User Information:
What is reported in this questionnaire may be included in the local board's report to the legal parties to the case.
Your First Name: Required
Board #: If Known
System Contact
How often do you have contact with your child's Probation Officer? Explain:
Is the contact with your child’s Probation Officer helpful? Explain:
How often do you have contact with your child's placement?Explain:
Is the contact with your child’s placement helpful? Explain:
What is keeping you from attending?
Visitation
How often do you have contact (phone, virtual, or in-person) with your child? Explain:
How are the visits going? Explain:
Is there anything preventing you from having contact (phone, virtual, or in-person) with your child? Explain:
Services
Are there services your child needs but are not being provided? Explain:
What needs to happen for your child to return home? Explain:
Education
Has your child graduated or is something preventing your child from being enrolled? Explain:
How is your child doing in school (grades/progress, challenges etc.). Explain:
Describe any support or special education services your child is receiving. Explain:
Are there any education supports your child need that are not being provided? Explain:
Additional Information
Is there anything else that you would like us to know? Explain:
Although not required, if you would like to submit any additional related documents you may do so below:
By the return of this document online, you attest that the information is true and accurate.
Please call the System Oversight Specialist on this case at the phone number listed in the letter you received. Otherwise call our main office at 402-471-4420 for assistance.
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