ࡱ>  u @ cbjbj B$ZZZP pZ_(___`~bbPrx0cccccc$Rdb``bb__\ycycycb__rycbrycycRh1i _ IZc"hjr0i)c:<=iKibbycbbbbb&5%cc5CHILD ADOPTION ASSESSMENT Identifying Information NOT TO BE RELEASEDMichigan Department of Human Services FORMTEXT        Enter Agency Name and Address here NamePermanent Custody Date/County FORMTEXT       FORMTEXT      Date of BirthSocial Security NumberDate Referred for Adoption FORMTEXT       FORMTEXT       FORMTEXT      Court File NumberWorkerDHS Case Number FORMTEXT       FORMTEXT       FORMTEXT      Recipient ID NumberReport Date FORMTEXT       FORMTEXT      FAMILY INFORMATION FORMCHECKBOX Birth Family FORMCHECKBOX Adoptive FamilyMother NameDate of BirthSocial Security Number FORMTEXT       FORMTEXT       FORMTEXT      Last Known Address FORMTEXT      Father NameDate of BirthSocial Security Number FORMTEXT       FORMTEXT       FORMTEXT      Last Known Address FORMTEXT      Sibling NameDate of BirthSocial Security Number FORMTEXT       FORMTEXT       FORMTEXT      Legal StatusName of Person Living With/Relationship (identify foster home) FORMTEXT       FORMTEXT      Last Known Address FORMTEXT      PLACEMENT HISTORYDate of PlacementName/AddressType of Placement FORMTEXT       FORMTEXT       FORMTEXT      DATES OF CONTACTDatesWith whom (include Role/Position)Type (HV, TC, OC) FORMTEXT       FORMTEXT       FORMTEXT      PROGRESS TOWARD ADOPTION This section should identify the specific action steps, which must be addressed in order to place the child in an adoptive home. The worker should include a description of activities to be completed during the next quarterly report period.Recruitment Activities (if necessary) FORMTEXT      Progress Toward Adoption FORMTEXT      Barriers to Adoption/Action Steps to Overcome Barriers (e.g. appeal, competing party case) FORMTEXT      Projected Date for Adoption FORMTEXT       NONIDENTIFYING INFORMATION (THIS MATERIAL MUST BE SHARED)Michigan Department of Human Services FORMTEXT      Child s First NameDate/Time of Birth FORMTEXT       FORMTEXT      Place of BirthCity, County, State FORMTEXT       FORMTEXT      GenderIs Ward a Member or Eligible for Membership in a Tribe? (See CFF 742) FORMTEXT       FORMCHECKBOX Yes FORMCHECKBOX NoEvents Leading to Permanent Wardship The description should provide the reader with a concise, informative summary. A complete restatement of all legal proceedings is NOT required. FORMTEXT      Birth Parent s History Summarize for each parent their educational level, employment history, health issues, and special interests (including hobbies, athletic or artistic activities), or achievements. Provide a complete physical description. NOTE: identifying information about the parents (including first names) is not to be included in this section. FORMTEXT      Child s History Describe the child s life experiences, e.g., relationships, types of discipline, traumatic experiences, etc. that would aid in selecting an appropriate adoptive family. FORMTEXT      Placement History Summarize the number and types of placements. Indicate reasons for replacement, if known. Do not include identifying information. FORMTEXT      DESCRIPTION OF CHILDPhysical and Medical Assessment Information from current medical providers, including occupational or physical therapists. FORMTEXT      Emotional Assessment Information from current service providers and/or school. FORMTEXT      Social Assessment Information from current service providers and/or school. FORMTEXT      Cognitive Assessment Information from current service providers and/or school. FORMTEXT      Personality and Behavioral Assessment Disposition, sense of humor, moods, anxiety level, etc: Attention span, impulse control, ability to delay gratification, self-reliance. Any behavioral or personal characteristics that require 4  J L N l n jThJEUjhJEUjhJEUjthJEUhshhs<B* aJphfhs<B* aJphfjhUmHnHujhJEUjhJEUh9B hJECJhJEh9/4d L N e+PSe+PSs $$Ifa$gds -$$Ifa$4kdR$$If9++4 9a 'd$If2kd$$If9++4 9a*$If  N P Z yss-$IfJkd$$If940+4 9af4$If4kdt$$If9 ++4 9a  4 j l PJJJ-$If]kd,$$If94Fc+    4 9af4$IfJkd$$If940+4 9af4   : < P R T ^ ` b d x z |      4 6 8 B D H l n p r ڵڪڟڒhhJE5<B*phhhJE5B*phj hJEUjD hJEUjhJEUjhJEUjhJEUh9BhJEjhUmHnHujhJEUjhJEU/  8 : b **-=7-$If]kd$$If94Fc+    4 9af4$If]kd@$$If94,Fc+    4 9af4b  F -JJkd $$If94,0+84 9af4$If]kd$$If94,Fc+    4 9af4-$IfF H n p vpc v:ccv: ! hd$If-$If7kd $$If94++4 9af40$IfJkd0 $$If940+84 9af4 X Z n p r | ~  $&jhJEUjhJEUjhJEUjhJEUjhUmHnHujhJEUj hQ, U hJE5hJEjhJEUj4 hQ, U5 ( V $IfnkdN $$If94\@ +A8 D4 9af4V X =7$If]kd$$If94F +      4 9af4-$If]kd $$If94F +      4 9af4 "$&(@\e+!KE{E$If7kd$$If94++4 9af40$If7kd$$If94++4 9af4-$If7kd$$If94++4 9af4\ 7]kd$$If94F +      4 9af4-$If]kdf$$If94F +      4 9af4$If,.0DFHRTXZ(*,68ڿڸڭڢڗڌjhJEUjhJEUjJhJEUjhJEU hJE5CJjhJEU hJE5j$hJEUhJEjhUmHnHujhJEUjhJEU4,.VXZ\v}e+!E7kd$$If94++4 9af40$If7kd2$$If94++4 9af4-$If7kdR$$If94++4 9af4$Ifv:-$If]kd$$If94F +      4 9af4$If:<V&PJJ-$IfJkd$$If940+4 9af4$If]kd6$$If94F +      4 9af4"$&(PRfhjtvz|~  ",.02FHJTVXZnpr|~246@BDFZڸڭڢښޚښj8"hc)Uhc)jhc)UjhJEUj~hJEUjhJEU hJE5CJjthJEU hJE5hJEjhUmHnHujhJEUjhJEU2&(NPxzvp87kd$$If94++4 9af4-$If7kd $$If94++4 9af4$IfJkdv$$If940+4 9af4z|~e+!e+!$If7kd$$If94++4 9af47kdZ$$If94++4 9af40$If0X=7e+!0$If]kdj $$If94,F+1     4 9af4-$If]kd$$If94F+1     4 9af4Dl4 iccc-$IfZkd~!$$If9 F+1     4 9a$If4kd"!$$If9++4 9aZ\^hjln  BDFZ\^hjln"$&(<>@JLNPڻڲڶڟުڶڶڔުڶڐڶڅުڶڶj'hJEUh9Bjh&hJEUj*%hJEUjhJEUh hJE5hhJE5<B* CJphfjF#hc)Uhc)hJEjhUmHnHujhc)Uj"hc)U4`Z$If2kdn$$$If9++4 9a! hd$P($IfZkd#$$If9,F+1     4 9aBDlT4kd&$$If9++4 9a$If4kd%$$If90++4 9a-$If4kd$$$If9++4 9aln$&NPT4kd($$If90++4 9a-$If4kd6'$$If9++4 9a$If4kd&$$If90++4 9a0p,8cye+y !$ h$Ifa$ d4kd6)$$If90++4 9a-$If4kdh($$If9++4 9aD| "68:DFŽڹڮڣژڍڂj.hJEUj6.hJEUj,hJEUj+hJEUjH*hJEUh9BhJEOJQJhOJQJh+><OJQJ hJE5hJEjhUmHnHujhJEUj(hJEU102~x>8$If9kd*$$If9 ++4 9a -$$Ifa$9kd)$$If9++4 9a 'd$If:kd)$$If94++4 9af4 HJhSOkd,$$If940+4 9af4-$IfOkdN+$$If940+4 9af4$If~YSS$IfOkd"/$$If940+4 9af4-$IfOkd-$$If940+4 9af4~! !0$If-$IfOkd/$$If940+4 9af4Trvxfjl! !!"!$!&!0!2!`!b"f"h"|"~""""ھڱڦڱڛڱڐڱڅj.7hJEUj5hJEUj4hJEUj3hJEUhhJE<B* phf hJECJjJ1hQ, Uj0hQ, UhJEjhUmHnHujhJEUj`0hJEU4c]#9kd2$$If9++4 9a$Ifkd1$$If94ֈ0Lx+D8,& 4 9af4tvhj|B9kdN4$$If9++4 9a9kd3$$If9++4 9a -d$If9kd3$$If9++4 9a$If ! !4!6!d"|B9kdf6$$If9++4 9a -d$If9kd5$$If9++4 9a$If9kd(5$$If9++4 9ad"f"""""ne+!67kd8$$If9++4 9a! hd$P($Ifgd0AX9kd7$$If9++4 9a -d$If9kd6$$If9++4 9a""""""###########$$:$z$|$~$$$$$$$$$$$>%@%B%D%X%Z%\%f%h%j%l%%%& & &&"&$&&&0&2&ԻܫԻܫԻܫԻjh<hUj6;hUj:hUh<B* OJQJaJphfjhUmHnHuj8h0AXUjhU$hh<B* OJQJaJphfh h5hhJE6"####|$~$$y?9kd9$$If9++4 9a9kd<9$$If9++4 9a -$Ifgd0AX9kdn8$$If9++4 9a $Ifgd0AX$$@%B%j%l% &y?9kd;$$If9++4 9a -$Ifgd0AX9kd:$$If9++4 9a $Ifgd0AX9kdn:$$If9++4 9a & &4&6&&&'|~|||s $Ifgd0AX$If9kd<$$If9++4 9a -$Ifgd0AX9kd<$$If9++4 9a2&4&6&L&N&T&V&j&l&&&(~z~|~~~~~~~~~~~48:NPR\^Hê|êqêj?h0AXUj>h0AXUh<B* OJQJaJphf$hh<B* OJQJaJphfjhUmHnHuj=h0AXUjh0AXUhJEh0AXhJE<B*aJphUhh7<B* aJphfh7h0AX h5h' special attention (e.g. climbing, aggressive, oppositional). FORMTEXT      Therapy Diagnosis Information from current professional evaluation(s). FORMTEXT      Basis for DOC Rate, if applicable FORMTEXT      Past and Current Important Relationships and Attachments Describe the child s relationships with kinship caregivers, foster parents, birth parents, and other significant individuals. Describe the child s perceptions of these relationships. Describe caregiver s interest in adoption. FORMTEXT      Child s Attitude, Preparation, and Readiness for Adoption Describe: the child s readiness and preparation for adoption factors that must be in place to assist the child in developing the capacity to trust new parent(s) factors that will need to be addressed to achieve a successful placement the child s feelings about an adoptive placement the child s capacity to transition to a new family, community, school, etc., if necessary. FORMTEXT      Information About Whereabouts of All Known Siblings (First Name Only) Frequency of contact/visitation among siblings Describe the relationship between siblings, if none why? Describe any skills, talents and temperament of siblings. Are the siblings available for adoption? What is the permanency plan? Explain why siblings are separated and plans to reunite, if appropriate. FORMTEXT      BEST INTERESTS CRITERIASpecial Physical, Emotional, and Educational Needs Which are Critical for the Placement Decision Describe any significant factors or characteristics about the child, which are important to consider for the child s well being. FORMTEXT      Placement with or without Siblings Siblings shall be placed together whenever possible if placement with siblings is not possible, or not considered in the child s best interests, document the reasons. Address the need for continued sibling contact following adoption. FORMTEXT      Placement with Relatives Describe any relatives with whom the child has a significant emotional relationship and the importance of maintaining this relationship following adoption. FORMTEXT      Maintaining Continuity of Current Relationships Describe the importance of maintaining emotional ties between the child and current caregivers, friends, teachers, and other significant persons in the child s life. FORMTEXT      Religious Preference Describe the role religion has played in the child s life and any individual or specific needs or interests of the child. FORMTEXT      Child s Wishes Regarding Adoption and Characteristics of Potential Adoptive Family Describe the child s feelings about being adopted and, if a family has been identified, about the specific adoptive placement. A child who is 14 years of age or older must give consent to their own adoption. FORMTEXT      Other Factors Specific to This Child (See CFA 620 MEPA/IEAP for consideration of race.) FORMTEXT      Recommendation Regarding Adoptive Placement FORMTEXT      Adoption Worker DateAdoption SupervisorDateCounty DHS Supervisor (POS cases)DateAUTHORITY: P.A. 288 of 1939, as amended, MCLA-710.27(5) RESPONSE: Is Voluntary. PENALTY: None.Department 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. DHS-1927 (Rev. 3-09) Previous edition obsolete. MS Word  PAGE 3 DHS-1927 (Rev. 3-09) Previous edition obsolete. MS Word  PAGE 1 |~~~~~68`|B9kdh>$$If9++4 9a$If9kd>$$If9++4 9a -$Ifgd0AX9kd6=$$If9++4 9a`b e+|B9kdt@$$If9++4 9a -d$If9kd?