Spirit of the Plains, CASA
Advocate Monthly Report Form
Advocate: ______Report Month: ______Due: ______
Case(s): ______Case Name(s): ______
Comments, concerns, questions about your case: ______
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Child Contact (do not include court, case plans, etc.)
Date / Child / Total timePersonal / Total time
Phone / Total time
Other / Miles / Brief Description of Visit - List any concerns
Parent Contact (do not include court, case plans, etc.)
Date / Parent / Total timePersonal / Total time
Phone / Total time
Other / Miles / Brief Description of Visit – List any concerns
Collateral Contacts (foster parents, teachers, SRS, SFCS, etc. (do not include case plans, court, or other meetings)
Personal / Total time
Phone / Total time
Other / Miles / Brief Description of Contact
CASA Staff Contact (do not include court hearings, case plans, etc.)
Date / Staff / Total timePersonal / Total time
Phone / Total time
Other / Miles / Brief Description of Contact
Meetings, Hearings, Case Planning Conferences, etc.
Date / Type / Total Time / Miles / Persons Attending / Brief DescriptionAdvocate: ______Report Month: ______
Case(s): ______Case Name(s): ______
Case Management (reviewing documents, logging, and writing)
Date / TotalTime / Miles / Activity (recording information, reading documents, correspondence, court report writing,)
This includes the time spent completing the Monthly Report
Case Update
Date / Log any changes in attorneys for the parents, GAL, Judge, or other case personnel.Any change in residence for parents and children should be logged. Please list reasons for any changes.
Training
Date / TotalTime / Miles / List any training during the month. This includes In-services, CASA Brief, reading materials, videos viewed, CASA meetings, and other training attended that can be used in your work as a CASA.
Total hours: ______Total Miles: ______
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Advocate Signature Date
Staff use only:
Hours: ______Mileage: ______
Comments: ______
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Staff: ______Date: ______
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