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Order Authorizing Continued Shelter Care JU 02.0220 - Washington
| Order Authorizing Continued Shelter Care Form. This is a Washington form and can be used in Shelter Care Juvenile Court Statewide . |
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SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT Dependency of: No: Order Authorizing Continued Shelter Care (OACSC) D.O.B.: I. Basis 1.1 1.2 A Dependency Petition was filed on ____________________________ [date]. [] A law enforcement officer took the child into custody pursuant to RCW 26.44.050 on ________________________________ [date] The child was taken into custody pursuant to RCW 13.34.050 on _________________ [date]. The court signed a shelter care order on _______________________ [date] and a new shelter care order is needed pursuant to RCW 13.34.065(7)(a). [] [] II. Findings There is reasonable cause to believe that the requirements of RCW 13.34.065 have been satisfied and that the child should remain in shelter care pending the shelter care hearing scheduled for _______________________ [date] or a shelter care hearing held upon the request of any party or by the court. III. Order 3.1 The child shall remain in shelter care under the supervision of ____________________________ [DSHS/Supervising Agency] which may authorize evaluations of the child's physical or emotional condition, routine medical and dental examination and care, and all necessary emergency care. All previous orders shall remain in effect insofar as they are consistent with this order. 3.2 Or Auth Continued Shelter Care (OACSC) - Page 1 of 3 WPF JU 02.0220 (11/2009) - JuCR 2.1, 2.2, 2.5; RCW 13.34. 065 American LegalNet, Inc. www.FormsWorkFlow.com 3.3 Other: Dated: _______________________________________ Judge/Commissioner Presented by: Signature Print Name/Title WSBA No. Copy Received. Approved for entry, notice of presentation waived. Signature of Child [ ] Signature of Child's Lawyer Print Name WSBA No. [ ] Signature of Mother [ ] Pro Se, Advised of Right to Counsel [ ] Signature of Mother's Lawyer Print Name WSBA No. [ ] Signature of Father [ ] Pro Se, Advised of Right to Counsel [ ] Signature of Father's Lawyer Print Name WSBA No. [ ] Signature of Guardian or Legal Custodian [ ] Pro Se, Advised of Right to Counsel [ ] Signature of Guardian or Legal Custodian's Lawyer Print Name WSBA No. [ ] Signature of Child's GAL [ ] Signature of Lawyer for the Child's GAL Print Name Print Name WSBA No. Or Auth Continued Shelter Care (OACSC) - Page 2 of 3 WPF JU 02.0220 (11/2009) - JuCR 2.1, 2.2, 2.5; RCW 13.34. 065 American LegalNet, Inc. www.FormsWorkFlow.com Signature of Agency Representative Signature of Agency Representative's Lawyer Print Name Print Name WSBA No. [ ] Signature of Tribal Representative [ ] Signature Print Name Print Name WSBA No. Lawyer for _______________________ Or Auth Continued Shelter Care (OACSC) - Page 3 of 3 WPF JU 02.0220 (11/2009) - JuCR 2.1, 2.2, 2.5; RCW 13.34. 065 American LegalNet, Inc. www.FormsWorkFlow.com
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