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Case Consultant End of Assignment Form
Colorado Office of the Child's Representative
Appointment Information
First, please identify the case for which your assignment has ended.
Case Type
*
D&N - Dependency and Neglect
D&N - Counsel for Child
JD – Delinquency
Truancy
Domestic Relations / Child’s Legal Representatives (CLR)
Paternity
Mental Health
Probate
Adoption and Relinquishment
Marriage of Underage Person(s)
Foster Youth in Transition
Other (please specify in synopsis at bottom)
Judicial District / County
*
1 - Gilpin
1 - Jefferson
2 - Denver
3 - Huerfano
3 - Las Animas
4 - El Paso
4 - Teller
5 - Clear Creek
5 - Eagle
5 - Lake
5 - Summit
6 - Archuleta
6 - La Plata
6 - San Juan
7 - Delta
7 - Gunnison
7 - Hinsdale
7 - Montrose
7 - Ouray
7 - San Miguel
8 - Jackson
8 - Larimer
9 - Garfield
9 - Pitkin
9 - Rio Blanco
10 - Pueblo
11 - Chaffee
11 - Custer
11 - Fremont
11 - Park
12 - Alamosa
12 - Conejos
12 - Costilla
12 - Mineral
12 - Rio Grande
12 - Saguache
13 - Kit Carson
13 - Logan
13 - Morgan
13 - Phillips
13 - Sedgwick
13 - Washington
13 - Yuma
14 - Grand
14 - Moffat
14 - Routt
15 - Baca
15 - Cheyenne
15 - Kiowa
15 - Prowers
16 - Bent
16 - Crowley
16 - Otero
17 - Adams
17 - Broomfield
18 - Arapahoe
18 - Douglas
18 - Elbert
18 - Lincoln
19 - Weld
20 - Boulder
21 - Mesa
22 - Dolores
22 - Montezuma
Click here
for a
map
of districts.
Case Number
*
Appointed Attorney
*
Assignment End Information
Last, please summarize the case resolution.
Your Name
*
Your Email Address
*
Confirm email:
*
Your Assignment End Date
*
+
Reason for end of assignment:
*
OCR attorney's appointment and/or case ended.
No longer a need for a case consultant.
Substitution of case consultant required.
Reason case consultant is no longer needed:
*
Intervention/Tasks accomplished (i.e. things are stable, have been for a while, and look to be good going forward).
Extended lack of engagement from the child.
Other (please specify in synopsis below).
Please provide a brief synopsis of resolving situation.
(Where and with whom are child(ren) placed? What is the plan for the future with/without family? What services are in place and expected going forward?)
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