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CMS-07-021/023 - Los Angeles County Department of Children and ...

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Are there any SIRS to report? Yes No<br />

Savings Account? Yes<br />

No<br />

Employment Information:<br />

<strong>Los</strong> <strong>Angeles</strong> <strong>County</strong> Probation <strong>Department</strong><br />

Placement Quarterly Report<br />

Restitution Plan <strong>and</strong> Status Update:<br />

If yes, amount $<br />

Projected date <strong>of</strong> return to parent / guardian:<br />

Rev. 02/26/2004 Page 6 <strong>of</strong> 7<br />

Community<br />

Service:<br />

Discharge Permanency Plan<br />

Source <strong>of</strong><br />

Income:<br />

Projected date <strong>of</strong> program completion: 3 months 6 months 9 months<br />

Projected date <strong>of</strong> completion <strong>of</strong> Case Plan<br />

objectives:

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