ <  QoL%:\%l$ 4  X l>,)6lL,2(Ll$ <   6lL7'<(Ll$ <   6lL<<<(Ll$ <   6lL<^:\Nll$ 4   0 QoL$ <  P )6lL7'<(Ll$ <   6lL<<<(Ll$ <   6lL<^:\Nll$ 4   0 QoL$ <  P )6lL/~$ <  <  0!)5'<'Ll $ <   6lL<^:\"Nll$ 4   0 QoL$ <  P )6lL5:\NllcL$ 4   6lL$  lf&'<'L'lM\@ 6lL< 5m  ,  ','<l#|*#x*FL0>Fl 2|x)6lL<, 5<(P|xlL<, KD:\ l lL < <,:    :`16lL<, $ 4   !'l$ 4   5l5'<'Ll $ <   6lL<$ <  \ $   | o$ <  QoL%c%:\%l$ 4  X l>,)6lL,2(Ll$ <   6lL7'<(Ll$ <   6lL<5:\NllcL$ 4   6lL$  lf&'<'L'lM\@ 6lL<  mt  ,  ','<l#p*#l*FL0>tFl 2pl)6lL<, (LtpllL<, \1:\# l lL:<$,`1(6lL,&','L'l0(M\@ 6lL,t\((lL,|K:\ l lL < <,:    :`16lL<, $ 4   !'l$ 4  rU $`a$`q$`1$`$!`$I`$q`9$`$` a$ ` nT [nB0xME (6 L< `@x k-View instructions for using FIA-#### buttons.!TemplateProject.PopUpPrompt2.MAIN@l `2 %@h an@X IN@ H m3@88 IN@P( m3@h IS@ l\@ c:@ il@ Fi@ c @ te@ amK&$*\Rffff*0I47a83989*\R1*#c1*\R1*#17b " ..(P:X>:F:404P  p0 < 210 "P 4x]DEFINE DIALOG BOXFpAdd Service Referral Row B@,03  2**To Add Additional Row(s) for Service Referrals** B@d;  After entering Completion Date, B@dai;0 'Click ADD SVC REF ROW Button on Toolbar B@dPr^RN B@.\RX B@ B@0 ]F !4!6.2226GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXPart,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT 2 !8%6'  OK BUTTONGet user info from INI file. Update other Form Fields on Form & Exit MacrodHk@o80Attribute VB_Name = "PopUpPrompt2" Public Sub MAIN()  ".zDescriptionView in struc&s for using FIA-# tons.ePcData\Invoke_Func\Template"jec4t. .PDi@m iRet'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 11"Add Service Referral R4ow- Text 90, 5013, "`**To !ic(s),s**,5,3G,After enKCle0 ee= P#4 8PCk ADD SVC REF ROW Bu td @qToolHbar%OK35;L721@Cancel 4 8 I`End_ mdlgUs erInf@Ps Oby:ct = `CurVa`lues.A 'GET USER INFO PFROM@ILE AND PUT INTODISPLAYB RESPO@  $!#(/If§ -1 Then 'OK BUTTONGet5ziBf.file@' Upd othForm Fieldsn& Exit Macro Els @Z If@nub rU~| yi  Q!Y$.(XF%(8p%:%h$ @hh:(X %(8 %(%( %:%h$ @hh:(X;%(8 %(%( %:%h$ @hh:(X;%(80%(%( %:%h$ @hh4(X^%(8R%(N%(%h$ @h h4(X%(8R%(X%(%h$ @h hh$ @h h.h$ @hW A 4h61 @h$ @hWB lh5l(X]3,lhkrU $`!nT [nxME (PopUpPrompt3Z __SRP_a__SRP_boSvcRefHeading6 L< `@x k-View instructions for using FIA-#### buttons.!TemplateProject.PopUpPrompt3.MAIN* @l `2 ompl %@h an@X IN@ H m3@88 IN@P( m3@h IS@ l\@ c:@ il@ Fi@ c @ te@ amK&$*\Rffff*0J47a839b1*\R1*#c1*\R1*#17b " :.(P:hD:N:4P4p  0 < 218P "p 4]DEFINE DIALOG BOXFp$Add Additional Parent Signature Rows B@,A-####  2**To Add Additional Row(s) for Parent Signatures** B@d;  &After completing Parent's Name entry, B@d;0 0Click Add Parent Signature Button on the Toolbar B@dA-^RN B@. RX B@F B@0 Tool ]F !4!6.2 6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOX,DISPLAY DIALOG BOX AND RESPOND TO USER INPUTn on F 2 !8%6'  OK BUTTONhaGet user info from INI filebar . Update other Form Fields on Form & Exit Macroscred(k o޲Attribute VB_Name = "PopUpPrompt3" Public Sub MAIN()  ".zDescriptionView in struc&s for using FIA-# tons.ePcData\Invoke_Func\Template"jec4t. .PDi@m iRet'DEFINE DIALOG BOX WordBasic.BeginDialog 582, 11A"Add i^al Parent Signature Rows3 %Text 9!0, 5013, "*8*To%'(sF) -s**,5 ,3M,After clet1%'s Xry@ S&48)Cyk*$ Bu tj wthe ToolbarN)dOK 35>R7 21Cancel 4 8 gHEndf AtdlgUserInBfTs Ob: Set= dCurValue s.A 'GET USER INFO FRO M@I@LE AND PUT I1NTOJDI`SPLAYB RESPO@ | $!#(35@If -1 Then 'OK BUTTONu³G;uA@BfC.file@' HUpd@ ojr Form Fi0eldso& Exit Macro Els - IfndA} rU~|   i !A"Q!Y$.(XF%(8p%:%h$ @hh:(X %(8 %(%( %:%h$ @hh:(X;%(8 %(%( %:%h$ @hh:(X;%(80%(%( %:%h$ @hh4(X^%(8R%(N%(%h$ @h h4(X%(8R%(X%(%h$ @h hh$ @h h.h$ @hW A 4h61 @h$ @hWB lh5l(X]3,lhkrU $ `!nT [nxME(6 << < `@|66EAdd heading row if Service Referral table expands to a second page. "TemplateProject.SvcRefHeading.MAIN8%hK&$*\Rffff*094b14cfdd7 "   (8RP2  2H ` p2   2  0 @2P   2   2  X h x2  2  ( 84H   4   ( 8Xp B@ B@ B@ B@nstruc060 pt0.2"$V  B@ B@svcrefh1 B@ B@ B@xsvcrefh2 B@ B@ B@ B@svcrefh3 B@ B@ B@ B@svcrefh4 B@ B@ B@ B@svcrefh5 B@ B@ B@ B@svcrefh6 B@ B@ B@ B@svcrefh7 B@ B@ B@ B@svcrefh8 B@ B@ B@svcrefh9 B@ B@ B@ B@ svcrefh10 B@ B@ B@ B@ svcrefh11 B@ B@ B@ BB@D  B!(  B!(Nl B@o`˲Attribute VB_Name = "SvcRefHeading" Public Sub MAIN(), ".|DescriptionAdd h row if Service erral table expands to a second page. }hProcDatatInvok@e_FunctTemplate"ject. .QWordBasic.FileSave ToolsUnprot"Document \SelRow @Insert num~s:=" $=C3?CMHh4?$6E5Ev?$|H6膽7"$|8?|9__!!e!1ߝCWW>pSm|.@c3rFp_.BoldpwwdToggltt?;vv{v @norese , Typpq2 E@ AddFamAssess__SRP_2__SRP_3 gAutoSave[ge, RichText:=Truend+Selection.MoveDown Unit:=wdLine, Count:=395 DialoFor i = numrows To 1 Step -1%ActiveDocument.Unprotect Password:=""NewAActiveDocument.SavecActiveDocument.Protect Password:="", NoReset:=True, Type:=wdAllowOnlyFormFields 'reprotect document Yes BB@ ( Wher  NewAssess BB@  B!AddFamilyAssess >!%B@Tre >B@d B9If ActiveDocument.FormFields("Family").Result = True Then Yes BB@cladd87L >B@@B@J  BB@H@  NewAssess BB@s 0es Yes BB@rocladd87L >B@@B@J  BB@H  NewAssess BB@(   Define prompts ToPrompt$ = "You MUST Save This Document Before Continuing" + Chr(10) + Chr(10) + "Select Save In Folder and" + Chr(10) + Chr(10) + "Enter File Name in SaveAs Dialog Box"En(There is already ONE Family Assessment.  @How many ADDITIONAL Family Assessments are needed for this form? $V $V *Example: {Total adults being reported = 3} $V 5 { Minus existing = 1} $V 5 { Enter additional = 2} $V $V CANCEL or ESC if none IDENTIFYING INFORMATION$ 'bpU Macro recorded 01/11/01 by Program Area, modify 2/13/07 Diane Bush to add assessmentroXPh cladd87L >B@@cladd87LN Pl >B@J[reprotect documentcladd87LN Pl >B@J[reprotect documentcladd87LN Pl >B@J[reprotect document@ Attribute VB_Name = "AddFamAssess" Sub  H() ' Macro recorded 01/11/01 by Program Area, modify 2/13/07 Diane Bush to add ajmentW On      !"#$%&'()*+,-./012456789:;<=>?@ABCDFGHIJKLMNOPQRTUVWXZ[\]^_`abcdeg Error GoTo HandlewnumrowsInputBox("There is alpdy ONE 0ily [. " & vbCr"How manDDITIO8NAL,/neesfLth6m?" + Ch r(10)"Example: @{Totalsults beinBgport=H 3} !" {Minus exist&= 1!Enter ition@'= 25"CANCEL =ESC if none", "IDENTIFYING INFORMAP0Èmpt$k"You MUST Save T!PDocuf BeRe Con4u4VUSelectIn Fol2d2ndV :FiHle ·inBAslog @ 'Defipro@, A]CI;ƜcmdCanc$el@0enActive3.UnUtA)Pw:="cl87C1@^.BWha t:=wdBookmark,B+@NewFDBUniBCha(racu,Run]1'dU', ;rese`True@, Type!AllowOnlyFormFiel@ds 'red9 Ye!A"!ExitH`y2C# Else0"d0"/t //"//C///z"/ /@0]A("").Res`~H75?#?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~d( ][nxxME6 LLLLL  `LOO88 %`0x >BP3`x so@h F@X T-FS@H ig2\@8 0~1\@( @ \\H@ AP@ SD@ rm@ s\@ 03@ ^L@ @ 8p { @x p`@h p`@X @H @8 @( @ @ @  @  @ ( @ X @x h @X HH 8 @( H@ @ @ @  (^XZX @@ @ PXHK&$*\Rffff*0647a834ec*\R0*#1*\R0*#19*\R0*#1a*\R0*#13*\R1*#c0*\R1*#91*\R1*#1e*\R1*#129*\R1*#1f*\R1*#c6*\R1*#c1*\R1*#17b*\R0*#14*\R0*#f*\R0*#eO" \H @8     $F2`@F  @$F2@( Fx  @8 ( $F BoF j  ,  " 2h 0 2p :0   @h   &$&.x8m@6   kX +Reprotect Document and exit sub after error 2 ! ZError ! In Case InfoA@Xd #return to point of error in routine T ^A@XDD fsave file cancelledfobp|h`|XkNext i 3Selection.GoTo What:=wdGoToBookmark, Name:="Assess" { ,Selection.Delete Unit:=wdCharacter, Count:=1 $V*Application.DisplayAutoCompleteTips = TruedwActiveDocument.AttachedTemplate.AutoTextEntries("AddFamilyAssess").Insert Where:=Selection.RanY:#&ecoeeet ea Ш bL%4198I( 'sfca}ledMsgg$,c()6hH(F:NHH'('8h $ <  )6hH8(5:X NhhcH $ 4  6hH$  l fu&'8'H'hMX@ 6hH8 mx  ,  '('8l #*#*FH0>xFh 2)6hH8( 08xhH8(xhXH(hH(krU $`n[n$xME(6 LLX `xk8x%8 >@x PHK&$*\Rffff*0H47a83852*\R1*#c6*\R1*#c1*\R1*#17b" . 8HX( Macro copied from one of Sandy's 2/8/06% >B@dHo0(Attribute VB_Name = "AutoSave" Sub 8() ' Macro copied from one of Sandy's 2/8/ 06 ActiveDocu ment. End __SRP_6__SRP_7gModule1_VBA_PROJECTrU~| AT x$ 4x x $ xkrU $`n\[nHxME(<&<< <h " $X%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it. >!( *cladd87L >B@@kPerform Spelling/Grammar check. ,(. $ >!0 $!(26 $!B@4 $ ReProtect the document. >!( *cladd87LN Pl >B@JkoAttribute 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>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, n orese&, o:=wdAllowOnlyAbAAeT0* pHdTemplateProjectQH@  = | K& J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#MicrosogBoxR vbExclamationFamilyPartNoMSG"7 vbCritical+} DeleteFAN HandleError;Save ActiveWindow+ ActivePane_ViewIShowAllIFindnClearFormatting) ReplacementForwardWrapWywdFindContinueBP MatchCaseMatchWholeWordXMatchWildcardsMatchSoundsLike0MatchAllWordFormsExecuteY wdNormalViewMoveDown̝UnitwdLineCount0vExtend?wdExtendd wdCharacter wdPageViewvExitHereP$Erro Description Number- AddSvcRefRow87 MoveRightwdCell  SplitTable7 Application*DisplayAutoCompleteTips$+AttachedTemplateAutoTextEntriesInsertrWhere֍Range RichTextNMoveUpAddParentSignatureMStylepStyles pFontUBoldwdToggleAddYouthSignature $PromptNameTitleeAddNameTitleSignatureMoveLeftv AddParentRowsE PopUpPrompt2 CancelButton PopUpPrompt3 SvcRefHeadingi&FileSave ToolsUnprotectDocument(TableSelectRowTableInsertRowQnumrowsTableRowHeight"X RulerStyleaLineSpacingRulep LineSpacing LeftIndenti AlignmentI AllowRowSplit{CharLeftWW7_EditAutoTextCContextXnInsertAs CenterParaNextCellLineUpK InsertPara,ToolsProtectDocument-0Documentj _B_var_Chr\; _B_str_PromptlModule1b AddFamAssessInputBox vbCr$ cmdCancelWhatCwdGoToBookmarkJ ExitHere2AutoSave_B_var_numrows_B_var_cmdCancelSItemzToolsUnprotectCFormsSpellCheck2gzxo FormFieldProtectionTypewdNoProtectionOptionsCheckGrammarWithSpelling FormFields-| NoProofing] CheckSpellingW AlwaysSuggest ;  !! 83852AutoSave$Module10^4bfcf9f7Module1Hbx0dir3X__SRP_0-__SRP_1EiPROJECTwmSCas  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library *\G{E2AEB4B8-DE7A-416F-BA95-27402AF0048C}#2.0#0#C:\DOCUME~1\MARTIN~1\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object Library   K&[n ThisDocument0A47a83279ThisDocument;r5AddHeadDialog0B47a83279AddHeadDialogNewMacros0F47a837dd:NewMacros0?IPopUpPrompt20I47a83989PopUpPrompt2B0H PopUpPrompt30J47a839b1PopUpPrompt3`$ SvcRefHeading094b14cfddSvcRefHeadingx AddFamAssess0647a834ec AddFamAssessxcAutoSave0H47a83852AutoSave$Module10^4bfcf9f7Module1Hbx0`Hl'LEu"y`/CF`B'хn;OED "vxzu:8:kdJR$$Ifl4 *))4 lavf4 $*$If^*a$$^a$skdQ$$Ifl4\vF*hN%)4 lazf4z|~ $$Ifa$ d($If$If p$If^p$IfҰUOOOE?