7.3 Forms Library

The Form Library contains many non ICS forms which can be downloaded and completed as required.

The forms in the library can be accessed, printed and downloaded in an unaltered form for the purposes of conducting procedures contained in this manual. They may not be used for any other reason, including the selling, licensing, transfer, copying or reproduction in whole or in part in any manner or in or on any media to any person without the prior written consent of the Director of Lewisham Children's Services.

HOW TO RECOMMEND/SUGGEST A NEW/AMENDED FORM

If you would like to recommend a form to be included in the library or an amendment to an existing form, please see Requesting Changes to the Manual.

NEW OR AMENDED FORMS

When including any new or amended form in the Library we will indicate the date of inclusion or amendment in the 2nd column: 'When inserted'

HOW TO ACCESS/VIEW A FORM

In order to access a form, click on the category you require, scroll to the form and click on it, then save a copy of the form on your PC/laptop and complete it as normal.

AMENDMENT

The forms library was updated in March 2012.

Categories

Assessment and Planning

Alert Forms

Child Protection and Planning

Care Proceedings

Fostering and Adoption

Miscellaneous

Hidden Harm (Parental Substance Misuse)

Private Fostering

Children with Disabilities and Special Needs

Preventive and Support Services

Looked After Children (Updated)

Children in Specific Circumstances

Child and Adolescent Mental Health (CAMH) Service/Symbol Team

Children Missing from Care

Assessment and Planning
Title	When Inserted	Form Ref	Description
Age Assessment Under 18 Years of Age			Blank Form This form captures information regarding the developmental age of the child.
Age Assessment Over 18 Years of Age			Blank Form This form captures information regarding the developmental age of the young person
Common Assessment Framework (CAF) for Children and Young People			Blank form with instructions This form is used to gather information regarding the child or young person's strengths, needs and circumstances. A CAF must be completed with the Parent/Carer and or the child or young person.
Enquiries from School			Blank Form Requesting information from schools regarding a child's educational attainment and overall wellbeing.
Human Rights Assessment Pro Forma	April 2010		Guidance and blank form This form is designed for use in relation to requests for assessment of resources from service users subject to immigration control who have no recourse to public funds.
MARAC Referral Form	April 2010		Blank Form
Care Planning Panel Referral Form	November 2010		Blank form to be used for presenting at panel.
Initial Family Support Assessment	November 2010		Blank form
Initial Family Support Assessment Guidance	November 2010		Form showing appropriate responses
Initial Family Support Review	November 2010		Blank form
Initial Family Support Review Guidance Notes	November 2010		Form showing appropriate responses
Letter of Consent ADAM	November 2011
Alert Forms
National Alert Memorandum	January 2012
Hospital Alert Template	January 2012
Child Protection and Safeguarding
Urgent Fax Section 47 Initial Enquiry - Request for Information from GP or Agencies			Template Letter and Fax Form A request to GP's to provide information on a child or young person which is relevant in helping whether a child is at risk or about parenting capacity.
Specialist Crime Directorate SCD5 Child Protection Referral Form	July 2011	Form 87A	Blank Form
Specialist Crime Directorate SCD5 - Child Protection	September 2009	Form 87B	Blank Form
CSV Referral Form			Blank Form
Core Group Meeting Template - FSI version	June 2011		Blank Form
Core Group Meeting Record	December 2011
Example of written agreement in a Child Protection Case	June 2011
Care Proceedings
Statements in Care Proceedings		General Format	Format for completing a statement and issues to be covered
Exhibit Front Sheet for the Inner London & Family Proceedings Court			Format for completing an exhibit and issues to be covered.
Social Work Witness Statement	June 2011		Template
Final Social Work Witness Statement	June 2011
Standard Request Form for Disclosure of Police Information			Blank Form This form should e completed in accordance with the agreed Police/Family Disclosure Protocol and is offered as a template for private or employed practitioners, and litigants in person, to request information from the police relating to all family cases (Private or Public Law)
Letter to parents following a Legal Planning Meetings where threshold is not met		New Letterhead	Template
