On this page, we will give documentation ideas for those of you involved with DCS.  Feel free to print, share and use these documents for your use. 

If you have any information you have found helpful in dealing with DCS, please contact us and share your tips.

Laura

Print up this form and have one every time you have a visit. Use it as your record of your visitation.
DCS Keeps a record and you should too.

 
DCS PARENTAL VISITATION DOCUMENTATION FORM

Date: _________________/_____/ 20_____

Place of Visitation: ______________________________________________

Address: ______________________________________________________

List of all who were present:

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

I arrived at _____:______ [ ] a.m. / [ ] p.m.

My child(ren) was/were already there. Yes [ ] / no [ ]

My child(ren) arrived at ____:____ [ ] a.m. / [ ] p.m.

Others arrived at _____:______ [ ] a.m. / [ ] p.m.

Description of the conditions:
_______________________________________________________________________
_______________________________________________________________________

My child(ren) arrived in or by
________________________________________________________________________;

Was Dressed Appropriately to the Weather Yes [ ] / No [ ]

According to Family Cultural Norms Yes [ ] / No [ ]

Was Clean Yes [ ] /No [ ]

Any Marks or Bruises Found or Seen Yes [ ] / No [ ]

List of other obvious things:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Details of all interactions between children and me:

read a book[ ] changed a diaper[ ] fed them[ ] ate together[ ]

other interactions:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

(Everything should be clearly detailed.)

Description your child's behavior upon termination of the visit:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Concerned Notes of Things Said:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Other Details:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

I the undersigned attest that the above foregoing is true and
accurate.

_______________________________________
Undersign signature

Date: ______/_______/ 2000


Other Witness Signatures:
_________________________________
_________________________________

=========================================================================

Dear Ms. ________________________________________,

If your version of events varies from mine in any way, please outline
specifically any discrepancies you may find in writing within 10 days
and summit that copy to me.


Sincerely,

__________________________________


CERTIFICATE OF SERVICE

THE UNDERSIGNED CERTIFIES THAT A FORGOING COPY OF THIS LETTER WAS
DELIVERED BY MEANS OF THE FOLLOWING CHECKED BELOW:

Hand Delivered [ ] By US Mail [ ] Faxed By Phone [ ]


_________________________________

Signature of Delivering Party


Date:______________________/________/ 20_____

_________________________________________________________________

UNDER CONSTRUCTION! IF YOU HAVE SOMETHING THAT COULD HELP HERE, PLEASE EMAIL US: victims_of_dcs@yahoo.com