Authority: IC 11-8-2-5; IC 31-31-8-2

Affected: IC 11-8-2; IC 31-31-8

Sec. 63. Written policy, procedure, and practice provide that the facility maintains a record on each juvenile, which is available in a master case file. The contents are identified and separated according to an established format and include the following information:

1. (1) Demographic information, including the following:

   1. (A) Name.
   2. (B) Age.
   3. (C) Gender.
   4. (D) Place of birth.
   5. (E) Race.
   6. (F) Ethnicity.
   7. (G) Nationality.
2. (2) Initial intake information form.
3. (3) Authority to accept juvenile.
4. (4) Alleged delinquent act or acts and location of occurrence or occurrences.
5. (5) Referral source.
6. (6) Case history or social history.
7. (7) Medical consent forms.

8. (8) Parent or guardian information, including the following:

   1. (A) Name.
   2. (B) Relationship.
   3. (C) Address.
   4. (D) Phone number.
   5. (E) Person or persons juvenile resides with at time of admission.
9. (9) Driver's license number, Social Security number, and Medicaid number, when applicable.
10. (10) Court and disposition.
11. (11) Individual plan or program.
12. (12) Signed release-of-information forms, when required.
13. (13) Progress reports on program involvement.
14. (14) Program rules and disciplinary policy signed by juvenile.
15. (15) Grievance and disciplinary record, if applicable.
16. (16) Referrals to other agencies.
17. (17) Final discharge or transfer report.

(Department of Correction; 210 IAC 8-3-63; filed Sep 16, 2022, 3:13 p.m.: 20221012-IR- 210220072FRA)