DCYF Form 15-313 "Caregiver's Report to the Court" - Washington

What Is DCYF Form 15-313?

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

Form Details:

  • Released on February 1, 2019;
  • The latest edition provided by the Washington State Department of Children, Youth, and Families;
  • 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 fillable version of DCYF Form 15-313 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.

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Download DCYF Form 15-313 "Caregiver's Report to the Court" - Washington

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DEPARTMENT OF CHILDREN, YOUTH, AND FAMILIES (DCYF)
Caregiver’s Report to the Court
CHILD’S NAME
LEGAL CASE NUMBER
HEARING DATE
COUNTY WITH LEGAL JURISDICTION
CAREGIVER NAME/PERSON PROVIDING INFORMATION
CHILD’S ASSIGNED CASE WORKER
Please return Caregiver Report Form (via email, US Postal Service or in person) to the child’s assigned CASE
worker and/or guardian ad litem.
TOPICS
1. Child’s strengths, hobbies, gifts, talents, participation in extra-curricular activities/events
2. Child’s social interaction with caregiver family, peers and siblings
3. Child’s school progress and adjustment
4. Child’s physical health (state results of medical and dental appointments
5. Child’s emotional health and well-being ( counselor or therapist appointment schedule):
6. Child’s adjustment to caregiver family and caregiver family expectations:
7. Child’s visits with parent(s) and sibling(s):
8. Your view on the needs of the child:
9. Your thoughts on how these needs can be addressed:
10. Your thoughts on Department’s case plan:
11. Other child/case specific information you wish the court to consider:
CAREGIVER’S PRINTED NAME
CAREGIVER’S SIGNATURE
DATE SIGNED
CAREGIVER’S REPORT TO THE COURT
DCYF 15-313 (02/2019) INT/EXT
DEPARTMENT OF CHILDREN, YOUTH, AND FAMILIES (DCYF)
Caregiver’s Report to the Court
CHILD’S NAME
LEGAL CASE NUMBER
HEARING DATE
COUNTY WITH LEGAL JURISDICTION
CAREGIVER NAME/PERSON PROVIDING INFORMATION
CHILD’S ASSIGNED CASE WORKER
Please return Caregiver Report Form (via email, US Postal Service or in person) to the child’s assigned CASE
worker and/or guardian ad litem.
TOPICS
1. Child’s strengths, hobbies, gifts, talents, participation in extra-curricular activities/events
2. Child’s social interaction with caregiver family, peers and siblings
3. Child’s school progress and adjustment
4. Child’s physical health (state results of medical and dental appointments
5. Child’s emotional health and well-being ( counselor or therapist appointment schedule):
6. Child’s adjustment to caregiver family and caregiver family expectations:
7. Child’s visits with parent(s) and sibling(s):
8. Your view on the needs of the child:
9. Your thoughts on how these needs can be addressed:
10. Your thoughts on Department’s case plan:
11. Other child/case specific information you wish the court to consider:
CAREGIVER’S PRINTED NAME
CAREGIVER’S SIGNATURE
DATE SIGNED
CAREGIVER’S REPORT TO THE COURT
DCYF 15-313 (02/2019) INT/EXT
CAREGIVER’S REPORT TO THE COURT
DCYF 15-313 (02/2019) INT/EXT
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