$If p$If^p$IfkdR$$Ifl֞ F2 *v T )4 lavҰ԰ְذڰ&@yssssss$IfkdS$$Iflr *)4 lav@BJIC5' $If] $If]$IfkdT$$Iflֈ F#* IAN)4 lavp<=kdU$$Iflֈ F#* IAN)4 lavp<$If$IfұԱֱرڱ$If$If$If  $If]ڱܱޱ  IC0C  ʈ$If]$IfkdV$$Iflֈ F#* IAN)4 lavp<   =7$IfkdW$$Iflֈ F#* IAN)4 lavp<$If$If$%&'($If$If$If  ʈ$If]()*anoIC//C  ʈ$If]$Ifkd|X$$Iflֈ F#* IAN)4 lavp<opqrst=7$IfkdwY$$Iflֈ F#* IAN)4 lavp<$If$IftòIJ $$Ifa$$If$If  $If]^`²IJŲ h :TUVg|}~λлѻһӻ   ;;;;ʹ;5CJh5h5CJOJQJ5 h55 h55CJ5\ h[5\ B*phho<B* phfho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJj\U jUj~[U4IJŲ/%%  @h^hkd]$$Ifl E F#'* )$$$$4 lav P~]F & FEƀjfF & FEƀjf 0^`0 ^`~׶q*F & FEƀjfF & FEƀjfF & FEƀjf{q*F & FEƀjfF & FEƀjfF & FEƀjfQuSF & FEƀjf F & FEƀjf  0^`0 ^` p0^p`0uq*F & FEƀjf F & FEƀjf F & FEƀjf 4]q*F & FEƀjfF & FEƀjfF & FEƀjf]}q*F & FEƀjfF & FEƀjfF & FEƀjf0TUqoe22kd^$$Ifl*|)4 laz  $If^ F & FEƀjfF & FEƀjf$IfͻλIC5' $If] $If]$Ifkd _$$Iflֈ B#* IAN4 lavp<λϻлѻһӻ=kd`$$Iflֈ B#* IAN4 lavp<$If$Ifӻ$If$If$If  $If]IC0C  ʈ$If]$Ifkda$$Iflֈ B#* IAN4 lavp<   =7$Ifkda$$Iflֈ B#* IAN4 lavp<$If$If #%'()*NOQRSTiklz{|~˼,'Da  +-./0Lƺ h55 h55CJ5\ h[5\ B*phho<>*B* CJphfho<B* CJphfCJjgUjeUjdU jU he;55CJh5h5CJOJQJ59 $%&'($If$If$If  ʈ$If]()*NOIC/C  ʈ$If]$Ifkdb$$Iflֈ B#* IAN4 lavp<OPQRST=7$Ifkdc$$Iflֈ B#* IAN4 lavp<$If$IfTjk}~ $$Ifa$$If$If  $If]^`/%  @h^hkdh$$Ifl A B#'* $$$$4 lavqrgF & FEƀjfF & FEƀjf ^`q*F & FEƀjfF & FEƀjfF & FEƀjf@AeeF & FEƀjf ^`F & FEƀjfeJq*F & FEƀjfF & FEƀjfF & FEƀjfJq*F & FEƀjf"F & FEƀjf!F & FEƀjf ;bq*(F & FEƀjf%F & FEƀjf$F & FEƀjf#$If7kd:i$$Ifl*|)4 laz  $If^  *+IC5' $If] $If]$Ifkdi$$Iflֈ B#* IAN4 lavp<+,-./0=kdj$$Iflֈ B#* IAN4 lavp<$If$If0MNOPQ$If$If$If  $If]LNPQR !#$23467EFGIJby #r ho5<>*B* CJaJphfho<>*B* CJaJphfho<B* CJaJphfCJjqUjvpUjjoU jUh07h07CJOJQJ h075 hfCJhfhfCJOJQJ5 hf55CJh5h5CJOJQJ,QRSIC00C  ʈ$If]$Ifkd~k$$Iflֈ B#* IAN4 lavp<=7$Ifkdyl$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  ʈ$If]IC/C  ʈ$If]$Ifkdtm$$Iflֈ B#* IAN4 lavp<=7$Ifkdon$$Iflֈ B#* IAN4 lavp<$If$If"#56HI $$Ifa$$If$If  $If]^`IJ^_/%#  h^hkdr$$Ifl A B#'* $$$$4 lav_12eF & FEƀjf'F & FEƀjf& ^`B q*F & FEƀjf*F & FEƀjf)F & FEƀjf(hq*F & FEƀjf-F & FEƀjf,F & FEƀjf+xy(_F & FEƀjf/ ^`^F & FEƀjf.#|\_>?@Qfghijk!#$%&TVX}soi h$MCJh$Mh$MCJOJQJ h$M5h5h5CJOJQJ5CJ h55 h()5\ h()5CJ5\ h[5\5CJ B*ph jUhoB* phf<B* CJaJphfho<>*B* CJaJphfho5<B* CJaJphfho<B* CJaJphf)(q*F & FEƀjf2F & FEƀjf1F & FEƀjf0q*F & FEƀjf5F & FEƀjf4F & FEƀjf3)!q*F & FEƀjf8F & FEƀjf7F & FEƀjf6![\eF & FEƀjf: ^`F & FEƀjf9ZRq*F & FEƀjf=F & FEƀjf<F & FEƀjf;R>?ijklmnyssssss$If2kds$$Ifl*|)4 laz  $If^ F & FEƀjf> IC5' $If] $If]$Ifkdt$$Iflֈ B#* IAN4 lavp<=7$Ifkdt$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  $If] !IC00C  ʈ$If]$Ifkdu$$Iflֈ B#* IAN4 lavp<!"#$%&=7$Ifkdv$$Iflֈ B#* IAN4 lavp<$If$If&UVWXY$If$If$If  ʈ$If]XYZ[prs1q$%.FHIJKikʼ h55 h55CJ5\ h[5\ B*phho<B* phfho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJjzUjyUjxU jU55CJh51YZ[qrIC-C  $If]^`$Ifkdw$$Iflֈ B#* IAN4 lavp<r $$Ifa$$If/%#  h^hkd{$$Ifl A B#'* $$$$4 lavn  -$If2kd%}$$Ifl*|)4 laz  $If^  ^` -.2EFIC5' $If] $If]$Ifkds}$$Iflֈ B#* IAN4 lavp<      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxz{|}~FGHIJK=kdn~$$Iflֈ B#* IAN4 lavp<$If$IfKjklmn$If$If$If  $If]kmno023ABCEFTUVXYghikl$ZrIswwwwho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJjmUjaUjUU jUh#h#CJOJQJ h#5 h5CJh5h5CJOJQJ5 h555CJh5h5CJOJQJ.nopIC0C  ʈ$If]$Ifkdi$$Iflֈ B#* IAN4 lavp<=7$Ifkdd$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  ʈ$If]IC/C  ʈ$If]$Ifkd_$$Iflֈ B#* IAN4 lavp<=7$IfkdZ$$Iflֈ B#* IAN4 lavp<$If$If12DEWXjk $$Ifa$$If$If  $If]^`kl/%#  @h^hkdy$$Ifl A B#'* $$$$4 lav!oFTU$If2kd$$Ifl*|)4 laz  $If^  ^`sTUVg|}~:<>?@prtu䵫䜒~jݎUjэUh5h5CJOJQJ h55 h` CJh` h` CJOJQJ h` 5h5h5CJOJQJ5CJ h55 h55CJ5\ h[5\5CJ B*ph jUho<B* CJaJphf1IC5' $If] $If]$Ifkd$$Iflֈ B#* IAN4 lavp<=kd$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  $If]IC0C  ʈ$If]$Ifkd$$Iflֈ B#* IAN4 lavp<=7$Ifkd$$Iflֈ B#* IAN4 lavp<$If$If;<=>?$If$If$If  ʈ$If]?@AopIC/C  ʈ$If]$Ifkdۋ$$Iflֈ B#* IAN4 lavp<pqrstu=7$Ifkd֌$$Iflֈ B#* IAN4 lavp<$If$Ifu $$Ifa$$If$If  $If]^`JKNu  !"#PQZշxth` h` CJOJQJ h` 5h5h5CJOJQJ5 h55 h55CJ5\ h[5\5CJ B*phho6<B* CJaJphfho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJjU jU+/%#  @h^hkd$$Ifl A B#'* $$$$4 lavK!"#$%&8LY$If2kd$$Ifl*|)4 laz  $If^  ^`YZ^IC5' $If] $If]$Ifkdk$$Iflֈ B#* IAN4 lavp<=kdf$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  $If]IC0C  ʈ$If]$Ifkda$$Iflֈ B#* IAN4 lavp<=7$Ifkd\$$Iflֈ B#* IAN4 lavp<$If$If !"$%34578FGHJKOqsv2 ) ƺ5\ h[5\ B*phho<>*B* CJaJphfho<B* CJaJphfho<B* phfho<B* CJphfCJj^UjXUjRU jU5CJh5h5CJOJQJ5 h` CJ1$If$If$If  ʈ$If]IC-C  $If]^`$IfkdW$$Iflֈ B#* IAN4 lavp<#$67IJ $$Ifa$$IfJKrs/%#  @h^hkdd$$Ifl A B#'* $$$$4 lavs  $If2kd$$Ifl*|)4 laz  $If^  ^`  IC5' $If] $If]$Ifkdڛ$$Iflֈ B#* IAN)4 lavp<=kd՜$$Iflֈ B#* IAN)4 lavp<$If$If24678gijkU{%@}}}ho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfj͢UjǡUjU jU hCJhhCJOJQJ h55CJh5h5CJOJQJ5CJ h55 h55CJ/34567$If$If$If  $If]789fgIC0C  ʈ$If]$IfkdН$$Iflֈ B#* IAN)4 lavp<ghijkl=7$Ifkd˞$$Iflֈ B#* IAN)4 lavp<$If$Ifl$If$If$If  ʈ$If]IC-C  $If]^`$IfkdƟ$$Iflֈ B#* IAN)4 lavp< $$Ifa$$If/%#  @h^hkdӣ$$Ifl A B#'* )$$$$4 lavR"$If2kd$$Ifl*|)4 laz  $If^  ^`  $&'()WY[\]¸׊ho<B* CJphfj<Uj6Uj0U h` CJh` h` CJOJQJ h` 5h5h5CJOJQJ5CJ h55 h55CJ5\ h[5\5CJ jU B*ph1  #$IC5' $If] $If]$IfkdI$$Iflֈ B#* IAN)4 lavp<$%&'()=kdD$$Iflֈ B#* IAN)4 lavp<$If$If)XYZ[\$If$If$If  $If]\]^IC0C  ʈ$If]$Ifkd?$$Iflֈ B#* IAN)4 lavp<=7$Ifkd:$$Iflֈ B#* IAN)4 lavp<$If$If$If$If$If  ʈ$If]IC-C  $If]^`$Ifkd5$$Iflֈ B#* IAN)4 lavp< $$Ifa$$If/%#  @h^hkdB$$Ifl A B#'* )$$$$4 lav!I   ;=>?@PRTUVWlno}~ĿjUjU hCJhhCJOJQJ h55CJh5h5CJOJQJ5 h55 h55CJ5\ h[5\CJ B*ph jUho<>*B* CJaJphfho<B* CJaJphf3%&gF & FEƀjf@F & FEƀjf? ^`3q*$^F & FEƀjfCF & FEƀjfBF & FEƀjfA$If^2kdj$$Ifl*|)4 laz $If^ I?1 $If] $If^kd$$Iflֈ B#* IAN)4 lavp<  /kd$$Iflֈ B#* IAN)4 lavp<$If$If $If]  $If$If  $If]$If :;IC0C  ʈ$If]$Ifkd$$Iflֈ B#* IAN)4 lavp<;<=>?