Sample CPR - the Leicester City, Leicestershire and Rutland ...

Form CPR
Part A – Essential Information
Name of child: Jane Green
Date of birth:19.03.08
Name of social worker completing this report: Flora James
Name of agency Leicester City Council Children and Young People’s
Services Adoption Team
Address: Eagle House, 11 Friar Lane, Leicester LE1 5RB
Date report completed: 22.09.08
Date revised report completed:
Date of panel recommendation (if any) that child should be placed for
adoption:
The Child’s Permanence Report (CPR) comprises a Core Report and a number
of other sections which are completed and become a part of the report depending
on the circumstances of the child.
Index
Tick to indicate which sections have been completed and are included.
Part A1 The child Required Yes
Part A2 The child’s birth mother Required Yes
Part A3 The child’s birth father Required Yes
Part A4 Ability and willingness/summary Required Yes
Part A5 Adoption agency details Required Yes
Part B Other people with parental responsibility When required N/A
Part C Other relatives or other relevant people When required Yes
Part D Siblings When required Yes
Part E Wishes and feelings of the child When completed N/A
Part F The views of the birth mother When completed Yes
Part G The views of the birth father When completed Yes
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