Idaho Concurrent Planning Form Final 7-7-09 (2)

7/31/2019 Idaho Concurrent Planning Form Final 7-7-09 (2)

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Concurrent Planning

Date of Removal to 30 Days

Names of Parents: Date of Removal:

Names and Dates of Birth of Children:

Social Worker: Date of Review:

Full Disclosure

1. In the last 22 months, how long has eachchild been in foster care?

2. Which family members have received fulldisclosure regarding ASFA timeframes?

Mother All fathersMaternal PaternalGrandparents Grandparents

Mothers siblings Fathers siblingsChild(ren) Other family

Other (specify) supports

3. How has full disclosure been documented?

4. Have all resource parents received adequateinformation to keep each child safe and meet his

or her needs?Yes No

Notes

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Paternity

1. Have the following fathers been identified foreach child?

Man listed on the birth certificateMan listed on the Putative Father

registryMan who acknowledges paternityMan adjudicated as the biological fatherMan living with the birth mother who

identifies himself as the fatherSpouse of the birth mother at the time of the

conception and/or birth of the child

Father identified in a child support orderMan identified by the mother as the childs

father

2. Has a referral been made to the ParentLocator Service for absent parents?

Yes NoN/A (no absent parents)

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Family Engagement/Case Planning

1. Was Family Group Decision Makingutilized?

Yes No

Contacts/Visitation

1. Has an adequate visitation schedule beenestablished with all parents (see standard forminimums)?

Yes No

2. Has visitation been arranged with maternaland paternal relatives?

Yes No

3. Has visitation been arranged between siblingswho are not placed together?

Yes No N/A

A. If no, explain why.

Notes

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Relatives

1. Has a genogram been completed with thefamily?

Yes No

2. Has an ecomap been completed with thefamily?

Yes No

3. Which maternal and paternal relatives andfictive kin have been contacted about theirwillingness to be a resource for placement orother support?

4. Does a Parent Locater Service referral needto be made to locate relatives?

Yes No

Assessment/Services

1. What poor prognosis and strength indicatorshave been identified for the family?

2. Has the Child and Family Social and Medical

Information Form been completed for eachchild?

Yes No

3. What reasonable efforts have been made toprevent removal?

4. How have these efforts been documented?

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Placement

1. Where is each child placed?Relative foster home with potential for

permanencyNon-relative foster home with potential

for permanencyRelative, temporary foster home

Non-relative, temporary fosterhome

Other (specify)

2. Which siblings are placed together?

3. If all siblings are not placed together, whatefforts are being made to place them together?

4. Has an ICPC been initiated for prospectiverelative placements?

Yes No N/A

5. Has an ICPC Regulation 7 been considered?Yes No

Notes

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ICWA

1. Have inquiries been made to all parents andextended family members to ascertain if there isIndian ancestry for the child(ren)?

Yes No

2. Does the child(ren) have Indian ancestry?Yes No

If yes, have the following tasks beencompleted?

A. Biological parent(s) or family member

completed theIndian Status Information form.Yes No

B. Biological parent(s) or family member

completed theAncestry formYes No

C. Tribal membership inquiry sent to all tribes

and/or BIAYes No

Notes

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D. Has response been received from all tribesand/or BIA with tribal membership status?

Yes No

3. If the child(ren) is Indian, are they placedaccording to ICWA placement preferences?

Yes No

4. If the child(ren) is Indian, did an expertwitness testify at the adjudicatory hearing?

Yes No

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Concurrent Planning Additional Notes


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Concurrent Planning

1 to 3 Months




Have all prior concurrent planning action

steps been resolved?

Yes No

Full Disclosure

1. Have the parents, relatives and child(ren)been informed of both the primary andsecondary permanent plans?

Yes No

2. Have all resources parents received adequateinformation to make an informed decision in

supporting each child in his or her permanencyplan?

Yes No

Paternity

1. Have all absent parents been located?Yes No

Notes

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1. Which family members were engaged in the

development of the familys case plan?Mother All fathersMaternal PaternalGrandparents Grandparents

Mothers siblings Fathers siblingsChild(ren) Other familyTribe supportsOther (specify)

2. Is the case plan written in measurable terms

so it is evident when safety threats have beenreduced?