@=7$Ifkd$$Iflֈ B#* IAN)4 lavp<$If$If@QRSTU$If$If$If  ʈ$If]UVWmnIC-C  $If]^`$Ifkd$$Iflֈ B#* IAN)4 lavp<n $$Ifa$$IfSfM^DFGHInprstuh` CJOJQJ h` 55CJh5h5CJOJQJ5 h55 h55CJ5\ h[5\ B*phho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJ jUjU3/%%  @^kd$$Ifl A B#'* )$$$$4 lavPJPeF & FEƀjfEF & FEƀjfD ^`zZq*F & FEƀjfHF & FEƀjfGF & FEƀjfFZyssssss$If2kdٷ$$Ifl*|)4 laz  $If^ F & FEƀjfI "CI?1 $If] $If^kd'$$Iflֈ B#* IAN4 lavp<CDEFGH/kd"$$Iflֈ B#* IAN4 lavp<$If$If $If]HIopqrs$If$If  $If]$IfstuIC0C  ʈ$If]$Ifkd$$Iflֈ B#* IAN4 lavp<=7$Ifkd$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  ʈ$If]IC/C  ʈ$If]$Ifkd$$Iflֈ B#* IAN4 lavp<=7$Ifkd$$Iflֈ B#* IAN4 lavp<$If$If *+,./VYw8LPQRcxyz{|}h5h5CJOJQJ h55 h55CJ5\ h[5\ B*phho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJj!UjUj U jU5h` 3-. $$Ifa$$If$If  $If]^`./UV/%%  @^kd-$$Ifl A B#'* $$$$4 lavV5PQ{|}~$If2kdU$$Ifl*|)4 laz  $If^ ^ ^`I?1 $If] $If^kd$$Iflֈ B#* IAN4 lavp</kd$$Iflֈ B#* IAN4 lavp<$If$If $If]$If$If  $If]$IfIC0C  ʈ$If]$Ifkd$$Iflֈ B#* IAN4 lavp<8:<=RTUcdeghvwxz{n *謞 B*phho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfjUjUjU jUhhCJOJQJ h5CJh5h5CJOJQJ55CJ6=7$Ifkd$$Iflֈ B#* IAN4 lavp<$If$If$If$If$If  ʈ$If]78IC/C  ʈ$If]$Ifkd$$Iflֈ B#* IAN4 lavp<89:;<==7$Ifkd$$Iflֈ B#* IAN4 lavp<$If$If=STfgyz $$Ifa$$If$If  $If]^`/%%  @^kd$$Ifl A B#'* $$$$4 lavk &3$If2kd$$Ifl*|)4 laz  $If^ ^ ^`*+4QSTUVfhjkl'()+,:;<>?\_ÿ搂ho<B* CJaJphfho<B* CJphfjUj UjU jU hCJhhCJOJQJ h55CJh5h5CJOJQJ5CJ h55 h55CJ5\ h[5\.349PI?1 $If] $If^kd$$Iflֈ B#* IAN)4 lavp<PQRSTU/kd$$Iflֈ B#* IAN)4 lavp<$If$If $If]UVghijk$If$If  $If]$IfklmIC0C  ʈ$If]$Ifkd$$Iflֈ B#* IAN)4 lavp<=7$Ifkd$$Iflֈ B#* IAN)4 lavp<$If$If$If$If$If  ʈ$If]IC-C  $If]^`$Ifkd $$Iflֈ B#* IAN)4 lavp<*+=> $$Ifa$$If>?[\/%%  @^kd$$Ifl A B#'* )$$$$4 lav_iGHIZopqrst+-/012!þjpUhhCJOJQJ h55CJh5h5CJOJQJ5 h55 h55CJ5\ h[5\CJ B*ph jUho<B* CJaJphfho<>*B* CJaJphf5\GHrstuvw$If2kd@$$Ifl*|)4 laz  $If^ ^ ^` I?1 $If] $If^kd$$Iflֈ B#* IAN4 lavp</kd$$Iflֈ B#* IAN4 lavp<$If$If $If]$If$If  $If]$If,-IC0C  ʈ$If]$Ifkd$$Iflֈ B#* IAN4 lavp<-./012=7$Ifkd$$Iflֈ B#* IAN4 lavp<$If$If2g$If$If$If  ʈ$If]IC//C  ʈ$If]$Ifkdz$$Iflֈ B#* IAN4 lavp<=7$Ifkdu$$Iflֈ B#* IAN4 lavp<$If$If$%78 $$Ifa$$If$If  $If]^`!"#%&45689UXg9M (     # $ % & ' ( ) * W _   & ' 1 2      4 6 t v        ;;;;jU55CJjUmHnHujU>* hCJ h5 B*phho<>*B* CJaJphfho<B* CJaJphfho<B* CJphfCJjU jUj|U689TU/%%  @^kd$$Ifl A B#'* $$$$4 lavU6   & ' ( ) *  tk d`$If7kd $$Ifl *)")4 laz$If2kd$$Ifl*|)4 laz $If^^ ^`      &  $If  $If$If7kdX$$Ifl *)")4 laz  , . 0 2 4 vjdddd$If  $IfkdD$$Ifl4 r.0*T ")4 lazf44 6 v      xl`TNNH$If$If  $If  \$If  \$Ifkd$$Ifl4r^.0* ")4 lazf4      L@@4  $If  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$If   " $ j n p         *,-;<=?@tyz   LQRtwx49:uyz{|jUjUj~UjUjU jUCJ55CJO    " $ J d L@@  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$Ifd j l n   $If$If$If  $If     RH<0  $If  \$If  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4   'L@@  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$If'*+,>?$If$If$If  $If?@YtuvRFF:4$If  $If  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4vwxyzL@@  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$If@kd$$Ifl4֞ d^.0* ~ h ")4 lazf4$If  $If$If  $If  \$IfRFF:4$If  $If  \$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4L@  $Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$If   $If$If$If  $If  \$If3LMRF:.  $If  \$If  $Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4MNOPQReL@  $Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$Iferuvw$If$If$If  $If  V$IfRF:.  $If  \$If  $Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4L@  $Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$If$If$If  $If  \$If45RF:.  $If  \$If  $Ifkd $$Ifl4֞ d^.0* ~ h ")4 lazf456789:ZL@  $Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4$IfZtuvwxy$If$If  $If  \$Ifyz{RL$Ifkd$$Ifl4֞ d^.0* ~ h ")4 lazf4{|}~;skd$$Ifl4\tA0*f$")4 lazf4$If $$Ifa$$If:kd$$Ifl40*")")4 lazf4|~-./3VWab  $&(2468LNPZ\^wljh9zUj6h9zUh9z5>*CJOJQJjh9zUjh9zUmHnHujmh9zUjh9zUh9z B*ph jU55<>*B*phho<>*B* phfho5<>*B* phf5>*5CJOJQJ CJOJQJ*01239HUVZSkd$$IflF4*&b     4 l$If^2kd$$Ifl*)4 laz d$If^d&^& V6^`PEkd$$Ifl40(#*"t4 lf4$IfSkd$$IflF4*&b     4 l $$Ifa$$If   :<>@B(*FHJLNbdfprtvjXh9zUjNh9zUjrh9zUj h9zUh9z5CJOJQJjh9zUjh9zU h9z5jh9zUh9zjh9zUmHnHujh9zU3F|G> $$Ifa$kkd$$Ifl4\$ * 2  4 lf4$IfEkd~$$Ifl40(#*"t4 lf4@Bf&~~~~~~~~$Ifkkd$$Ifl4\$ * 2  4 lf4 $$Ifa$$If &(Lt$If $$Ifa$$Ifikd$$Ifl4\(#* t4 lf4  BLNPֶֻ}wq h9zCJ h9zCJj. h9zUj h9zUjh9zUmHnHujd h9zUh9zCJOJQJ h|/5j5UmHnHuj hpCE5U5 j5Ujh9zUh9zjh9zUjh9zU, $If$If$Ifikd, $$Ifl4\(#* t4 lf4*,.:<>$Ifskd $$Ifl4\2 "|) 4 laf4>@BNj$Ifskd. $$Ifl4\2 "|) 4 laf48NKEE$IfVkd $$Ifl4F!*     4 lf4$IfVkd $$Ifl4F!*     4 lf4NPx qkkk$IfCkdi$$Ifl40!* 4 lf4$IfCkd $$Ifl40!