INTERSTATE COMPACT ON JUVENILES PROGRESS REPORT QUARTERLY PROGRESS REPORT Sending State: Receiving State: Case # Case # Juvenile’s Name: DOB: Address: (Street address) (City) Phone # Supervision Level: Progress Topic (State) (Zip) Exp. Date: Excellent Good Fair Poor N/A Adjustment in the home School/Education performance Compliance with orders Family and peer relationships Employment performance Treatment/Counseling General attitude SUMMARY OF PROGRESS SINCE LAST REPORT: COURT APPEARANCES? current legal situation. RECOMMENDATION: YES NO If YES, provide certified court documents and a brief explanation of the Continue Supervision (Juvenile Worker) (Date) Request Discharge (Supervisor) (Compact Administrator/Official) ICJ QUARTERLY PROGRESS REPORT Request Revocation (Date) (Date) REVISED AUGUST 2000 American LegalNet, Inc. www.FormsWorkFlow.com