Yes No

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Contacts/Visitation

1. Has the social worker had adequate contactwith the parents to support them in moving

forward with their case plan?Yes No

2. Are those contacts adequately documented inFOCUS?

Yes No

3. Has the social worker had monthly face toface contact with each child?

Yes No


Yes No

5. Is visitation between the mother and thechild(ren) occurring per the standard?

Yes No

6. Is visitation between the father(s) and thechild(ren) occurring per the standard?

Yes No

7. Do any barriers to visitation exist?

Yes No

8. Are any changes to the visitation planneeded?

Yes No

Notes

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Relatives

1. Have diligent and continuous efforts beenmade to locate relatives?

Yes No

2. How have these efforts been documented?

3. Have any additional relatives been identified?Yes No

4. Has an ICPC been initiated for out of staterelatives?

Yes No

Assessment/Services

1. Have the needs for all parents been assessedand referrals made for services?

Yes No

2. Have the needs of each child been assessedand referrals made for services?

Yes No

3. What has been started for each childs Life

Book?

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Placement

1. Mark each childs primary permanency planwith a 1 and secondary plan with a 2:

Return HomePermanent placement with other parent

Adoption by RelativeAdoption by Non-RelativeGuardianship with RelativeGuardianship with Non-RelativeOther Planned Permanent LivingArrangement

2. Are these the same permanency goalscontained in FOCUS and on the most recentAlternate Care Plan?

Yes No

3. Is each child in a potentially permanentplacement?

Yes No

A. If no, what needs to happen in order for each

child to be in a concurrent planning placement?

Notes

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Court

1. If there was a judicial finding of aggravatedcircumstances, did a permanency hearing take

place within 30 days?Yes No

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1 to 3 Months




ICWA

1. If the child(ren) is Indian, has the tribe beeninvited to participate in case planning and keptapprised of what is happening in the case?

Yes No N/A

Notes

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1 to 3 Months

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Concurrent Planning

3 to 6 Months






Yes No

Full Disclosure

1. Have case plan progress and permanentplacement options been discussed with all of thefollowing:

Mother Father(s)Child(ren) RelativesResource families

2. Have all resources parents received adequateinformation to make an informed decision insupporting each child in his or her permanency

plan?Yes No

Paternity

1. Have all paternity issues been resolved?Yes No

Notes

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1. Have the original safety issues been reducedto a sufficient level so it is probable each childcan be safe with the parent or caregiver?

2. Have the parents made adequate progress ontheir case plan to retain reunification as the

primary permanency goal?Yes No

A. If no, has voluntary relinquishment of

parental rights been discussed with the parents?Yes No

3. Will the parents be able to achieve

reunification by 12 months?Yes No

A. If no, what are the barriers to success?

4. Does the case plan need to be revised beforethe next court review?

Yes No

5. Whatadditional safety issues been identifiedsince the case has been opened?

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Contacts/Visitation

1. Has the social worker had adequate contactwith the parents to support them in moving

forward with their case plan?Yes No


Yes No


Yes No


Yes No

5. Is visitation between the mother and thechild(ren) occurring per the standard?

Yes No

6. Is visitation between the father(s) and the

child(ren) occurring per the standard?Yes No

7. Do any barriers to visitation exist?

Yes No

8. Are any changes to the visitation planneeded?

Yes No

Notes

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Relatives

1. Have any additional relatives been identified?Yes No

2. If ICPC home study results have not beenreceived, has assistance been requested from theIdaho ICPC Administrator to access home studyresults and placement recommendations?

Yes No

3. ICPC placement authorizations remain validfor six months. Has a request for renewal orassistance been made through Idahos ICPCAdministrator to make sure all ICPC placement

authorizations remain current?Yes NoN/A (no ICPC renewals needed)

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Assessment/Services

1. Has information been collected from all

service providers regarding the familysprogress toward achieving case plan goals?

Yes No

2. Have services been appropriate or helpful tothe family in achieving their case planobjectives?

Yes No

3. Has the Social and Medical InformationForm been updated with additional background

and social history information?Yes No

4. For youth age 15 or older, has an Ansell-Casey Assessment been completed?

Yes No

5. For youth age 15 or older, has anIndependent Living Plan been developed and

services put into place?Yes No

6. Have the needs of each child been assessed

and relevant services been provided?Yes No

Notes

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Placement

1. Is each child in a potential permanent

placement?Yes No

A. If yes, has the family been referred for anupdated PRIDE study which includes anadoption recommendation or an adoptive homestudy?

Yes No

B. If no, what steps are being taken to ensureeach child is moved to a permanent placement?

C. If no, does each child have contact andvisitation with a potential permanent caregiver?

Yes No

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3 to 6 Months




ICWA

1. If the child(ren) is Indian, has the tribe(s)and/or BIA responded to tribal membershipinquiries?

Yes No

2. Is the child(ren)s tribe participating in caseplanning and kept apprised of what ishappening?

Yes No

3. Has there been tribal (or BIA) notification ofall court hearings?

Yes No

4. If the child(ren) is Indian, is their identifiedpermanent placement in accordance with ICWA

placement requirements?Yes No

Notes

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5. If the child(ren) is Indian, is their currentplacement in accordance with ICWA placementrequirements?

