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Forms Library

The forms library can be accessed, printed and downloaded in an unaltered form for the purposes of conducting procedures contained in this manual. They may not be used for any other reason, including the selling, licensing, transfer, copying or reproduction in whole or in part in any manner or in or any media to any person without the prior written consent of Leeds Children's Services.

NEW OR AMENDED FORMS

When including any new or amended form in the Library we will indicate the date of inclusion or amendment in the 2nd column: 'When inserted'.

HOW TO ACCESS/VIEW A FORM

In order to access a form, click on the category your require, scroll to the form and click on it, then save a copy of the form on your PC/Laptop and complete it as normal.

AMENDMENTS

The Forms Library was substantially updated in December 2011.


Categories

Adoption
Special Guardianship (New)
Looked After Children (Updated)
  Physical Intervention and Sanctions
  Short Breaks
  Placements
  Planning and Supportive Services
  Reviews
  Core Assessments
Foster Carers (Updated)
  Reviews
  Foster Carers Forms
  Children Forms
  Health
  Education
  PEP Forms
  Supporting Social Workers
  BAAF Forms
  Private Fostering
  Kinship Carers (Connected Persons)
  Initial Enquiries
Administration
Staff Supervision
Leaving Care (New)
Assessment (New)
Matching (New)
Support (New)
Other Forms (New)


Adoption

Title:

When Inserted:

BAAF Form 1 2005 Guidance and Part 1: Pro forma for Matching December 2010
BAAF Form 1HA 2000: Initial Health Assessment Record December 2010
BAAF Form C 1997: Medical Report & Developmental Assessment of Child under 5 years Looked After or Referred for Adoption December 2010
BAAF Form C Annex 1997: Profile of Behavioural and Emotional Wellbeing of a child aged 1 1/2 - 5 Years December 2010
BAAF Form D 1998: Medical Report and Developmental assessment of Child 5-10 years Looked After or Referred for Adoption December 2010
BAAF Form D Annex 1998: Profile of Behavioural and Emotional Wellbeing December 2010
BAAF Form CPR: Guidance Notes January 2012
CPR Practice Notes December 2011
BAAF Form CPR: Part A: Child's Permanence Report December 2010
BAAF Form CPR: Part B and C: Other people with Parental Responsibility December 2010
BAAF Form CPR: Part D: Siblings (Full and Half) December 2010
BAAF Form CPR: Part E: Wishes and feelings of the child December 2010
BAAF Form CPR: Part F: Views of the birth mother on the Child's Permanency Report December 2010
BAAF Form CPR: Part G: Views of the birth father on the Child's Permanency Report December 2010
BAAF Form F1 Guidance: Information on Prospective Substitute Parents December 2010
BAAF Form F1 2005 Parts 2 and 5: Report Template December 2010
BAAF Form F2 Parts 1-3 and 5: Information on Prospective Substitute Parents: Guidance and Form December 2010
BAAF Form 3: Information in connection with an Application for approval as Intercountry Adopters December 2010
BAAF Form F3 (intercountry adoption) 2000 with CRB updates August 2004 December 2010
BAAF Form H1 1996: Interagency Placements Financial Arrangements December 2010
BAAF Form H2 1996: Inter agency Placement Agreement Practice Arrangements December 2010
BAAF Form PAR (ICA) England 2011 Guidance Notes December 2011
BAAF Form PAR (ICA) England 2011 Section C December 2011
BAAF Form PAR (ICA) England 2011 Report for State of Origin December 2011
BAAF Form PAR (ICA) England 2011 Sections A and B December 2011
BAAF Form PAR (England) 2008: Guidance Notes with CRE and Ecomaps December 2010
BAAF Form PAR (England) 2008: Contents Page (Prospective Adopters Report) December 2010
BAAF Form PAR (England) 2008: Parts A-C December 2010
BAAF PAR 2008 Parts A-C with bullet points for guidance December 2010
BAAF Form PAR (England) 2008: Section B Guidance December 2010
BAAF Form PAR (England) 2008: Part D December 2010
BAAF Form PAR (England) 2008: Part E1 - Competencies December 2010
BAAF Form PAR Bullet Point Guidance for Team Development Day December 2010
Summary Sheet for Adoption Panel December 2010
Adoption Sample Letter for Employer December 2010
Adoption Sample Letter for Ex Partner December 2010
Adoption Ex Partner Questionnaire December 2011
Adoption CRB Risk Assessment December 2011
Consent to the placement of my child for adoption with any prospective adopters chosen by the Adoption Agency: Section 19 of the Adoption and Children December 2010
Advance Consent to Adoption Section 20 of the Adoption and Children Act 2002 December 2010
Withdrawal of Consent Sections 19 and 20 of the Adoption and Children Act 2002 December 2010
Application for a Placement Order: Form A50 (Please note this form can only be completed by Legal Services) December 2010
Application for a Placement Order (Form A50) Notes on completing the form (PDF) December 2010
Application for an Adoption Order: A58 December 2010
Application for an Adoption Order Guidance Notes: A58 December 2010
Adopters Notification of Panel Letter December 2010
Adoption Contact Agreement between Birth Parent(s)/relative/non relative/and Adoptive Parents February 2012
Adoption Employers Reference Form December 2010
Adoption Essential Information (If Placed outside of Leeds Area) December 2010
Initial Visits December 2011
Adoption Home Safety Checklist December 2010
Adoption Placement Report December 2010
Adoption Practice Direction Annex A December 2010
Adoption Practice Direction Annex B December 2010
Safe Care Plan December 2010
Adoption Sample Letter Head Teacher December 2010
Adoption Support Referral Form December 2010
Agreement to Place a child directly for Adoption - where the child is less than six weeks old December 2010
Adoption Contact Agreement February 2012
CAFCASS1 Advance Notification Letter February 2011
CAFCASS2 Formal Notification Letter February 2011
Contact with Adoptive Family during the 1st year after an Adoption Order June 2011
Family Finding Recording Sheet December 2011
Profile of Needs and Family Finding Plan December 2011
Family Finding Book List December 2010
Family Finding Flowchart December 2010
Travel and Subsistence allowances for adoptive families in the introductory process December 2010
Adoption Placement Plan December 2010
Matching and Placement Confirmation Certificate December 2010
Prospective Adopter's Report Matching Considerations December 2010
Referee Questionnaire Adoption December 2010
Schedule 2 Information for CAFCASS December 2010
SS (FC) 11B Subsistence Allowance Form December 2010
Suggested terms of reference for the Finance Panel (Fostering and Adoption) December 2010
Travel Booking December 2010


