Select the name of the participant for whom this notice is being generated. This field is required.
Social Worker Name
Select the social worker whose name is to be appear on the notice.
Worker Responsible for Monitoring Participant
If purchased services are being used, select the name of the worker who is monitoring the participant.
Custodian/Parent Name
If your agency does not have custody of the child, select the name of the child's custodian or parent, then click Add>. The name you select appears in the Selected list box.
School district responsible per court ruling
Select Yes or No to indicate whether the court has ruled that the school district is responsible.
Journal Entry Number
If you selected Yes in the field above, enter the journal entry number from the court.
Safe and well-being regarding the child
Enter a description of the child's safety and well-being.