Yes No

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3 to 6 Months

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Concurrent Planning

6 to 9 Months






Yes No

Full Disclosure

1. Have case plan progress and each childsidentified concurrent plan goals been discussedwith all of the following:


2. Have all resources parents received adequateinformation to make an informed decision insupporting each child in his or her permanency

plan?Yes No

Paternity

1. Have all paternity issues been resolved?Yes No

Notes

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1. Is progress on the case plan sufficient toreunify at or before the permanency hearing?

Yes No

2. Does the primary permanency goal need tobe changed or updated on the Alternate CarePlan and/or FOCUS?

Yes No

3. Has the case been staffed with thePermanency Committee to confirm or selecteach childs permanency goal and placement?

Yes No

4. If the permanency goal is Other PlannedPermanent Living Arrangement (OPPLA), have

all other permanency options been exhausted?Yes No

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6 to 9 Months




ICWA

1. If the child(ren) is Indian, is the tribeparticipating in case planning and kept apprisedof what is happening?

Yes No

Notes

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6 to 9 Months

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Concurrent Planning

9 to 12 Months






Yes No

Full Disclosure



2. Have all resources parents received adequate

information to make an informed decision insupporting each child in his or her permanency

plan?Yes No

3. What is each childs understanding of the

permanent plan?

Notes

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1. Is progress on the case plan sufficient to

reunify at or before the permanency hearing?Yes No


Yes No

3. Has the case been staffed with the

Permanency Committee to confirm or selecteach childs permanency goal and placement?

Yes No

4. If the permanency goal is Other PlannedPermanent Living Arrangement (OPPLA), have

all other permanency options been exhausted?Yes No

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Contact/Visitation

1. Have parents maintained frequent consistentand quality visitation?

Yes No

2. Do there need to be any changes to thevisitation plan?

Yes No

3. Have ongoing visits occurred betweensiblings not living together?

Yes No

4. Has each childs other connections beenmaintained (i.e. relatives, friends, cultural)?

Yes No

5. Has the social worker had adequate contactwith the parents to support them in movingforward with their case plan?

Yes No


Yes No

7. Has the social worker had monthly face to

face contact with each child?Yes No

8. During those visits, has the social worker

discussed permanency, safety and well-beinggoals with each child?

Yes No


Yes No

Notes

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Assessment/Services

1. Have adequate services been provided to allparents to support successful reunification?

Yes No

2. Has each child received options counseling tomake an informed decision about his or her

permanent plan?Yes No

3. Has each childs social history beencompleted?

Yes No

4. Has each childs Child and Family Social andMedical Information Form been updated?

Yes No

5. Is each childs Life Book up to date?Yes No

6. Reasonable efforts to finalize a permanentplan have OR have not been made.

Placement

1. If a permanent placement has disrupted orhas not been identified, have child-specific

recruitment efforts been started?Yes No

2. Does judicial consent to utilize media

recruitment efforts need to be requested at thepermanency hearing?

Yes No

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9 to 12 Months




ICWA


Yes No

2. If the child(ren) is Indian, has the tribe and/orBIA been notified of the permanency hearing inaccordance with ICWA notificationrequirements?

Yes No

Notes

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9 to 12 Months

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Concurrent Planning

12 to 15 Months






Yes No

Full Disclosure



2. Have all resources parents received adequateinformation to make an informed decision in

supporting each child in his or her permanencyplan?

Yes No

3. Is each child prepared for his or her alternatepermanency plan?

Yes No

Notes

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4. Have the birth parents been given theopportunity to sign the release of theiridentifying information to the adoptive parents?

Yes No

N/A (the permanency plan is not adoption)


1. Is progress on the case plan sufficient toreunify at or before the permanency hearing?

Yes No


Yes No

3. Has the case been staffed with thePermanency Committee to confirm or selecteach childs permanency goal and placement?

Yes No

4. If the permanency goal is Other PlannedPermanent Living Arrangement (OPPLA), haveall other permanency options been exhausted?

