Form K-908-2640 Temporary Visitation Schedule Child Protective Services (Cps) - Investigations And Fbss

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Department of Family and Protective Services (DFPS)
Form K-908-2640
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA
Revised March 2015
T
V
S
EMPORARY
ISITATION
CHEDULE
C
P
S
(CPS) - I
FBSS
HILD
ROTECTIVE
ERVICES
NVESTIGATIONS AND
Purpose:This form documents the temporary visitation schedule that the caseworker has developed with the parents.
Instructions:This form is to be completed by Investigations and FBSS staff.
Directions:The worker documents the responses to each question below and reviews the attached Important
Information for Parents. Once completed the worker obtains signatures, makes copies, give the parents a copy and
files the original in the case record. For additional information on constructing a visitation plan, see the Child and
Family Visitation Best Practice Guide
WHILE YOUR CHILDREN ARE IN DFPS CUSTODY, YOU ARE EXPECTED TO HAVE CONTACT WITH THEM
ACCORDING TO THE PLAN OUTLINED BELOW.
PARTICIPANTS INCLUDED IN THE VISIT (INCLUDE SIBLINGS)
Participants:
Cause No:
Case Name:
VISITATION SCHEDULE
Limitations on visits? If
no visitation is allowed
address what needs to
occur in order for visits
to begin.
If no visitation is allowed
explain how this is in the
child's best interest
Length of Visit
Visitation Frequency
Visit Time
Visit Location (options
may include the home of
the parents, relatives, or
foster parent; CPS office;
or agreed upon location)
Visit Supervision (list all
persons approved to
supervise and their
contact information)
List other approved
forms of contact
(examples include email,
social media, texting, or
phone calls)
Rules and Expectations
for visits
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