$$If9++4 9a$If9kd6?$$If9++4 9aH $&(24…VЈ҈Ԉވ܉܊T&*,@BDNPĎƎڎ܎ގjGh0AXUjFh0AXUjREh0AXU h0AX5jCh0AXUh9jzBh0AXUjhUmHnHuj<h0J8aJjh+><h0J8UaJhh?NhhJEhB:h0AX^JaJ h0AX5h0AX h0AXCJ h9CJ024\fhjln DzOkdP$$If940B+{\4 9af4($IfbkdJP$$If94FVB+\    4 9af4np–Ė D>#>P-$IfOkdR$$If940B+{\4 9af4($Ifbkd`Q$$If94FVB+\    4 9af4ĖƖȖʖ:jl`VVC"$($If]^a$  $If  $If<kdR$$If940++4 9af4$IfOkdvR$$If940#+$4 9af4xz(@\m$Ifi gd MkdDS$$If940 +C4 9af4 8 00&PP:p/ =!"#$%8 00&PP:p/ =!"#$%P$$If!vh5+#v+:V 95+44 9T$$If!vh5+#v+:V 95+44 9DText18#Local Office or Private Agency NameAutoSaveT$$If!vh5+#v+:V 9 5+44 9$$If!vh55#v#v:V 9455/  /  / / 44 9f4D- ChildNameAddChildAssessmentvD-Text24$$If!vh55#v#v:V 94,55/ / /  44 9f4$$If!vh555#v#v:V 9455/  /  / / 44 9f4vDText25vDText25vDText25$$If!vh555#v#v:V 94,,55/  / / 44 9f4$$If!vh555#v#v:V 9455/  /  / / 44 9f4vDText25vDText25vDText25$$If!vh555#v#v:V 94,,55/  / / 44 9f4$$If!vh585#v8#v:V 94,585/  /  / 44 9f4vD=Text26vDText25$$If!vh585#v8#v:V 94,585/ / /  44 9f4`$$If!vh5+#v+:V 94,5+44 9f4De BirthFamilyAddFamilyInformationtDeCheck1$$If!vh5A58 5D5#vA#v8 #vD#v:V 945A58 5D544 9f4$$If!vh55 5 #v#v #v :V 9455 5 /  /  / 44 9f4vD-Text19vDText20vDText21$$If!vh55 5 #v#v #v :V 94,55 5 /  / / 44 9f4h$$If!vh5+#v+:V 945+/  44 9f4vD\Text22n$$If!vh5+#v+:V 94,5+/ 44 9f4`$$If!vh5+#v+:V 94,5+44 9f4$$If!vh55 5 #v#v #v :V 94,55 5 /  /  / 44 9f4D- FatherName AddFathervDText20vDText21$$If!vh55 5 #v#v #v :V 94,55 5 /  / / 44 9f4h$$If!vh5+#v+:V 945+/  44 9f4vD\Text29n$$If!vh5+#v+:V 94,5+/ 44 9f4`$$If!vh5+#v+:V 94,5+44 9f4$$If!vh55 5 #v#v #v :V 9455 5 /  /  / 44 9f4D- SiblingName AddSiblingvDText20vDText21$$If!vh55 5 #v#v #v :V 94,55 5 /  / / 44 9f4$$If!vh55#v#v:V 9455/  / / 44 9f4vD-Text27vD-Text28$$If!vh55#v#v:V 94,55/  / 44 9f4h$$If!vh5+#v+:V 945+/  44 9f4vD\Text29n$$If!vh5+#v+:V 94,5+/ 44 9f4`$$If!vh5+#v+:V 94,5+44 9f4`$$If!vh5+#v+:V 94,5+44 9f4$$If!vh5155 #v1#v#v :V 945155 /  /  / 44 9f4DDateOfPlacementAddPlacementHistoryvDText31vDText32$$If!vh5155 #v1#v#v :V 94,,5155 / / /  44 9f4Z$$If!vh5+#v+:V 9,5+44 9$$If!vh5155 #v1#v#v :V 9 5155 /  /  / / 44 9D ContactDatesAddDatesOfContactjDvDText32$$If!vh5155 #v1#v#v :V 9,,5155 / / /  44 9V$$If!vh5+#v+:V 9,5+44 9b$$If!vh5+#v+:V 95+/  44 9vDText17b$$If!vh5+#v+:V 905+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 905+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 905+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 905+/ 44 9V$$If!vh5+#v+:V 945+44 9f4T$$If!vh5+#v+:V 95+44 9D#Local Office or Private Agency NameT$$If!vh5+#v+:V 9 5+44 9$$If!vh55#v#v:V 9455/  /  / 44 9f4D-ChildFirstName AddAChildvD-Text34$$If!vh55#v#v:V 94,55/  / / 44 9f4$$If!vh55#v#v:V 9455/  /  / 44 9f4vD-Text33vD-Text33$$If!vh55#v#v:V 94,55/  / / 44 9f4$$If!vh55#v#v:V 9455/  /  / 44 9f4vD-Text33tDeCheck2tDeCheck3$$If!vh55D5855,5& #v#vD#v8#v#v,#v& :V 94,55D5855,5& / / /  / 44 9f4T$$If!vh5+#v+:V 95+44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/ 44 9d$$If!vh5+#v+:V 9,5+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/ 44 9Z$$If!vh5+#v+:V 9,5+44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 9p5+/ 44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/ 44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9jDb$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9b$$If!vh5+#v+:V 95+/  44 9vDText13b$$If!vh5+#v+:V 95+/  44 9h$$If!vh5+#v+:V 9,5+/  44 9vDText13b$$If!vh5+#v+:V 95+/ 44 9Z$$If!vh5+#v+:V 945+44 9f4$$If!vh555\#v#v#v\:V 94555\/ / 44 9f4p$$If!vh5{5\#v{#v\:V 945{5\44 9f4$$If!vh555\#v#v#v\:V 94555\/ / 44 9f4p$$If!vh5{5\#v{#v\:V 945{5\44 9f4$$If!vh555\#v#v#v\:V 94555\/ / 44 9f4p$$If!vh5{5\#v{#v\:V 945{5\44 9f4p$$If!vh5$5#v$#v:V 945$544 9f4Z$$If!vh5+#v+:V 9405+44 9f4$$If!vh5C5#vC#v:V 945C5/ /  / 44 9f4D:8@8 Normal_HmH sH tH B@B Heading 1$@&5>*OJQJB@B Heading 3 $<5CJDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List POP BLANKLINEdx5CJOJQJkHTOT Captions 6ptd(CJ OJQJkHDOD Captions 6pt bold5`O"` Captions 6pt boxd<5CJ OJQJkHDO2D Captions 6pt Nbox<DOBD Captions 7pt dtCJDOARD Captions 7pt Bold5BOqbB Captions 7pt box5^Or^ Captions 7pt NBoxdt<CJOJQJkHPOP Captions 8pt d`CJOJQJkH^O^ Captions 8pt Bold d`5CJOJQJkHFOF Captions 8pt box <DOD Captions 8pt NboxPPOP Captions 9pt dLCJOJQJkHJOJ Captions 9pt BolddLCJFOF Captions 9pt Box dDOD Captions 9pt Nbox5POP Captions 10pt d`( OJQJkH^O^ Captions 10pt Bold!d`(5OJQJkHXO"X Captions 10pt box"d`P OJQJkHHO2H Captions 10pt Nbox#P5J @BJ Footer$dt !CJOJQJkHRORR Form Title 10pt%$d8a$ OJQJkH^Ob^ Form Title 10pt Bld&$d8a$5OJQJkHVOrV Form Title 11pt'$d$a$CJOJQJkHLOaL Form Title 11pt Bld(d$CJVOV Form Title 12pt)$da$CJOJQJkHbOb Form Title 12pt Bld*$da$5CJOJQJkH4@4 Header + !HOH Small Blank Line ,CJXOX User Input 10pt-d8(5OJQJkHTOT User Input 11pt.d$5CJOJQJkH\O\ User input 12pt/d((5CJOJQJkHTOT Letter Text 10pt0$d$a$ OJQJkHFOF Letter Text 11pt1dCJXO"X Letter Text 12pt2$da$CJOJQJkHLO2L Captions 10pt 2 line 3<FOBF Date 08pt45CJOJQJkH6OAR6 Date 09pt5CJ6OAb6 Date 10pt6CJ2Oar2 Date 11pt7CJ.)@. Page Number8O8 _(1)Bullet 9 & F :2EFlm56J^rs#$78JWiyz .EFZn +jk,@ARSY{*+?@!"HI]^q H I ] ^ p t C D X Y ; < P Q f g GH\]#$JGH\]$%`jJ{4cefz{xyjkXYmn:;OP !"#7<=>?@Achijklmn  *0*0*0 0 '0 0 -0H0-0H 0L 0 0 0 -0 -0 0$ 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$ 00 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$ 00 0 00 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$ 0 0 -0 0$ 0 0 -0 0$  0P 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 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 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$ -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$ 0 0 0 0$ 0 0 0$ -0 -0 0$ 0 0$ 0 0 0 0 0$ 0@0@0@00_2EFlm56J^rs#$78JWiyz .EFZn +jk,@ARSY{*+?@!"HI]^q H I ] ^ p t C D X Y ; < P Q f g GH\]#$GH\]$%`jJ{4cefz{xyjkXYmn:;OP !"#7<=>?@Achijklmn *0*0*0 0 '0 0 -0 0 0 0x 0 -0 -0 0 0 0 0 0 -0 -0 -0 0 0 0 0 0 -0 -0 -0 0 0 0 0 -0 -0 0 00!0 -0 !0 !0 !0 0 0 0 0 0 -0 -0 -0 0 0 0 -0 0 00 0 0 0 0 0 -0 -0 -0 0 0 0 -0 0 00 0 0 0 0 0 -0 -0 -0 0 0 0 0 -0 -0 0 0 0 -0 0 00 0 00 0 0 0` 0` 0 -0 -0 -0 0 00 0 0 0 0 0 -0 -0 -0 0 !0 0 0 0 -0 0 0 0 -0 0 0 0 -0 0 0 0 -0 0  0!0!0 0 '0 0 -0 0 0 0 0 -0 -0 0 0 0 0 -0 -0 0 0 0 0 -0 -0 -0 00 -0 00 0 0 0 0 0 -0 0 0 0 -0 0 0 0 -0 0 0 0 -0 0 @!0 @0 @0 @0 @-0 @0 @0 @0 @-0 @0 @0 @0 @-0 @0 @0 @0 @-0 @0 0 !0 @-0 @00 @00 @-0 @-0 @-0 @-0 @0 @0 @0 @-0p @0 @0p@0p@0p@0p@0p@0p@0p @0 @-0p @0 @0p@0p@0p@0p@0p@0p @0 @-0p @0 @00p @0 @0p @0 @-0p @0 @0x @0 @-0x @0 @0x @0 @-0x @0 @0x @0 @-0x @0 @0x @0 @-0x @0 @0x @0 @-0x @0 @0x @0 @-0x @0 @00x @0 @-0 @0 @!0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @-0 @-0 @0 @0 @0 @0@0@0 @0 @0 0 DDmy6BHJV\^jp !8HWg FRXZflnz kw}$*,8>+7=IU[I U [ ^ n t D P V < H N HTZ!HTZ"frxykw}Yek ;GM FFFFFFFFFFFG G$FFFFF4FFFF4FFFFFFTFFFFFFFFFFF4FFFFG$G$FFFFFFFFFFFFFFFFFFFFFF8?A|!!8@0(  B S  ?Text18 ChildNameFamilyInformation BirthFamilyText19Text20Text21Text22 FatherName SiblingNameDateOfPlacementText31 Placement ContactDatesText32ContactText17ChildFirstNameText13n$9GA  $IY+A   {~  3      N, p2ȱ 3$0X3 K,9b; kuE0GLNBL"k jbm0n`~{0{5]}0 hh^h`OJQJo(hh^h`<B*OJQJo(hh^h`<B*OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo(hh^h`<B*OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo( hh^h`OJQJo( N,BL"kb;G pX3n`~{3$kuEjbm{5]}   @-,H9PDQ,  t E]O+><bCJEH?N0AXY[#_dm|-k-7s-c)v9BD5T;&/L~BlNEFlm56J^rs#$78JWiyz .EFZn +jk,@ARSY{*+?@!"HI]^q H I ] ^ p t C D X Y ; < P Q f g GH\]#$GH\]$%efz{xyjkXYmn:;OP !"#7<=>?@Achijklmn EV{ttVzttVyttVxttVwttVvttVuttVtttVrttVqttVpttVottVnttVmttVlttVkttV jttV!ittV"httV#gttV$fttV%ettV&dttV'cttV(bttV)attV*`ttV+_ttV,^ttV-]ttV.