Common Contracts
2 similar Care Agreement contracts
Privacy noticeThe Department of Communities, Child Safety and Disability Services (the Department) is collecting the personal information on this form for the purpose of an agreement between the department and a child’s parent/guardian/s. The...Care Agreement • March 13th, 2014
NameDate of birth / / Male Female Indigenous status Neither Aboriginal or Torres Strait IslanderUnknown AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderPlacement start date / / Placement end date / / Must not exceed 30 days NameDate of birth / / Male Female Indigenous status Neither Aboriginal or Torres Strait IslanderUnknown AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderPlacement start date / / Placement end date / / Must not exceed 30 days If there are more than 3 children in the family, complete each additional child’s details on the back of this sheet. Conditions of agreement Tick the type of care agreement applicable: Assessment care agreementThe parent/guardian agrees to:• have the above-named child/ren placed with an approved carer, Licensed Care Service or another entity by the department• authorise the department and/or the carer to act in all day-to-day matters including urgent medical attention and• have contact with the
Privacy noticeThe Department of Communities, Child Safety and Disability Services (the Department) is collecting the personal information on this form for the purpose of an agreement between the department and a child’s parent/guardian/s. The...Care Agreement • March 13th, 2014
NameDate of birth / / Male Female Indigenous status Neither Aboriginal or Torres Strait IslanderUnknown AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderPlacement start date / / Placement end date / / Must not exceed 30 days NameDate of birth / / Male Female Indigenous status Neither Aboriginal or Torres Strait IslanderUnknown AboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait IslanderPlacement start date / / Placement end date / / Must not exceed 30 days If there are more than 3 children in the family, complete each additional child’s details on the back of this sheet. Conditions of agreement Tick the type of care agreement applicable: Assessment care agreementThe parent/guardian agrees to:• have the above-named child/ren placed with an approved carer, Licensed Care Service or another entity by the department• authorise the department and/or the carer to act in all day-to-day matters including urgent medical attention and• have contact with the
