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If it were me I'd send a polite email that included the worker and supervisor that states you've been waiting around 4 months to have the homestudy finished. You've recently sent two email and left a voice mail to follow up and ask if there is anything missing or if they need any additional information to follow up.
If they are otherwise a great agency and it's just a hold up with one worker... even though it is a critical person in the process of getting licensed and then you might be done with that person, I wouldn't burn any bridges or cause any negative feelings.
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With the same amazing man for 15yrs 
Mom to a wild and crazy bunch: 
 Adopted - A1 - 9 yrs (adopted Oct 2005)
Adopted - A2 - 5yrs (adopted Dec 2006)
 Biological - T - 1 yr (born 7-29-08)
:Exchange student - K - 17yrs
Former foster child (lives with me during the week) - M - 13yrs (foster child from age 6yrs to 11yrs)
Total of 104 foster children and 4 foreign exchange students at last count. 
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