Welcome to your Circuit 20 Resource Page. Here you will find various forms, tools, community resources and contacts specific to child welfare staff in Charlotte, Collier, Glades, Hendry, and Lee Counties. We encourage you to check back here often to view forms and resources that have been recommeded for this page by your local administrators.


Circuit 20 Key Contacts


Lisa Mayrose
Suncoast Regional Director Circuit 6, 12, 13, 20)
9393 North Florida Avenue
Tampa, fl 33612-7907
(813) 337-5910
Aaron Stitt
SunCoast Circuit 20 Community Development Administrator
2295 Victoria Avenue
Fort Myers, FL 33901
(239) 895-0231
Nadereh Salim, CEO
Children's Network of SW Florida
2232 Altamont Avenue
Fort Myers, Fl 33901
(239)226-1524

Circuit 20 Resources and Information


Community Resources Listings
Charlotte County (May'11)
Collier County (May'11)
Glades county (May'11)
Hendry County (May'11)
Lee County (May'11)
211 Directory
Resource Guide (July'11)
Memos & Forms
Alleged Perpetrator Letter
At-Risk Child Care Application and Authorization Form
Authorization to Release Medical Information Form
Behavioral Education and Therapy (BET) Referral Form
Collier Local Request Form
Collateral Matrix (Mar'11)
Emergency Intake Form
EPSDT Form
Investigation Criminal History Record Check Request Form
Letterhead
Local Records Request Form
MDS Staffing Form
Medical Records Request Form
Memo: Utilization of Collateral Contacts in Protective Investigations (3-23-11)
Quality of Life Referral Form
Southwest Florida Addiction Services Referral Form
Other Documents
Child Abuse Prevention and Permanency Plan for Circuit 20 (CAPP, 2010 - 2015)
DJJ/APD/CMS/DCF/CNSFL Interagency Agreement (2009)
(ROP 215-4)Incident Reporting and Client Risk Prevention (Jun'11)

Additional Center Resources

CBC Lead Agency Operations, Adoptions and Program Contacts
Local Services Directory (Charlotte, Collier, Glades, Hendry, Lee)
Local Services Directory (SunCoast Region)
School Schedules (All Counties)
School Schedules - Charlotte County
School Schedules - Collier County
School Schedules - Glades County
School Schedules - Hendry County
School Schedules - Lee County