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Order Determining Petition For Extension Of Supervision 10-28 - New York
| Order Determining Petition For Extension Of Supervision Form. This is a New York form and can be used in Child Protective Family Court Statewide . |
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F.C.A.§§ 1054, 1057 Form 10-28 (Child Protective Order Determining Petition for Extension of Supervision) (8/2010) At a term of the Family Court of the State of New York, held in and for the County of , at New York on PRESENT: Hon. Judge ........................................................................... In the Matter of CIN # A Child Under Eighteen Years of Age Alleged to be GAbused GNeglected by Docket No. ORDER DETERMINING PETITION FOR EXTENSION OF SUPERVISION 1 Respondent(s) ........................................................................... The above-named child having been adjudicated by this Court to be [check applicable box(es)]: neglected abused G severely abused G repeatedly abused within the meaning of Article 10 of the Family Court Act; And an Order of Disposition, dated [specify]: , placed Respondent [specify]: under the supervision of [specify agency]: until [specify expiration date]: released the child to the following parent or other person legally responsible [specify]: under the supervision of [specify agency]: until [specify expiration date]: [Delete if inapplicable]: And an order of this Court, dated [specify]: been issued extending the supervision for a period of __ months, terminating on [specify date]: And the petition of [specify]: the period of supervision , sworn to on [specify date]: Court on [specify date]: , having , , for an extension of having been filed in this This form should be used only for an extension of an order of supervision that had not been issued together with an order of placement. If the child was placed, the order of supervision extends until the completion of the permanency hearing on the placement and may be continued along with the placement. American LegalNet, Inc. www.FormsWorkFlow.com 1 Form 10-28 Page 2 And notice having been duly given to the following person(s), who appeared as follows: [specify]: And the matter having duly come on to be heard, and the Petitioner and above-named persons appearing having been given an opportunity to be heard, The Court, after having made an examination and inquiry into the facts and circumstances of the case and into the surroundings, conditions, and capacities of the persons involved, finds and determines the following: IT IS HEREBY ORDERED that [check applicable box]: G Good cause having been found for the extension of the period of supervision, the petition is GRANTED and the period of supervision is extended for a period of ____ months, pursuant to Section [check applicable box]: G 1054 G 1057 of the Family Court Act, terminating on [specify date]: , subject to further orders of the Court. OR G Good cause having not been found for the extension of the period of supervision, the petition is DISMISSED. [Applicable where petition to extend supervision is granted]: ORDERED that [specify Respondent(s)]: shall comply with the following terms and conditions of supervision [specify]: ORDERED that [specify Respondent(s)]: shall comply with upon the terms and conditions specified in the annexed Family Treatment Court agreement, dated [specify]: ORDERED that the child protective agency, social services official or duly authorized agency [specify]: shall provide the following services and/or perform the following supervisory actions [specify]: ORDERED that [specify Respondent(s) or other person(s) before the court]: (is)(are) required to comply with the terms and conditions specified in the order of protection, issued pursuant to Family Court Act §1056, annexed to this order and made a part thereof. G IT IS FURTHER ORDERED that, pursuant to Section 1058 of the Family Court Act, the Petitioner shall report to the Court, the parties and the attorney for the child not later than 60 days prior to the termination of the order, unless a petition for extension of the period of supervision has been filed, and [delete if inapplicable]: that during the period of supervision, pursuant to Section [check applicable box]: G 1054 G 1057 of the Family Court Act, Petitioner shall submit progress reports to the Court, the parties and the attorney for the child as follows [specify]: American LegalNet, Inc. www.FormsWorkFlow.com Form 10-28 Page 3 AND IT IS FURTHER ORDERED that [specify; delete if inapplicable]: ENTERED Judge of the Family Court Dated: PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. Check applicable box: Order mailed on [specify date(s) and to whom mailed]: Order received in court on [specify date(s) and to whom given]: American LegalNet, Inc. www.FormsWorkFlow.com
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