Special Guardianship

Title:

When Inserted:

Notification of Intention to Apply for Special Guardianship Order December 2011


Looked After Children

Physical Intervention and Sanctions

Title:

When Inserted:

Individual Crisis Management Plan (ICMP) December 2010
Restraint Information Recording Form January 2012
CF50a Violent Incident Form December 2010
Care Review Plan December 2011
Placement Plan December 2011
Pathway Care Plan December 2011
Pathway Planning Needs Assessment December 2011

Short Breaks

Title:

When Inserted:

Request Form Nursing Intervention Training December 2010
Record of Self Administered Medication December 2010
Record of Medication December 2010
Record of Nursing Care Interventions December 2010
Organising Nursing Interventions December 2010
Nursing Procedure Parental Consent Form December 2010
Notification and Consent to Change in Medication December 2010
Accident / Incident Form December 2010
Family Placement Agreement Form December 2010
Nursing Interventions Identification of Procedure and Parental Consent December 2010
Essential Information and Pen Picture Template December 2010
Placement Agreement Form - Children's Short Breaks December 2011

Placements

Title:

When Inserted:

Transfer of Foster Carers Between Agencies - Meeting Minutes April 2012
Placement Progress Sheet June 2011
Placement with Parents letter June 2011
Notification of Placement Decision/Termination of Placement June 2011

Planning and Supportive Services

Title:

When Inserted:

Child and Family Support Plan June 2011
Core Data Information Sheet June 2011
Notice of Change in Circumstances June 2011
Application for Financial Assistance June 2011

Reviews

Title:

When Inserted:

Consultation with a Foster Carer/Family Placement Carer/Residential Worker June 2011
Consultation with Early Years Centre/School June 2011
Consultation Prior to a Review (General) June 2011
Consultation with a Health Professional June 2011
Consultation with a Parent or Person with Parental Responsibility June 2011
Review of a Child or Young Person Placed with Parents June 2011
Have your say 0 to 9 December 2011
Have your say 10 to 14 January 2012
Have your say 15 years + January 2012
Information for parents and carers of looked after children December 2011
Quality Assurance Process December 2011
Dispute Resolution Process December 2011
What is an IRO December 2011
IRO Pre Independent Review Form January 2012
IRO Record of the Review January 2012
IRO Review Questions for the Foster Carer February 2012
IRO Review Form for Parents/Carers January 2012
IRO Review Form for Supervising Fostering Officer January 2012
IRO Review Form for Social Worker January 2012
IRO Review Form for Young People in Foster Care February 2012
IRO Review Form for Carer's Children February 2012

Core Assessments

Title:

When Inserted:

Child Protection Conferences December 2011
Child Protection Meetings a guide for children and young people December 2011
Have your say 0 to 9 December 2011
Have your say 10-14 December 2011
Have your say 15 + December 2011


Foster Carers

Reviews

Title:

When Inserted:

Review of Foster Carer and Household Carer Information Sheet and Reviewing Officer’s Report June 2010
Review Form for Carer's Children February 2012
Review Form for Parents/Carers January 2012
Review Form for Social Worker January 2012
Review Form for Young People in Foster Care June 2011
Review Questions for Foster Carer January 2012

Foster Carers Forms

Title:

