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Affidavit In Support Of Order To Show Cause By Agency To Return Youth To Foster Care PH-7c - New York
| Affidavit In Support Of Order To Show Cause By Agency To Return Youth To Foster Care Form. This is a New York form and can be used in Permanency Hearing Family Court Statewide . |
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F.C.A.ยง1091 Form PH-7c (Affidavit in Support of Order to Show Cause by Agency to Return Youth to Foster Care) 8/2010 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ....................................................................................... In the Matter of Docket No. AFFIDAVIT IN SUPPORT OF ORDER TO SHOW CAUSE BY AGENCY TO RETURN YOUTH TO FOSTER CARE CIN # A Child under 21 Years of Age Who Was Discharged From Foster Care ....................................................................................... ) )ss.: COUNTY OF NEW YORK ) STATE OF NEW YORK I, [name]: , swear the following to be true under the penalties of perjury: 1. I am [state title/position and agency]: and am making this affidavit in support of an Order to Show Cause for an order for the above-named former foster youth to return to foster care. 2. The above-named youth, who was born on [specify date of birth]: was discharged from foster care on [specify date]: At that time, the youth was 18 years of age or older and did not consent to remain in foster care. 3. The above-named youth has consented to return to foster care and has no reasonable alternative to foster care because [specify, including any relevant facts and circumstances]: 4. [Check applicable box]: The youth has consented to enroll in and attend an appropriate educational or vocational program and has agreed to cooperate with referrals made to assist in enrolling in such a program. OR It would be unnecessary or inappropriate for the youth to attend an educational or vocational program because [specify]: 5. Continuation of the above-named youth's final discharge from foster care would be contrary to his or her best interests and return of the youth to foster care is compelled by the following reason(s) [specify]: This assertion is based upon the following information [check applicable box(es)]: Permanency report, sworn to on [specify date]: American LegalNet, Inc. www.FormsWorkFlow.com Form PH-7c Case record, dated [specify]: The report of [specify]: Testimony of [specify]: Other [specify]: , dated: , on [specify date]: Page 2 6. Reasonable efforts, where appropriate, to prevent or eliminate the need for the abovenamed youth to return to foster care [check applicable box and state reasons as indicated]: were made as follows [specify]: were not made, (because [specify reason if efforts would have been inappropriate]: ). This assertion is based upon the following information [check applicable box(es)]: Permanency report, sworn to on [specify date]: Case record, dated [specify]: The report of [specify]: , dated: Testimony of [specify]: , on [specify date]: Other [specify]: 7. [Check box if applicable]: This Court should enter an order immediately returning the above-named youth to foster care pending a decision on this motion because [specify reason(s)]: 8. No previous application has been made to any court or judge for the relief herein requested [check box if applicable]: except [specify, including any prior motions to return to foster care]: WHEREFORE, I respectfully request that this Court issue an Order returning the above-named youth to foster care and for such other and further relief as it may deem proper. Dated , . ______________________________________ Signature of Agency Official or Caseworker ______________________________________ Print or Type Name Sworn to before me this day of , (Deputy) Clerk of the Court Notary Public _____________________________________ Signature of Attorney, if any ______________________________________ Attorney's Name (print or type) ______________________________________ ______________________________________ ______________________________________ Attorney's Address and Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com
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