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Jv 420 Form
Stated in Welf. and Inst. Code, § 361 regarding the persons specified
below (check all that apply):
361(c)(1) 361(c)(2) 361(c)(3) 361(c)(4) 361(c)(5)
a.
b.
c.
d.
e.
f.
Mother
Presumed father
Biological father
Legal guardian
Indian custodian
Other (specify):
The child
is
may be an Indian child, and, by clear and convincing evidence, including the testimony of a
qualified expert witness, continued physical custody by the following person is likely to cause the child serious emotional...
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