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Cold Case File# DFCS Case File# Court Case File# County with custody Removal Judge

_______________________ _______________________ _______________________ _______________________ _______________________

________________________ ________________________ _______________________ ________________________ ________________________

6.

Removal Date

_____ /_____ /_____

The Georgia Cold Case Project

Reviewer:

Case Identifiers

Cold Case File Review Form

Date:

Yes

No

If no, discharge date

_____ /_____ /_____

8. 9. 10. 11. 12. 13. 14. 15.

Child Information

Gender Date of Birth Current Age Race Hispanic Parent(s), current situation Parent Name Parent Legal Status

Black

White

Yes

No

7.

Still in DFCS custody?

single male

single female

mom:

_______________________ _______________________

dad:

_______________________ _______________________

Other:___________________

married couple mom:

unmarried couple dad:

Male

Female

Asian Unknown

Native Am.

_ _ _ _ _ / _ _ _ _ _ / _ _ _ _ _

__________________

years

Legal Documentation

16.

If child was brought into custody, does the court record contain a valid shelter care order or other authority

for placement?

Yes

No

N/A - did not enter custody

17. Yes

Did the 72-hour hearing/detention hearing occur within 3 days from the date of removal?

No

N/A - Consent in lieu of 72-hour hearing order in file

18. _____ _____ _____ _____ _____

If yes, check all issues addressed in the 72-hour hearing order: reasonable efforts were made to prevent out of home placement child-specific details for the reasonable efforts finding a “contrary to the welfare” finding child-specific details for the “contrary to the welfare” finding 72-hour hearing order not in file

19. _____ _____ _____ _____

Check if there are court orders appointing the following: child attorney CASA volunteer or GAL mother attorney father attorney

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