GIRLS CLOTHING INVENTORY

Intake Update Discharge

Today’s Date: Date of Placement:

Child’s Name: ______Signature:

Foster Parent Name: Signature:

Case Manager Name: Signature:

# of items # of items # of items Condition Child Child Cost recom- child has needed of considers considers mended clothing clothes clothes to excellent, as fitting be in good, well, style or fair, poor too tight, out of too loose style Bras 4 Panties 12 Slips 1 Gown/Pajamas 2 Robe 1 Panty Hose 2 Socks 12 School Shoes 1 Dress Shoes 2 Tennis Shoes 1 Short Sleeve Shirts 5 Long Sleeve Shirts 5 Dresses/Skirt Outfits 3 Jeans 4 Dress Slacks 1 Belt 1 SEASONAL Shorts 5 Swim Suit 1 Sandals 1 Sweat Shirt/Pants 1 Sweater 1 Jacket/Coat 1

TOTAL COST: ______

Please complete this form thoroughly and submit to Kids First, Inc. by the 30th day of a child’s placement. In addition, complete and submit form every time new clothing is purchased. PERSONAL BELONGINGS INVENTORY AT PLACEMENT

Today’s Date: Date of Placement:

Child’s Name: ______Signature:

Foster Parent Name: Signature:

Please document all personal belongings that the child brought with them at the time of placement. Put a checkmark next to any items that were given back to the child’s Managing Conservator to keep due to the foster home or agency not allowing such items in the home.

1. Given to Managing Conservator 2. Given to Managing Conservator 3. Given to Managing Conservator 4. Given to Managing Conservator 5. Given to Managing Conservator 6. Given to Managing Conservator 7. Given to Managing Conservator 8. Given to Managing Conservator 9. Given to Managing Conservator 10. Given to Managing Conservator 11. Given to Managing Conservator 12. Given to Managing Conservator 13. Given to Managing Conservator 14. Given to Managing Conservator 15. Given to Managing Conservator 16. Given to Managing Conservator 17. Given to Managing Conservator 18. Given to Managing Conservator 19. Given to Managing Conservator 20. Given to Managing Conservator 21. Given to Managing Conservator 22. Given to Managing Conservator 23. Given to Managing Conservator 24. Given to Managing Conservator 25. Given to Managing Conservator 26. Given to Managing Conservator 27. Given to Managing Conservator 28. Given to Managing Conservator 29. Given to Managing Conservator 30. Given to Managing Conservator 31. Given to Managing Conservator 32. Given to Managing Conservator 33. Given to Managing Conservator Please complete this form thoroughly and submit to Kids First, Inc. by the 30th day of a child’s placement. In addition, complete and submit form every time new clothing is purchased. 34. Given to Managing Conservator 35. Given to Managing Conservator

Please complete this form thoroughly and submit to Kids First, Inc. by the 30th day of a child’s placement. In addition, complete and submit form every time new clothing is purchased.