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

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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 Page 2 © BAAF 2006 All rights reserved. Except as permitted under the Copyright, Designs and Patents Act 1988, this form may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF. Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
Form CPR Part A – Essential Information Part A1 – The child Surname Green First names Jane Other names child is known by (including familiar names) Date of birth 19.03.08 Place of birth Leicester Nationality British Sex Female Current addresses 205 High Cross Hill, Leicester. LE2 1PP Local authority area of this address Leicester City The carer Name of person(s) at this address who is the main carer of the child Jean and Fred Bull Relationship/status of this person(s) to the child Local Authority Foster Carers Telephone number of carer 0116 3434344 Email address of carer Birth parents and heritage Ethnicity of child’s birth mother 1 White British Ethnicity of child’s birth father 2 White British Religion of child’s birth mother (indicate if this is active or nominal) C of E Nominal Page 3 © BAAF 2006 All rights reserved. Except as permitted under the Copyright, Designs and Patents Act 1988, this form may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF. Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
Page 1: CHILD’S PERMANENCE REPORT The Ado
Page 5 and 6: Form CPR Part A - Essential Informa
Page 39 and 40: Form CPR Parts B & C - Extended fam
Page 41 and 42: Form CPR Part D - Siblings (full an
Page 47 and 48: Form CPR Part E - Wishes and feelin
Page 49 and 50: Form CPR Part F - Views of the birt
Page 51 and 52: Form CPR Part F - Views of the birt
Page 53 and 54:
Form CPR Part F - Views of the birt
Page 55 and 56:
BAAF Form CPR Part G Do you have an
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Sample CPR - the Leicester City, Leicestershire and Rutland ...

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