* 4 lf4PRfhjtvxz  *,.02NPRTVrtvxz|n*j5OJPJQJU^JmHnHo(uj2h|/5U h|/5jh|/5Uhe3jh9zUjh9zUjeh9zUh9zCJOJQJjh9zUjh9zUmHnHujh9zUh9zjh9zU+  0Txz|CAVkd$$Ifl4F*    4 lf4$If$IfVkd$$Ifl4F*    4 lf4|~nskd$$Ifl4\ "|)D &4 laf4$If$If d$If$If (*24HJLVXZ\xz|~  024jh|/5Uj\h|/5Ujh|/5Ujh|/5UjUjU jUj5UmHnHujXh|/5U h|/5jh|/5U5CJOJQJ CJOJQJ2*,.02Z~}}}}pp $$If^a$$Ifskd$$Ifl4\ "|)D &4 laf4$If 4>@BD`bdfhopyupuiucuiu h9zCJ h9z5CJ h9z5h9zh9z5<B*phh9z56<B*phh9z6<B*phh9z<B*ph h9z5>*h9z5CJOJQJh9zCJOJQJjBh|/5UjUjU jU h|/5jh|/5Uj5UmHnHu&Bf $$If^a$kd$$Ifl4 F#&)Z-)26:8B|t5:((((4 lalf4zzzp p$If^p$Ifikd$$Ifl4\F**N%4 lf4$If $$Ifa$$If ICCC$Ifkd$$Ifl֞r*~  4 l d($If $$Ifa$?9$Ifkdz$$Ifl֞r*~  4 l d($If $$Ifa$ p$If^p  +19BLMWbgo$pd($If]p^a$ p$If^p$Ifopt& $IfkdG $$Ifl rz#'*((((4 l$If   $IfFf"$If    Z \ ] k l m o p ~                            !!!ꔇh9z<>*B*CJphh9z<B*CJphj(5h9zUj4h9zUj3h9zUj 2h9zUj1h9zUj/h9zUjh9zU h9z5CJ h9z5h9z h9zCJ5        $IfFf)  $If$IfFfP&$If          [ \ n o            $IfFf7  $IfFf-$If$If                  !"2#3#c$$$ & F 0^`0^Ff;$If  $If!""{""3&M&i)k)l)})))))))))))))))) * **&*3*4*5*X*Z*[*i*j*k*m*n*|*}*~**************jTh9zUjRh9zUjQh9zUjPh9zU h9z5 h9z5CJ h9zCJh9zB*phjh9zUh9zh9z<>*B*CJphh9z<B*CJph8$$0%%%/&0&''f'''''+(I(r(((')E)i)j)k))$If$If 0^`0 p0^p`0 & F))))))))))))))))))))Ff?$If$IfCkd=$$Ifl40* )4 lf4)))))))))))))))))))))))))))$If  $IfFf_C$If))))********* * * * * **'*(*)***+*,*  h$IfFfJ  $If$IfFfG$If,*-*.*/*0*1*2*3*4*5*Y*Z*l*m*************FfY  $IfFflN$If$If************G,V,A-S-r0044444 5 5 55555?5@5A5\5i5j555555556 6 666666,6-6.606˾˾˾˾˴j9oh9zUj/nh9zU h9z5 h9z5CJh9zB*phh9z<B*phh9z<>*B*CJphh9z<B*CJph h9zCJj@Vh9zUh9zjh9zUj$Uh9zU6*C,D,=->-....A//G0n0o01122J3z33364k4444 & F 0^`04455555555555555555$If  $IfCkd_[$$Ifl40* )4 lf4$If$If55#535455565758595:5;5<5=5>5?5@5A5]5^5_5`5a5b5c5d5$If  $IfFf`$If$IfFf+]d5e5f5g5h5i5j5k555555555555555555  $IfFf8h   $IfFfd$If$If55555555555555 6 666/606B6C6U6V6h6i6{6 0$IfFfk$If$If0616?6@6A6C6D6R6S6T6V6W6e6f6g6i6j6x6y6z6{6|666(8C8Y8]8F>d>u>|>BBEEEEEEEEEEEE!F"F#F@FMFNFOFFF h9z5 h9zCJh9zB*phh9z<B*phh9z<>*B*CJphh9z<B*CJph h9z5CJjash9zUjWrh9zUjMqh9zUjCph9zUh9zjh9zU6{6|666$8%899q:,;;<F===B>C>???W@@AGAAAA  & F^ & F 0^`0Ff&vAwBBBCCCDDDDEEEEEEECkdnx$$Ifl40* )4 lf4$If$If & F 0^`0  & F^EEEEEEEEEEEEEEEFFFFFFFFFFFF$IfFf:z$If  $IfF F!F"F#FAFBFCFDFEFFFGFHFIFJFKFLFMFNFOFFFFFFFFf$If  $IfFf}$IfFFFFFFFFFFFFFFFFFFFFFFFFFGFf  $IfFfG$If$IfFFFFFFFGGGGGGGG'G(G)G+G,G:G;GG?GMGNGOGQGRG`GaGbGdGeGsGtGuGvGwGGG2HhHHH\IIiJkJlJ}Jh9z<>*B*CJphh9z<B*CJph h9zCJjސh9zUjh9zUjh9zUj~h9zUj^h9zUj>h9zUjh9zU h9z5h9z h9z5CJ3GGGG*G+G=G>GPGQGcGdGvGwGGG.H/H~HHXIYIiJjJkJ$If 0^`0Ff$If$If}JJJJJJJJJJJJJJJJJK"K#K$KAKNKOKPK}KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKjh9zUj h9zUjh9zUjh9zUjߩh9zUjѨh9zU h9z5 h9z5CJ h9zCJjh9zUh9zh9zB*ph9kJJJJJJJJJJJJJJJJJJJFf͗$If$IfCkd$$Ifl40* )4 lf4$IfJJJJJJJJJJJJJJJJJJJJJJJJJJ$If  $IfFf|$If$IfJJJJJJJKKKKKKKKKK K!K"K#K$KBKCKDKEKFfڢ  $IfFf+$If$IfEKFKGKHKIKJKKKLKMKNKOKPK~KKKKKKKKKKKKKKFf  $IfFf$If$IfK L L'M(MMMzN{N&O'O(OROSOTOUOVO  $IfCkd($$Ifl40* )4 lf4$If$If 0^`0KL%L+MBMMMyNzN~NN&O(O)O:OOOPOQOROSObOcOOOOOOOOOOOOPPP'P(P)P+P,P:P;PP?PMPNPOPQPRP`PaPbPִִִֹֹֿֿֿ֩֞֓ֈjah9zUjYh9zUjQh9zUjIh9zU h9z5 h9zCJ h9z5CJh9zB*phjh9zUh9zh9z6<B*CJphh9z<>*B*CJphh9z<B*CJph5VOWOXOYOZO[O\O]O^O_O`OaObOcOgOOOOOOOOOOOOOO$IfFf$IfOOOOOOOOOOOOOOOOOOOOOOOOOOFfR$If  $If$IfFfOOOOOOOOPP*P+P=P>PPPQPcPdPvPwPPPPPQQ 0^`0Ff4  $IfFf$If$IfbPdPePsPtPuPwPxPPPPPPPPUQrQNRjRSSSSTTTTTTTTTTTTTTTTTTTTTUUU U UUUUUU,U̿̿̿jh9zUjh9zU h9z5 h9z5CJh9zB*phh9z<>*B*CJphh9z<B*CJph h9zCJjqh9zUjih9zUjh9zUh9z6QQRQJRKRSSSTTTTTT"Tw$pd($If]p^a$  $If$IfCkd|$$Ifl40* )4 lf4$If$If 0^`0 "T,T6TATGTOTXTbTlTwT|TT$If$pd($If]p^a$ TTTTT600*$If$Ifkd$$Ifl4 drz #'*$$$$4 lf4TTTTTTTTTTTTTTTTTTTTTTTTTTT$If  $IfFf9$IfTTTTTTTTTTTTTTTTTTTT U UUU/U0UFf$If  $If$IfFf,U-U.U0U1U?U@UAUCUDURUSUTUVUWUeUfUgUhUiUzUUV(VVV WWW!W6W7W8W9W:WIWJWpWqWrWWWWWWWWWXXXh9z5<B* phh9z5B*ph h9z5 h9zCJh9zB*phh9z<>*B*CJphh9z<B*CJph h9z5CJjh9zUjh9zUjh9zUh9zjh9zUjh9zU20UBUCUUUVUhUiUvUwUVVVV WWW9W$If$If 0^`0Ff$If$If9W:W;WW?W@WAWBWCWDWEWFWGWHWIWJWFf$If  $If$IfCkd$$Ifl40* )4 lf4JWNWdWeWfWgWhWiWjWkWlWmWnWoWpWqWrWWWWWWWWWW$If  $IfFf$If$IfWWWWWWWWWWWWWWWWWWWWWWXX#X  $IfFf  |$IfFf<$If$IfXX X!X"X$X%X3X4X5X7X8XFXGXHXJXKXYXZX[X]X^XlXmXnXpXqXXXXXXXXYQY]+]aaaaaaaaaaaaaa󪞑 h9zCJh9zB*phh9z<>*B*CJphh9z<B*CJph h9z5CJj[h9zUjSh9zUjKh9zUjCh9zUj;h9zUj3h9zUh9zjh9zU3#X$X6X7XIXJX\X]XoXpXXXXXYYZZ.[!\^\\]]^^ & F 0^`0Ff$If$If^_g__I`)aaaaaaaaaaaaaa  $IfCkdf$$Ifl40* )4 lf4$If$If & Faaaaaaaaaaaaaaaaaaaaaaaaaa  $IfFf$IfFf2$Ifaaaaa bbbb7bCbDbEbfbgbhbvbwbxbzb{bbbbbbbbbbbbbbbbbbbbbbbbbbbb*c1cccYd𓆓h9z<>*B*CJphh9z<B*CJphj|h9zUjnh9zUj`h9zUjRh9zUjDh9zUj6h9zUjh9zU h9z5CJ h9zCJh9z h9z54aaaaaaaaaaaaaaa b bbbbbbbbbbb  $IfFf$If$Ifbbbb7b8b9b:b;bb?b@bAbBbCbDbEbfbgbybzbbbbFf   $If$IfFf? $Ifbbbbbbbbbb&c'cccUdVdeeeIe$If $If^^ 0^`0FfE$If$IfYdwdee e1eFeGeHeIeJeYeZeeeeeeeeeeee:fFfGfHfifjfkfyfzf{f}f~ffffffffffffffffffffj}0h9zUju/h9zUjm.h9zUje-h9zUj],h9zU h9z5 h9z5CJ h9zCJh9zB*phjh9zUh9zh9z<B*CJphh9z<>*B*CJph6IeJeKeLeMeNeOePeQeReSeTeUeVeWeXeYeZeFfY$If  $If $If^^Ckd$$Ifl40* )4 lf4Ze_evewexeyeze{e|e}e~eeeeeeeeeeeeeee$If  $IfFf$If$If $If^eeeeeeeeeeeeeeeeeeeeeee:f;ff?f@fAfBfCfDfEfFfGfHfifjf|f}ffffffffff  $IfFf*$If$Ifffffffffg_gg4h_hhhhhiiiiiii!i"iGiHiTiUiVi{iiiiiiiiiiiiiii j jjjjj j!j#j$j2j3j4jj|Kh9zUjnJh9zUj`Ih9zU h9z5CJ h9z5h9zB*phh9z<>*B*CJphh9z<B*CJph h9zCJj1h9zUh9zjh9zU:fff[g\g0h1hhhhiiiiiii  $IfCkd6$$Ifl40* )4 lf4$If$If 0^`0FfH4iiiiiiiii i!i"i'iHiIiJiKiLiMiNiOiPiQiRiSiTiUiFf < $If^Ff\8$IfUiVi{i|i}i~iiiiiiiiiiiiiiiiiiiiiFf?