Form 04AF055E "Resource Parent Report to the Court" - Oklahoma

What Is Form 04AF055E?

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

Form Details:

  • Released on November 2, 2020;
  • The latest edition provided by the Oklahoma Department of Human 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 fillable version of Form 04AF055E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

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Download Form 04AF055E "Resource Parent Report to the Court" - Oklahoma

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Resource Parent Report to the Court
This optional form is completed by the resource parent(s) for each child placed in the resource
home. Provide factual information based only on first-hand knowledge gained since the child's
placement in the resource home or the last court hearing. Every item on the form does not have to
be completed. Please type or print clearly in ink and submit the form two weeks in advance of the
hearing. Please return this form to the child's assigned child welfare (CW) specialist by email
or in person at the monthly visit.
JD-
Court hearing date
Legal case number
Child's assigned CW specialist
CW specialist email
Form completed by
Relationship
Child's name
Age
The child has been living in my home for
years and
months.
The child has been in the custody of Oklahoma Human Services since
.
1.Identify the child's strengths, hobbies, talents, and participation in extracurricular activities/events:
2. Describe the child's social skills and interactions with others:
3. Describe the child's educational progress and adjustment, such as most recent grades, 504 plan,
Individualized Education Program:
4. Describe the child's physical health, including the results of recent medical and dental
appointments and any follow-up needed:
04AF055E
11/2/2020
Page 1 of 3
Resource Parent Report to the Court
This optional form is completed by the resource parent(s) for each child placed in the resource
home. Provide factual information based only on first-hand knowledge gained since the child's
placement in the resource home or the last court hearing. Every item on the form does not have to
be completed. Please type or print clearly in ink and submit the form two weeks in advance of the
hearing. Please return this form to the child's assigned child welfare (CW) specialist by email
or in person at the monthly visit.
JD-
Court hearing date
Legal case number
Child's assigned CW specialist
CW specialist email
Form completed by
Relationship
Child's name
Age
The child has been living in my home for
years and
months.
The child has been in the custody of Oklahoma Human Services since
.
1.Identify the child's strengths, hobbies, talents, and participation in extracurricular activities/events:
2. Describe the child's social skills and interactions with others:
3. Describe the child's educational progress and adjustment, such as most recent grades, 504 plan,
Individualized Education Program:
4. Describe the child's physical health, including the results of recent medical and dental
appointments and any follow-up needed:
04AF055E
11/2/2020
Page 1 of 3
5. Describe the child's emotional health and well-being, including any trauma therapy or services he
or she receives:
6. When the child in your home is 14 years of age and older, list the activities he or she has engaged
in as part of preparation for adulthood, such as Oklahoma Successful Adulthood (OKSA) activities,
employment, or other life skills:
7. Describe the child's adjustment to the resource family and the resource family expectations:
8. Outline the child's family time with parent(s) and sibling(s), including the number of visits that
occurred and the child's response to family time.
9. Identify any additional connections to kin, culture and community the child may have and how he
or she maintains those connections:
10. Provide your view on the child's current needs:
04AF055E
11/2/2020
Page 2 of 3
11. Provide your view on how these needs can be addressed:
12. Provide your view on the child's permanency plan:
13. Provide any additional child or case specific information for the court to consider:
Optional: Attach photos of the child.
Signature
Resource parent printed name
Resource parent signature
Date
Resource parent printed name
Resource parent signature
Date
04AF055E
11/2/2020
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