Supervised Visit Tracking Form PDF Details

In a world where safeguarding the emotional and physical well-being of children during periods of familial strife is paramount, the role of the Supervised Visit Tracking form cannot be overstated. Embedded within the Access to Visitation Grant Program, this meticulously designed log form is a crucial tool for documenting supervised visitations and exchanges. It ensures that every visit or exchange of children between custodial and non-custodial parents occurs under the vigilant eyes of a supervising agency or individual. The form meticulously catalogs each visit by date, marking the site and county, and delves into specifics such as the visiting party’s relationship to the child, the type of visitation (ranging from one-to-one to therapeutic), and whether it was completed, delayed, or missed. Providing a systematic way to track these encounters, it plays a vital role in maintaining the integrity and safety of the process. With sections catering to detailed recording, including the duration of visits adjusted to the nearest quarter hour, this form acts as a transparent and reliable record for both families and the overseeing legal bodies. It was introduced in December 2009, stepping in as a beacon of accountability in sensitive family dynamics.

QuestionAnswer
Form NameSupervised Visit Tracking Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslog form visitation, ca log supervised exchange online, printable visitation log, log form visitation sample

Form Preview Example

 

Page _______ of _______

 

 

 

 

County # _____ _____ Site # _____ _____

 

 

 

 

 

EXHIBIT E

 

 

 

 

 

 

 

 

 

ATTACHMENT 10

 

 

 

 

 

 

 

Access to Visitation Grant Program

 

 

 

 

 

 

 

Log Form: Supervised Visitation and Exchange Services (pickup-dropoff)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Only if Supervised

 

 

 

 

 

 

 

Relationship to Child(ren)

Activity

Visitation, what type:

 

Status

By Whom

 

 

 

 

 

 

 

 

 

Options: Agency, Custodial Mom,

 

 

 

 

 

 

 

Scheduled # of

 

Custodial Dad, Grandparent (CP),

 

 

 

 

 

 

 

Options: Completed,

Grandparent (NCP), Legal

 

 

 

 

 

 

 

Hrs

Late, Hrs

 

 

 

Options: Custodial mom, Non-custodial mom,

Options: Supervised

Options:One-to-One Visitation, Multiple

Late, No Show,

Guardian (CP), Legal Guardian

 

 

 

(Rounded to nearest

(Rounded to nearest

 

 

 

Custodial dad, Non-custodial dad,

Exchange or Supervised

Group Visitation, Directed/Facilitated

Cancellation, Visit

(NCP), Non-custodial mom, Non-

 

 

 

 

 

 

Date

Petition #/Family ID

Grandparent, Legal guardian, Other

Visitation

Visitation, Therapeutic Visitation, Other

1/4 hr)

Stopped

custodial dad, Other

1/4 hr)

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December 2009

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