Form Rfa 09 - Notice Of Action Regarding Resource Family Approval Page 2

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[Enter facts here that provide the basis for the decision. Facts should include dates, locations, names, and what
happened and should be no more than 1-2 sentences per factual allegation. Please do not identify children
except by initials. This summary may be taken from RF visit, investigation, or other reports. This summary
should not include Emergency Response referral history or arrests, arrests should be alleged as the conduct
underlying the arrest.]
RFA 09 (1/18)
Page 2 of ____

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