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CWB Request Form
This form is required to request items and money for foster kids/families. Upon completion, this form will be sent to the Find-It Committee Chairs for review. They will follow up within 24 hours to acknowledge receipt of the request and will work to fill the request as soon as they are able.
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* Indicates required question
Email
*
Your email
Caseworker:
*
Your answer
Best phone number to contact:
*
Your answer
Unit/Program:
*
Legal
Family Based Services
Investigations
Kinship
Adoption
Other:
Supervisor:
*
Your answer
Case ID:
*
Your answer
Last name on the case:
*
Your answer
Type of placement
Residental Treatment Center
Foster Home
Kinship
Other:
Clear selection
Where is the placement located? (city, state)
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Your answer
Delivery Method
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Caseworker will pickup at Walmart
Family will pickup at Walmart
Needs to be shipped
Would appreciate a board member delivering the item(s)
Contact information (we need a name, phone number, email, and physical address to deliver or Walmart pickup)
Your answer
Type of request
*
Money
Gift card
Reimbursement
Items
Other:
Required
Brief explanation of request:
Be sure to include amounts for gift cards. For items, please include if client will pick up or needs delivery. If delivery, include contact information and address.
*
Your answer
Please note that reimbursements are only guaranteed if pre-approved by the Child Welfare Board.
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