___________________________ FOSTER HOME: Assuring Love Child Placement Agency MONTHLY CLOTHING, PERSONAL ITEM and ALLOWANCE FORM ____________________ CHILD NAME:___________________________________ MONTH/YEAR: ***NOTE: Each child is allotted at least $30/MONTH for clothing. Foster parents are required to ATTACH COPIES OF RECIEPTS FOR ALL purchase clothes for at least $90 per quarter for each child. PURCHASES CLOTHING DATE ARTICLES OF CLOTHING PURCHASED COST ALLOWANCE/PERSONAL ITEMS Each Youth Earns At Least $1 Per Day or $30 per month Allowance DATE AMOUNT PURCHASE COMMENTS Week 1 Week 2 Week 3 Week 4 Week 5 PERSONAL ITEMS CHILD SIGNATURE_________________________________________________________ DATE__________________ FOSTER PARENT SIGNATURE_______________________________________________ DATE__________________
FOSTER HOME: ___________________________ Assuring Love Child Placement Agency MONTHLY CLOTHING, PERSONAL ITEM and ALLOWANCE FORM CHILD NAME:___________________________________ MONTH/YEAR: ____________________ ***NOTE: Each child is allotted at least $30/MONTH for clothing. Foster parents are required to purchase clothes for at least $90 per quarter for each child. ATTACH COPIES OF RECIEPTS FOR ALL PURCHASES CLOTHING DATE ARTICLES OF CLOTHING PURCHASED COST ALLOWANCE/PERSONAL ITEMS Each Youth Earns At Least $1 Per Day or $30 per month Allowance DATE AMOUNT PURCHASE COMMENTS Week 1 Week 2 Week 3 Week 4 Week 5 PERSONAL ITEMS CHILD SIGNATURE_________________________________________________________ DATE__________________ FOSTER PARENT SIGNATURE_______________________________________________ DATE__________________
CLOTHING_ALLOWANCE_FORM-ALCPA193722071.1964907.docx