{"text":"Child\u2019s name Coh ..... SMAQAL\u2014Q ...................... \n- \nDate of birth ........ W32 QUG \nClaimant's name .....M&... Coka 2N T i rseeneanns \n1. On what date was the child placed in the care of your Authority? \n2. State the Act and Section thereof under which the child was received into the \ncare of your Authority. \n3. If the child is in residential accommeodation provided under paragraph 2 of \nSchedule 8 to the National Health Service Act 1977\/Section 27(1) of the National \nHealth Service (Scotland) Act 1947, is she\/he also in care under any other \nprovision? \nIf YES - \nplease give details of the Act and Section thereof. \n4. State any periods the child has spent with the clanmant sincethedateat 1. above \nwhich consists of at least one complete week. (NB a *week\u2019 means 7 nights in a \nTow). \n{If the child has been discharged, please give date.) \n5. Ifthechild is still in the care of your Authority, is it expected that she\/he will \nordinarily live with the claimant for at least one complete day (ie 2 consecutive \nnights) cach week? \nIf YES - \n{a) On what date did\/will this arrangement commence? \n(b) Is it intended that this arrangement will continue until the child is \ndischarged from care? \n6. Is the child boarded-out in the home of the above-named claimant in \naccordance with the provisions of the Boarding-Out of Children Regulation 1955 \nor the Boarding-Out of Children (Scotland) Regulation 19597 \nIf YES - \non what date was the child boarded-out? \nPage 2 RCOP\/D1574 16m 8785 DC \nChild's last know&n \ufb01\\ddresi P CR-O\u2018AS ...... V@L .. T@,C\/e_ \n(Tick YES or NO boxes as required) \ns \u2014as)ie)ss \n2\/ 5y \u2014 \nDate child went to live with claimant Date child returned to Local Authority \nSidce 2\u00a757 \u2014 AoACEccommodation \n19 | { 19 | \n19 | | T \nT T \nSignature .., ) s tevrenine. TelNo D.G3- A3K2, \nDate ..\\ .39\/&\"\/.8\u20196\\ ........ 19.... 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