$If$If  $If $If^iiiiiiiiiiiiiiiiiiiiiiiijFfG  $If $If^FfiC$If$Ifjj"j#j5j6jHjIj[j\jnjojjkkukvkllllll$If $If^^ 0^`0FfoQ$If$If4j6j7jEjFjGjIjJjXjYjZj\j]jkjljmjnjojjjk&kykkl.lllllllllllllllllllm m mm;mGmHmImkmlmmm{m|m}mmjbh9zU h9z5CJ h9z5h9zB*phh9z<>*B*CJphh9z<B*CJph h9zCJjNh9zUjMh9zUjLh9zUjh9zUh9z:llllllllllllllllllFfU$If  $If $If^^CkdS$$Ifl40* )4 lf4lllllllllllllllllmmmmmmm$If  $If $If^Ff2Y$If$If $If^mmm m m m m mm;mm?m@mAmBmCmDmEmFmGmHmImkmFf`  $If $If^Ff\$If$Ifkmlm~mmmmmmmmmmmmmKnLnoooooo$If $If^^ 0^`0Ffj$If$IfmmmmmmmmmmmmmmmmmmmmmmmmmmmmmOnun o;ooooooooooooooooooop%p&p'p󵩜 h9zCJ h9z5h9zB*phh9z<>*B*CJphh9z<B*CJph h9z5CJjhh9zUjfh9zUjeh9zUjdh9zUjch9zUh9zjh9zU6ooooooooooooooooooFfn$If  $If $If^^Ckd m$$Ifl40* )4 lf4oooooooooooooooooppppppp$If  $If $If^Ffr$If$If $If^p p!p"p#p$p%p&p'pjpkplpmpnpopppqprpsptpupvpwpxppFfy  $If $If^Ff5v$If$If'pjpvpwpxppppppppppppppppppppppppqqqqqqqqqq/qEqqqqqr?rPrerfr~h9zB*phh9z<>*B*CJphh9z<B*CJph h9zCJjTh9zUjLh9zUjDh9zUj<~h9zUj4}h9zUj,|h9zUjh9zU h9z5CJh9z h9z51ppppppppppqqqq,qqqqqrhr$If $If^^ 0^`0Ff$If$Iffrgrhrirkrlrxryrrrrrrrrrrrrrrs's(s)s^sjskslssssssssssss t t ttt"t#t$t)t*tHtWttt,u@uv  Uh9z<>*B*CJphh9z<B*CJphjh9zUjh9zU h9z5>* h9z5CJ h9z5 h9zCJh9zjh9zUAhrirjrkrlrmrnrorprqrrrsrtrurvrwrxryrFf+$If  $If $If^^Ckd_$$Ifl40* )4 lf4yr~rrrrrrrrrrrrrrrrrrrrrrrr  $If $If^Ff$If$If $If^rrrrrrsssss s!s"s#s$s%s&s's(s)s^s_s`sasbsFf  $If $If^Ff$IfbscsdsesfsgshsisjskslssssssssssssssssFf  $If $If^Ffo$Ifsssssssssssssssssstttttt%t&t$If $If^Ff͝$If  $If&t't(t)t*tEttt(u)u  $If $If^^ 0^`0Ff$If$If      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~onships. D. Severe problems  More than one child has significant physical, emotional, or intellectual problems resulting in substantial dysfunction in school, home, or community which puts strain on family finances and/or relationships.  MACROBUTTON [1] "Click Here and Type"  Based on this assessment, identify below the priority needs and strength of the family below (indicate S code only). Address the priority items in the Treatment Plan and Service Agreement:Family 1Family 2PRIMARY NEEDSS1 Emotional Stability BehaviorS8 Intellectual Capacity1. FORMDROPDOWN  FORMDROPDOWN S2 Parenting SkillsS9 EmploymentS3 Substance AbuseS10 Physical Health issues2. FORMDROPDOWN  FORMDROPDOWN S4 Domestic RelationsS11 Resource Availability / MgmtS5 Social Support SystemS12 Housing3. FORMDROPDOWN  FORMDROPDOWN S6 Comm. / Interpersonal SkillsS13 Sexual AbuseS7 LiteracyS14 Child CharacteristicsPRIMARY STRENGTHSFamily 1Family 2S1 Emotional Stability BehaviorS8 Intellectual Capacity1. FORMDROPDOWN  FORMDROPDOWN S2 Parenting SkillsS9 EmploymentS3 Substance AbuseS10 Physical Health issues2. FORMDROPDOWN  FORMDROPDOWN S4 Domestic RelationsS11 Resource Availability / MgmtS5 Social Support SystemS12 Housing3. FORMDROPDOWN  FORMDROPDOWN S6 Comm. / Interpersonal SkillsS13 Sexual AbuseS7 LiteracyS14 Child Characteristics Youth Name: (Age 14 and Older)  FORMTEXT        Youth Signature:  Date:   ,-Zb>?\_`nopvw  Y\jh9z5CJUjøh9z5CJUjh9z5CJUj_h9z5CJU h9z5CJjh9z5CJU h9z>* h9z5CJ h9z5 h9zCJjh9zUh9zh9zB*ph2 !"#$%&'()*+,-Ff$If  $If $If^^Ckdإ$$Ifl40* )4 lf4- $$Ifa$  $If$If-kd$$Ifl**4 l d`$Ifrf`````````$If  $Ifkd5$$Iflֈdr*~  4 l ?Y\]^_qrstuvFfj$If  $If  $IfFf=$If  $If  $IfFfU$If6XYZ[\]^_`abcdefFf$If  $IfFf$If\]ef ) 5 6 C D U V j k                    ! ! ? @ A Ff$If  $IfA B C D V W ` a j k  eykd$$Iflrdr*~  4 l $$Ifa$  $IfFf$If                     !!!  $IfFfo$If$If  $If  $If!!!!!!! ! !!:!=!>!?!@!R!S!T!U!V!W!i!j!k!l!!Ff$If  $IfFfZ$IfO!P!Q!W!X!f!g!h!k!l!!!!!!!!!!!!!! """""~""""""## # #$#&#(#l#n########ڤڕ}jUmHnHujbU jUjbh9z5CJUj*h9z5CJU h9z5CJ h9zCJ h9z5 h9zCJjh9z5CJU h9z5CJh9zjh9z5CJUjh9z5CJU1!!!!!!!!!!!!!!!!!!!!!!!!!!!Ff$If$If  $If!!""""Z"~"""""""""""""""""""Ff  $IfFf3$If$If"""""""""##### # ########## #"#  $IfFf $If$If"#$#&#(#*#B#h#j#l######rskd$$Ifl4\ "|)D &4 laf4$If$IfFf$If ##############skd$$Ifl4\ "|)D &4 laf4$If ###h9z 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`% 0/ =!@"`#$`%" 00/ =!@"`#$`%/ =!"#$%N%:V l4)5h555N%4azf4R$$Ifv!vh5)#v):V l4)5)4avf4$$Ifv!vh55555v 55T #v#v#v#v#vv #v#vT :V l)55555v 55T 4avvDText61$$Ifv!vh55555#v#v#v#v#v:V l)555554av$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. 0-3-4-5US Df;Select most serious score between two caretakers in family. 0-3-4-5US Df;Select most serious score between two caretakers in family. 0-3-4-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-4-5USDf;Select most serious score between two caretakers in family. 0-4-5USDf;Select most serious score between two caretakers in family. 0-4-5US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US Df;Select most serious score between two caretakers in family. +20-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +10-2-3US Df;Select most serious score between two caretakers in family. +10-2-3US Df;Select most serious score between two caretakers in family. +10-2-3US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. +10-1-2US Df;Select most serious score between two caretakers in family. +10-1-2US Df;Select most serious score between two caretakers in family. +10-1-2US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l)555 5I5A5N4avp<Df;Select most serious score between two caretakers in family. 0-1-2USDf;Select most serious score between two caretakers in family. 0-1-2USDf;Select most serious score between two caretakers in family. 