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Get 1915(c) IA 2014

Es Pending; □ DCFS; □ OJJ; □ Other Comment/Detail: XI. Past Legal Status: □ None; □ DCFS; □ OJJ; □ Other Comment/Detail: FAMILY HISTORY (relationship status with relatives, family involvement in treatment, and living status of significant relatives): Custodial Status: □ Independent Adult; □ Biologic Father; □ Biologic Mother; □ Joint Biologic Parents; □ Gov’t/Judicial; □ Other: Adverse Circumstances in Family of Origin: □ N/A; □ Poverty; □ Criminal Behavior.

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