Form CFS1441-C "Safety Plan Team Assessment Meeting Form" - Illinois

What Is Form CFS1441-C?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2006;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form CFS1441-C by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS1441-C "Safety Plan Team Assessment Meeting Form" - Illinois

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State of Illinois
CFS 1441-C
Department of Children and Family Services
03/2006
Safety Plan Team Assessment Meeting Form
Meeting Information:
Investigation Information:
Case Name:
Hotline Report Date:
SCR Number:
Initial CERAP Date:
Current Safety Plan:
Initial Safety Plan Date:
Meeting Facilitator:
Meeting Date/Time:
Meeting Location:
Individuals Attending Meeting
Attendee Name
Contact
Family
Relationship to
Comments
Information
Relationship
Safety Plan
Individuals NOT Attending Meeting
Invitee Name
Contact
Family
Relationship to
Comments
Information
Relationship
Safety Plan
CASE NAME:
Page 1 of 4
State of Illinois
CFS 1441-C
Department of Children and Family Services
03/2006
Safety Plan Team Assessment Meeting Form
Meeting Information:
Investigation Information:
Case Name:
Hotline Report Date:
SCR Number:
Initial CERAP Date:
Current Safety Plan:
Initial Safety Plan Date:
Meeting Facilitator:
Meeting Date/Time:
Meeting Location:
Individuals Attending Meeting
Attendee Name
Contact
Family
Relationship to
Comments
Information
Relationship
Safety Plan
Individuals NOT Attending Meeting
Invitee Name
Contact
Family
Relationship to
Comments
Information
Relationship
Safety Plan
CASE NAME:
Page 1 of 4
State of Illinois
CFS 1441-C
Department of Children and Family Services
03/2006
Safety Plan Team Assessment Meeting Form
Meeting Information
(Please include strengths of family. Note if anyone attended only part of the meeting.
Note any risk or safety issues.
CASE NAME:
Page 2 of 4
State of Illinois
CFS 1441-C
Department of Children and Family Services
03/2006
Safety Plan Team Assessment Meeting Form
Safety Plan Team Assessment Meeting Outcomes
(Please include strengths of family. Note if anyone attended only part of the meeting.
Note any risk or safety issues.
CASE NAME:
Page 3 of 4
State of Illinois
CFS 1441-C
Department of Children and Family Services
03/2006
Safety Plan Team Assessment Meeting Form
Safety Plan Team Assessment Meeting – Signature Page
I WILL SUPPORT THIS PLAN:
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
Signature
Relationship / Title
Date
CASE NAME:
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