Child Protective Services

Placement Resource Monthly Reporting Form

The Placement Resource Monthly Reporting Form is to be used by all placement providers to convey to the assigned Family Services Specialist the current status of each child in an out-of-home placement.

This form is to be completed by foster parents, foster/adoptive parents, group/residential providers and kinship providers. It is to be completed at the end of each calendar month for each child in the respective out-of-home placement. The information shared on this form is critical to assuring the child's safety, permanence and well-being.

The completed form is to be sent to the child's assigned Family Services Specialist along with the monthly billing form. For a list of the local Child Protection Services offices, click here.

If you have a question about this form, please call (605) 773-3227.