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Parents as Teachers Agency Referral Form Please return to: Family Services Coordinator pat alamancechildren.org or fax to 3362261152 Referral Source/Agency:Date:Parents/Guardians Name: Date of Birth:
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To fill out the 'Please Return to Family' form, follow these steps:
02
Start by entering the date at the top of the form.
03
Provide your contact information, including your full name, address, and phone number.
04
Indicate the name of the person you are filling out the form for.
05
Specify the reason why the person needs to be returned to their family.
06
Provide any additional information that may be relevant, such as medical conditions or special requirements.
07
Sign and date the form at the bottom to certify the information provided.
08
Submit the form to the appropriate authorities or organization according to their guidelines.

Who needs please return to family?

01
Anyone who is separated from their family and requires assistance in reuniting can use the 'Please Return to Family' form.
02
This may include individuals who have been lost, displaced, or in emergency situations where family members need to be contacted.
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The form can be used by both adults and children who are unable to return to their family on their own.
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Please return to family is a form that needs to be filled out and returned to the family member who requested it.
The family member who requested the form is required to file please return to family.
Please fill out the form with the necessary information requested, sign it, and return it to the family member who requested it.
The purpose of please return to family is to provide specific information or documentation requested by a family member.
The information that must be reported on please return to family will vary depending on what is requested by the family member.
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