CLOTHING INVENTORY CHECKIST (13-18 Years)

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.
Bathing Suit (1 required):
Belt (1 required):
Boots (1 required):
Bras (girl) (3 required)
Coat (1 required):
Court Appropriate Outfit (1 required):
Hat (1 required):
Jacket (1 required):
Jeans / Pants (5 required):
Mittens/Gloves (1 required):
Pajamas (4 required):
Shirt, Long Sleeve (4 required):
Shirt, Short Sleeve (4 required):
Shoes, Dress (1 required):
Shoes, Tennis (1 required):
Socks (8 required):
Sweater (1 required):
Tie (boy) (1 required):
Undershirts (7 required):
Underwear / Panties (8 required):
Valuables:
Allowance at Discharge:

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