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Serious Emotional Damage 300(c) JV-122 - California

Serious Emotional Damage 300(c) Form. This is a California form and can be used in Juvenile Judicial Council .
 Fillable pdf Last Modified 1/3/2007
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JV-122 CHILD'S NAME: CASE NUMBER: SERIOUS EMOTIONAL DAMAGE § 300(c) The child is suffering, or is at substantial risk of suffering, serious emotional damage evidenced by severe anxiety, depression, withdrawal, or untoward aggressive behavior toward self or others as a result of the conduct of the parent or guardian. because the child has no parent or guardian capable of providing appropriate care. (State supporting facts concisely and number them c-1, c-2, c-3, etc.): Page Form Approved for Optional Use Judicial Council of California JV-122 [Rev. January 1, 2007] of SERIOUS EMOTIONAL DAMAGE § 300(c) Welfare and Institutions Code, § 300; Cal. Rules of Court, rule 5.504 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com
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