Living Arrangement. The living situation of the Roommates should be solidified in Article IX. Thus, select the first checkbox if the Roommates will live in specific bedrooms or select the second checkbox if the Roommates will be required to share bedrooms with each other. X. Proration Period (30)
Living Arrangement. [LA-02] If child is currently in a Living Arrangement, where does the child reside: (choose one) = [ ] Code Description 00 N/A 40 College 41 Correctional Institution 42 Halfway House 43 Homeless Shelter 44 Own Home/Apartment 45 ICPC Adoptive Home (incoming) – DO NOT USE FOR Out of Home Placement 46 ICPC Xxxxxx Home (incoming) – DO NOT USE FOR Out of Home Placement 47 Inpatient Psychiatric Care 48 Inpatient Medical Care 49 Job Corps 50 Runway 51 Relative Home – DO NOT USE FOR Out of Home Placement 52 Respite Care- Not Psychiatric Respite 54 Father’s Home – DO NOT USE FOR Out of Home Placement 55 Father and Stepmother/Paramour – DO NOT USE FOR Out of Home Placement 56 Mother’s Home – DO NOT USE FOR Out of Home Placement 57 Mother and Father’s Home – DO NOT USE FOR Out of Home Placement 58 Mother and Stepfather/Paramour – DO NOT USE FOR Out of Home Placement 59 Trial Home Visit (Aftercare) 99 Other Placement (Use other and identify any category not listed below. If child is on runaway status and will return to one of the placement types listed below when returned check the appropriate category below). [PL-01] Child’s current placement is: (choose one) = [ ] Code Description Description Family Homes Group Homes 41 Emergency Xxxxxx Home Care 50 Alternative Living Units 42 Formal Kinship Care 51 Emergency Group Shelter Care 43 Intermediate Xxxxxx Care 52 Residential Group Homes 44 Pre-Finalized Adoptive Home 53 Teen Mother Programs 45 Refugee Child 54 Therapeutic Group Homes 46 Regular Xxxxxx Care 55 Independent Living Residential Program 47 Restricted (Relative) Xxxxxx Care 48 Treatment Xxxxxx Care Residential Treatment Centers 49 Treatment Xxxxxx Care (Private) 56 Residential Treatment Centers XXXX 57 Relative 58 Non-Relative [PL-02] If OTHER, please specify: [PL-03] How many placements has child had in the last 12 months?: [PL-04] Is Youth placed in their home jurisdiction? [1] _Yes [2] [PL-05] IF NO above, what is the 2 digit jurisdiction placed in ? [ None 1 2 3 _No ] 4 or more Placement Stability (Placement Change within Last 12 months (If no changes select N/A or No Change) [PS-01] Did Family Involvement Meeting (FIM) take place with most recent placement change? Yes [2] No [3] No Change [PS-02] For the most recent placement change, indicate the level of care for the new placement. [1] No Change in last 12 months [2] Less restrictive level of care [3] More restrictive level of care [4] Same level of care. [5] Information not available should be selected i...
Living Arrangement. 1. The Employee and Employer agree that (check one option below): ❑ Option 1: Employee will live in the Employer’s home, residing on the premises permanently or for extended periods of time (“Live-In”).
Living Arrangement. 1. Will there be a physical separation? What are the considerations? Options for moving out? (Many couples choose or need to remain in one home; with the new agreed upon parameters, many couples can easily create space for this new way of being with one another. Take a look at what might work for your circumstances, particularly if you have kids. If you don’t feel as though you can trust each other to stick to the new terms, it may be best to physically separate). NOTE: if you feel you are in danger, please notify me immediately.
Living Arrangement. The living situation of the Roommates should be solidified in Article IX.
Living Arrangement. The Dog is not to live in a garage, doghouse, or any type of outbuilding. While the Adopter is at home, the Dog shall not remain solely in one room. Additionally, the Dog shall not be confined to either a crate or a room for more than eight (8) hours a day, and must have free roam of the house as a family member and companion. The Dog is not to be left with small children at any time when unattended by an adult. The Dog will be provided fresh food and water daily in adequate quantities to maintain good health.
