MONTHLY MONITOR REPORT by 8N7tK4E

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									                                  MONTHLY MONITOR REPORT: Electronic Version
Instructions: This form is intended for use with Microsoft Word or similar software. Please enter your information in the
grey boxes. In some cases, the text may wrap to the next line. Please use the comment sections at the bottom if you need
more room for your answers. You can move through the form with arrows or tabs. For your Total Hours, add together the
Face to Face hours with the children in Section A, and the Other Hours in Section B. The second page only needs to be
filled out if there has been a change during the month, or if you are preparing for a Court Hearing. If you save this report
each month, you will not need to re-enter the information, and you can just update your hours and dates. You will need to
maintain a separate form for each case that you have. You can email this form to your county office.

GAL             Month:           Year:
Case Name:                Docket #            -DR    -          Total Mileage:

Section A: GAL Volunteer Hours

Face to Face Contacts with Children
Name of child                     Where Seen: (foster home,school, etc)                      Date




If you did not have a face to face visit with your child(ren), please explain here:
Total Face to Face Hours Visiting Children ........................................................... Hours:
Other Hours: Attended Court (including waiting and travel) ............................... Hours:
                 Attended Foster Care Review: .......................................................... Hours:
                 Other (Include phone, mail, report writing, meetings, travel): ...... Hours:
TOTAL VOLUNTEER HOURS: ................................................................................ Hours:

Section B: Child Placement: Complete this section only if placement changed during the month. We need to be able
to locate all children in case of an emergency.)
Child(ren) Name           New Placement of Child




Section C: GAL Assessment of Child:




Section D: Case Update: (new information or concerns about your case)

                                                                                                    GAL Form No. 0016 E (rev. 06/09)

								
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