\ttV/[ttV0ZttV1YttV2XttV3WttV4ttV5VttV6UttV7TttV8SttV9RttV:QttV;PttV<OttV=NttV>ttV?ttV@MttVALttVBKttVCJttVDIttVEHttVFGttVGFttVHEttVIttVJDttVKBttVL ttVM ttVN ttVOttVP ttVQttVRttVSttVTtt  Spell Check Spell CheckbfQ+bfQ+bfQ+bfQ+bfQ+ 0(  Spell CheckForms Spell Check2Module1.FormsSpellCheck2g|9TemplateProject.AddFamilyInformation.AddFamilyInformation#TemplateProject.AddFather.AddFather#TemplateProject.AddAChild.AddAChild!TemplateProject.AutoSave.AutoSave%TemplateProject.AddSibling.AddSibling5TemplateProject.PromptAddChildRows.PromptAddChildRowsETemplateProject.PromptAddFamilyInformation.PromptAddFamilyInformation7TemplateProject.PromptAddFatherRows.PromptAddFatherRows9TemplateProject.PromptAddSiblingRows.PromptAddSiblingRows7TemplateProject.AddPlacementHistory.AddPlacementHistory3TemplateProject.AddDatesOfContact.AddDatesOfContact5TemplateProject.AddChildAssessment.AddChildAssessment(TemplateProject.Module1.FormsSpellCheck2%TemplateProject.SuperPhoneNumber.MAIN%TemplateProject.GranteeFirstName.MAIN$TemplateProject.WorkerExtension.MAIN$TemplateProject.GranteeLastName.MAIN$TemplateProject.GranteeClientID.MAIN$TemplateProject.GranteeAddress1.MAIN$TemplateProject.AddChildInfoRow.MAIN#TemplateProject.WorkerAreaCode.MAIN#TemplateProject.SupervisorName.MAIN#TemplateProject.SuperExtention.MAIN#TemplateProject.AddSvcReferral.MAIN"TemplateProject.SvcRefHeading.MAIN"TemplateProject.SuperAreaCode.MAIN"TemplateProject.GranteeCareof.MAIN"TemplateProject.CoSuppaddress.MAIN"TemplateProject.CoPhoneNumber.MAIN"TemplateProject.ClearCaseInfo.MAIN!TemplateProject.NewParagraph.MAIN!TemplateProject.GranteeState.MAIN!TemplateProject.countynumber.MAIN TemplateProject.WorkerPhone.MAIN TemplateProject.GranteeCity.MAIN TemplateProject.CoExtension.MAIN TemplateProject.ClientState.MAINTemplateProject.WorkerName.MAINTemplateProject.GranteeZip.MAINTemplateProject.CountyName.MAINTemplateProject.CoAreaCode.MAINTemplateProject.ClientCity.MAINTemplateProject.CaseNumber.MAINTemplateProject.WorkerFax.MAINTemplateProject.RemoveRow.MAINTemplateProject.lastname2.MAINTemplateProject.FirstName.MAINTemplateProject.CoAddress.MAINTemplateProject.ClientZip.MAINTemplateProject.RowBreak.MAINTemplateProject.LastName.MAINTemplateProject.District.MAINTemplateProject.CaseInfo.MAINTemplateProject.Address1.MAINTemplateProject.Section.MAINTemplateProject.OtherID.MAINTemplateProject.NoReset.MAINTemplateProject.CoState.MAINTemplateProject.Correct.MAINTemplateProject.AddRows.MAINTemplateProject.Worker.MAINTemplateProject.Hidden.MAINTemplateProject.County.MAINTemplateProject.CoCity.MAINTemplateProject.CareOf.MAINTemplateProject.FaxAC.MAINTemplateProject.Date1.MAINTemplateProject.CoZip.MAINTemplateProject.Unit.MAINETEMPLATEPROJECT.UNIT.MAINTEMPLATEPROJECT.COZIP.MAINTEMPLATEPROJECT.DATE1.MAINTEMPLATEPROJECT.FAXAC.MAINTEMPLATEPROJECT.CAREOF.MAINTEMPLATEPROJECT.COCITY.MAINTEMPLATEPROJECT.COUNTY.MAINTEMPLATEPROJECT.HIDDEN.MAINTEMPLATEPROJECT.WORKER.MAINTEMPLATEPROJECT.ADDROWS.MAINTEMPLATEPROJECT.CORRECT.MAINTEMPLATEPROJECT.COSTATE.MAINTEMPLATEPROJECT.NORESET.MAINTEMPLATEPROJECT.OTHERID.MAINTEMPLATEPROJECT.SECTION.MAINTEMPLATEPROJECT.ADDRESS1.MAIN TEMPLATEPROJECT.CASEINFO.MAIN!TEMPLATEPROJECT.DISTRICT.MAIN"TEMPLATEPROJECT.LASTNAME.MAIN#TEMPLATEPROJECT.ROWBREAK.MAIN$TEMPLATEPROJECT.CLIENTZIP.MAIN%TEMPLATEPROJECT.COADDRESS.MAIN&TEMPLATEPROJECT.FIRSTNAME.MAIN'TEMPLATEPROJECT.LASTNAME2.MAIN(TEMPLATEPROJECT.REMOVEROW.MAIN)TEMPLATEPROJECT.WORKERFAX.MAIN*TEMPLATEPROJECT.CASENUMBER.MAIN+TEMPLATEPROJECT.CLIENTCITY.MAIN,TEMPLATEPROJECT.COAREACODE.MAIN-TEMPLATEPROJECT.COUNTYNAME.MAIN.TEMPLATEPROJECT.GRANTEEZIP.MAIN/TEMPLATEPROJECT.WORKERNAME.MAIN0 TEMPLATEPROJECT.CLIENTSTATE.MAIN1 TEMPLATEPROJECT.COEXTENSION.MAIN2 TEMPLATEPROJECT.GRANTEECITY.MAIN3 TEMPLATEPROJECT.WORKERPHONE.MAIN4!TEMPLATEPROJECT.AUTOSAVE.AUTOSAVE5!TEMPLATEPROJECT.COUNTYNUMBER.MAIN6!TEMPLATEPROJECT.GRANTEESTATE.MAIN7!TEMPLATEPROJECT.NEWPARAGRAPH.MAIN8"TEMPLATEPROJECT.CLEARCASEINFO.MAIN9"TEMPLATEPROJECT.COPHONENUMBER.MAIN:"TEMPLATEPROJECT.COSUPPADDRESS.MAIN;"TEMPLATEPROJECT.GRANTEECAREOF.MAIN<"TEMPLATEPROJECT.SUPERAREACODE.MAIN="TEMPLATEPROJECT.SVCREFHEADING.MAIN>#TEMPLATEPROJECT.ADDACHILD.ADDACHILD?#TEMPLATEPROJECT.ADDFATHER.ADDFATHER@#TEMPLATEPROJECT.ADDSVCREFERRAL.MAINA#TEMPLATEPROJECT.SUPEREXTENTION.MAINB#TEMPLATEPROJECT.SUPERVISORNAME.MAINC#TEMPLATEPROJECT.WORKERAREACODE.MAIND$TEMPLATEPROJECT.ADDCHILDINFOROW.MAINE$TEMPLATEPROJECT.GRANTEEADDRESS1.MAINF$TEMPLATEPROJECT.GRANTEECLIENTID.MAING$TEMPLATEPROJECT.GRANTEELASTNAME.MAINH$TEMPLATEPROJECT.WORKEREXTENSION.MAINI%TEMPLATEPROJECT.ADDSIBLING.ADDSIBLINGJ%TEMPLATEPROJECT.GRANTEEFIRSTNAME.MAINK%TEMPLATEPROJECT.SUPERPHONENUMBER.MAINL(TEMPLATEPROJECT.MODULE1.FORMSSPELLCHECK2M3TEMPLATEPROJECT.ADDDATESOFCONTACT.ADDDATESOFCONTACTN5TEMPLATEPROJECT.ADDCHILDASSESSMENT.ADDCHILDASSESSMENTO5TEMPLATEPROJECT.PROMPTADDCHILDROWS.PROMPTADDCHILDROWSP7TEMPLATEPROJECT.ADDPLACEMENTHISTORY.ADDPLACEMENTHISTORYQ7TEMPLATEPROJECT.PROMPTADDFATHERROWS.PROMPTADDFATHERROWSR9TEMPLATEPROJECT.ADDFAMILYINFORMATION.ADDFAMILYINFORMATIONS9TEMPLATEPROJECT.PROMPTADDSIBLINGROWS.PROMPTADDSIBLINGROWSTETEMPLATEPROJECT.PROMPTADDFAMILYINFORMATION.PROMPTADDFAMILYINFORMATION@  '!        PP P PPPP(@PPPPPP P"P$P&P~UnknownGz Times New Roman5Symbol3& z Arial=& : Arial (W1)?5 z Courier New;Wingdings"hOґfBZfAZfr77r c#24dss3QH(?JE#DHS-1927, Child Adoption Assessmentcompbushd2<         oL@LNormal#CJ OJQJ_HmHnHsH tH uDAD Default Paragraph FontVi@V  TableOh+'0  4 @ L Xdlt|$DHS-1927, Child Adoption Assessmentcomp1927bushd2114Microsoft Word 10.0@G&@lI@ @ԧI՜.+,0 hp  State of Michigan7s $DHS-1927, Child Adoption Assessment Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abJdefghijklmnopqrstuvwxyz{|}~v Root Entry F𱊭IRData c1TableWordDocumentSummaryInformation(DocumentSummaryInformation8MacrosZX`_IPdIVBA'`_IPdIdircUnit  >CoZip MDate1  \  !"#$%&'()*+,-./0123456789:;<=?@ABCDEFGHIJKLNOPQRSTUVWXYZ[]^_`abcdefghijlmnopqrstuvwxy{|}~¶0* pHdTemplateProjectQH@  = | ̭B J< 9stdole>stdoleP h%^*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\system32\e2.tlb#OLE Automation0MSForms>SFFrms3ED452EE1-E08F-101A-8-02608C4D0BB4EFM20.DLL#Microsoft : ^ Ob Library/;D~1u00}#0#h0 4B0CAD1-BBA2-459B-AE97-82ED402A8A87H.DOCUME~1\MARTIN~2\LOCALS@A\VBE\DL.exd3!.E .`M ÂOffi"cĂOf@ijc‚ 12DF8D04C-5BFA`B-BHDE5AAA4 21@gram Files\C`ommonG`S@hared\ 105Oh 8..0 i@%BF"5ThisDocumentG TiDcuen 2 HB1`QB,Q!5"B+B AddAChildGA ndACl52//5! %a InfoRowG d`UI"f$R`w 2̠$#ddFamilyrG(!*d`a7iyaa9in2omkd=Fatheri=FB hj>r@i=/ p=:+(ress1G&'r@s``1i2ro%0]kEKsG¹A6Is-2o #Sibli0ngG?Sib`EiZg-+26p?נSvcReferralG"aQ SvR0f0rr!l0 _n2_\ )$ R xSaveU!up3o0wa e9!;,AC^OfG2ZC)g"-2?!{3CaseaDspUC5'=a8击Q&qNumbA@(Ngbpa@;(r {g8{ p1ClearEG0ga('.2/0DeW CliyCitZy;Cr:syCp;tylǛ|qTsSt`G{!S1!a12[AaZipcIZ@p jco!vCo0LcoTdfm]oAreaCodPJ3a+o]!|Jo)_rW)Joiy:JҼc%oExtensѕ(oEx`.sol+(n [b@oPhoneEL1oPQeL.C/O  aCorrC@teut1 _PPk_Co4B{AASWY 1%,"0u!`+ CoSuppaddre ssGHo@SupadresUd2dPLH}M /CountyG  untyo2oR׋7 7N@ameG9Namf2{*Cuc{numberGTDc~nmbEr2)$$BoZipG?#Zi2OQaϤODate1CD]t:1:AOCc>K4DistrictGA4sJrc2'QݜO9Fa(xACC9F@9xACD9C9c9K FirstZr ytGZ2)!y+@GranteeAC`;rze <.A=2G-,2᠁Careof㠍K Cof 5NW''CT'R 'Cin'C :â2@9ClientIDG2Cl`eµID%99 9ly9_ 'FMaqd2e!*I 6*LatcL`Ogv(*1*_ p[[ QfStatqQi.S0Sa0eSi? _T'; qx4 i{Ej{p?0$k{@HiddenHP%!/JQi"*!9k _YZbl`*n02Gbl)npaPjdo_[%NewParagraphN dwP Aegbph(+(ah dS]S; NoReseR s0t@,2} 1_Other1XAO7hr3W?QS _D@Prompt|ChildRTow`$`PpoPp}C0i`dR w`B#y2Q4 !q?iaVFamilyInformatio;4 m1 _bdeY1dk5cu    '> !"#$%&(9)8+,-./01234567:C;<=?y@ABDZEFGH[JKLMNOPQRSTUVWXYm\]^_wabcdefghijkl~opqrstuvxz{|}xMEP n0@̭B " 0Unit pB@oXPiAttribute VB_Name = "Unit" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:=Endv dk5ϤxMEP n0@̭B " 0cozip pB@oXPoAttribute VB_Name = "CoZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cDozEndx dk5>xMEP n0@̭B " 0date1 pB@oXPlAttribute VB_Name = "Date1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="dEndx dk5xMEFaxAC kCareOf zCoCityCounty P n0@̭B " 0FaxAC pB@oXPjAttribute VB_Name = "FaxAC" Public Sub MAIN() WordBasic.WW7_EditGoTo Destina@tion:=Endx dk5{3xMEP n0@̭B " 0careof pB@oXPqAttribute VB_Name = "CareOf" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coEndz dk5xMEP n0@̭B " 0cocity pB@oXPpAttribute VB_Name = "CoCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cocEndz dk5xMEP n0@̭B " 0county pB@oXPnAttribute VB_Name = "County" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=""cEndz 5HiddenyWorkerAddRowszCorrectxME n@p(Makes the selection hidden text (toggle)TemplateProject.Hidden.MAIN`̭B "10VX Z\^`Rbd0 ptf0 pthjl0bArialnpr pB@TophxAttribute VB_Name = "Hidden" Public Sub MAIN(X) D.nDescription|Makes the selec,h text (toggle)Pro cDataWInvoke_FuncWTemplaTte"jV..JWordBasic.FormatFont Points:="10", Underline:=0, Color@:=9, SkeThrough SuperjFb<:=1mallCap1)ASpacinBg=0 pt>PosiKernMinTabd ArialBoldIIta End dk5SxMEP n0@̭B " 0worker pB@oXPlAttribute VB_Name = "Worker" Public Sub MAIN() tdBasic.WW7_EditGoTo Destination:="wEndz 5oxME n@p+Adds row to table FOLLOWING cursor locationTemplateProject.AddRows.MAIN`̭B "0@ pB@/K pB@2oH@Attribute VB_Name = "AddRows" Public Sub MAIN() D.pDescription~s row to table FOLLOWING cursor loca\NProcDataZInvoke_FuncZTemplateA"ject..KWordBasic.LineDown 1 TInserBt numSs:="Ends  J5xME(6 << < n`| @( &%hX̭B$*\Rffff*164addba13 " V*h  N X]@Q This serves as a replacement to the spell checker within a protected document4Check spelling now? p%b'( ( pB@* pB@,"kocladd87Z pB@rJ WordBasic.ToolsProtectDocument Password:="cladd87" NoReset:=1, Type:=2GAttribute VB_Name = "Correct" Public Sub MAIN() Dim ans Rem This se@rves a replacement to the spell checker within @a proted docu3 ZWordBasic.MsgBox("C?King now ?", 3If4-1en  QAToolsUnoDi Passw3:="cladd87xStartOf,SnHPq9 NoReset:=1, Type:=2 Enpd If dk5uxMEP nCoStateModule1NoReset%7OtherID6      !"#$&'()*+,-./012345789:;<=>?@ABCDFGHIJKLMNOPQRSUVWXY[\]_abcdefghijklmnopqrstuvwxyz{}0@̭B "(8costate pB@oPHqAttribute VB_Name = "CoState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cosEnd| \5exME(<<< <h  Xed%"  .@Pp &x  (((P X h]@'If document is protected, Unprotect it.e *! cladd87Z *B@.cenkPerform Spelling/Grammar check.t (t <  *!):` !J( !JB@  ReProtect the document. *! cladd87Z\ ^l *B@XkoAttribute 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>$;;5AlwaysSuggest :=Tru; Next: 'Re the=&EW, N oRese&, o:=wdAllowOnlyAbAAedkw51xMEP n0@̭B " <H hx8 This saves as a form without resetting the form fields.\l pB@~ firsoAttribute VB_Name = "NoReset" Public Sub MAIN() Rem This saves a form without rztin g the4fields. WordBasic.ToolsProtectDocument ~:=1, Ty pe:=2End dk5D[xMEP n0@̭B "(8otherid pB@|oPHsAttribute VB_Name = "OtherID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=$"oidEnd| dk5NxSectionE__SRP_0*__SRP_1T^__SRP_2ZMEP n0@̭B "(8Section pB@oPHjAttribute VB_Name = "Section" Public Sub MAIN() WordBasic.WW7_EditGoTo Desti$nar:=End| rU  K*s  DDrU~~~~~~~~~~~~~~~S KƇLɩp  F A a9aa a99Yq9Yy 1IiAi 1Qi1q )Ai ) A i     ! a aQ Q   !  