Care Plan - Front Sheet			Blank Form
Legal Planning Agenda	December 2011
Fostering and Adoption
Fostering Initial Telephone Call			Blank Form
Referring an Assessment to the Fostering & Adoption Service	April 2010		Blank Form with guidance for completion
Assessment Pack		Form F	List of documentation for gathering information
Fostering Initial Home Visit			Blank Form
Application to Become Carer(s) for a Specific Child Reg 38 (Placement with Family & Friends)	Under review		Blank Form
Application to be Assessed as a Potential Carer	March 2010		Blank Form
Family & Friends Panel Report			Format for a report and showing issues to be covered
Family & Friends Assessment Pack	September 2009		List of documentation required
Consultation Document for carers - Review for LAC/Young Person	September 2009		Blank Form
Application for a Birth Certificate	September 2009		Blank Form
BAAF Form E 1998 - Family Placement	September 2009		Form and guidance notes
BAAF Form Part A - Child's Permanence Report	September 2009		Blank Form
BAAF Form Part B & C Child's Permanence Report	September 2009		Blank Form
BAAF Form Part D CPR Child's Permanence Report	September 2009		Blank Form
BAAF Form Part E CPR Child's Permanence Report	September 2009		Blank Form
BAAF Form Part A - Child's Permanence Report (Completed)	September 2009		A completed example
BAAF Consent Form	September 2010		Blank Form Consent by birth parent or child/young person or agency/other adult with parental responsibility/ies for obtaining and sharing of health information.
Papers Required to Present Fostering Reports to Panel	September 2009		A completed example
Matching Report to Panel on Child Requiring Permanent Placement	September 2009		Blank Form
Example of written agreement in a Parent and Child Foster Placement	June 2011
Template Foster Carer Exemption Request Form	October 2011		Appendix A
Template Exemption Letter to Foster Carer	October 2011		Appendix B
Template Exemption Letter to Local Authority	October 2011		Appendix C
Miscellaneous
Fax Sheet			Template
Compliments Slip			Template
Taxi and Escorts Services			Blank Form
Necessity to seek legal advice when undertaking DNA Tests	June 2011		Information regarding DNA testing should not be made without legal advice.
Hidden Harm (Parent substance misuse)
Hidden Harm Service Referral Form	June 2011
Drug Testing Only Hidden Harm Service Referral Form	June 2011
Private Fostering
Private Fostering Health and Safety Checklist	November 2010		Form to be completed by a social worker regarding the conditions of the home.
Private Fostering Written Agreement	November 2010		Blank form
Private Fostering Feedback and Evaluation Form - Older Children	November 2010	Children's form	Having your say (Older Children) Blank form
Private Fostering Feedback and Evaluation Form - Younger Children	November 2010		Your chance to have your say (Younger Children) Blank form
Appointment Letter	November 2010		Letter confirming a home visit
Private Fostering Visit Report	November 2010		Blank report
Consent for Agency Check	November 2010		Consent to carry out checks with other services and agencies to inform an assessment for a child in need
Introductory Letter to Professionals and Agencies	November 2010
Letter to professional when notified of arrangement	November 2010
Annual Review Form	November 2010		This form is under development.
Transfer to Local Authority Letter	November 2010		Notification to LA department regarding a child staying within a private fostering arrangement
Moving Letter to Other Local Authority	November 2010		Notification to LA department regarding a child moved into the LA
Local Authority Checks Letter	November 2010
Standard Referee Letter	November 2010
GP fax for checks Private Fostering	November 2010
GP Supporting Letter	November 2010
Standard benefits supporting Letter	November 2010
CRB Check Letter Renewal Letter	November 2010
Closing Letter to Carer	November 2010
Closing Letter to Parent	November 2010
Case Closure Audit	November 2010
Future Appointments Letter Year Private Fostering Monitoring	November 2010
Invite to Steering Group	November 2010
Post 16 Private Fostering Useful Information	November 2010
Notice of Prohibition	November 2010		Letter
Private Arrangement for Care Letter	June 2011
Children with Disabilities and Special Needs
Assessment of Needs of Carer			Blank Form
Register of Children and Young People with Disabilities and Special Needs (0-19)			Blank Forms Includes Consent for Disclosure and Inclusion of Information
Children With Disabilities Service Referral Form		Domiciliary Care Referral Form	Blank Form
