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    Diversion Contract

    Uploaded by

    Maricho Bentazal
    This document appears to be related to a diversion contract and program for a child in conflict with the law (CICL) in the Philippines. It outlines the terms of the contract which specifies activities for the child, parents, and social worker. It also includes forms for monitoring the child's compliance, certifying failure to comply, and a final report once the program is completed. The goal is to rehabilitate the child and prevent future criminal behavior through alternative interventions to traditional judicial proceedings.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Diversion Contract

    Uploaded by

    Maricho Bentazal
    310 views8 pages
    This document appears to be related to a diversion contract and program for a child in conflict with the law (CICL) in the Philippines. It outlines the terms of the contract which specifies activities for the child, parents, and social worker. It also includes forms for monitoring the child's compliance, certifying failure to comply, and a final report once the program is completed. The goal is to rehabilitate the child and prevent future criminal behavior through alternative interventions to traditional judicial proceedings.

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    This document appears to be related to a diversion contract and program for a child in conflict with the law (CICL) in the Philippines. It outlines the terms of the contract which specifies activities for the child, parents, and social worker. It also includes forms for monitoring the child's compliance, certifying failure to comply, and a final report once the program is completed. The goal is to rehabilitate the child and prevent future criminal behavior through alternative interventions to traditional judicial proceedings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    310 views8 pages

    Diversion Contract

    Uploaded by

    Maricho Bentazal
    This document appears to be related to a diversion contract and program for a child in conflict with the law (CICL) in the Philippines. It outlines the terms of the contract which specifies activities for the child, parents, and social worker. It also includes forms for monitoring the child's compliance, certifying failure to comply, and a final report once the program is completed. The goal is to rehabilitate the child and prevent future criminal behavior through alternative interventions to traditional judicial proceedings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines

    Province of Zamboanga del Sur


    Municipality of Bayog

    DIVERSION CONTRACT
    For the best interest of _______________________________ and the community,
    the following shall be undertaken:

    For the child:


    1. (Example: Clean the Barangay Park every Sunday from 8 A.M. to 10 A.M. from
    January 20___ to June 20___.)
    2. __________________________________________________________________
    __________________________________________________________________
    3. __________________________________________________________________
    __________________________________________________________________

    For the child’s parents:

    1. (Example: Accompany the child during his/her monthly session with the social
    worker to the latter’s office every first Monday of the month from January 20__
    to June 20__.)
    2. __________________________________________________________________
    __________________________________________________________________
    3. __________________________________________________________________
    __________________________________________________________________

    Social Worker:

    1. (Example: Visit the child in his/her school once a month during the duration of
    the diversion program to ascertain whether or not he/she is behaving properly
    through interviews with teachers and other students.)
    2. __________________________________________________________________
    __________________________________________________________________
    3. __________________________________________________________________
    __________________________________________________________________

    This contract has been signed on ______________________

    ____________________ _______________________ _______________________


    Bata Mga Magulang Chair, Diversion Committee

    Noted by: _______________________


    C/MSWDO
    CERTIFICATION OF FAILURE OF DIVERSION PROCEEDINGS

    This is to certify that ________________________________________________ who


    committed the offense ________________________________________________

    [ ] does not agree to undergo a diversion program


    [ ] diversion is not appropriate and applicable to the case at hand due to the
    following reasons:

    1. _____________________________________________________
    2. _____________________________________________________
    3. _____________________________________________________

    This certification is issued on __________________________________.

    ________________________
    Chair, Diversion Committee

    Noted by: _______________________________


    C/MSWDO

    PAGPAPATUNAY

    Ito ay nagpapatunay na si _____________________________________________ na


    nagkasala sa batas ng ______________________________________

    [ ] hindi pumapayag na magpasailalim sa isang diversion program


    [ ] ang diversion ay hindi angkop o karapat-dapat sa kaso na ito dahil sa
    Sumusunod na kadahilanan:

    1. _____________________________________________________
    2. _____________________________________________________
    3. _____________________________________________________

    Ang pagpapatunay na ito ay ibinigay ngayong ________________________.