TemplateProject ThisDocument AddAChildAddChildInfoRowAddFamilyInformation AddFatherAddress1AddRows AddSiblingAddSvcReferralAutoSaveCareOfCaseInfo CaseNumber ClearCaseInfo ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCorrectCoState CoSuppaddressCounty CountyName countynumberCoZipDate1DistrictFaxAC FirstNameGranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipHiddenLastName lastname2 NewParagraphNoResetOtherIDPromptAddChildRowsPromptAddFamilyInformationPromptAddFatherRowsPromptAddSiblingRows RemoveRowVBARowBreakSection SuperAreaCodeSuperExtentionSuperPhoneNumberSupervisorName SvcRefHeadingUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerPhoneAddPlacementHistoryAddDatesOfContactAddChildAssessmentF /C:\PROGRA~1\COMMON~1\MICROS~1\VBA\VBA6\VBE6.DLL  0 F5C:\Program Files\Microsoft Office\Office10\MSWORD.OLBWord i  @0FC:\WINNT\System32\StdOle2.tlbstdole y  P.E .`M C:\WINDOWS\System32\FM20.DLLMSForms Y Y  `Ҫ AgOy 2C:\DOCUME~1\wattersc\LOCALS~1\Temp\VBE\MSForms.exd 9Y a pL-[DR 2C:\Program Files\Microsoft Office\Office\MSO97.DLLOffice )Q  F Fk F `There is already ONE Child Information section.    lHow many ADDITIONAL Children are needed for this form? h Example: {Total children being reported = 3}# { Minus existing = 1}# { Enter additional = 2} *CANCEL or ESC if none .IDENTIFYING INFORMATION ZYou MUST Save This Document Before ContinuingVBE6.DLL 2Select Save In Folder and HEnter File Name in SaveAs Dialog Box 0 cladd87 "FamilyInformationu Fp F ChildAssessmentAutoTextEntries WhereRichText Insert ChildNamefĤIx8< Error In Case Info ` T   ( S H# { Minus existing = 1}# { Enter additional = 2} _AddAChild ChildFirstName Module1g trU~| !T x$ 4x x $ xkrU $`n__SRP_3^g__SRP_4`__SRP_5|g__SRP_6#~rU~|  9)Iy! )! iI aYpK l        L     '' ','L(l:N:\lL:<,: ::|:l\L<:, : F66lL,|\L< lL, l:\ l lL:< ,    : `16lL, 3:\ ]3$ 4 !'l$ 4 5l(<(\p7',(Ll$ < 6lL,$ < \$  |o|$ < Q|oL%c%:\%lx$ 4x Xl> )x6lL 2(Ll$ < 6lLF|:<NLL' ',l$ < )|6lL, )5:\NllcL$ 4 6lL$  lf&','L'lM\@ 6lL, mt  , || ' ',l#p*#l*FL0>tFl 2pl)|6lL,  `<$"tpl|xlL, |\L< lL, 3krU $`nrU~| ! 9) )Iy! )!Aqi)aYK l        L     '' ','L(l:N:\lL:<,: ::|:l\L<:, : F66lL,|\L< lL, :\ l lL , , :<    : `16lL, 3:\ ]3$ 4 ):\Nll$ 4 5l(<(\pF:<NLL' ',l$ < )6lL, $ < \$  |o$ < QoL%c%:\%l|$ 4| Xl> )|6lL 2x(Ll$ < 6lLF:<NLL' ',l$ < )6lL, I5:\NllcL$ 4 6lL$x  lxfN&','L'lM\@ 6lL, mt  ,x  ' ',lx#p*#l *FL0>tFl 2pl)6lL,  <$"tpl|lL, |\L< lL, 3krU $`ndk5xME__SRP_7gAddress1 "AutoSavePCaseInfo!%I!P n0@̭B "(8Address1 pB@'oPHnAttribute VB_Name = "Address1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:"= End~ 5xME(6 LLP `xxkp%0*`/89@x PH@̭B$*\Rffff*4O44dc8d15*\R1*#17b*\R1*#c1*\R1*#c6" & 0@ P Macro created 11/30/04 by Andi *B@,o80yAttribute VB_Name = "AutoSave" Sub 8() ' Macro created 11/30/04 by Andi ActiveDocument. End dk5xMEP n[5xME n@`bbEnter Personal Information?TemplateProject.CaseInfo.MAINx@ B@vPPxPB@vPPxPB@vPPxPB@v@ ` xH̭Bc " (08@HPX `"& (&0(X&(&&& $H Np*,* .P*,44.P   <FHXFJF8HLLHh 2 & FHHFJ Fp H L LP H " B DX B F B0 Dx H H DP " 6 : B8>6:N8NB 4 X` p ]]]]]]]]0]H]`]xOPEN FCTPSA TOOLBARBp; pB@ FCTPSA Tools pB@xDEFINE DIALOG BOXF,CaseInfo pB@  YourFCCNo pB@8 YourFCCN pB@8P  YourFCWLNo pB@i YourFCWN pB@  YourPSCNo pB@ YourPSCN pB@AfYourHAL pB@fYourHAF pB@fYourDC pB@k  0Enter the following information about this case. pB@d# FC Case No.: pB@d; FC Case Name: pB@dR FC Load No.: pB@dk FC Worker Name: pB@d PS Case No.: pB@d PS Case Name: pB@d Household Ass'd Last: pB@d Household Ass'd First: pB@d Date Completed: pB@dB,X pB@s pB@]F p!!.6GET USER INFO FROM INI FILE AND PUT IT INTO DIALOG BOXUserInfoFCCaseNoC:\Windows\CaseInfo.ini p% (UserInfo FCCaseNameC:\Windows\CaseInfo.ini p% (UserInfoFCLoadNoC:\Windows\CaseInfo.ini p% (UserInfo FCWorkerNameC:\Windows\CaseInfo.ini p% (UserInfoPSCaseNoC:\Windows\CaseInfo.ini p% (UserInfo PSCaseNameC:\Windows\CaseInfo.ini p% (UserInfo HouseholdLastC:\Windows\CaseInfo.ini p% (UserInfoHouseholdFirstC:\Windows\CaseInfo.ini p% (UserInfo DCompletedC:\Windows\CaseInfo.ini p% (,DISPLAY DIALOG BOX AND RESPOND TO USER INPUT  p!%'  OK BUTTONWRITE NEW USER INFO IN INI FILEUserInfoFCCaseNo !C:\Windows\CaseInfo.ini pB@UserInfo FCCaseName !C:\Windows\CaseInfo.ini pB@UserInfoFCLoadNo !C:\Windows\CaseInfo.ini pB@UserInfo FCWorkerName !C:\Windows\CaseInfo.ini pB@UserInfoPSCaseNo !C:\Windows\CaseInfo.ini pB@UserInfo PSCaseName !C:\Windows\CaseInfo.ini pB@UserInfo HouseholdLast !C:\Windows\CaseInfo.ini pB@UserInfoHouseholdFirst !C:\Windows\CaseInfo.ini pB@UserInfo DCompleted !C:\Windows\CaseInfo.ini pB@Get user info from INI fileUserInfoFCCaseNoC:\Windows\CaseInfo.ini p%' UserInfo FCCaseNameC:\Windows\CaseInfo.ini p%' UserInfoFCLoadNoC:\Windows\CaseInfo.ini p%' UserInfo FCWorkerNameC:\Windows\CaseInfo.ini p%' UserInfoPSCaseNoC:\Windows\CaseInfo.ini p%' UserInfo PSCaseNameC:\Windows\CaseInfo.ini p%' UserInfo HouseholdLastC:\Windows\CaseInfo.ini p%' UserInfoHouseholdFirstC:\Windows\CaseInfo.ini p%' UserInfo DCompletedC:\Windows\CaseInfo.ini p%'  Update Form with user infoFCCASENO p%GFCCASENO  pB@j FCCASENAME p%G FCCASENAME  pB@jFCWORKERLOADNO p%GFCWORKERLOADNO  pB@j FCWORKERNAME p%G FCWORKERNAME  pB@jPSCASENO p%GPSCASENO  pB@j PSCASENAME p%G PSCASENAME  pB@jHOUSEHOLDASSESSEDLST p%GHOUSEHOLDASSESSEDLST  pB@jHOUSEHOLDASSESSEDFST p%GHOUSEHOLDASSESSEDFST  pB@j DATECOMPLETED p%G DATECOMPLETED  pB@j. Update other Form Fields on Form & Exit Macrod pB@'kxophmAttribute VB_Name = "CaseInfo" Public Sub MAI`N() D.rDescriptionEnter Personal rma:zProcDataIInvoke_FuncITemplateA"ject..yLDim iRet  UserFCCNo$ I WL WNPS HALFDCSelU 'OPEN FCTPSA TOOLBAR WordBasic.ViewToolbars ColorButtons:=1, Large0, Tipc"':=";/s", Show+'DEFINE DIALOG BOXBeginDialog 582, 30 Ʌ 1Text@Box 15 3 265, 18, "Youdka 56,  8/ wW 7@ 10ˀ& N13]\ 5A  2AY1y510QO 24 F i24 $DC@ 4 1079` 4B3;c|the following info} about this c. 19K$,1 FC | No.:w5p!YLoad #Y^k{x 1` PS} ,5,3 1 93(Household AsHs'd`st2B;FirD`eted3IOKc26% 821 EndÏdlgA Oba: SHet I= GCurValues.! GET USER INF@O FROM I FILE AND PUT I@NTO .@G[GetPrivfileSng$]("\NoaC:\Windows\!.ini" p H?u $T???C5?u?oNCp`9Q9_er"\OON OOjS##2bdaDLastooegHAF???KϒGOOHDC??>DCoKCDISPLAYAbCRESPOCPCED * HHIf(x>P?If0-1 Then 'OK BUTTONWRITE NEWXLIN6LYTQH`zHeB,G~OJo<O e4:CN;&HM_R] GW % GEo k SGO"qrA GL >FFFDCr fromr?cqfD)dC:("UserInfo", "FC CaseNXC:\Windows\P.ini"p) N$ = WordBasic.[GetPrivateProfileString$]1amev"jWLNo5lLoad(ՆWjkerNkPSC5k)ց4#'5HALsHouseholdLastdHAF<HFirfDC3DCompleted5 ' Upd Form with @Er &iIfExistBook mark(AASENO") ThDen SetR`esult ,2 yo$_ G AME CC A WORKERLOAD N'f N?!@j#/]4# ?$_ "H HOUSEHOLDASSE@DLST^B_#AnF"F?!DATECOMPLETPxl @\ L @< , @ ( @ @ x@ /@ @ @ \bF@ k@ ho@| @l 8@\ O@L fe@< @, p 80@ d@ @ @ sB@ ( T@ @ @ O@| eapl @\ L 80@< , ki@  \bF@ \g tiH @ X@& @ h @ / XhX h(| @x (`dbh@t @p @l P@̭B$*\Rffff*0r4addb8fa*\R0*#f*\R0*#e*\R0*#14*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#1e*\R1*#129*\R1*#c0*\R1*#1f*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#1= "   J( x 3 lh   (8 @P X  ` p7  <o2(F( P `h p@x  &$&.8m6@x   AddSibling MacroD Macro recorded 01/11/01 by Program Area, modify 1/28/05 Andi Putmanx0There is already ONE Child Information section. $  " "6How many ADDITIONAL Children are needed for this form? $  $  4 Example: {Total children being reported = 3} $  B { Minus existing = 1} $  B { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'-You MUST Save This Document Before Continuing $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &( 0e(hd` *B@, 0  86: 2B@4: 2B@< >(@  2!JHL _AddAChild *!B%DB@F P6: 2B@N TRChildFirstName 2B@ 0kHV@V8|(| `fsave file cancelled $ dA@b #return to point of error in routinedp `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorkocladd87Z *B@.cladd87Z\ ^l *B@X[reprotect documentAttribute VB_Name = "AddAChild" Sub D`() 'DSibling M0acro& recorded 01/11/01 by Program Area, modify 1/28/05 Andi PutmanF On Error GoTo HandlenumrowsInputBox("There is al_dy ONE  Information sec. " +r(10) @& vbCr"How Dy ADDITIONAL%ren a3neeo+ th[:0? ).+5 Example: {TotalL c)ber eport= 3} &" { Minus exist,= 1:(Enter addiO@.= 2  ChR;CANCEL oESC if none", "IDENTIFYING INFORMAW0 @mpt$u"You MUST Save TXDocum@ent Be[e Con7u7JSel@yCIn FoldA/nd H,7File inBAs Di`alog 'Define pdro) _CI9cmdCancel-e ExitH2Else"0"&AÁA@veEHN.M Un.tAAGPassw:="cl ;87A F7i1Emp1 Step -1#,`j.MoAwn Unit:P=wdL$,3u n6Spli@tTable#A pcs.DisplayAutoC`,leteTip!}TrukachedTe`kate.Text:ries("_F").Ins`ert _cW !:=Range, Rich:=gDL@ECharacdc$B@WhaB$Bookmark,N1•FirstKP1N@ i=End If  eIJ:* $j5> oRese@a@, Type!8AllowOnly@mFields 'roB dDq A @ģ E2$_M4198_ 'sfArciledq Msgqɀp$,bcalturn t o poiof eBʠ{rou`J!pJ `.Des0cripA Exdcor"ơ!Numb&n CaseΤ7 e" 'ReEpGat safa">+@,>iAddFathernClientZip(*CoAddressFirstName)- 55:xME(6 << < `|880x%P@̭B$*\Rffff*124addb9ad9 "   J( x  p    8H P` h  p   <$8 ` px @  &.86P   AddFather Macro D Macro recorded 01/11/01 by Program Area, modify 1/28/05 Andi Putmanx1There is already ONE Father Information section. $  " "5How many ADDITIONAL Fathers are needed for this form? $  $  3 Example: {Total fathers being reported = 3} $  A { Minus existing = 1} $  A { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'0-1-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &( 0e(hd` *B@, 0  86: 2B@4 2B@<S >(@ord  2!JHL AddFather *!B%DB@F P6: 2B@N TR FatherName 2B@ry 0matkHV@V8|(| `fsave file cancelled $ dA@b #return to point of error in routinedp `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorٴkocladd87Z *B@.cladd87Z\ ^l *B@X[reprotect documentܴAttribute VB_Name = "AddFather" Sub D`() 'D `Macro$ recorded 01/11/01 by Program Area, modify 1/28/05 Andi P utmanF On Error GoTo Ha0ndlenu mrowsInputBox("Te is al_dy ONE  Information sec. " + Chr(10) & vbCr "How Ey ADDITION AL&0re neeo+ th:/?