ࡱ> beah'` ,Dbjbj *xd  b ^d8_b 6+,0000 'T'{*{*{*{*{*{*$b,h.*Q     * 00*###### X 0 0'## '#### ##0` p^mw X##$+06+##/ /##/ 1#  ##     **"p   6+    b b b db b b b b b  ADOPTIVE PLACEMENT SUPERVISORY REPORTMichigan Department of Human Services  FORMTEXT      Court File Number  MACROBUTTON [b2] "Click and Type agency name and address here"   MACROBUTTON[1]"Click and Type agency name and address here"  Child(ren) s Adoptive Name (s):DOB:  MACROBUTTON [b2] "Click Here and Type"  Placement Date: FORMTEXT      County: FORMTEXT      Adoptive Parent Name(s): FORMTEXT      Adoptive Parent s Address: FORMTEXT      Adoptive Parent s Phone Number: FORMTEXT      Adoption Worker: FORMTEXT      Report Date: FORMTEXT      Report Period: FORMTEXT      Date of next post termination review hearing: FORMTEXT      Dates of ContactWith WhomType (phone, etc.) and Reason:  MACROBUTTON [b2] "Click Here and Type"  Circumstances Leading to the Adoptive Placement: FORMTEXT      Child s Adjustment to the Adoptive Placement: FORMTEXT      Adoptive Family s Adjustment to the Placement: FORMTEXT      Include efforts made to prepare child and family for adoption finalization and termination of supervision. Include any protective services complaints.Plans and Services required to assist the Family (if necessary): FORMTEXT NR , 4 < v x z | ~ ޺}}uujX#h@h@5CJOJQJ^JaJhhB*phjh Uh B*phhBh B*ph hBh jhBh UhK h)e5h)e hh)eh hNh jhceUmHnHujh_UhcejhceU hhKhY hhh_h"PRsf  *B$Ifgd8<kdX$$Ifl4{,{,4 lalf4 $Ifgd<kd$$Ifl4{,{,4 lalf4 $Ifgd(, DDBqUI $$Ifa$gd^ERkd~$$Ifl4 0#{,#4 lalf4ytce $$Ifa$gd)e $$Ifa$gdK<kd$$Ifl4{,{,4 lalf4~  B PG $Ifgd@9kd$$Ifl{,{,4 lal $Ifgd@$a$gd$a$gd Okd$$Ifl40#{,#4 lalf4 $$Ifa$gd)e   . L N P R v      * , 0 b d x z | 迻xs hN5jh/{UjhNUjh[UjhUmHnHujh[UhF jhF Uhh_hhBhB*ph hBhjhBhUh h@5hNh@h@h@CJaJ,B L N P ~ $Ifgd@ $If^gdgdgd Xkd$$Ifl0{,4 lalp $Ifgd@  2LkdZ$$Iflh0x{,x&4 lald8$If^gdI}Id8$If^gdI}IXkdg$$Ifl 0{,4 lalp . 0 b =Lkd $$Iflh0 {, "4 lald8$If^gdI}ILkd<$$Iflh0{,(4 lald8$If^gdI}I , . B D F P R T V h t x z      ( * ƺ޺ƺ޺ƛڐڅƛh[j h/{Uj h/{U h5j8 hnUjVhnUhnjhnUhF h hN5jrh/{UhNjhUmHnHujhNUjh/{U2 , T V x =Lkd$$Iflh0 {, 4 lald8$If^gdI}ILkd$$Iflh0P {,P +"4 lald8$If^gdI}Ix  =Lkd $$Ifl0F{,F5'4 lald8$If^gdI}ILkd$$Ifl0{,%4 lald8$If^gdI}I , . 9Lkdt $$Ifl0 {, [4 lald8$If]^gdNLkd $$Ifl0{,&4 lald8$If^gdI}I 0ulll $Ifgdw 9kd4 $$IflP{,{,4 lal $If^gd9kd $$IflP{,{,4 lal $Ifgd(, 246Z   0z~ "$&026\ŨͤŨͤŨx hyhhyh<B* CJaJphfjh~OUj;h~OU hX5hXjhUmHnHuj h~OUhI}IjhI}IUh\OhnhBhB*ph hBhjhBhUhh[ h[5+024F9kd+ $$Ifl {,{,4 lal $If^gdpkd $$IflF {,     4 lalpc9kdE$$Ifl{,{,4 lald8$If^gdI}I9kd} $$Ifl{,{,4 lald8$If^gdI}I |~wcd8$If^gdI}I9kd$$Ifl{,{,4 lald8$If^gdI}I9kd$$Ifl{,{,4 lal wcd8$If^gdI}I9kd$$Ifl{,{,4 lald8$If^gdI}I9kd$$Ifl{,{,4 lal  46dfwn49kdo$$Ifl{,{,4 lal $Ifgdyh9kd$$Ifl{,{,4 lald8$If^gdI}I9kdU$$Ifl{,{,4 lal\^bdf>>>>>>>><>>>R>T>V>`>b>j>l>n>>>>>>>>>ǿ˿}r}}jfhKjhKUjh/{UjhNUhNjh~OUhXjhUmHnHujh~OUUhI}IjhI}IUh\Oh[hn hX5 hyhhX<B* CJaJphf hyhhyh<B* CJaJphfhyh<B* CJaJphf$f>>>c9kd$$Ifl{,{,4 lald8$If^gdI}I9kd$$Ifl{,{,4 lald8$If^gdI}I     Recommendations: FORMTEXT       FORMTEXT       FORMTEXT      Adoption Worker SignaturePrinted NameDate FORMTEXT       FORMTEXT      Adoption Supervisor SignaturePrinted NameDateDepartment of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual orientation, gender identity or expression, political beliefs or disability. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you are invited to make your needs known to a DHS office in your area. Cc: Court Issuing Placement Order Court of commitment (if different) DHS Adoption Monitor (if applicable)     DHS-613 (Rev. 12-09) Previous edition obsolete. 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