MISSOURI DEPARTMENT OF SOCIAL SERVICES CHILDREN’S DIVISION REQUEST TO RE-OPEN INVESTIGATION	Return completed form to:	Children’s Division PO BOX 88 Jefferson City, MO 64103-0088 ph • 573-522-8024 • 573-526-3971 fax Attn: CA/N PDS, Central Office
Pursuant to 210.152.3 RSMo., the Children's Division may re-open a case for review if new, specific, and credible evidence is obtained. All proposed documentary evidence you wish to be considered shall be attached to this form so that the Division can determine whether the case may be re-opened. Please attach any additional pages necessary to complete the answers to the questions below.
CASE INFORMATION
Case Name	Call Number	Date of Request
Child Victim(s)	DOB	Child Victim(s)	DOB
REQUESTOR INFORMATION
Name of Requestor	Phone Number
Address
Requestor’s Relationship to the Case
Describe in detail the nature of the evidence.
Describe in detail how this evidence is new, specific and credible.
If this evidence existed prior to the date of the Division’s final decision, describe in detail why you could not have produced this evidence prior to the issuance of the final decision.
Describe how and when you obtained this information. (include sources and contact information)
Additional Information:
Requestor’s Signature	Date
For Central Office Use Only
Criteria Met – Sent to	County on	for investigation.
Does not meet screening criteria. (Explain)
Delayed response - Final determination has not been reached
Court Adjudicated – Not available for Review
Additional Information:
Required Action (if appropriate)
Central Office Signature	Date

Criteria for accepting a SB 54 Review

Evidence obtained must be new, specific, and credible.

Failure to understand the consequences of the Division’s final decision of the investigation does not qualify as a ground to re-open a case for review. A case will not be re-opened on the basis that the requestor failed to timely request administrative or judicial review of the Division’s final decision.

Completion of the CD-SB54

The requestor will fill out as much case data as they know as well as the requestor’s contact information.

The requestor will answer the questions pertaining to the case with as much relevant detail as possible.

The requestor signs the document and mails or faxes the form to CD Central Office to be logged and screened.

Central Office will check the appropriate outcome.

Central Office will determine the appropriate remedy depending on the circumstances.

The requestor shall be notified of the action taken