(-+4 Example: {Total fs beinBgport=h 3}%" { Minus exist,= 1'Enter addiN-= 2Q:CANCEL @nESC if none", "IDENTIFYING IN`FORMAV0 mpt$u"You MUST Save TXDocume nt BeZe hCon6u7V]S elzIn Fold1ndV C: File inBAs Dialog @'Define pro@, aCI;ƦcmdCance:l@0e@ BExitHere2Else"0"&ŁAveJN.O Un.tAAGPassw`u:="cl`<87A F8i@2%n`q1 Step -1#, k.MoAwn Unit:P=wdL$, 5u n4Spli@tTable#A pct.DisplayAutoC`,leteTip~TrukachedTe@late.Text:ries(().Insert, _CW:=Range, Rich:=GD`L%Chaxrace$"@W ha"$Bookmark,bN0KPD1N ia+@,>adk5vxMEP n0@̭B "(8 clientZip pB@xoPHqAttribute VB_Name = "ClientZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cEnd dk5]      !"#$%&'()*+-./0123456789:;<=>?@BCDEFGHIJKLMNOQRSTUVWXYZ[\]^`abcdefghijklmopqrstuvwxyz{|~xMEP n0@̭B "(8 coaddress pB@hdoPHsAttribute VB_Name = "CoAddress" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination@:="coaEnd dk5yxMEP n0@̭B "(8 firstname pB@oPHtAttribute VB_Name = "First`" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="fnEnd dk5[xlastname2RemoveRow,.,WorkerFaxAAddSibling+3MEP n0@̭B "(8 LastName2 pB@oPHtAttribute VB_Name = "lastnX2" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="LEnd B5xME(6 << < n`|0x%P@̭B$*\Rffff*184addbb00 "8  NX( pB@ pB@o cladd87Z pB@rJ WordBasic.ToolsProtectDocument Password:="cladd87" NoReset:=1, Type:=2Attribute VB_Name = "RemoveRow" Public Sub MAIN() WordBasic.ToolsUnprotectDocument@ PasswH:="cladd87jableSLel2i D-tmPk NoReset:=1, Type:=2 End dk5XxMEP n0@̭B "(8 WorkerFax pB@oPHmAttribute VB_Name = "WorkerFax" Public Sub MA@IN() dBasic.WW7_EditGoTo Destination:= End  5xME(6 << < `|::0x%P@̭B$*\Rffff*144addb9d0; "   J( x  p    8H P` h  p   <&8 ` px @  &.86P   AddSibling MacroD Macro recorded 01/11/01 by Program Area, modify 1/28/05 Andi Putmanx2There is already ONE Sibling Information section. $  " "6How many ADDITIONAL Siblings are needed for this form? $  $  4 Example: {Total siblings being reported = 3} $  A { Minus existing = 1} $  A { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'0-1-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &( 0e(hd` *B@, 0  86: 2B@4 2B@< >(@  2!JHL AddSibling *!B%DB@F P6: 2B@N TR SiblingName 2B@ 0kHV@V8|(| `fsave file cancelled $ dA@b #return to point of error in routinedp `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorkocladd87Z *B@.cladd87Z\ ^l *B@X[reprotect documentڴAttribute VB_Name = "AddSibling" Sub H() 'H Macro& recorded 01/11/01 by Program Area, modify 1/28/05 Andi @PutmanF On Error GoTo H`andlen@umrowsInputBox("There is al_dy ONE  Informatio n sec. " + Chr(10) & vbCr"How Ey ADDITIONAL&14neep+ th[;0? ).+5 Example: {Total ss be!port= 3} &" { Minus exist,= 1'Enter addiN-= 2ER;CANCEL oESC if none", "IDENTIFYING INFORMAV0 @mpt$u"You MUST Save TAXDocument Be[e C4on6u7]Sel@{In Fodld1ndV C:File inBAs Dialo g 'Define pro@,l aCI;cmdCancel@0e ExitH2Else"0"&ŁA@veJ.O) Un.tAGPasswu:="crl`<87A F8i@2nq1 Step -1#,`k.MoAwn Unit:=wdJL$, 5un6SplitTaHble#Apct.Displa@yAutoC`,l@eteTipa~Truk@achedTe`lateB.Text:ries().Insert _c%Wa:=Range, Rich:=gDLECharace$B@WhaB$Bookmar|k,N1AP1N  i:)#k=oRese, Type7Allo wOnly@mFields 're%Gd$r A @ E2$_``M4198Q"_ 'sfqc"iled Msgg`q p$,c+@,>eCaseNumberPClientCity02_CoAreaCodenCountyName15}dk5xMEP n0@̭B "(8 casenumber pB@oPHuAttribute VB_Name = "CaseNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="cnEnd dk5xMEP n0@̭B "(8 clientcity pB@oPHuAttribute VB_Name = "ClientCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="ccEnd dk5xMEP n0@̭B "(8 coareacode pB@XoPHxAttribute VB_Name = "CoAreaCode" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="coa"cEnd dk5*xMEP n0@̭B "(8 countyname pB@oPHuAttribute VB_Name = "Countyh" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=4"cnEnd dk5kxMEGranteeZipWorkerName46ClientStateCoExtension/?P n0@̭B "(8 GranteeZip pB@oPHpAttribute VB_Name = "GranteeZip" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End dk5jxMEP n0@̭B "(8 workername pB@oPHtAttribute VB_Name = "Workerh" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wnEnd dk5xMEP n0@̭B "(8 clientstate pB@>oPHvAttribute VB_Name = "ClientState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="csEnd dk5xMEP n0@̭B "(8 coextension pB@oPHtAttribute VB_Name = "CoExtension" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinatr@:="coeEnd GranteeCityWorkerPhone8:countynumberGranteeState9=dk5@xMEP n0@̭B "(8 GranteeCity pB@oPHqAttribute VB_Name = "GranteeCity" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:= End dk5 rxMEP n0@̭B "(8 workerphone pB@oPHuAttribute VB_Name = "WorkerPhone" Public Sub MAIN() dBasic.WW7_EditGoTo DestinationP:="wpEnd dk5xMEP n0@̭B "(8 Countynumber pB@oPHtAttribute VB_Name = "countynumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="C End dk5'x      !"#$%&'()*,-./0123456789:;<=>?@BCDEFGHIJKLMNOQRSTUVWXYZ[\]^`abcdefghijklmopqrstuvwxyz{|~MEP n0@̭B "(8 GranteeState pB@oPHrAttribute VB_Name = "GranteeState" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinat ion:= End ^5SxMENewParagraphCThisDocument<> _VBA_PROJECTvBClearCaseInfo;G+^(6 << < n`|0xx%P@̭B$*\Rffff*174addbadf "HNh0@ pB@z $  pB@Fe pB@|ocladd87Z pB@rJ WordBasic.ToolsProtectDocument Password:="cladd87" NoReset:=1, Type:=2@۰Attribute VB_Name = "NewParagraph" Public Sub MAIN() WordBasic.ScreenUpdating 0 >ToolsUnprotectDocument Passw:="cladd87j5Insert Chr(13oSPQ NoReset:=1, T@ype:=2 CharRight 1 Endq K55#xME (SLSS<N0{00020906-0000-0000-C000-000000000046}@(%H@0̭B xAttribute VB_Name = "ThisDocument" Bas0{00020P906-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomi&zD2 dk5xMEas  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\Program Files\Common Files\Microsoft Shared\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020905-0000-0000-C000-000000000046}#8.2#0#C:\Program Files\Microsoft Office\Office10\MSWORD.OLB#Microsoft Word 10.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\system32\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-101A-852E-02608C4D0BB4}#2.0#0#C:\WINDOWS\system32\FM20.DLL#Microsoft Forms 2.0 Object Library *\G{04B0CAD1-BBA2-459B-AE97-82ED402A8A87}#2.0#0#C:\DOCUME~1\MARTIN~2\LOCALS~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M &*\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.2#0#C:\Program Files\Common Files\Microsoft Shared\Office10\MSO.DLL#Microsoft Office 8.0 Object LibraryF  ̭B;=<769B3A@+*-"E C(:54/.15FThisDocument3T44dc8d14ThisDocument5QAddAChild0r4addb8faAddAChild5AddChildInfoRow0z4addb97elAddChildInfoRow00(AddFamilyInformation114addb9a1(AddFamilyInformationH >AddFather124addb9adAddFather5:` 2Address13Y44dc8d14Address1x%AddRows3Z44dc8d14AddRowsoAddSibling144addb9d0AddSibling ?AddSvcReferral154addb9dcAddSvcReferral$AutoSave4O44dc8d15AutoSave& CareOf3_44dc8d14 CareOf{3CaseInfo3`44dc8d14CaseInfoaCaseNumber3a44dc8d14CaseNumber %ClearCaseInfo3b44dc8d14ClearCaseInfo8ClientCity3c44dc8d14ClientCityP%ClientState3d44dc8d14ClientStateh%ClientZip3e44dc8d14ClientZipv%CoAddress3f44dc8d14CoAddress]%CoAreaCode3g44dc8d14CoAreaCode% CoCity3h44dc8d14  CoCityCoExtension3i44dc8d14"CoExtension%CoPhoneNumber3j44dc8d14$CoPhoneNumber%Correct164addba13&CorrectPCoState3l44dc8d14.CoStateu(%CoSuppaddress3m44dc8d140CoSuppaddress}M@% County3n44dc8d142 CountyXCountyName3o44dc8d144CountyName*p%countynumber3p44dc8d146countynumber% CoZip3q44dc8d148 CoZipϤ Date13r44dc8d14: Date1>District3s44dc8d14<District% FaxAC3t44dc8d14> FaxACFirstName3u44dc8d14@FirstNamey%GranteeAddress13v44dc8d14BGranteeAddress1-GranteeCareof3w44dc8d14DGranteeCareofCT0%GranteeCity3x44dc8d14FGranteeCity@H%GranteeClientID3y44dc8d14HGranteeClientID`- GranteeFirstName3z44dc8d14J GranteeFirstNameI x-GranteeLastName4044dc8d14LGranteeLastName[-GranteeState4144dc8d14NGranteeState'%GranteeZip4244dc8d14PGranteeZipk% Hidden4344dc8d14R HiddenLastName4444dc8d14tLastNameZ% lastname24544dc8d14vlastname2[%NewParagraph174addbadfxNewParagraphS dDNoReset4744dc8d14\NoReset18}!OtherID4844dc8d14~OtherIDD[P%$$PromptAddChildRows4944dc8d14$PromptAddChildRowsih!#4PromptAddFamilyInformation4:44dc8d144PromptAddFamilyInformationN9&PromptAddFatherRows4;44dc8d14&PromptAddFatherRows7!%(PromptAddSiblingRows4<44dc8d14(PromptAddSiblingRows|!RemoveRow184addbb00RemoveRowH,RowBreak4>44dc8d14RowBreak<U Section4?44dc8d14SectionN%SuperAreaCode4@44dc8d14SuperAreaCoder4% SuperExtention4A44dc8d14SuperExtention(% SuperPhoneNumber4B44dc8d14 SuperPhoneNumber@-SupervisorName4C44dc8d14SupervisorNameGX% SvcRefHeading194addbb1dSvcRefHeading<p Unit4E44dc8d146Unitcu Worker4F44dc8d14 WorkerSWorkerAreaCode4G44dc8d14WorkerAreaCode%WorkerExtension4H44dc8d14WorkerExtensiontw-WorkerFax4I44dc8d14WorkerFaxX%WorkerName4J44dc8d14WorkerNamej%WorkerPhone4K44dc8d14WorkerPhone r%&AddPlacementHistory134addb9b8&AddPlacementHistory0 8"AddDatesOfContact104addb98f"AddDatesOfContactwH )$AddChildAssessment0s4addb93d$AddChildAssessment`Module11h4b2b8064Module1eb'`h@`0P0P8pHhpX `(@ H8Xt肨 1MT[6|Jm3F3?D6`N:BIY/a~sIEl6Q`!CS+6`XE^#(X>|gNmh1np^FDB/Yu ^HisC GNUH *oD"-txG~B.