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11/18/2016

Post Residential Report

Post Residential Reports are due by the 20th of each month.

   Submit Post Residential Report

or

Submit Post Residential Report via Email, Fax, Phone, or US Mail

Download a copy of the Post Residential Report Form,
In Word, click here Word form can be filled on your computer and saved

In Adobe Reader, click here

To send via email, click on the name of your case manager below and attach your filled form. When calling, please ensure voicemails contain your name and number, the mentor report info and a preferred call back time.

Lori.Witty@omd.oregon.gov at 541-317-9623 ext. 235
Selena.Clemens@omd.oregon.gov  at 541-317-9623 ext. 234 – Platoon #3
Connie.Morgan@omd.oregon.gov at 541-317-9623 ext. 275 – Platoon #4
Deborah.Turner@omd.oregon.gov at 541-317-9623 ext. 245 – Platoon #1

To send via Fax, send your filled form to 541-382-6785.

To send your report by Phone, fill in the report form and call your case manager using the numbers above.

To send via US Mail, send your filled form to:
Oregon Youth Challenge Program
ATTN: Name of your Case Manager
23861 Dodds Rd
Bend, OR 97701