0-1-2US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l)555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4az$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp<$$Ifv!vh555 5I5A5N#v#v#v #vI#vA#vN:V l555 5I5A5N4avp< Df;Select most serious score between two caretakers in family. 0-1-2-3US Df;Select most serious score between two caretakers in family. 0-1-2-3US Df;Select most serious score between two caretakers in family. 0-1-2-3US&$$Ifv!v h555 555555 #v#v#v #v#v#v#v#v#v :V l555 555555 / / / 4avL$$Ifz!vh5|)#v|):V l5|)4azL$$Ifz!vh5)#v):V l")5)4azL$$Ifz!vh5)#v):V l")5)4azDText4Enter household name.$$Ifz!vh5555T5 #v#v#v#vT#v :V l4 "),5555T5 4azf4$$Ifz!vh55555 #v#v#v#v#v :V l4")55555 4azf4JDf9Select first of top three priority needs for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4LDf:Select second of top three priority needs for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4JDf9Select third of top three priority needs for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4RDf=Select first of top three priority strengths for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4TDf>Select second of top three priority strengths for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4RDf=Select third of top three priority strengths for household 1. S1S2S3S4S5S6S7S8S9S10S11S12S13S14$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 / 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4$$Ifz!vh5 5~ 5h5555 #v #v~ #vh#v#v#v#v :V l4"),5 5~ 5h5555 4azf4R$$Ifz!vh5")#v"):V l4")5")4azf4$$Ifz!vh5f555$#vf#v#v#v$:V l4")5f555$4azf4L$$Ifz!vh5)#v):V l5)4az$$Ifz!vh5&5b5 #v&#vb#v :V l5&5b5 /  4a`D(Text31iD Text32 M/dd/yyyy`D#Text33$$Ifz!vh5&5b5 #v&#vb#v :V l5&5b5 /  4au$$Ifz!vh5"5t#v"#vt:V l45"5t/  4af4ZDbDf Dropdown7 MFu$$Ifz!vh5"5t#v"#vt:V l45"5t/ 4af4$$Ifz!vh55 52 5 #v#v #v2 #v :V l455 52 5 /  4af4iD Text34 M/dd/yyyyDf Foster Home Ind. LivingRelative Residential Adoptive HomeOwn HomeOtheriD Text35 M/dd/yyyyDf Dropdown3  6 = Indp. Living7 = Plcmt. Relatives8 = Return Home9 = Custodial Care 10 = Adoption11 =Term. Parent Rts.12 = Perm. FFA13 = Maint. Own Home$$Ifz!vh55 52 5 #v#v #v2 #v :V l455 52 5 / 4af4$$Ifz!vh555 5t#v#v #vt:V l455 5t/  4af4 Df Dropdown5xSelect Anticipated Next Placement Type: Foster Home, Relative, Residential, Adoptive Home, Own Home, Ind. Living, Other Foster HomeRelative Residential Adoptive HomeOwn Home Ind. LivingOthervDText46Df Dropdown1Select child's race. 1 White2 Black or African American 3 American Indian/Alaskan Native4 Asian(5 Native Hawaiian/Other Pacific Islander6 Unable to DetermineDeCheck7PromptAddIdentInfo$$Ifz!vh555 5t#v#v #vt:V l455 5t/ 4af4D#Text12Enter Foster Care Worker's NamePromptNameTitle$$If!vh5 555#v #v#v#v:V l45 555/ 4f4$$If!vh5 555#v #v#v#v:V l45 555/ / 4f4$$Ifz!vh55 5#v#v #v:V l455 5/  4af4dD parentnamefD RelationshipiDText39 M/dd/yyyy$$Ifz!vh55 5#v#v #v:V l455 5/  4af4q$$Ifz!vh5 5#v #v:V l45 5/  4af4`DLText38vDText37q$$Ifz!vh5 5#v #v:V l45 5/ 4af4$$Ifz!vh555#v#v#v:V l4555/  4af4Df Dropdown7 MFDf Dropdown1Select child's race. WhiteBlack or African AmericanAmerican Indian/Alaskan NativeAsian&Native Hawaiian/Other Pacific IslanderUnable to DetermineDeTerminationFromFoste&Check if child has been returned home.PromptAddParentRows$$Ifz!vh555#v#v#v:V l4555/ 4af4D(Text15Enter Parent/Caretaker NamePopUpPrompt3.MAIN$$If!vh5D 5&55#vD #v&#v#v:V l4,5D 5&55/ 4f4$$If!vh5D 5&55#vD #v&#v#v:V l4,5D 5&55/ / 4f4`D(Text11DfC1C2C3C4C5C6C7C8C9S1S2S3S4S5S6S7S8S9S10S11S12S13S14DfADDCDVEDFCFRHSILJTMDMHOTPSTHWPZD0`DM/yyyy`DM/yyyy`DM/yyyyxDfD1 = Service Unavailable 2 = Continue Services 3 = Refused Services 1=Svs Unavlbl 2=Cont Svs 3=Refusd Svs4=New Df S=Satisfact U=UnsatisflDM/yyyy PopUpPrompt2l$$Ifl!v h5585B5|555t55 5 5#v#v8#vB#v|#v#vt#v#v #v 5:V l4:5585B5|55t55 5 5/ /  / / / / / 4alf4$$If!vh555*5N%#v#v#v*#vN%:V l4555*5N%4af4$$If!vh55555~ 55 #v#v#v#v#v~ #v#v :V l55555~ 55 4a$$If!vh55555~ 55 #v#v#v#v#v~ #v#v :V l55555~ 55 4a$$If!v h555555555 5 #v#v#v#v#v#v#v #v :V l5555555 5 4ae$$If!vh5 555v55v55v5 !5 5 5 5 5 #v #v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5 555v55v55v5 !5 5 5 5 5 4aFkd:!$$Ifl8drlz "#u&'* vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd($$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdG,$$Ifl8drlz "#u&'*vvv!88884 l Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US Df;Select most serious score between two caretakers in family. +20-3-5US$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 / / / / / / 4aFkd26$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd5:$$Ifl8drlz "#u&'*vvv!88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdI>$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdA$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdE$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdVI$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdM$$Ifl8drlz "#u&'*vvv!88884 lDf Dropdown2;Select most serious score between two caretakers in family. +20-3-5USDf Dropdown2;Select most serious score between two caretakers in family. +20-3-5USDf Dropdown2;Select most serious score between two caretakers in family. +20-3-5USDf Dropdown2;Select most serious score between two caretakers in family. +20-3-5USDf Dropdown2;Select most serious score between two caretakers in family. +20-3-5USDf Dropdown2;Select most serious score between two caretakers in family. +20-3-5US$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 / / / / / / 4aFkd\W$$Ifl8drlz "#u&'*vvv!88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd[$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkds_$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd"c$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdf$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdj$$Ifl8drlz "#u&'*vvv!88884 l Df;Select most serious score between two caretakers in family. 