~(mV0A|ϓoZms_A)Wk%f}LX׾`v|c%O0uQHmLYq"~#Ei(48N`\TEXC(76"H]LE5TEY|VTN(FbOCEYpn쏶ChH4Fhs,tcM$ٗo0lR!KT^ivAxIK3x$J1J~+nlA˻X`JWordkVBAWin16~Win32MacVBA6#TemplateProjectEstdole`MSFormsCOfficeu ThisDocument< _Evaluate AddAChildm HandleError;numrowsInputBox ChrK~vbCr$Promptm cmdCancel ExitHere2ActiveDocument\Save Unprotect?i` SelectionZMoveDown̝UnitwdLineCount0v SplitTable7 Application*DisplayAutoCompleteTips$+AttachedTemplateAutoTextEntriesInsertrWhere֍Range RichTextNDeletex wdCharacterWhatCwdGoToBookmarkJExitHereP$ProtectfPasswordNoResetgwdAllowOnlyFormFields!ErroMsgBoxR vbCritical+} Description  vbExclamationNumber-AddChildInfoRow^MAIN, WordBasicToolsUnprotectDocument(NextCellWW7_EditAutoTextCContextXnInsertAsCharLeftToolsProtectDocument-0AddFamilyInformation AddFatherAddress1O WW7_EditGoTod DestinationлAddRowsLineDownxTableInsertRowQ AddSiblingw@AddSvcReferral}AutoSaveCareOfƻCaseInfoiRet,p UserFCCNoBUserFCCN7 UserFCWLNoyUserFCWN UserPSCNoOUserPSCNqUserHALօUserHAFЅUserDC SelectNameW; ViewToolbars| ColorButtons} LargeButtonsSWToolTips5+Toolbar2Show BeginDialogFTextBoxQOKButton| EndDialogmP dlgUserInfo2" CurValuesȤ UserDialog YourFCCNo+GetPrivateProfileString$xYourFCCN. YourFCWLNoYourFCWN0 YourPSCNo9YourPSCNP<YourHALYYourHAFYYourDCDialogfSetPrivateProfileString=ExistingBookmark SetFormResult FileClose_ CaseNumberA ClearCaseInfohFileFind SearchName֡ SearchPath.SubDir+Title~AuthorKeywordsTSubjectRPOptions MatchCase PatternMatch DateSavedFromu= DateSavedTojdSavedByDateCreatedFrom DateCreatedToViewISortByoListBy+ SelectedFile\Kill ClientCitym ClientState ClientZip CoAddress CoAreaCodeCoCityr7 CoExtensionK CoPhoneNumberxCorrect'ansxtStartOfDocument ToolsSpellingCoState1 CoSuppaddress^ CountyG8 CountyName countynumberyxCoZip0Date11District}-FaxACj FirstNameGranteeAddress1 GranteeCareof GranteeCity@GranteeClientIDGranteeFirstNameEGranteeLastName. GranteeStateM GranteeZip Hidden] FormatFont&Points UnderlineColor2F StrikeThrough" Superscript SubscriptV SmallCaps~cAllCapss_SpacingSPositionKerningB KerningMin1FontUBoldItalic!LastName lastname2sL NewParagraphqScreenUpdating!  CharRightPOtherIDPromptAddChildRowsPromptAddFamilyInformation,PromptAddFatherRowsmPromptAddSiblingRows< RemoveRow0^TableSelectRowTableDeleteRowARowBreakFTableRowHeight"X RulerStyleaLineSpacingRulep LineSpacing LeftIndenti AlignmentI AllowRowSplit{SectionG SuperAreaCodeqSuperExtentionSuperPhoneNumber\SupervisorName SvcRefHeadingi& CenterParaLineUpK InsertPara,TableInsertCells ShiftCells(TableMergeCellst BorderRight_Worker8WorkerAreaCodeWorkerExtension WorkerFaxv WorkerNameJ WorkerPhoneAddPlacementHistoryP;AddDatesOfContactAddChildAssessmentڜDocumentj _B_var_Chr\;_B_var_numrows _B_str_Promptl_B_var_cmdCancelS_B_var_i NeoReset-Module1bFormsSpellCheck2gzxo FormFieldProtectionTypewdNoProtectionCheckGrammarWithSpelling FormFields-| NoProofing] CheckSpellingW AlwaysSuggestm5678 9 :  <=>   ?@ABC D!E " DE[\]^!_#`%a'b/c1g3j5k7l 9m?rA sC!tE"uG#v;wxy=zI${K%|M&}O'~Q(S)7;u*w+y,./0123]-4%  P n0@̭B "&   c:\windows\ caseinfo.inid   pB@ksc:\windows\caseinfo.ini pB@soH@EAttribute VB_Name = "ClearCaseInfo" Public Sub MAIN() WordBasic.File@Find Slch:=" ",! Path c:\wJows\4Jceie.ini0ubDir:=0, Title6Autho" Keywysject Option=`MatchKex#ternDateSavedFrom# LToByC1iwqgz c.g_`TH1/g_=3 sP N oRese$, Typ\0End $R5$xME(6 << < n`@x|-Adds a row and fields for A. Service Referral#TemplateProject.AddSvcReferral.MAINP%̭B$*\Rffff*154addb9dc "@ 2 P2` 2 2 (28 p2 2 2 H2X 4 4 N`0 pB@tSvcRefF1xzF pB@v pB@tSvcRefF2xzF pB@v pB@tSvcRefF3xzF pB@v pB@tSvcRefF4xzF pB@v pB@tSvcRefF5xzF pB@v pB@tSvcReff6xzF pB@v pB@tSvcRefF7xzF pB@v pB@tSvcRefF8xzF pB@v pB@tSvcRefF9xzF pB@v pB@t SvcRefF10xzF pB@v pB@t SvcRefF11xzF pB@v- pB@|ocladd87Z pB@rJ WordBasic.ToolsProtectDocument Password:="cladd87" NoReset:=1, Type:=2(Attribute VB_Name = "AddSvcReferral" Public Sub MAIN(X) ".~Descriptions a row and fields for A. Ser`vice ePProcData\Invoke_Func\Template"ject. . WordBasic.ToolsU nprot2Document Passw:="cladd87NextCell WW7_EditAuto:T F1", Cont :=1, InsertAs:=0 (022a23?^K4?5?lf6?_27?8 _X.?9 10 ~t CharLeft 45 0@ NoRese! , Type:=02 E dk5xMEP n0@̭B " (8superextension pB@oPH|Attribute VB_Name = "SuperExtention" Public Sub MAIN() WordBasic.WW7_EditGoTo DestinBar:="sesEnd dk5GxME      !"#$%&'()*+,-./123456789:;<=>@ABCDEFGHIJKLMOPQRSTUVWXYZ[\^_`abcdefghijkmnopqrstuvwxyz|}~P n0@̭B " (8supervisorname pB@oPH{Attribute VB_Name = "Supervisor" Public Sub MAIN() WordBasic.WW7_EditGoTo Destinati@on:="snCEnd dk5xMEP nWorkerAreaCodeAddChildInfoRow HJGranteeAddress1 0GranteeClientID IO?0@̭B " (8workerareacode pB@oPH|Attribute VB_Name = "WorkerAreaCode" Public Sub MAIN() dBasic.WW7_EditGoTo Destination:="wacEnd 5xME(6 << < n`|0lx%P@̭B$*\Rffff*0z4addb97e "  4 P4` 4 4 (48 p4 4N@ pB@tMacro ChildInfo1xzF pB@vfy 1 pB@ti Putm ChildInfo2xzF pB@v pB@t ChildInfo3xzF pB@v pB@t ChildInfo4xzF pB@v pB@t ChildInfo5xzF pB@v pB@t ChildInfo6xzF pB@v pB@t ChildInfo7xzF pB@vk pB@|5ocladd87Z pB@rJ WordBasic.ToolsProtectDocument Password:="cladd87" NoReset:=1, Type:=2Attribute VB_Name = "AddChildInfoRow" Public Sub MAIN () WordBasic.ToolsUnprotectDocument PasswH:="cladd87jNextCell WW7_EditAuto:T ?1"@, Cont:=0, InsertAs :=1 R2f2c33c34c3n567CharLefPt 30RP NoReset, Type:=@2 EndA dk'5xMEP n0@̭B ""0@GranteeAddress1 pB@$oH@uAttribute VB_Name = "GranteeAddress1" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End dk'5xMEP n0@̭B ""0@GranteeClientID pB@oH@uAttribute VB_Name = "GranteeClientID" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:=End dk'5[GranteeLastName NWorkerExtension LN]GranteeFirstName"lSuperPhoneNumber"MS{xMEP n0@̭B ""0@granteelastname pB@oH@~Attribute VB_Name = "GranteeLast" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="glnEnd dk'5twx<)     *!"#$%&'(;+,6./012345789:=>?@ABCDEFGHIKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstwxyz{|}~MEP n0@̭B ""0@workerextension pB@oH@xAttribute VB_Name = "WorkerExtension" Public Sub MAIN() dBasic.WW7_EditGoTo DestinaBtr:="weEnd dk'5I xMEP n0@̭B ""0@granteefirstname pB@oH@Attribute VB_Name = "GranteeFirstL" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="g5fnEnd dk'5xMEP n0@̭B ""0@superphonenumber pB@oH@Attribute VB_Name = "SuperPhoneNumber" Public Sub MAIN() WordBasic.WW7_EditGoTo Destination:="spnEnd dk5ixMEAddDatesOfContact$AddChildAssessment&PRPromptAddChildRows&1AddPlacementHistory(QU  5wxME(6 << < `|::0x%P@̭B$*\Rffff*104addb98f; "   J0   x (  @P Xh p  x "  @(&H p  @  &. 8(6`   AddDatesOfContact MacroC Macro recorded 01/11/01 by Program Area, modify 2/1/05 Andi Putman8p;There is already ONE Dates of Contact Information section. $  " "3How many ADDITIONAL Dates are needed for this form? $  $  1 Example: {Total dates being reported = 3} $  ? { Minus existing = 1} $  ? { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &(x 0e(`dX *B@, 0  TRContact 2B@  2B@<  >(@x   2!JHLDatesOfContact *!B%DB@F P6: 2B@N TR ContactDates 2B@ 0 k8V0V(|(| `fsave file cancelled $ dA@b #return to point of error in routined` `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorFkocladd87Z *B@.cladd87Z\ ^l *B@X[reprotect documentִAttribute VB_Name = "AddDatesOfContact" Sub d`() '2 `Macro4 recorded 01/11/01 by Program Area, modify 2/5 Andi PutmanE On Error GoTo HandlenumrowsInputBox("There is al^dy ONE ! of  Informati@on sec. " + Chr(10) & vbCr"How Jy ADDI@TIONAL+a17neer* th>.?',+3 Example: {Total d beingport= 3}$" { Minus exist+= 1&Enter 0addiL,= 2LO@9CANCEL nESC if none", "IDENTIFYING INFORMAT0 mpt$u"You MUST Save TVDocum@ent Be@Yet87[SelxIn Fold1ndV C:Fil$e inBAs Dialog 'Defin e pro@, `CI;Fcmd@Cancel@0e ³ExitH2Else"0"&ŁAtveJ.O U n`t#Passwu:="cl`<\87A F8i@2enq1 Stepp -1#, j.bWhat:=wdBookmark,) G! 'SplitTablec Apct.Display AutoC-le teTipTruacheXdTelk.Text;ries("L).Ins`ert _W !:=Range, Richa l:=D`NUni Char`er,Vun`&&b3N i>End If /KL:D*K$m?5oRese!, TypeA:AllowOnlyBmFields 're%Id$t A ȣ E2h$a@`O4198"a 's%fsca!kled Msg`sa r$,¸calturn to poie@}rouDJqJ `.DescripA Ex@for"`!PNumb&n` CasebϤ7 e" 'R(`ޑt s`afA">+@,>el ( 5xME6 LLLLL `lo550x%H`hx@X(P "*T2>P@pl @\ @L @< P@, @ @ @ @` @0 @H @x :\@ BI@ 04@ l1@| \W@ l te@\ \W@L te@8< GL@, el@P e;@h F@ n @ te@ ys@ gr@ om@ Ad@( \P@@ es@X| le@pl Sh@\ m;@L or@< \P@, @ dFam@ Pr@ il@0 on@ yInf@ mpP$In@& @ @0 @ owsGmpt@/ ow@romptA@ ro@| er@x 1(^`dbh+@t wsG@p dS@l P@̭B$*\Rffff*0s4addb93d*\R0*#f*\R0*#e*\R0*#14*\R1*#17b*\R1*#c1*\R1*#c6*\R1*#1f*\R1*#129*\R1*#c0*\R1*#1e*\R1*#91*\R0*#13*\R0*#1a*\R0*#19*\R0*#15"   J0  3 p    8H P` h  p) ,F  Bo20$FP x  @5  &$&.H8mP6    AddChildAssessment MacroD Macro recorded 01/11/01 by Program Area, modify 1/28/05 Andi Putmanp0There is already ONE Child Information section. $  " "6How many ADDITIONAL Children are needed for this form? $  $  4 Example: {Total children being reported = 3} $  B { Minus existing = 1} $  B { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &(p 0e(XdP *B@, 0  TRFamilyInformation 2B@ 2B@<D >(@  2!JHLChildAssessment *!B%DB@F P6: 2B@N TR ChildName 2B@ 0k VVcladd87Z *B@.B@X|(| `fsave file cancelled $ dA@b #return to point of error in routinedH `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorkocladd87Z\ ^l *B@X[reprotect documentAttribute VB_Name = "AddChildAssessment" Sub () '4 Macro6 recorded 01/11/01 by Program Area, modify 1/28/05 Andi @PutmanF On Error GoTo H andle numrowsInputBox("There is al_dy ONE  Information secA. " +r(10) & vbCr"How Dy ADDI@TIONAL%ren a3neeco+ th:0? ).+5Example: {Total c) beingport= 3} &" { Minus exist,= 1:Enter addiO@.