Attachment LC ase Postponements and Conflicts Report by A343R5

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									                                                                                                                                                                                                   OS/MLSP-13-001-S
                                                                                                                                                                                                        Attachment L




                                                                        MARYLAND LEGAL SERVICES PROGRAM (MLSP)
                                                                          CASE POSTPONEMENTS and CONFLICTS REPORT
                                                                                         (submit with Monthly Invoice)



Contractor's Name:                                                                           Contract Number:
Report Month and Year:                                                                            Check One:         CINA/TPR                      APS/APGRB


                                                                                                                                                           POSTPONED CASES
                                                                               CONFLICT CASES
                                                                                                                                                           Reason for Postponement




                                                                                                                         POSTPONED CASE:
     Date including Year




                                                                                                                         Hearing Date/Year




                                                                                                                                                                                                        Attached memo)
                           Client ID




                                                                                                                                                               Parent Attorney




                                                                                                                                                                                                        Attorney (see
                                                                           CONFLICT




                                                                                                                                                                                 Office of Aging




                                                                                                                                                                                                        **Contracted
                           Number




                                                                                                                         Rescheduled
                                                                           CASE: To            Reason for
                              or         Client Name     Jurisdiction
                                                                          Whom Case             Conflict
                           Petition
                                                                          was Referred
                           Number




                                                                                                                                                   Court
                                                                                                                                             DSS
                                **If the case is postponed by the contracted Attorney, the Attorney shall attach a written justification for the postponment
                                    ** If case is postponed by contracted Attorney, the Attorney shall attach a written justification for the Postponement.
OS/MLSP-13-001-S
     Attachment L

								
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