When Inserted:

Car Mileage Claim Form April 2012
Training and Development Calendar April 2012
Foster Carer Progression Statement April 2012
Foster Carers Exit Interview Form June 2011
Initial Contact Form December 2011
Foster Care Induction Checklist June 2010
Accident Report form Fostering Accident December 2011
Accident Recording Form Guidance December 2011
Incident and Accident Reporting Form June 2010
Risk Assessment Form June 2010
Risk Assessment - Disabled Child December 2011
Risk Assessment Guidance Notes December 2010
Performance Standard for Risk Assessments December 2010
Fire Service Request Form January 2012
Home Safety Checklist June 2011
Holiday Care Cover Form June 2010
Foster Carer Agreement Short Breaks December 2010
New Fostering Application Form December 2011
Room Share Assessment December 2010
Ex-Partner Questionnaire, Foster Carers December 2011
Pet Ownership Questionnaire June 2011

Children Forms

Title:

When Inserted:

There are currently no forms in this category.N.A.

Health

Title:

When Inserted:

Health Record Sheet June 2010

Education

Title:

When Inserted:

Educational Competencies Tool Kit LEXS Team December 2011

PEP Forms

Title:

When Inserted:

Essential Information June 2011
Snapshot of Progress: Keystage 1-2 June 2011
Snapshot of Progress: Keystage 3-4 June 2011
Young Persons Views Keystage 1-2 June 2011
Young Persons Views Keystage 2-4 June 2011
Rationale Guidance and Advice June 2011
Target Setting and Review June 2011

Supporting Social Workers

Title:

When Inserted:

Finance Panel Requests - Terms of Reference and Report Form April 2012
Supervisory Visit Recording Form - Fostering April 2012
Disruption Report June 2010
Referral Form and Pen Picture for Permanent Foster Placement June 2011
FISS Referral and Funding Agreement December 2010
Exemption Form June 2011
Employer Reference Form - Fostering April 2012
Employer Reference Standard Letter June 2010
Adult Child Letter June 2010
Ex Partner Letter June 2010
Referee Questionnaire June 2010
Family Reference Letter June 2010
Family Reference Questionnaire June 2010
Letter for Professionals June 2010
General Reference letter June 2010
Application for Applying for a Special Guardianship Order June 2011

BAAF Forms

Title:

When Inserted:

Contents June 2010
Section A June 2010
Section B June 2010
Section C June 2010
Section D June 2010
Section E June 2010
Section F June 2010
Form F Summary for Panel June 2010
Form F Guidance June 2010
Sample Form F Short Term Breaks June 2010

Private Fostering

Title:

When Inserted:

Notice of Private Fostering June 2011
Declaration of Suitability to Privately Foster/permission to Request Information June 2011

Kinship Carers (Connected Persons)

Title:

When Inserted:

Assessment Report June 2011
Foster Carer Agreement for Emergency and Immediate Placements June 2011
Consent to Confidential Enquiries June 2011
Consent to Disclose Assessment to Court June 2011
Kinship Foster Carers Agreement June 2011

Initial Enquiries

Title:

When Inserted:

Initial Enquiry to Recommendation Flow Diagram December 2011
Your Fostering Assessment - A Guide for Applicants December 2011
Initial Contact Form December 2011
Home Visit Report December 2011


Administration

Title:

When Inserted:

Statutory Notification of Placement - Health June 2011
Statutory Notification of Placement - Education June 2011
Statutory Notification of Placement - Social Security June 2011
Child and Family Support Plan June 2011
Core Data Information Sheet June 2011
Financial Assistance June 2011
Head of Service Decision and Review Panel Summary Sheet June 2011
Joint Agency Decision and Review Panel Summary Sheet June 2011
Kinship Carer Request to Record June 2011
Notification to Admin Staff June 2011
Parent Carer Assessment Form June 2011
Police Check Application June 2011
Request for Adding Agency Foster Carers to ESCR June 2011
Induction Programme for Social Workers December 2011


Staff Supervision

Title:

When Inserted:

Record of Case Supervision June 2011
Supervision Contract June 2011
Supervision Log June 2011
Supervision Personal Record June 2011


Leaving Care

Title:

When Inserted:

Appendix A Standard Benefit Claim Letter FC December 2011
Appendix A Standard Benefit Claim Letter PA December 2011
Appendix B Foster Care LHA Claim Letter December 2011
Children Placed at Home December 2011
Claiming Benefits How do I Apply December 2011
Claiming Benefits Identity Documents December 2011
Referral to Housing Support April 2012
Higher Education Bursary December 2011


Assessment

Title:

When Inserted:

There are currently no forms in this category.N.A.


Matching

Title:

When Inserted:

There are currently no forms in this category.N.A.


Support

Title:

When Inserted:

There are currently no forms in this category.N.A.


Other Forms

Title:

When Inserted:

Sexual Exploitation Risk Assessment May 2012


End