FAMILY FORWARD - ALL STATES
Collecting family stories from all states describing family destruction, agency incompetence, abuse of tax payer funded programs. The immediate purpose for the collection of this data is to seek Congressional investigation, and prosecution of government agencies and staff for (1) violation of due process rights of parents and children; (2) abuse of federal tax payer dollars; and (3) placing children at risk of medical abuse and trafficking by placing them unnecessarily in the custody of the state governments and those who provide placement services for the children.
FAMILY FORWARD - FAMILIES DESTROYED BY CPS / ALL STATES
Family Story Intake form - Thank you for taking the time to share your family story. We recommend that you read through the entire form. Some questions are directed to topics that need to be investigated, such as disabilities and false statements. After reviewing this form, complete each question as best you can. Names, dates, and details of events are helpful.
Name of person completing the intake
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your phone number
Please enter a valid phone number.
Format: (000) 000-0000.
The following patterns of practice had been reported by families. Please check all boxes that apply:
Wrongful removal of children / false report / lack of emergency
Wrongful detention of children after conditions of removal have been resolved
Failure to utilize family preservation protection plans prior to removal
Failure to utilize family alternative placement options, such as relatives, kinship, and friends
Child removed from home placed on psychotropic medications by the state agency
Children/siblings separated after removal
Children injured while in foster care or group home
Agency failed to promptly provide services to family to resolve safety concerns
Children put in more than one placement after removal
Children forced to change schools in foster care
Lack of continuity in family contact after removal
Children removed had disability
Parent who had child removed had a disability
State agency or court relied on "predictive harm"
Other
In addition to the above, families have reported the following procedural and conflicts of interest issues. Please check all the apply.
Court appointed parent attorney was not competent or did not prepare
Court appointed children's attorney was not competent or did not prepare
There were conflicts of interest with providers (services) or placements (foster and group homes)
The state agency compelled parents to use state contracted services instead of allowing parents to select services
State agency blocked transition to relative placement
State agency blocked or impeded interstate movement of children to accommodate relative placement
The state agency delayed reunification and proceeded to termination of parental rights
The state agency did not provide or interfered with continuous family (and relative) contact
Children did not receive counseling or proper services while in care
Family had more than one case worker during removal
State agency refused to allow parent to review agency records
Today's date
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Month
-
Day
Year
Date
Name of the State Agency
Name the state/s and counties where the children were removed.
Name of state/s and counties where court proceedings took place
PERSONS INVOLVED OTHER THAN PARENTS AND CHILDREN - To the best of your recollection, we need the names and roles of persons involved. Such as Parents' court appointed attorneys, Children's court appointed attorneys, Retained attorneys, State agency employees, Psychologist, Therapist, Medical doctors, Teachers, School Personnel, Neighbors, Relatives, Parents. Give the full name and identify the role of each in just a few words. As you detail the facts of your case below, include the names of persons. NOT THE CHILDREN OR PARENTS - you will complete that information below.
COSTS - If you hired attorneys, therapist, psychologist, investigator, or any other person, give the amount of the out of pocket cost you have spent to date.
The current status of your case. Check all that apply.
All of my children were returned to my care
Some of my children were returned to my care
My children aged out of foster care without being returned to parent
My parental rights were terminated
I was charged with criminal child abuse
I was convicted of criminal child abuse
I plead guilty of criminal child abuse
I was judged guilty of dependency and neglect in juvenile or family court
I have not had a trial on the allegations against me
My case is on appeal
I currently have no idea where my children are living
I won my case at trial
The state agency dismissed the case
The state agency closed the investigation without removal
Other
TIME IN FOSTER CARE OR GROUP HOME - If you children were returned to you or placed with a relative after removal, how long were the children in foster care/group home or state's custody?
Date of first contact with CPS agency
-
Month
-
Day
Year
Date
Date of removal of child/ren
-
Month
-
Day
Year
Date
Date of first court appearance
-
Month
-
Day
Year
Date
Date of court hearing adjudicating the child of dependent or neglect.
-
Month
-
Day
Year
Date
Date of court order terminating parental rights
-
Month
-
Day
Year
Date
Name and date of birth of the children involved
What is your relationship to the children
PARENTS - Names and date of birth of biological parents of children removed. If children have different parents, please give the name of the child for each parent. And describe the parents relationship, such as married, separated, divorced, living together.
INVESTIGATION - Describe the investigation events, including any false statements made in reports, interrogations, photographs of children and home, law enforcement involvement, recorded statements.
EVENTS - Describe what events lead up to removal of the children. If the state agency alleged neglect, give the specifics and state whether those allegations were true or false, such as environmental neglect (dirty house), truancy (missed school), medical neglect (failure to get medical treatment, medical abuse (unnecessary medical treatment).
