CLOTHING INVENTORY CHECKLIST (0-24 Months)

Case Name:
Age:
Sex:
Date of Clothing Inventory
Select the appropriate inventory period: Admission
June 30
October 30
Discharge
Other
Foster Parent / HONH Staff Completing Inventory
Foster Parent /HONH Staff Completing Inventory:
Foster Parent Email Address:
The following is a list of required clothing items and quantities for this age group. Please indicate the number of items the child HAS and the number of items the child NEEDS (example: HAS 6 / NEEDS 3). Add additional comments if necessary.
Blankets - Receiving (6 required):
Daytime Outfits (5 required):
Diapers (48 required):
Hat (1 required):
Jacket (1 required):
Mittens (1 pair required):
Onesies (12 required):
Pajamas (4 required):
Shoes (1 pair required):
Snowsuit (1 required):
Socks (8 required):
Valuables:
Allowance at Discharge:

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