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Jdf 567 Form
______ Courtroom _______
AMERICAN INDIAN/ALASKA NATIVE INDIAN CHILD WELFARE ACT (ICWA)
ASSESSMENT FORM PURSUANT TO §19-1-126, C.R.S.
This form is part of an ongoing inquiry and should be completed by the caseworker after gathering information
from a knowledgeable parent, guardian or family member on behalf of a child whose tribal status is in question.
The information should be reviewed and updated periodically throughout the case. One form per child must be
completed.
Section I: Information...
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