Form Jv-290 - Caregiver Information Form - California Superior Court Page 2
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2JV-290
CASE NUMBER:
CHILD'S NAME:
5. Current Status of Child's Education
a.
There is no new or additional information since the last court hearing.
b.
There is new or additional information since the last court hearing, as follows (do not include the names of schools):
6. Child's Special Education Status
a.
The child is a special education student. Date of last Individualized Education Plan (IEP):
b.
The child is not a special education student.
c.
I do not know the child's special education status.
7. Current Status of Child's Adjustment to Living Arrangement
a.
There is no new or additional information since the last court hearing.
b.
There is new or additional information since the last court hearing, as follows:
8. Current Status of Child's Social Skills and Peer Relationships
a.
There is no new or additional information since the last court hearing.
b.
There is new or additional information since the last court hearing, as follows:
9 . Current Status of Child's Special Interests and Activities
a.
There is no new or additional information since the last court hearing.
b.
There is new or additional information since the last court hearing, as follows:
10. Other Helpful Information
a.
There is no new or additional information since the last court hearing.
b.
There is new or additional information since the last court hearing, as follows:
11. Recommendation for Disposition (Outcome)
a.
I have no recommendation for disposition (outcome).
b.
I am recommending the following disposition (outcome):
12.
If you need more space to respond to any section on this form, please check this box and attach additional pages.
Number of pages attached:
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF CAREGIVER OR FACILITY/AGENCY STAFF PERSON
WHO HAS COMPLETED THIS FORM)
JV-290 [Rev. October 1, 2007]
Page 2 of 2
CAREGIVER INFORMATION FORM
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