0-2-3-5US Df;Select most serious score between two caretakers in family. 0-2-3-5US Df;Select most serious score between two caretakers in family. 0-2-3-5US Df;Select most serious score between two caretakers in family. 0-2-3-5US Df;Select most serious score between two caretakers in family. 0-2-3-5US Df;Select most serious score between two caretakers in family. 0-2-3-5US$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 / / / / / / 4aFkdkt$$Ifl8drlz "#u&'*vvv!88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdx$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd|$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd1$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 l Df Dropdown4;Select most serious score between two caretakers in family. +20-2-4US Df Dropdown4;Select most serious score between two caretakers in family. +20-2-4US Df Dropdown4;Select most serious score between two caretakers in family. +20-2-4US Df Dropdown4;Select most serious score between two caretakers in family. +20-2-4US Df Dropdown4;Select most serious score between two caretakers in family. +20-2-4US Df Dropdown4;Select most serious score between two caretakers in family. +20-2-4US$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 / / / / / / 4aFkd$$Ifl8drlz "#u&'*vvv!88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdf$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkdĝ$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkds$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd"$$Ifl8drlz "#u&'*vvv!88884 lDf;Select most serious score between two caretakers in family. +20-2-4USDf;Select most serious score between two caretakers in family. +20-2-4USDf;Select most serious score between two caretakers in family. +20-2-4USDf;Select most serious score between two caretakers in family. +20-2-4USDf;Select most serious score between two caretakers in family. +20-2-4USDf;Select most serious score between two caretakers in family. +20-2-4US$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 / / / / / / 4aFkd%$$Ifl8drlz "#u&'*vvv!88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd<$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 lDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 / / / / / / 4aFkdy$$Ifl8drlz "#u&'*vvv!88884 lc$$If!vh55 )#v#v ):V l455 )4af4$$If!v h555555555 #v#v#v#v#v#v#v#v :V l455555555 4af4e$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5       !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijknopqrstuvwxyz{|}~5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd$$Ifl8drlz "#u&'*vvv!88884 le$$If!vh5555v55v55v5 !5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v !#v #v #v #v #v :V l5555v55v55v5 !5 5 5 5 5 4aFkd0$$Ifl8drlz "#u&'*vvv!88884 lDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3USDf;Select most serious score between two caretakers in family. 0-2-3US$$If!vh5555v55v55v5 5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v #v #v #v #v #v :V l5555v55v55v5 5 5 5 5 5 / / / / / / 4aFkd$$Ifl8drlz"#u&'*vvv88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 5 5 5 5 5 #v#v#v#vv#v#vv#v#vv#v #v #v #v #v #v :V l5555v55v55v5 5 5 5 5 5 4aFkdw$$Ifl8drlz"#u&'*vvv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd&$$Ifl8drlz"6$&'*vvvhv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd$$Ifl8drlz"6$&'*vvvhv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd$$Ifl8drlz"6$&'*vvvhv88884 lDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4USDf;Select most serious score between two caretakers in family. 0-2-4US$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 / / / / / / 4aFkdc$$Ifl8drlz"6$&'*vvvhv88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd$$Ifl8drlz"6$&'*vvvhv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkdz$$Ifl8drlz"6$&'*vvvhv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd)$$Ifl8drlz"6$&'*vvvhv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd$$Ifl8drlz"6$&'*vvvhv88884 le$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd $$Ifl8drlz"6$&'*vvvhv88884 lDf;Select most serious score between two caretakers in family. +10-1-2USDf;Select most serious score between two caretakers in family. +10-1-2USDf;Select most serious score between two caretakers in family. +10-1-2USDf;Select most serious score between two caretakers in family. +10-1-2USDf;Select most serious score between two caretakers in family. +10-1-2USDf;Select most serious score between two caretakers in family. +10-1-2US$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 / / / / / / 4aFkd$$Ifl8drlz"6$&'*vvvhv88884 lc$$If!vh55 )#v#v ):V l455 )4af4e$$If!vh5555v55v55v5 5 5 h5 v5 5 #v#v#v#vv#v#vv#v#vv#v #v #v h#v v#v #v :V l5555v55v55v5 5 5 h5 v5 5 4aFkd$$Ifl8drlz"6$&'*vvvh