Click here to view or print the CP&P Form 14-86g, Acknowledgement of Counseling Received.

WHEN TO USE IT

The Acknowledgement of Counseling Received, CP&P Form 14-86g, is used by CP&P to document the parent's receipt of counseling or waiver of the right to receive counseling concerning the surrender of his or her child.

HOW TO USE IT

•           Access it through the Create > Casework > Court/Legal > Options Drop-down.

•           Only complete this template outside of the NJ Spirit application as part of a contingency plan when the application is unavailable.  However, in doing so, you are still required to create the form in NJ Spirit when the application becomes available.

•           Print the form for approval and signatures, as explained.

TIPS FOR COMPLETING THE FORM

CP&P Form 14-86g is a template generated by NJ SPIRIT.  The Worker enters the name of the child, on-line, in the NJ SPIRIT application, and prints a copy of  CP&P Form 14-86g.  If more than one parent is present, the Worker prints an additional copy of CP&P Form 14-86g, to accommodate the other parent's signature. If the parent is surrendering more than one child, complete a separate form for each child.

The Worker instructs the parent to check the appropriate checkbox on the form, to indicate whether he or she has received face-to-face counseling sessions or waives the right to counseling.  After selecting a checkbox, the parent signs and dates the form in the space provided.

The Worker signs his or her name as witness to the parent's signing.

DISTRIBUTION

Original                      -           Court

Copy                           -           Case Record

Copy                           -           Parent

Electronic copy         -           NJ SPIRIT Electronic Case Record