MISSOURI DEPARTMENT OF SOCIAL SERVICES CHILDREN’S DIVISION NOTIFICATION OF TEMPORARY ALTERNATIVE PLACEMENT AGREEMENT (TAPA) TERMINATION	Case Name:
Case/Incident Number:
TAPA Begin Date:
TAPA End Date: (No later than 90 days from begin date)
The purpose of this document is to provide notification, no later than ten (10) days from termination, of Children’s Division’s intent to terminate a Temporary Appropriate Placement Agreement.
☐ Original and Subsequent TAPA(s) Attached
Describe steps taken to rectify all of the safety concerns including any service provisions that lead to the implementation of this TAPA: Be individually and behaviorally specific, include all completed actions, and include dates of completion:
Identify all of the safety-related services provided to the family to assist with the behavioral changes needed to resolve the threats of safety to the child(ren). Include the safety-related services provided and by whom, as well as dates of completion and/or status of service involvement. Safety-related services are appropriate services that are provided to or arranged for the family with the goal of ensuring child safety.
The Children’s Division, in submitting this notification to the Juvenile Office, recommends the following actions:
☐ No further action requested.
☐ A petition to be filed as reasonable cause exists to believe the child(ren) are without proper care, support and intervention is required to prevent personal harm to the child(ren). Juvenile Office Referral (CD-235) attached.
Signatures:
Children’s Division Worker (Print and Sign)	Date
Children’s Division Supervisor (Print and Sign)	Date