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

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Form <strong>CPR</strong><br />

Part A – Essential Information<br />

The birth fa<strong>the</strong>r without parental responsibility (PR)<br />

Has <strong>the</strong> paternity of <strong>the</strong> child been confirmed?<br />

If yes, indicate how<br />

.<br />

Is anybody else claiming paternity of <strong>the</strong> child?<br />

If yes, give brief details<br />

Is <strong>the</strong> identity of <strong>the</strong> birth fa<strong>the</strong>r without PR known to <strong>the</strong> agency?<br />

Does <strong>the</strong> birth fa<strong>the</strong>r know of <strong>the</strong> birth of <strong>the</strong> child?<br />

If no, <strong>and</strong> <strong>the</strong> agency knows his identity, has <strong>the</strong> agency decided that it is<br />

appropriate to counsel <strong>and</strong> advise him?<br />

If yes, what steps have been taken to counsel <strong>and</strong> advise him <strong>and</strong> are <strong>the</strong>se<br />

continuing?<br />

Does <strong>the</strong> birth fa<strong>the</strong>r intend to apply for parental responsibility for <strong>the</strong><br />

child, or for a residence or contact order?<br />

Details<br />

Has <strong>the</strong>re been contact between <strong>the</strong> agency or any o<strong>the</strong>r agency <strong>and</strong> <strong>the</strong><br />

birth fa<strong>the</strong>r?<br />

If yes, give brief details<br />

Page 28<br />

© BAAF 2006<br />

All rights reserved. Except as permitted under <strong>the</strong> Copyright, Designs <strong>and</strong> Patents Act 1988, this form may not be<br />

reproduced, stored in a retrieval system, or transmitted in any form or by any means, without <strong>the</strong> prior written permission<br />

of <strong>the</strong> publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF.<br />

Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS

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