Closure Memo
     
Email:
 
Attorney Name:
 
Case Name:
 
Docket #
 
     
Choose Case Type:    

Abuse
 
Neglect
 
Abuse/Neglect
 
CHINS
 
Delinquency
 
TPR
 
Appeal
 
 

 
Client's Name:  
Client's Address:
 
 
Client's Current Caregiver:  
Caregiver Phone:  
Case Resolution: (permanency achieved, not adjudicated, etc.)  
Permanency: (reunification, adoption, aged-out, etc.)  
 

 
There is no pending appeal or termination of parental rights action.
I certify that I will comply with Program policies for retention of this client's file.