Signed Designation Date 25. Supported by Team Manager Delete as Appropriate I Support I Do not support The request Signed Designation Date 26. Recommendation of Service Leader Please Type any comments here Signed Designation Date 27. Decision of Chair of Commissioning Panel Comments Delete as Appropriate Approved/ Not Approved Signed Designation Date Appendix II CHILDREN’S SERVICES DEPARTMENT Social Care COMMISSIONING PANEL EXTENSION REQUEST Social Worker Date of Panel Name of Child Date of Birth ICS I.D Placement Details Type of Service Cost Extension Duration & Update Proposed Start Date
Signed Designation Date 25. Supported by Team Manager Delete as Appropriate I Support I Do not support The request Signed Designation Date 26. Recommendation of Service Leader Please Type any comments here Signed Designation Date 27. Decision of Chair of Commissioning Panel Comments Delete as Appropriate Approved/ Not Approved Signed Designation Date Appendix II CHILDREN’S SERVICES DEPARTMENT Social Care COMMISSIONING PANEL EXTENSION REQUEST Social Worker Date of Panel Name of Child Date of Birth ICS I.D Placement Details Type of Service Cost Extension Duration & Update Proposed Start Date