Washington > Statewide > Juvenile Court > Termination Of Parent-Child Relationship
Petition For Termination Of Parent Child Relationship JU 04.0100 - Washington
| Petition For Termination Of Parent Child Relationship Form. This is a Washington form and can be used in Termination Of Parent-Child Relationship Juvenile Court Statewide . |
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SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT In Re: No: Petition for Termination of Parent-Child Relationship (PTPCR) D.O.B.: Except for the mandatory identification paragraphs, the Juvenile Referral Number text box, and the Indian Status Paragraph below, there is no pattern form petition for termination of parental rights. 1.1 Identification of the Child: [ ] male [ ] female Name Date of Birth Home Address 1.2 Identification of the Parent(s): [ ] Mother Name Date of Birth Marital status Driver's License or Identicard (# and State) Home Address 1 [ ] Father [ ] presumed [ ] alleged 2 [ ] single [ ] married [ ] other [ ] single [ ] married [ ] other [ ] Father [ ] presumed [ ] alleged Name Date of Birth Marital status Driver's License or Identicard (# and State) Home Address 3 [ ] Father [ ] presumed [ ] alleged 4 [ ] single [ ] married [ ] other [ ] single [ ] married [ ] other FOR OFFICIAL USE ONLY Juv. Ref. No: ____________________________ PT/Term of Parent-Child Relationship (PTPCR) - Page 1 of 3 WPF JU 04.0100 (07/2011) - JuCR 4.1, 4.2; RCW 13.34.030, .130, .180 American LegalNet, Inc. www.FormsWorkFlow.com 1.3 Child's Indian status: The petitioner has made the following efforts 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: . [] Based upon the following, 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 petitioner has 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 knows or has reason to know the child may be a member or eligible for membership. . [The Washington Pattern Forms Committee believes that a petition to terminate a parent-child relationship should receive individualized attention due to the seriousness of the proceeding. JuCR 4.2(a) states that a termination petition shall conform to the requirements of JuCR 3.3, shall be verified and shall state the facts which underlie each of the allegations required by RCW 13.34.180. Pursuant to JuCR 3.3 the petition must: (a) identify the juvenile; (b) identify the juvenile's parent, guardian or custodian; (c) state whether the juvenile is a member of an Indian tribe; (d) state the statutory provisions that give the court jurisdiction; (e) state the facts that give the court jurisdiction; (f) request an inquiry; and (g) set forth any other information required by court rule or statute. RCW 13.34.180 provides: A petition seeking termination of a parent and child relationship may be filed in juvenile court by any party to the dependency proceedings concerning that child. Such petition shall conform to the requirements of RCW 13.34.040 and shall allege: 1) That the child has been found to be a dependent child; 2) That the court has entered a dispositional order pursuant to RCW 13.34.130; 3) That the child has been removed or will, at the time of the hearing, have been removed from the custody of the parent for a period of at least six months pursuant to a finding of dependency; 4) That the services ordered under RCW 13.34.136 have been expressly and understandably offered or provided and all necessary services, reasonably available, capable of correcting the parental deficiencies within the foreseeable future have been expressly and understandably offered or provided; 5) That there is little likelihood that conditions will be remedied so that the child can be returned to the parent in the near future; and 6) That continuation of the parent and child relationship clearly diminishes the child's prospects for early integration into a stable and permanent home. 7) In lieu of the allegations in subsections (1) through (6) the petition may allege that the child was found under such circumstances that the whereabouts of the child's parent PT/Term of Parent-Child Relationship (PTPCR) - Page 2 of 3 WPF JU 04.0100 (07/2011) - JuCR 4.1, 4.2; RCW 13.34.030, .130, .180 American LegalNet, Inc. www.FormsWorkFlow.com are unknown and no person has acknowledged paternity or maternity and requested custody of the child within two months after the child was found. 8) In lieu of the allegations in subsections (2) through (6) the petition may allege that the parent has been convicted of: (a) murder in the first degree, murder in the second degree, or homicide by abuse as defined in Chapter 9A.32 RCW against another child of the parent; (b) manslaughter in the first degree or manslaughter in the second degree, as defined in Chapter 9A.32 RCW against another child of the parent; (c) attempting, conspiring, or soliciting another to commit one or more of the crimes listed in (a) or (b); or (d) assault in the first or second degree, as defined in Chapter 9A.36 RCW, against the surviving child or another child of the parent.] PT/Term of Parent-Child Relationship (PTPCR) - Page 3 of 3 WPF JU 04.0100 (07/2011) - JuCR 4.1, 4.2; RCW 13.34.030, .130, .180 American LegalNet, Inc. www.FormsWorkFlow.com
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