Our vision is that every child involved in the child welfare or juvenile justice systems becomes resilient, safe, healthy, and economically secure.

Probation Officer

What is reported in this questionnaire may be included in the local board's report to the legal parties to the case.

Your First Name: Required

Your Last Name: Required

Your Email Address:

First Name of Youth: Required

Last Name: (1st Initial Only) Required

City: Required

State: Required

Board #: If Known

Meeting Date: If Known

Wellbeing

How is the youth currently doing in their placement? Explain

What positive changes and behaviors has the youth been engaging in/demonstrating? Explain

What are your concerns regarding the youth at this point? Explain

To your knowledge, has the youth ever been a victim of sex or labor trafficking?

Visitation

Is the youth regularly talking to or seeing their parent(s)/guardian(s)?

Is the youth regularly talking to or seeing all their siblings (if there are any)? Explain

When was your last phone visit with the youth?

When was your last face to face (virtual or in-person) visit with the youth?

Placement

What is the current transition plan? When do you expect that transition will occur?

If the youth is in an out of state placement, why? (Did all in-state placements deny, was a specific placement ordered to be referred to by the Judge, specific needs could not be met in-state, etc.)

Additional Information

Is there any other information that you believe is pertinent for us to consider regarding this case?

Although not required, if you would like to submit any additional related documents you may do so below:

Total file size for all files cannot exceed 17MB.

File Upload (pdf, xls, xlsx, doc, docx, jpg, png, gif, tiff, txt)

By the return of this document online, you attest that the information is true and accurate.

Please call the System Oversight Specialist on this case at the phone number listed in the letter you received. Otherwise call our main office at 402-471-4420 for assistance.

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"The soul is healed by being with children." Fyodor Dostoevsky

"There is no trust more sacred than the one the world holds with children." Kofi A. Annan