= 2 ChR;CANCEL oESC if none", "IDENTIFYING INFOXRMAW0 B @mpt$u"You MUST Save TXDocu BeA[e Con7uc7^Sel{I@n Fold1ndV C:File inBAs Dialog @'Define pro@,CCI;cmdCanctel@0ekEPxitH2Else"0"&KŁAveJ.Oc Un`t# Passwu:="cl`<87D:F8i@2nq1 Step -1# ,k.bWhat:=wdBookmark,) Family(rd gSplitTaHble Apcw.Displa@yAutoC/l@eteTipTru achedTe@oateB.Text =r ies(").Insert _K*W:=Range, Ridch :=D#OUni"ChParac i,`Wu~n`((AS'N @ i?End If 0LM>:* $n@6oRese , TypeA;Allo wOnlyCmFields 're%Jd$u A @ E2$b``P4198Q"b 'sftc"a!lled Msg`t s$,Bxcalturn to point of e"@~rou@JrJ `.DescripA Ex@gCor"!PNumb&n` CaseѤ7 e" 'R(杀ߑAt safA?">+@, P  0@̭B "  D(Np   PromptAddFatherRows Macro= Macro recorded 08/21/00 by Sandy Cain edited by Andi 1/26/05Click 'Add A Child' Button $  to add an Additional Child ' $ Define prompt $ hA@bo Attribute VB_Name = "PromptAddChildRows"@ Sub `(@) '2F atherf M0acro8 recorded 08/21/00 by Sandy Cain editAndi 1/26/0(5 t$Cl ick ' A ' Butt on" +r(10) "to add an +itional0'Define p_ M sgBoxc$, vbExclama End dk57 5xME(6 << < `|550x%P@̭B$*\Rffff*134addb9b85"   J0    8  P` hx    $  B@*`   @  &.@8H6  8 AddPlacementHistory MacroC Macro recorded 01/11/01 by Program Area, modify 2/1/05 Andi Putmanp0There is already ONE Placement History section. $  " "AHow many ADDITIONAL Placement Histories are needed for this form? $  $  5 Example: {Total histories being reported = 3} $  C { Minus existing = 1} $  C { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &( 0e@(pdh *B@, 0  TR Placement 2B@ 2B@< >(@  2!JHLPlacementHistory *!B%DB@F P6: 2B@N TRDateOfPlacement 2B@ 0k8V0V(|(| `fsave file cancelled $ dA@b #return to point of error in routined` `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorkocladd87Z *B@.cladd87Z\ ^l *B@X[reprotect documentڴAttribute VB_Name = "AddPlacementHistory" Sub d`() '6 `Macro8 recorded 01/11/01 by Program Area, modify 2/5 Andi PutmanE On Error GoTo Handle nu mrowsInputBox("There is al^dy O(NE   section. " + Chr(10) & vbCr"How Dy ADDIT IONAL%ie59neetfUth?m?.3 +: Example: {Toptal )beingporBt= 3}&" ! { Min`us exx= 1{Enter` addiR/= 2LEV@+@, PromptAddFatherRows(%AddFamilyInformation*TV-PromptAddSiblingRows*W/PromptAddFamilyInformation6KxMEP  0@̭B "  D(Lp   PromptAddFatherRows Macro= Macro recorded 08/21/00 by Sandy Cain edited by Andi 1/26/05Click 'Add Father' Button $  to add Additional Father ' $Fami Define prompt $ hA@brooAttribute VB_Name = "PromptAddFatherRows" Sub d() '4 Macro8 recorded 08/21/00 by Sandy Cain` editAndi 1/26/05 u$Click ' ' Button" + Ch r(10) "t@o add 'itional.'Define p^ MsgBoxb$, vbExclama End  dk5|xME 5xME(6 << < `|660x%P@̭B$*\Rffff*114addb9a17 "  " J8    @  Xh p      D@&`   @  &.88@6x  0 AddFamilyInformation MacroD Macro recorded 01/11/01 by Program Area, modify 1/28/05 Andi Putmanxh1There is already ONE Family Information section. $  " "@How many ADDITIONAL Family Information are needed for this form? $  $  7 Example: {Total family info being reported = 3} $  E { Minus existing = 1} $  E { Enter additional = 2} $  $  CANCEL or ESC if none IDENTIFYING INFORMATION$'-You MUST Save This Document Before Continuing $  $  Select Save In Folder and $  $  $Enter File Name in SaveAs Dialog Box ' $ Define prompt  &( 0e(hd` *B@, 0  86: 2B@4dify 2B@<ia >(@   2!JHL_FamilyInformation *!B%DB@F P6: 2B@N TR BirthFamily 2B@ 0 9k@V8V0|(| `fsave file cancelled\ $ dA@b #return to point of error in routinedh `!f hError `!j In Case InfoA@bV+Reprotect Document and exit sub after errorkocladd87Z *B@.cladd87Z\ ^l *B@X[reprotect documentAttribute VB_Name = "AddFamilyInformation" Sub p() '8 Macro: recorded 01/11/01 by Program Area, modify 1/28/05 Andi PutmanF On Error GoTo HandlenumrowsInputBox("There@ is al_d@y ONE  !q secu. " + Chr(10) & vbCr"How Ey ADDITIONAL&a9neet th[?? .3+: Example: {Total$ f i beingporBt= 3}'"" { Minus exist= 1Enter addiSq0= 2W=C@ANCEL tESC if none", "IDENTIFYING INFORMA[0@ @mpt$z"You MUST S ave T[Document Be]e Con7u8V`SelIn Fold1 ndV C:File inBAs Dialog 'Define pro@, c CI;cmdCancel@0e ExitHB2Else"\0"&ʁA@^v:ee%.'c Un`t#PasswA@x:="cl`<87A F8i@2q@t1 Step8 -1#,.MoAwn Uni@t:=wdL$, 5unSplitTable Apc.DisplayAutoC`,leteTipTrukachedTe!mate.Text:ries("_).Ins`ert _cW :=Range, Rich :=gDMECharacf1BAWhaB%Bookmark,O2Birth2N i=End If J}K:*$l>o0Rese, Type8All@owOnlyAmFields 'tre%Hd$s A @ˣ E2$``N4198"` 'sfr"c"jled Msg`r! q$,xcalturn to poiof e@|rou@JpJ `.DescripA Ex@e#1or"@!Numb&n CaseBҤ7 e"x 'R(ࡷt safA">+@,>P  0@̭B "  D(Np   PromptAddFatherRows Macro= Macro recorded 08/21/00 by Sandy Cain edited by Andi 1/26/05H=Click 'Add Sibling' Button $  to add Additional Sibling ' $ Define prompt $ hA@bo Attribute VB_Name = "PromptAddSiblingRows" Sub h() '6Fatherj Macro8 recorded 08/21/00 by Sandy Cain` editAndi 1/26/05 v$Click ' ' Button" + Ch r(10) "t@o add (itional/'Define p_ MsgBoxc$, vbExclama End  dk35NxMEP  0@̭B "  D(dp   PromptAddFatherRows Macro= Macro recorded 08/21/00 by Sandy Cain edited by Andi 1/26/05%Click 'Add Family Information' Button $  $to add Additional Family Information ' $ Define prompt $ hA@boAttribute VB_Name = "PromptAddFamilyInformation"@ Sub (@) ' BtherRows `Macro8 recorded 08/21/00 by Sandy Cain 0editAndi 1/26/P05 |$C@lick '  ' Butt + Chr(10) "to add 3i als'Def`ine pj MsgBoxn$, vbExcla End ID="{480333E4-23B6-4A7C-9503-4652603BC742}" Document=ThisDocumePROJECTYPROJECTwm CompObjFj      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEGnt/&H00000000 Module=AddAChild Module=AddChildInfoRow Module=AddFamilyInformation Module=AddFather Module=Address1 Module=AddRows Module=AddSibling Module=AddSvcReferral Module=AutoSave Module=CareOf Module=CaseInfo Module=CaseNumber Module=ClearCaseInfo Module=ClientCity Module=ClientState Module=ClientZip Module=CoAddress Module=CoAreaCode Module=CoCity Module=CoExtension Module=CoPhoneNumber Module=Correct Module=CoState Module=CoSuppaddress Module=County Module=CountyName Module=countynumber Module=CoZip Module=Date1 Module=District Module=FaxAC Module=FirstName Module=GranteeAddress1 Module=GranteeCareof Module=GranteeCity Module=GranteeClientID Module=GranteeFirstName Module=GranteeLastName Module=GranteeState Module=GranteeZip Module=Hidden Module=LastName Module=lastname2 Module=NewParagraph Module=NoReset Module=OtherID Module=PromptAddChildRows Module=PromptAddFamilyInformation Module=PromptAddFatherRows Module=PromptAddSiblingRows Module=RemoveRow Module=RowBreak Module=Section Module=SuperAreaCode Module=SuperExtention Module=SuperPhoneNumber Module=SupervisorName Module=SvcRefHeading Module=Unit Module=Worker Module=WorkerAreaCode Module=WorkerExtension Module=WorkerFax Module=WorkerName Module=WorkerPhone Module=AddPlacementHistory Module=AddDatesOfContact Module=AddChildAssessment Module=Module1 Name="TemplateProject" HelpContextID="0" VersionCompatible32="393222000" CMG="6567E6CD2AF02EF02EF02EF02E" DPB="8C8E0F36115C125C125C" GC="B3B1301356145614A9" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisDocument=44, 44, 653, 387, AddAChild=0, 0, 454, 237, AddChildInfoRow=88, 88, 473, 431, AddFamilyInformation=110, 110, 495, 453, AddFather=22, 22, 473, 365, Address1=132, 132, 717, 560, AddRows=165, 165, 750, 593, AddSibling=10, 36, 746, 573, AddSvcReferral=198, 198, 783, 626, AutoSave=88, 88, 554, 431, CareOf=0, 0, 585, 428, CaseInfo=33, 33, 618, 461, CaseNumber=66, 66, 651, 494, ClearCaseInfo=99, 99, 684, 527, ClientCity=132, 132, 717, 560, ClientState=165, 165, 750, 593, ClientZip=198, 198, 783, 626, CoAddress=0, 0, 585, 428, CoAreaCode=33, 33, 618, 461, CoCity=66, 66, 651, 494, CoExtension=99, 99, 684, 527, CoPhoneNumber=132, 132, 717, 560, Correct=165, 165, 750, 593, CoState=198, 198, 783, 626, CoSuppaddress=0, 0, 585, 428, County=33, 33, 618, 461, CountyName=66, 66, 651, 494, countynumber=99, 99, 684, 527, CoZip=132, 132, 717, 560, Date1=165, 165, 750, 593, District=198, 198, 783, 626, FaxAC=0, 0, 585, 428, FirstName=33, 33, 618, 461, GranteeAddress1=66, 66, 651, 494, GranteeCareof=99, 99, 684, 527, GranteeCity=132, 132, 717, 560, GranteeClientID=165, 165, 750, 593, GranteeFirstName=198, 198, 783, 626, GranteeLastName=0, 0, 585, 428, GranteeState=33, 33, 618, 461, GranteeZip=66, 66, 651, 494, Hidden=99, 99, 684, 527, LastName=132, 132, 717, 560, lastname2=165, 165, 750, 593, NewParagraph=198, 198, 783, 626, NoReset=0, 0, 585, 428, OtherID=33, 33, 618, 461, PromptAddChildRows=132, 132, 570, 475, PromptAddFamilyInformation=154, 154, 592, 497, PromptAddFatherRows=132, 132, 717, 560, PromptAddSiblingRows=165, 165, 750, 593, RemoveRow=198, 198, 783, 626, RowBreak=0, 0, 585, 428, Section=33, 33, 618, 461, SuperAreaCode=66, 66, 651, 494, SuperExtention=99, 99, 684, 527, SuperPhoneNumber=132, 132, 717, 560, SupervisorName=165, 165, 750, 593, SvcRefHeading=198, 198, 783, 626, Unit=0, 0, 585, 428, Worker=33, 33, 618, 461, WorkerAreaCode=66, 66, 651, 494, WorkerExtension=99, 99, 684, 527, WorkerFax=132, 132, 717, 560, WorkerName=165, 165, 750, 593, WorkerPhone=198, 198, 783, 626, AddPlacementHistory=0, 0, 438, 343, AddDatesOfContact=22, 22, 460, 365, AddChildAssessment=66, 66, 291, 409, Z Module1=0, 0, 0, 0, C ThisDocumentThisDocumentAddAChildAddAChildAddChildInfoRowAddChildInfoRowAddFamilyInformationAddFamilyInformationAddFatherAddFatherAddress1Address1AddRowsAddRowsAddSiblingAddSiblingAddSvcReferralAddSvcReferralAutoSaveAutoSaveCareOfCareOfCaseInfoCaseInfoCaseNumberCaseNumberClearCaseInfoClearCaseInfoClientCityClientCityClientStateClientStateClientZipClientZipCoAddressCoAddressCoAreaCodeCoAreaCodeCoCityCoCityCoExtensionCoExtensionCoPhoneNumberCoPhoneNumberCorrectCorrectCoStateCoStateCoSuppaddressCoSuppaddressCountyCountyCountyNameCountyNamecountynumbercountynumberCoZipCoZipDate1Date1DistrictDistrictFaxACFaxACFirstNameFirstNameGranteeAddress1GranteeAddress1GranteeCareofGranteeCareofGranteeCityGranteeCityGranteeClientIDGranteeClientIDGranteeFirstNameGranteeFirstNameGranteeLastNameGranteeLastNameGranteeStateGranteeStateGranteeZipGranteeZipHiddenHiddenLastNameLastNamelastname2lastname2NewParagraphNewParagraphNoResetNoResetOtherIDOtherIDPromptAddChildRowsPromptAddChildRowsPromptAddFamilyInformationPromptAddFamilyInformationPromptAddFatherRowsPromptAddFatherRowsPromptAddSiblingRowsPromptAddSiblingRowsRemoveRowRemoveRowRowBreakRowBreakSectionSectionSuperAreaCodeSuperAreaCodeSuperExtentionSuperExtentionSuperPhoneNumberSuperPhoneNumberSupervisorNameSupervisorNameSvcRefHeadingSvcRefHeadingUnitUnitWorkerWorkerWorkerAreaCodeWorkerAreaCodeWorkerExtensionWorkerExtensionWorkerFaxWorkerFaxWorkerNameWorkerNameWorkerPhoneWorkerPhoneAddPlacementHistoryAddPlacementHistoryAddDatesOfContactAddDatesOfContactAddChildAssessmentAddChildAssessmentModule1Module1  