    ______________________________
    Namumuno ng Diversion Committee

    Pinanukalaan ni: ______________________________


    C/MSWDO
    ____________________________
    City/Municipality

    _________________________
    Barangay

    DIVERSION PROGRAM MONITORING FORM


    Date:
    A. Basic Information
    Name of the CICL
    Date of birth: Age: Sex:
    School: Grade Level:
    Address:
    Father: Mother:
    Guardian: Relationship to CICL:
    B. The Case
    Nature of the Offense:
    Date of Contract Signing:
    Agreed Day of Termination:
    Results
    Type/Nature of (Include CICL’s Compliance Recommendation
    Intervention Activity As well as Hindering and
    Facilitating Factors)
    1.
    2.
    3.
    4.
    5.
    6.
    7.

    ________________________
    Name and Signature of the Social Worker

    CERTIFICATION OF FAILURE OF DIVERSION


    This is to certify that ________________________________________________ who
    committed the offense ___________________________________________________ has
    failed to comply with the diversion contract to which he/she entered into with the

    [ ] Katarungang Pambarangay
    [ ] Law Enforcement Officer
    [ ] Local Social Welfare and Development Officer
    [ ] Prosecutor

    due to the following reasons:


    1. _____________________________________________________
    2. _____________________________________________________
    3. _____________________________________________________

    This certification is issued on __________________________________.

    __________________________
    Social Worker

    PAGPAPATUNAY

    Ito ay nagpapatunay na si _____________________________________________ na


    nagkasala sa batas ng ______________________________________.

    [ ] Katarungang Pambarangay
    [ ] Law Enforcement Officer
    [ ] Local Social Welfare and Development Officer
    [ ] Prosecutor

    dahil sa sumusunod na kadahilanan:

    1. _____________________________________________________
    2. _____________________________________________________
    3. _____________________________________________________

    Ang pagpapatunay na ito ay ibinigay ngayong ________________________.

    ______________________________
    LSWDO
    DIVERSION PROGRAM TERMINAL REPORT
    Date:
    A. Basic Information
    Name of the CICL
    Date of birth: Age: Sex:
    School: Grade/Level:
    Address:
    Father: Mother:
    Guardian: Relationship to CICL:
    Telephone/Mobile Number:
    Offense Committed:
    B. The Offended Party:
    Name: Age: Sex:
    Address:
    Telephone/Mobile Number:
    C. Summary of the Case/Offense:

    D. Type of Diversion Program:

    E. Assessment and Final Result of the Diversion Program Implementation (include


    observable changes in the changes in the child’s behavior):

    F. Further Recommendations:

    Prepared by: ________________________


    Name and Signature of the Social Worker

    LGU/Region _______________________________________ Quarter/Year ______________


    I. STATISTICAL REPORT. This statistical report is cumulative, meaning previous cases
    will be added to the current reporting period.

    A. Types of Crimes Committed by CICL

    Age of CICL
    # CASES Above Total
    TYPES OF CRIMES 15 yrs. 16 yrs. 17 yrs.
    M F M F M F M F

    B. Diversion Programs for CICL


    Number
    by sex Status
    Types of Diversion Ongoing Terminated
    Program # # Not Remarks
    Complied Complied
    M F M F M F M F
    1. Restitution of property

    2. Reparation of damaged
    caused
    3. Indemnification for
    consequential damage
    4. Written/Oral Apology

    5. Confiscation &
    forfeiture of proceeds
    and instrument
    6. Care, guidance and
    supervision orders
    7. Counseling

    8. Attendance in trainings
    & seminars
    a. Anger management

    b. Problem solving and


    conflict resolution
    c. Values formation

    d. Others

    9. Participation in
    community-based
    programs & services
    10. Others

    Total

    Under column for remarks, indicate the number of cases terminated due to non-compliance
    and referred to the next level for another round of diversion proceeding/program.
    C. Support Services Provided to Both the CICL and Victim

    Support # of # of Funds Responsible Status


    Services Benes. Services Utilized Agency (ongoing/done) Effects

    Under the 4th column (Funds Utilized), monetize non-monetary services/activities like
    technical assistance, venues, etc., and indicate under the 5 th column (Responsible Agency),
    specific agency that provided the service/implement the activity.

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