State of Illinois
Department of Children and Family Services
Feedback Communication Notice
Date of ACR:
An Administrative Case Review was held on the above case and as a result,
A CHRONIC Feedback will be written.
A CRITICAL Feedback will be written.
The reason for the above feedback has been discussed with the caseworker and/or
supervisor and will be documented in the feedback.
Signature of Caseworker
Signature of Reviewer