FMicrosoft Word Document MSWordDocWord.Document.89q @  bjbj  $#$#6@ /pr&~$RE~~V I60/$66 FORMTEXT       Father NameDate of BirthSocial Security Number FORMTEXT       FORMTEXT       FORMTEXT      Last Known Address FORMTEXT        FORMTEXT       Sibling NameDate of BirthSocial Security Number FORMTEXT       FORMTEXT       FORMTEXT      Legal StatusName of Person Living With/Relationship (identify foster home) FORMTEXT       FORMTEXT      Last Known Address FORMTEXT        FORMTEXT        FORMTEXT       NamePermanent Custody Date/County FORMTEXT       FORMTEXT      Date of BirthSocial Security NumberDate Referred for Adoption FORMTEXT       FORMTEXT       FORMTEXT      Court File NumberWorkerFIA Case Number FORMTEXT       FORMTEXT       FORMTEXT      Recipient ID NumberReport Date FORMTEXT       FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT       DatesWith whom (include Role/Position)Type (HV, TC, OC) FORMTEXT       FORMTEXT       FO,GAm$IfXkdV$$If94F +      4 9f4l$IfXkdT$$If94F +      4 9f4,.0DFHRTXZ^`tvx*,.8:<>Rڿڴڭڢڗڌj[h;!Uj[h;!UjYh;!U h;!5CJjWh;!U h;!5j6Vh;!UjUh;!Uh;!jh;!UmHnHujh;!UjJUh;!U4,.VXZ\^ZXVPPm$If42kdX$$If94++4 9f4n$If2kdDX$$If94++4 9f4l$If2kddW$$If94++4 9f4 <dfAXkd~\$$If94F +      4 9f4l$IfXkdjZ$$If94F +      4 9f4m$IfRTV`b$&(*>@BLNPRz|BDXZ\fhjlڿڴڭڢڗڌj|ch;!Uj6bh;!Ujah;!U h;!5CJj_h;!U h;!5jH^h;!Uj]h;!Uh;!jh;!UmHnHujh;!Uj\h;!U3(PRxgEkd^$$If940+4 9f4l$IfEkd6]$$If940+4 9f4m$IfxzZXVT652kd`$$If94++4 9f4n$If2kd2`$$If94++4 9f4l$If2kdR_$$If94++4 9f4@BjgEkdhd$$If940+4 9f4l$IfEkdb$$If940+4 9f4m$If .02<>@BVXZdfhj~ $&(2468LNPZ\ڹڮڣژڍj"kh;!Ujfih;!Ujhh;!Ujzhh;!Ujfh;!Uj2fh;!Ujeh;!Uh;!jh;!UmHnHujh;!Ujch;!U7@hGAAm$IfXkdg$$If94,Fc+    4 9f4l$IfXkd e$$If94Fc+    4 9f46^`AXkdi$$If94,Fc+    4 9f4l$IfXkdg$$If94Fc+    4 9f4m$If@hgeca_]:987Ekdl$$If940+84 9f4l$IfEkdj$$If94,0+84 9f4m$If  468<>@BVXfhj~̿Ѱyjph;!Ujoh;!Uj!oh;!Ujjnh;!Ujvmh;!Ujh;!5UmHnHujlh;!5U h;!5jh;!5Ujh;!UmHnHujh;!Ujkh;!Uh;!,,Nv 2>UkdXw$$If9 F+1     4 9m$IfDChA@?>=<;(*,.BDLNPdftvx虔xmjuh;!Ujh;!5UmHnHuj7uh;!5U h;!5jh;!5Ujth;!Ujth;!UjEsh;!Ujrh;!Ujh;!UmHnHujqh;!Uh;!jh;!Uj%qh;!U* "$.0$&:<>BDFH\^`fhjlj@{h;!Ujzh;!Ujzh;!Ujxh;!UUj|xh;!Ujxh;!Ujh;!UmHnHujvh;!Uh;!jh;!U7 "$Fj 2ZONjLKJIHGFbUkdhy$$If9,F+1     4 9l$IfRMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Date of PlacementName/AddressType of Placement FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT     FORMTEXT     FORMTEXT      FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Child s First NameDate/Time of Birth FORMTEXT       FORMTEXT      Place of BirthCity, County, State FORMTEXT       FORMTEXT      GenderIs Ward a Member or Eligible for Membership in a Tribe? (See CFF 742) FORMTEXT       FORMCHECKBOX Yes FORMCHECKBOX No  FORMCHECKBOX Birth Family FORMCHECKBOX Adoptive Family  "$.024HJLVXZ\prt~ڹڮڣژڍjvh;!Ujh;!Ujh;!Uj,h;!Ujdh;!Uj$h;!Uj}h;!Uh;!jh;!UmHnHujh;!Uj|h;!U6 24BDFZ\j "68:DFLNbdfjlnpj#h;!Ujuh;!UjGh;!Ujчh;!Ujh;!UmHnHujgh;!Uj.h;!Ujh;!Uj$h;!Uh;!jh;!Ujlh;!U3Dl Hl$IfXkd$$If94F+1     4 9f4m$IfSRQP HJLn ,Nr:`_^]\[edXWVUcXkd$$If94,F+1     4 9f4 "$(*,.BDLNPdfhnprtjh;!Ujh;!Ujh;!Uj:h;!Ujh;!Ujh;!Ujh;!Ujh;!UmHnHujh;!Ujh;!Uh;!jh;!U3(*8"$8:<FHJL`bdnp&(*46:<XZ\fhjh;!Uj{h;!UjՔh;!Uj_h;!Ujǒh;!UjQh;!Uj^h;!Ujh;!UmHnHujzh;!Uh;!jh;!U7:` gEkd=$$If940+4 9f4l$IfEkdÑ$$If940+4 9f4m$If "Jrtmggm$IfEkdK$$If940+4 9f4l$IfEkdѓ$$If940+4 9f48:^fn$Ifl$IfEkdߕ$$If940+4 9f4h jh;!U h;!5j7h;!U h;!CJjh;!Ujeh;!Uh;!mg75/l$If/kd$$If9++4 9m$Ifkdٗ$$If94ֈ0Lx+D8,# 4 9f4 ikd$$If94\@ +A8 D4 9f4 k hd$If/ =!"#$%GranteeFirstName=Enter the Grantee's First Name (and Middle Initial, if known)GranteeLastName$$If!vh55 5 #v#v #v :V 94,55 5 /  /  / 44 9af4vD-Text19vDText20vDText21$$If!vh55 5 #v#v #v :V 94,55 5 /  / / 44 9af4h$$If!vh5+#v+:V 945+/  44 9af4vD\Text29n$$If!vh5+#v+:V 94,5+/ 44 9af4`$$If!vh5+#v+:V 94,5+44 9af4TDAddress1 UppercasedEnter the Addressee's mail address (street address, PO Box, etc., where the mail will be delivered).$$If!vh55 5 #v#v #v :V 9455 5 /  /  / 44 9af4vD-Text19vDText20vDText21$$If!vh55 5 #v#v #v :V 94,55 5 /  / / 44 9af4$$If!vh55#v#v:V 9455/  / / 44 9af4vD-Text27vD-Text28$$If!vh55#v#v:V 94,55/  / 44 9af4h$$If!vh5+#v+:V 945+/  44 9af4vD\Text29n$$If!vh5+#v+:V 94,5+/ 44 9af4`$$If!vh5+#v+:V 94,5+44 9af42DCareOf UppercaseUEnter the Addressee's Supplemental Address (Example: Suite or Apartment Number, C/O)D CaseNumber Uppercase/Enter the Case Number (Example: V1234567A,B,C)$$If!vh55#v#v:V 9455/  /  / / 44 9af4vD-Text23vD-Text24$$If!vh55#v#v:V 94,55/ / /  44 9af4$$If!vh555#v#v:V 9455/  /  / / 44 9af4vDText25vDText25vDText25$$If!vh555#v#v:V 94,,55/  / / 44 9af4$$If!vh555#v#v:V 9455/  /  / / 44 9af4vDText25vDText25vDText25$$If!vh555#v#v:V 94,,55/  / / 44 9af4$$If!vh585#v8#v:V 94,585/  /  / 44 9af4vD=Text26vDText25$$If!vh585#v8#v:V 94,585/ / /  44 9af4D ClientCity UppercaseEnter the Addressee's City.D ClientState Uppercase1Enter the Addressee's 2 digit State Abbreviation.D ClientZip UppercaseKEnter the Addressee's Zip Code (+4 if known) (Example: 48909 or 48909-7537)D CoAddress UppercaseaEnter the County's mail address (street address, PO Box, etc., where the mail will be delivered).D CoAreaCodeEnter the County's Area CodeDCoCity UppercaseEnter the County's City.D CoExtensiond`CJOJQJ_HmH sH tH VOV CoState1?d8(OJQJ_HkHmH sH tH bOb CoSuppaddress1@d8(OJQJ_HkHmH sH tH \O\ CountyName1Ad8(OJQJ_HkHmH sH tH ^"^ CountyNumberBd8(OJQJ_HkHmH sH tH VO2V CoZip1Cdt CJOJQJ_HkHmH sH tH NOBN Date11 Dd`CJOJQJ_HmH sH tH XRX District1Ed8(OJQJ_HkHmH sH tH LObL FaxAC Fd`CJOJQJ_HmH sH tH VOrV FirstName1 Gd`CJOJQJ_HmH sH tH XOX FirstName21 Hd`CJOJQJ_HmH sH tH `O` GranteeAddress1 Id`CJOJQJ_HmH sH tH \O\ GranteeCareof Jd`CJOJQJ_HmH sH tH XOX GranteeCity Kd`CJOJQJ_HmH sH tH `O` GranteeClientID Ld`CJOJQJ_HmH sH tH hh GranteeFirstName1Md8(OJQJ_HkHmH sH tH fOf GranteeLastName1Nd8(OJQJ_HkHmH sH tH ZOZ GranteeState Od`CJOJQJ_HmH sH tH ZOZ GranteeZip Pd` CJOJQJ_HkHmH sH tH XOX LastName1Qd8(OJQJ_HkHmH sH tH ZO"Z LastName21Rd8(OJQJ_HkHmH sH tH VO2V OtherID1Sd8(OJQJ_HkHmH sH tH VBV Section1Td8(OJQJ_HkHmH sH tH ^OR^ SuperAreaCode1 Ud`CJOJQJ_HmH sH tH dObd SuperExtension1Vd8(OJQJ_HkHmH sH tH dOrd SuperPhoneNumber1 Wd`CJOJQJ_HmH sH tH dOd SupervisorName1Xd8(OJQJ_HkHmH sH tH PP Unit1Yd8(OJQJ_HkHmH sH tH TT Worker1Zd8(OJQJ_HkHmH sH tH `O` WorkerAreaCode1 [d`CJOJQJ_HmH sH tH fOf WorkerExtension1\d8(OJQJ_HkHmH sH tH XOX WorkerFax ]d` CJOJQJ_HkHmH sH tH \O\ WorkerName1^d8(OJQJ_HkHmH sH tH ZOZ WorkerPhone1 _d`CJOJQJ_HmH sH tH ^O^ WorkerTitle1 `d` CJOJQJ_HkHmH sH tH ^^ countynumber ad` CJOJQJ_HkHmH sH tH TO"T District2 bd`CJOJQJ_HmH sH tH RO2R Section2 cd`CJOJQJ_HmH sH tH LOBL Unit2 dd`CJOJQJ_HmH sH tH TORT Worker2 ed` CJOJQJ_HkHmH sH tH ^b^ Countynumber fd` CJOJQJ_HkHmH sH tH `r` Countynumber1 gd` CJOJQJ_HkHmH sH tH \O\ Countynumber2 hd`CJOJQJ_HmH sH tH POP ***** id` CJOJQJ_HkHmH sH tH dOd GranteeFirstName2 jd`CJOJQJ_HmH sH tH hOh Captions 10pt Boldkd`(5CJOJQJmH sH ubOb User Input 10ptld8(5CJOJQJmH sH uXOX Captions 8pt md`CJOJQJmH sH u`O` Letter Text 10ptn$d$a$CJOJQJmH sH u EF23 !IJ/0PQyzgh9:   @0$@0@04$@0@0l$@0@0$@0@0$@0@0 $@0@0  $@0@0d$@0@0$@0@0,%$@0@0d%$@0@0%$@0@0ė@0@0@0@04@0@0@0@0 @0@0"@0@0$p@0@0&@0@0(@0@0*@0@0,P@0@0.@0@00К@0@02@0@04@@0@06x@0@08=y@0@0:$>y@0@0<\>y@0@0>>y@0@06***** AddFatherAddress1 AddSiblingCareOf CaseNumberChildAssessment ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddressCounty CountyName CountynumberCoZip Date1DatesOfContactDistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareof GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZip LastName LastName2 OtherIDPlacementHistorySection SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerPhone WorkerTitle _AddAChild_FamilyInformation***** CaseNumber1 ClientZip1 CoAddress1CoCity1 CoExtension1CoState1CoSuppaddress1 CountyName1CoZip1GranteeLastName1 GranteeZip LastName1 LastName21OtherID1SuperExtension1SupervisorName1Worker2WorkerExtension1 WorkerFax WorkerName1 WorkerTitle1 Captions 8ptUser Input 10pt{';L`q#5I]q"6'9Mau   Z"2&HRh "&+05:>QW]loswyzN b F V \v:&zl0~d""$ &|~` ފRB2nĖ,xH:   !#$%'()*,-./12346789;<=OPRSTUVXYZ[\^_`akmnpqrtuvx{  FRXZflnz *0!-35AG'-Q]ceqw{"%'39;GJLX^`loq}!#/35AGIU[]ioq}  ".4htz|"%'379EKMY_amsu#%17 FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFTFFFFFFFFFFFFFFFFFFTFFFFFFFFFFFFFFFFFFFFG$G$G G$4GranteeFirstNameAddress1CareOf CaseNumberText23Text24Text25Text26 ClientCity ClientState ClientZip CoAddress CoAreaCodeCoCity CoExtension CoPhoneNumberCoState CoSuppaddressCounty CountyName CountynumberCoZipdate1DistrictFaxAC FirstName FirstName2GranteeAddress1 GranteeCareOf GranteeCityGranteeClientIDGranteeFirstNameGranteeLastName GranteeState GranteeZipLastName LastName2OtherIDText31Section SuperAreaCodeSuperExtensionSuperPhoneNumberSupervisorNameUnitWorkerWorkerAreaCodeWorkerExtension WorkerFax WorkerName WorkerPhone WorkerTitle"6R|(<Mar$6J^r#}(:Nbv   !"#$%&'()*+,-./01234Hd&:K_p"4H\p !5&8L`t ;! .EFZn 23@ !5IJXo/0DPQeyz"6HUgh|%9:A   a0a0a0a0a0@  '!  @ PPPPPUnknownGz Times New Roman5Symbol3& z Arial=& : Arial (W1)?5 z Courier New;Wingdings"h0@?;!