Children With Disabilities Service Spot Purchase Form		Spot Purchase Only Domiciliary Form	Blank Form
Preventive and Support Services
Initial Family Support Assessment- Age at time of Assessment			Blank Form
People with Learning Difficulties Assessment Form			Blank Form Including guidance regarding When a Specialist Assessment is Required
Referral to Carers Lewisham from Statutory Agencies			Blank Form
Interpreter Request Form			Blank Form
Referral for Respite Services from Coombe House			Blank Form
Children Centres Childcare & Play Priority Referral Form (Incorporating CAF)			Form showing issues to be covered
Family Centre Melliot Road Referral Form	November 2011		Blank Form
Referral Form for Professional Referrers to the Cassel Centre			Blank Form
Tryangle Project Referral Form			Blank Form
Single Homeless Intervention & Prevention Service (SHIP) Referral Form		Eligibility Criteria, Assessment and Referral Form (Statutory Agencies)
Single Homeless Intervention & Prevention Service (SHIP)		Completing or checking a Full Needs & Risk Assessment	Guidance on completing a Risk Assessment
Single Homeless Intervention & Prevention Service (SHIP) Risk Assessment		Risk Assessment	Blank Form
Housing Priority Nominations Form	April 2010		Blank Form Regarding nominations for housing
Initial Assessment Tool Young People Aged 16 and Over	November 2010		Tick list and blank referral form for young people who use drugs or alcohol or are affected by someone else's substance misuse.
Initial Assessment Tool Young People Aged 13-15	November 2010		Tick list and blank referral form for young people who use drugs or alcohol or are affected by someone else's substance misuse.
Initial Assessment Tool Young People Aged Under 13	November 2010		Tick list and blank referral form for young people who use drugs or alcohol or are affected by someone else's substance misuse.
Looked After Children
Guidance for Social Workers Presenting to Permanence Planning Meetings			List of information required
Standard Letter to parents/carers following a Permanence Planning Meeting			Template
Personal Education Plan	March 2012		Blank Form
Supervised Contact Referral Form			Blank Form
Consent for Medical Treatment and Statutory Health Assessments	Updated June 2010		Letter for person(s) with parental responsibility to give consent for a child to receive medical treatment
Refusal by Looked After Young Person for Health Assessment	October 2011
Initial Health & Developmental Assessment of Child Under 10 years Looked After or referred for Adoption	Updated April 2010	IHA - C	Blank Form
Initial Health & Developmental Assessment of Young Person 10 years and over Looked After or referred for Adoption	Updated April 2010	IHA - YP	Blank Form
Review Health Assessment Recommended for Children from Birth to 9 Years	Updated April 2010	(RHA -C)	Blank Form
Review Health Assessment Recommended for Young People 10 years and Over	Updated April 2010	(RHA-YP)	Blank Form
Obstetric Report on Mother/Neonatal Report on Child		M/B	Blank Form
Report on Health of a Birth Parent		PH	Blank Form
Report to Accompany Health Assessment Request			Blank Form
Referral Form for Family Group Conference			Blank Form
Information for Social Workers on the Family Group Conference Process
Information about Family Group Conferences from Independent Reviewing Officer
Supervised Contact Referral Form	October 2011
Confirmation of Contract Arrangements	October 2011
Care Planning Panel Referral Form	October 2011
Notification from Parents Regarding Private Family Arrangements	November 2011
Children in Specific Circumstances
NHS & Community Care Referral Assessment			Blank Form
Child and Adolescent Mental Health (CAMH) Service/Symbol Team
CAMHS/Symbol Team Referral Form	April 2009		Referral Form for Symbol Team/Child and Adolescent Mental Health Service
Children Missing from Care
Pre-Incident Risk Assessment	December 2009		Blank form This should be completed at the pre-placement meeting for all children who are believed to be at risk of going missing.
Missing Child Risk Assessment	December 2009		Blank Form This form should be completed immediately and on every occasion a child goes missing.
Missing from Care - Information Sharing Form	December 2009		Blank Form To be completed with Missing Child Risk Assessment
Missing from Care Review Meeting Record	December 2009		Blank Form
Children Missing from Care and Home Return Questionnaire	December 2009		Blank Form with guidance
Other children known to Social Care who go Missing	December 2009		Blank Form with guidance

End