DOMESTIC OR SEXUAL VIOLENCE - If domestic or sexual violence was involved or alleged, describe those allegations and the facts of the case. Describe how the state agency used the allegations of domestic or sexual violence in your case, such as provide counseling, recommend divorce or separation, required parents to separate, assist with safety plans.
VACCINES - If your children were given vaccines in state's custody, please describe.
PARENTAL CONSENT - If your child was given vaccines or medical treatment in state's custody, did you give consent. Give short answer, you can describe in more detail below.
KINSHIP - Describe whether or not there were available relatives or friends for temporary placement. Detail the efforts to place the children with relatives or friends.
COURT APPOINTED ATTORNEYS - If you checked that court appointed attorneys for parents and children were incompetent or unprepared, give more details. Be sure to include the name of the attorney and who they represented. If you had a positive experience, describe how it helped you gain positive results.
DISABILITY - If there was a disability to the parent or child, please describe the disability and whether or not you or your child were offered reasonable accommodations. You may also describe how the CPS experience affected the disabilities, or how the agency used the disability to further interfere with reunification.
DISABILITY - Child disability - Title IVE provides increased funding for children with disabilities. If you have a child that was removed and either had a disability or was alleged to have a disability after removal, provide a description of how your child was treated, what services were provided, and whether or not your child was harmed while in care.
RISK CONDITIONS - If your child/ren were harmed in foster care/group home, or ran away, or was trafficked, describe those events.
NON-PROFIT AGENCIES - Involvement of non-profit agencies, CASA, other agencies. Give the name of the agency, the name of the persons representing the agency, and in a few sentences describe how they treated your family.
MENTAL HEALTH - If there were allegations, events, or circumstances that involve mental health of the child or parent, explanation who was believed to have mental health disability, include depression, autism, gender dysphoria, post-traumatic stress. Explain what the state agency, its contractors, or non-profit agencies did regarding these mental health issues.
MEDICAL NEGLECT OR ABUSE - If medical neglect (failure to treat) or medical abuse (forcing unnecessary treatment) were involved in your case, described the conditions of the child, where the child was treated, who treated the child or alleged abuse. If the parent was accused of MBP (Munchausen Syndrome by Proxy), factitious disorder, or other complex medical conditions were at issue, describe how this affected your case. If a child abuse pediatrician is involved, give the name and hospital.
EVALUATIONS AND TESTING - Psychological / substance abuse assessments, treatments, testing, counseling. If you were involved in any of there services during your involvement with CPS, identify the services, the name of the provider, the name of persons providing services, and state where you or your child was treated. If you had an adverse experience, please describe, such as faulty drug tests, biased evaluators.
PSYCHOLOGICAL DAMAGE - Describe how the experience affected your and your child's emotional and physical condition, such as trauma responses, fear responses, illnesses, depression.
WASTE OF TAXPAYER FUNDS - In your own words, describe how you believe taxpayers funds were wasted, or intentionally abused, such as wasted services, prolonged proceedings, failure to expedite reunification.
DISCRIMINATION - If you believe that you were discriminated against for poverty, race, religion, gender, disability, military service, nationality, intelligence, or otherwise, describe the discrimination.
COURT PROCESS - Describe issues and events in the court process that interfered with reunification, kinship placement, completing services, having competent representation, timely resolution, etc. This can include ex parte orders, secret court hearings, multiple delays in court dates, failure of state agency to provide discovery, failure of attorney to subpoena or call witnesses, parent not allowed to testify, children not allowed to testify, children put behind closed doors to testify, no transcripts, judicial bias, judge expressing anger or acting too friendly to state agency attorneys and staff, or otherwise.
REASONS FOR DEPENDENCY ADJUDICATION OR TERMINATION OF PARENTAL RIGHTS - If a civil (juvenile or family) court found the children dependent and neglect or your rights were terminated, describe the findings of the court, such as medical neglect, predictive abuse, failure to protect, failure to support, etc. Give a short description.
OTHER - If we have failed to ask any question which you believe is relevant to the investigation and prosecution of the state agencies, contractors, nonprofits, and their employees and volunteers, please describe that below.
SUGGESTIONS - What do you believe SHOULD HAVE BEEN DONE by the state agency, its contractors, nonprofits agencies, or its staff could have done differently to better serve your family.
DOCUMENTS - if you have a narrative, court document, report, or evaluation that you want to share, please do. It is not required. Many parents have written out a narrative, however, we also need you to submit this form so we can sort out the patterns of practice that abuse the rights of parents and children and abuse tax payer funds.
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