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Order Of Disposition On Dependency JU 03.0410 - Washington
| Order Of Disposition On Dependency Form. This is a Washington form and can be used in Dependency Juvenile Court Statewide . |
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SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT No: Dependency of: Order of Disposition on Dependency (ORDD) [ [ [ [ ] Agreed as to [ ] mother [ ] father [ ] other ] Contested as to [ ] mother [ ] father [ ] other ] Default as to [ ] mother [ ] father [ ] other ] Clerk's Action Required. Paragraphs 3.4, 3.9 D.O.B.: The court will hear [ ] interim review [ ] dependency review [ ] permanency planning [ ] ________________________ [type of hearing] on [date] ______________________ at _________________ a.m./p.m. at: ________________________________________________ Court, Room/Department: _________________, located at:________________________________________ ___________________________________________________________________________________ . I. Hearing 1.1 Dependency: The court found the above-named child to be dependent on _______________________ [date]. Hearing: The court held a disposition hearing on _______________________________ [date]. Appearance: The following persons appeared at the hearing: [ [ [ [ [ [ [ [ 1.4 ] ] ] ] ] ] ] ] Child Mother Father Guardian or Legal Custodian Child's GAL/CASA DSHS/Supervising Agency Worker Tribal Representative Interpreter for [ ] mother [ ] father [ ] other ___________________ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] Child's Lawyer Mother's Lawyer Father's Lawyer Guardian's or Legal Custodian's Lawyer GAL's Lawyer Agency's Lawyer Current Caregiver Other ___________________________ 1.2 1.3 Basis: [ ] The court heard testimony [ ] The parties submitted an Agreed Order Or of Disposition on Dependency (ORDD) - Page 1 of 8 WPF JU 03.0410 (03/2012) - JuCR 3.8; RCW 13.34.110, .130, .132 American LegalNet, Inc. www.FormsWorkFlow.com [] The child is 12 years old or older and the court made the inquiry required by RCW 13.34.100(6). Or of Disposition on Dependency (ORDD) - Page 2 of 8 WPF JU 03.0410 (03/2012) - JuCR 3.8; RCW 13.34.110, .130, .132 American LegalNet, Inc. www.FormsWorkFlow.com II. Findings and Conclusions Except where otherwise indicated, the following facts have been established by a preponderance of evidence: 2.1 Child's Indian status: The petitioner [ ] has [ ] has not made a good faith effort to determine whether the child is an Indian Child. [] Based upon the following, the child is not an Indian child as defined in Laws of 2011, ch. 309, § 4, and the federal and Washington State Indian Child Welfare Acts do not apply to these proceedings: . [] The child is an Indian child as defined in Laws of 2011, ch. 309, § 4, and the federal and Washington State Indian Child Welfare Acts do apply to these proceedings: . [] The facts establish by clear, cogent and convincing evidence, including the testimony of a qualified expert witness, that continued custody of the child by the [ ] mother [ ] father [ ] Indian custodian is likely to result in serious emotional or physical damage to the child. DSHS/Supervising Agency made active efforts by actively working with the parent, parents, or Indian Custodian to engage them in remedial services and rehabilitative programs to prevent the breakup of the Indian family beyond simply providing referrals to such services, but those efforts have been unsuccessful. [] [] The petitioner [ ] has [ ] has not provided notice of these proceedings as required by Laws of 2011, ch. 309, §7 and the federal Indian Child Welfare Act to all tribes to which the petitioner or court knows or has reason to know the child may be a member or eligible for membership. 2.2 Placement: [] The child should be placed or remain in the home of the [ ] mother [ ] father [ ] legal custodian [ ] guardian. It is currently contrary to the child's welfare to return home. The child should be placed or remain in the custody, control and care of DSHS/Supervising Agency for the following reasons: [] [] [] there is no parent or guardian available to care for the child; the parent or guardian is unwilling to take custody of the child; the court finds by clear, cogent and convincing evidence that a manifest danger exists that the child will suffer serious abuse or neglect if the child is not removed from the home, and an order under RCW 26.44.063 will not protect the child from danger. [] [] The child should be placed or remain in: [] [] relative placement. placement with a suitable person and such placement is in the child's best interests. [] placement with an adoptive parent or other person with whom the child's siblings or half-siblings live. [] licensed care: Or of Disposition on Dependency (ORDD) - Page 3 of 8 WPF JU 03.0410 (03/2012) - JuCR 3.8; RCW 13.34.110, .130, .132 [] [ ] pending completion of DSHS/Supervising Agency investigation of relative placement options. [ ] because there is no relative, or other suitable person who is willing, appropriate, and available to care for the child, with whom the child has a relationship and is comfortable. [ ] because there is reasonable cause to believe that relative placement would jeopardize the safety or welfare of the child; and/or hinder efforts to reunite the parent(s) and child. The child is an Indian child as defined in Laws of 2011, ch. 309, §4 and this placement complies with the placement priorities in Laws of 2011, ch. 309, §18, and 25 U.S.C. §1915. 2.3 Reasonable Efforts: [] DSHS/Supervising Agency made reasonable efforts to prevent or eliminate the need for removal of the child from the child's home; but those efforts were unsuccessful because: [] [] The health, safety, and welfare of the child cannot be adequately protected in the home. Specific services have been offered or provided to the parent(s), guardian or legal custodian and have failed to prevent the need for out-of-home placement and make it possible for the child to return home. The following services have been offered or provided to the child and the child's parent(s), guardian or legal custodian: [] as listed in the social study (ISSP); and/or [] _______________________________________________________ _______________________________________________________ ______________________________________________________. [] housing assistance, if applicable. The whereabouts of the [ ] mother [ ] father [ ] alleged father [ ] guardian or [ ] legal custodian are unknown. Other: ________________________________________________________ ________________________________________________________. [] [] [] Reasonable efforts are not required at this time to attempt to reunify the child with his/her parent(s), guardia
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