S-19 PRS Referral - UC Portal

Post-Release Services (PRS) Referral (Form S-19)

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system-generated

system-generated

system-generated

• Level 1

• Level 2

• Level 3

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Populates when “PRS-TVPRA” is selected

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system-generated

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system-generated

system-generated

• Victims of Trafficking (TVPRA)

• American Disability Act (TVPRA)

• Physical or Sexual Abuse by Caregiver (TVPRA)

• Sponsor Risk (TVPRA)

• 12 and Under Going to Non-Relative Sponsor (ORR Mandated)

• Non-Relative Sponsor Multiple Sponsorship (ORR Mandated)

• ORR Discretionary

• RTC Placement

• Medically Fragile

• Pregnant

• Parenting

• Tender Age

• Sibling Group

• Related

List of all home study providers

Populates when “PRS” is selected

auto-populated

auto-populated

system-generated

system-generated

system-generated

• 12 and Under Going to Non-Relative Sponsor - ORR Mandated Home Study

• Non-Relative Sponsor Multiple Sponsorship - ORR Mandated Home Study

• ORR Discretionary Home Study

• UC Going to Non-Relative Sponsor - ORR Mandated No Home Study

• Other - No Home Study

system-generated

• RTC Placement

• Medically Fragile

• Pregnant

• Parenting

• Tender Age

• Sibling Group

• Related

Populates when either “PRS-TVPRA” or “PRS” is selected

system-generated