1. CPS tracking sheet code and explanations (chart on 2 nd
page)
1) Parents home
2) School
3) Your home
4) Non-custodial parent's home
5) Dr #1 (specify) _______________________________________________________________
6) Dr #2 (specify) _______________________________________________________________
7) Dr #3 (specify) _______________________________________________________________
8) Dr #4 (specify) _______________________________________________________________
9) Dr #5 (specify) _______________________________________________________________
10) Dr #6 (specify) _______________________________________________________________
11) Dr #7 (specify) _______________________________________________________________
12) Dr #8 (specify) _______________________________________________________________
13) Dr #9 (specify) _______________________________________________________________
14) Dr #10 (specify) _______________________________________________________________
15) Friend #1(specify) _______________________________________________________________
16) Friend #2(specify) _______________________________________________________________
17) Friend #3(specify) _______________________________________________________________
18) Friend #4(specify) _______________________________________________________________
19) Friend #5(specify) _______________________________________________________________
20) Friend #6(specify) _______________________________________________________________
21) Friend #7(specify) _______________________________________________________________
22) Friend #8(specify) _______________________________________________________________
23) Friend #9(specify) _______________________________________________________________
24) Friend #10(specify) _______________________________________________________________
25) Agency #1(specify) _______________________________________________________________
26) Agency #2(specify) _______________________________________________________________
27) Agency #3(specify) _______________________________________________________________
28) Agency #4(specify) _______________________________________________________________
29) Agency #5(specify) _______________________________________________________________
30) Agency #6(specify) _______________________________________________________________
31) Agency #7(specify) _______________________________________________________________
32) Agency #8(specify) _______________________________________________________________
33) Agency #9(specify) _______________________________________________________________
34) Agency #10(specify) _______________________________________________________________
35) Other #1 (specify) _______________________________________________________________
36) Other #2 (specify) _______________________________________________________________
37) Other #3 (specify) _______________________________________________________________
38) Other #4 (specify) _______________________________________________________________
39) Other #5 (specify) _______________________________________________________________
40) Other #6 (specify) _______________________________________________________________
41) Other #7 (specify) _______________________________________________________________
42) Other #8 (specify) _______________________________________________________________
43) Other #9 (specify) _______________________________________________________________
44) Other #10 (specify) _______________________________________________________________
NOTE: The term friend may also refer to a relative or anyone you are staying with or possibly staying with.
The 1st section of the bottom is the number of your column. The 2nd is the date. The 3rd is the number of where
they're coming. The 4th and 5th is what time they come in and at what time they leave. The 5th is the comment section
where you can write observations you made about CPS such as the teacher coming to your parent's home along
with CPS or CPS holding your inappropriate drawing. Write the comments small so you have room to write more
comments

2. # Date # start end Comments
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