Case File Checklist

This checklist tracks the requirements of Principle One: Standard IX for all case files in Supervised Visitation Programs.

Requirement  The Court Order for Supervised Visitation

Copies of relevant Court Orders, including current Custody Orders

Intake forms

Documentation of clients’ receipt of Program policy and procedure information

DCF/CBC Referrals, if applicable

Program’s danger assessments

Other danger assessments done by separate entities

Order Appointing Guardian Ad Litem, if applicable

Program Agreement forms signed by the parties

Copies of all communication regarding the parties

Records of All Visits

Documentation of periodic case review if applicable

Other:

______Program Director Signature Date