Georgia > Statewide > Juvenile Court > Deprivation Orders
Order For Shelter Care - Georgia
| Order For Shelter Care Form. This is a Georgia form and can be used in Deprivation Orders Juvenile Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
____________ COUNTY JUVENILE COURT FILED IN THE CLERKS OFFICE ON ____ DAY OF _______________, 20___ . C LERK/DEPUTY CLERK IN THE JUVENILE COURT OF _______________ COUNTY STATE OF GEORGIA IN THE INTEREST OF: __________________________________ SEX: ____ DOB: ______________ CASE # ________________________ __________________________________ SEX: ____ DOB: _____________ CASE # ________________________ __________________________________ SEX: ____ DOB: _____________ CASE # ________________________ __________________________________ SEX: ____ DOB: _____________ CASE # ________________________ Child(ren) Under 18 Years of Age ORDER FOR SHELTER CARE A complaint has been made to the Court concerning the above-named child(ren). The Court finds from information brought before it that continuation in the home at this timwould be contrare y to the welfare of said child(ren) and it is necessary for the protection of said child(ren) that that he/she/they be placed in shelterb cecaareu se ___________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ The Court also finds that pursuant to Offic Codial e of Georgia Ann. Section 15-11-58(a): ( ) reasonable efforts have been made by the Department to preserve and reunify the family prior to the placement of the child(ren) in foster care, to prevent or eliminate the nefored removal of the child(ren) from the child(ren)s home and to make it possible for said child(ren) to remain safely in the homto wite,: ________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ( ) reasonable efforts by the Department to preserve and reunify the family prior to the placement of the child(ren) in foster care, to prevent or eliminate the need for removal of the ild(ren) from the child(ren)chs home and to make it possible for said child(ren) to remain safely in the homewe re not required pursuant to O.C.G.A. Section 15-11-58 (a)(4) (A-C) because: ___________________________________________________________________________________________ ( ) the Department failed tomake reasonable effor ts to preserve and reunifthey fam ily prior to the placement of the child(ren) in foster care, to prevent or elime tinhate need for removal of the child(ren) from the child(ren)s home ano mad tke it possible for said child(ren) to remfelainy s in thae home. The followingfforts would e have been reasonable prtoevent or eliminate the need for removal: _________________________________________________________________________ IT IS THEREFORE ORDERED that said child(ren) be placed in the custody of _____________________________________ until further Order of the Court or until released by a person dulyo aurized bthy the Court. Said child(ren) is/are being placed pursuant to Official Code of Georgia Ann. Section 15-11-46 for the following reasons: ( ) to protect the person or property of others or of the child(ren); ( ) the child(ren) may abscond or be removed from the jurisdiction of the court; ( ) because he/she/they has/have no parent, guardian, or custodian or other person able to provide supervision and care for him/her/them and return him/her/them to the Court when required; ( ) an Order for his/her/their detention or shelter has b care een made by the Court pursuant to the Juvenile Proceedings Code. Pursuant to O.C.G.A. Section 15-11-48(f), the Court approves the following physical plement ofac the child(ren):________________ ________________________________ pending the 72 Hour Hearing on __________________________ at ____________, ____.m. It is further ordered that the custodian be and hereby is authorized to obtain a phical ysexamination, ordinary medical care,nd s a uch additional medical treatment and care which, in the opinion of a licensed physician, requires prompt treatment for the csaid are of child(ren) while said child(ren) is/are in his/her/its custody. ORDERED AND ADJUDGED this _______ day of __________________________, 20____. JUDGE ______________ County Juvenile Court
|
|||||||
