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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 />

Chronology of <strong>the</strong> child’s care since birth 3<br />

Age of Child<br />

(yrs & mths)<br />

From To Placement details<br />

Birth 19.03.08 20.03.08 Jane was cared for at home by parents Tina<br />

<strong>and</strong> Simon Green at 480 Falcon Crescent,<br />

Braunstone for one day.<br />

1 day 20.03.08 07.04.08 Jane was placed with Local Authority foster<br />

carer Jean Sharpe 500 Gallards Hill Drive,<br />

<strong>Leicester</strong> until a longer term carer could be<br />

identified.<br />

19 Days 07.04.08 Present Planned move to Local Authority foster carers<br />

Jean <strong>and</strong> Fred Bull 205 High Cross Hill,<br />

<strong>Leicester</strong>.<br />

Page 5<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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