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Transitional care and placement plan

This cover note verifies that the transitional care and placement plan for the young person named below has been discussed and read by the carer and the young person, and that both have been provided with a copy of the agreed plan.

By signing below, you confirm that you have read, agreed to, and received a copy of this care and placement plan.

Child/young person's name

Young person's legal name

Young person's signature

Signature

How many carers are signing?

Full legal name

Applicant 1

Signature