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Policy and Procedure Verification

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  • 1. POLICY & PROCEDURE VERIFICATION FORM  The Client agrees that by signing this form they are acknowledging receipt of Agency Policies and Procedures as applied to the Foster Care Program.  The Client agrees they have read, reviewed, and discussed the policies with The Agency.  The Client understands and agrees to comply with the provisions set forth in each of these policies.  The Client understands and agrees to comply with each of the procedures set forth for policies.  The Client understands that the issuance of these Policies and Procedures does not imply nor constitute a contract of placement, guarantee of continued placement, nor placement for a definite period of time.  The Client understands that the Policies and Procedures are written to comply with state minimum standards for a Child Placing Agency (CPA). Furthermore, The Client understands that minimum standards are considered Laws of the State of Texas. If at any time I do not believe I can comply with these laws and/or continue to comply with these laws as written and amended from time to time, I will contact my Case Manager and/or the Program Director of The Agency immediately. THE CLIENT DATE THE CLIENT DATE THE AGENCY DATE Latest Revision: 06/01/09 Page 1 of 1 file: CPA Policies/Forms/Parent Files/Policy & Procedures Verification