<p> Case File Checklist</p><p>This checklist tracks the requirements of Principle One: Standard IX for all case files in Supervised Visitation Programs.</p><p>Requirement  The Court Order for Supervised Visitation</p><p>Copies of relevant Court Orders, including current Custody Orders</p><p>Intake forms</p><p>Documentation of clients’ receipt of Program policy and procedure information</p><p>DCF/CBC Referrals, if applicable</p><p>Program’s danger assessments</p><p>Other danger assessments done by separate entities</p><p>Order Appointing Guardian Ad Litem, if applicable</p><p>Program Agreement forms signed by the parties</p><p>Copies of all communication regarding the parties</p><p>Records of All Visits</p><p>Documentation of periodic case review if applicable</p><p>Other:</p><p>______Program Director Signature Date</p>