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

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Form CPR Part D – Siblings (full and half) Briefly describe the child’s physical characteristics Jean is of slim build with blonde hair and brown eyes. She is of average height for her age and she wears glasses as she is short sighted. Birth mother’s full name (surname first) Tina Green Birth father’s full name (surname first) Ron Sibley Current carer’s name (where appropriate) Child is adopted Current carer’s address (where appropriate) Confidential Relationship/status of current carer to child Adoptive parents Is this sibling currently “looked after”? No Name and address of the local authority that has responsibility for this sibling Not applicable Is this child provided with accommodation under section 59(1) of the Children Act 1989 (accommodated by a voluntary agency)? No Legal status of sibling Adopted Is there a court order in force? Yes If yes, type of order Adoption Order Name of court Leicester Family Proceedings Court Date on which order was made 26.08.03 Has an order been applied for and not yet granted? Please give brief details Not applicable What is the current plan for this child? Give brief details 26 Not applicable If the plan for this child is adoption, indicate if this sibling to be placed with the child subject to this CPR? Page 42 © 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 D – Siblings (full and half) Give a brief physical description of this sibling (unless this child is subject to a CPR being considered at the same panel) See above description under child’s physical characteristics. Outline the nature of the relationship of this sibling with the child subject to this report, including the length of the relationship, where and when they have lived together, the frequency of the contact and the quality of their relationship Jean has not had any contact with Jane to date. Currently all of Jane’s siblings meet for contact once a year and it is hoped that Jane will join this contact post adoption. Part D – Siblings (full and half) 25 Sibling 3 Surname Green First names Ross Date of birth 14.10.04 Place of birth Leicester Sex Male Ethnicity White/British Nationality British A recent good quality photograph should be attached if appropriate Date of photograph: (This should be written on the back of the photograph.) Briefly describe the child’s physical characteristics White/British child. Fair complexion, light brown hair and dark brown eyes. Birth mother’s full name (surname first) Tina Green Birth father’s full name (surname first) Simon Green Current carer’s name (where appropriate) Bethany Jakes Current carer’s address (where appropriate) 300 Howard Hill, Leicester Relationship/status of current carer to child Maternal Grandmother Page 43 © 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 and 2: CHILD’S PERMANENCE REPORT The Ado
Page 3 and 4: Form CPR Part A - Essential Informa
Page 39 and 40: Form CPR Parts B & C - Extended fam
Page 41: Form CPR Part D - Siblings (full an
Page 45 and 46: 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 55 and 56: BAAF Form CPR Part G Do you have an

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

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