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

Form CPR
Part A – Essential Information
Part A5 – Adoption agency details
Name of agency
Leicester City Council, Children and Young People’s Services Adoption Team
Address
11 Friar Lane
Telephone number
0116 2995988
Fax number
0116 2995900
Name of social worker completing this form
Flora James
Address if different from the one above
Leicester City Council, Children and Young People’s Services, Beaumont Way,
Leicester LE4 1 EL
Telephone number
0116 2995799
Email address
Flora.James@leicester.gov.uk
Fax number
0116 299577
Is the social worker qualified under the Restriction on the Preparation of
Reports Regulations 2005 to prepare this report?
Yes
Signature
If no, identify the person who is qualified and has supervised the
preparation of this report
Team Manger
Name
Telephone number
Email address
Signature
Page 36
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