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Dependency Motion For Transfer JC-E-325 - California

Dependency Motion For Transfer Form. This is a California form and can be used in Juvenile Court Sacramento Local County .
 Fillable pdf Last Modified 5/2/2006
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FOR COURT USE ONLY SACRAMENTO COUNTY DHHS Telephone no: (916) 875-XXXX Fax no: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO STREET ADDRESS: 3341 Power Inn Road MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CHILD'S NAME: Sacramento, California 95826 Sac. County Juvenile Court CASE NUMBER: DEPENDENCY MOTION FOR TRANSFER (Social Worker is to call the court department clerk and get a date/time for a hearing if transfer-out is being recommended in-between hearings) Date: Time: Dept: 1. Disposition not yet ordered Disposition ordered on: Long term placement ­ The Department in the proposed transfer in county has agreed the transfer is in the best interest of the child. 2. Transfer in County: County receiving transfer is a member of the local protocol. 3. Reasons for transfer (including why this is in the best interest of the child): . 4. The parents'/legal guardian's address was confirmed by Name: Street Address: City, State, Zip Telephone: (name), (title), in County as: 5. Last Sacramento school district: Child has an IEP. 6. The proposed transfer-in county can offer the following services (check all that apply): Alcohol and Drug treatment program Drug testing DEPENDENCY MOTION FOR TRANSFER Name Court no. JC\E-325 3/06 American LegalNet, Inc. www.USCourtForms.com Parenting classes Counseling: Family/Individual Counseling: Anger Management/Domestic Violence 7. Educational Services Counseling: Sexual Abuse/Offender Other (specify): . The applicability of the Indian Child Welfare Act has been determined. See minute order dated 8. Paternity has been determined. See minute order dated Not Applicable . 9. A Welfare and Institutions Code section 241.1 determination has been made. See minute order dated Not Applicable . 10. The petitioner has notified the following parties and attorneys of the requested transfer (state names of persons notified and relationship to the child or the case): Mother's Attorney: Father's Attorney: Child's Attorney: County Counsel: Other Attorney: Other Attorney: Date of Notice: Date of Notice: Date of Notice: Date of Notice: Date of Notice: Date of Notice: Social Worker: (print or type name) Social Worker: ___________________________________ Date: _______________ Social Worker Supervisor: (print or type name) Social Worker Supervisor: _________________________________ Date: _______________ Name Court no. JC\E-325 3/06 DEPENDENCY MOTION FOR TRANSFER American LegalNet, Inc. www.USCourtForms.com
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