CHANGE OVER REPORT FORM (To be completed each supervised contact visit) Details File Name / Supervised Parent Name : Completed by / Supervisor : Location : Date : COURT ORDERS VIEWED Date Viewed : Details of Orders: PARTICIPANTS Name Age Relationship Contact No Notes CHANGE OVER Drop off Time arrived Time departed Parent 1 – Arrives 15 mins prior to changeover Parent 2 – Arrives on time – collects child/ren, then leaves Parent 1 – Leaves after parent 2 has left with chIld/ren Pick up Time arrived Time departed Parent 2 – Arrives 15 minutes before end of changeover with children Parent 1 – Arrives on time to collect child/ren and leaves Parent 2 - Leaves after parent 1 has left with chIld/ren GENERAL OBSERVATIONS / SPECIFIC ISSUES AND /OR ACTIONS IF REQUIRED Payment :