Yes No

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Contact/Visitation

1. Have the parents maintained frequentconsistent and quality visitation?

Yes No

2. Do there need to be any changes to thevisitation plan?

Yes No


Yes No


Yes No

5. Has the social worker had adequate contactwith the parents to support them in movingforward with their case plan?

Yes No


Yes No

7. Has the social worker had monthly face to

face contact with each child?Yes No

8. During those visits, has the social worker

discussed permanency, safety and well-beinggoals with each child?

Yes No


Yes No

Notes

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Assessment/Services

1. Have adequate services been provided to allparents to support successful reunification?

Yes No

2. Has each child received options counseling tomake an informed decision about his or her

permanent plan?Yes No

Placement

1. If the identified permanent placement hasdisrupted, or has not yet been identified, whichongoing child-specific recruitment efforts are

being made?Re-contacting relatives, previous foster

parents and other connectionsInternet adoption exchanges (Wednesdays

Child, NW Adoption Exchange, AdoptUSKids)Televised Wednesdays Child productionWednesdays Child newspaper featureOther

2. If the permanent plan is OPPLA, has thefoster parent signed a Declaration of

Commitment?Yes No

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Court

1. Has the termination report to the court beenwritten?

Yes NoN/A (permanent plan is not adoption)

2. Has a petition for termination of parentalrights been filed?


Notes

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12 to 15 Months




ICWA


Yes No

2. If the child(ren) is Indian, has the tribe and/orBIA been notified of the permanency hearing inaccordance with ICWA notificationrequirements?

Yes No

3. If the child(ren) is Indian, has the tribe and/or

BIA been notified of the hearing to terminateparental rights in accordance with ICWA

notification requirements?Yes No

4. If the child(ren) is Indian and the permanency

plan is adoption, is an expert witness scheduledto testify at the termination hearing?

Yes No

Notes

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12 to 15 Months

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Concurrent Planning

15 to 22 Months






Yes No

Full Disclosure

1. Is each child prepared for his or herpermanency plan?

Yes No

2. Has full disclosure of each childs Child andFamily Social and Medical Information Form,social history, educational, medical and mentalhealth records been made to the adoptivefamily?

Yes No

N/A (permanent plan is not adoption)

3. If yes, have records disclosed beendocumented on the Adoption Information

Disclosure form?Yes No

Notes

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1. If termination of parental rights has notoccurred, does the case plan continue to addressthe parents?

Yes No

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Contact/Visitation

1. If termination of parental rights has notoccurred, have the parents maintained frequent

contact and quality visitation?Yes No


Yes No


Yes No


Yes No

5. During those visits, has the social workerdiscussed permanency, safety and well-beinggoals with each child?

Yes No


Yes No

Notes

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Assessment/Services

1. Are supports and/or services for each childand their resource family in place to ensure a

stable and successful placement?Yes No

2. Have the needs of each child been addressedto prepare him or her for adoption?


3. For youth age 15 or older, is the IndependentLiving Plan current?

Yes No

A. Are the current Independent Living services

meeting the needs of each youth?Yes No

Placement

1. Has the Adoptive Placement Agreement (orLegal Risk Adoptive Placement Agreement)

been signed?Yes No

N/A (permanent plan is not adoption)

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Adoption/Guardianship Assistance

1. Which parts of the adoption or guardianshipassistance application have been completed?

Part 1Part 2

N/A (permanent plan is not adoption orguardianship after termination of parental rights)

2. Has an Adoption Assistance Agreement orGuardianship Assistance Agreement beensigned?

Yes NoN/A (permanent plan is not adoption or

guardianship after termination of parental rights)

Notes

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Court

1. Copies of which documents necessary tofinalize each childs adoption have been

received?Three certified copies of all orders

terminating parental rightsCertified birth certificate for each childCertified death certificate for each deceased

parentCurrent (within three years ) criminal history

clearances for the adoptive parents and any adultresiding in their home

Hospital birth records for each childN/A (permanent plan is not adoption)

2. Has the Adoption Report to the Court been

written?Yes NoN/A (permanent plan is not adoption)

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15 to 22 Months

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Paternity

Date ofRemoval to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22 Months

Date of Review Action Needed Completed/Date

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Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


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Contact/Visitation

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


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Relatives

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


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Assessment/Services

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


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Placement

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


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Adoption/Guardianship Assistance

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


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____________ __________________________________________________________________ ____________

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45


46/47

Court

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

46


47/47

ICWA

Date of

Removal to 30

Days

1 to 3 Months

3 to 6 Months

6 to 9 Months

9 to 12 Months

12 to 15

Months

15 to 22

Months


____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ____________

____________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ________________________ __________________________________________________________________ ____________

47

Documents

Idaho Concurrent Planning Form Final 7-7-09 (2)