Document 17986699

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CP&P 24-16a
(rev. 10/1982)
Re: In the Matter of the Adoption of a Child by:
[Enter name(s) of adoptive parent(s)]
Dear [Enter name of Surrogate]:
Enclosed please find the original of the report of Child Protection and Permanency following
investigation of the above matter for purposes of the Preliminary Hearing.
A duplicate copy of the report is enclosed for Superior Court.
Enclosed please find the original of the Final Report and a copy of the Consent of Child
Protection and Permanency based upon its supervision in the above matter.
Duplicate copies are enclosed for Superior Court.
Enclosed please find the original of the Final Report of Child Protection and Permanency
Because of the circumstances described in your report, we are not enclosing a Consent.
A duplicate copy of the report is enclosed for Superior Court.
A statement of Costs is attached. The costs currently due this agency amount to
$[Enter amount].
A representative of the agency Select one attend the hearing held on [Enter date].
If there is anything further that you would like to know of or need in connection with this investigation,
please do not hesitate to call us.
Very truly yours
Signature of Supervisor
[Enter name of Supervisor]
[Enter title of Supervisor]
[Enter name of Local Office]
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