Fill and Sign the A 10342 Form

F.C.A §1034(2) Form 10-29 (Child Protective -- Order on Application for Access to Child(ren) and/or Home–Before Petition Filed) (8/2010) At a term of the Family Court of the State of New York, held in and for the County of ,at , New York, on .P R E S E N T: Hon. Judge ..................................................................... In the Matter of Docket No.A Child(ren) under the Age of ORDER ON APPLICATIONEighteen Years Alleged to be FOR ACCESS TO Abused or Neglected byCHILD(REN) AND/OR HOME (Before Petition Filed) Respondent(s) An application pursuant to section 1034(2) of the Family Court Act having been made before thisCourt [check box]: “ in person “ by telephone; And the following person(s) having participated [check applicable box(es) and specify]: “ Petitioner/Applicant/Child protective investigator [specify name, title and agency]: “ Other [specify, if any]: And the parent or other person legally responsible having been advised by the child protectiveinvestigator that, if access to the child and/or home, as applicable, was denied, the investigator may seekan immediate court order for such access; The Court finds and determines that, based upon a report of suspected abuse or maltreatment,pursuant to Article 6 of the Social Services Law, and other information learned in the child protectiveinvestigation and reported to the Court, [check all applicable box(es)]:A. “ There is reasonable cause to suspect that a child’s or children’s life or health may be indanger, but the child protective investigator was:“ unable to locate the child or other children in the household; or“ denied access to the child or children sufficient to determine his/her/their safety; B. “ There is probable cause to believe that an abused or neglected child or children may belocated on the premises, but the child protective investigator was denied access to the home toinvestigate; NOW, therefore, it is [ check applicable box(es)]: ORDERED that the application is hereby [check applicable box(es) and specify]: “ GRANTED OR “ DENIED; (and it is further) Form 10-29 Page 2 [Applicable where application has been GRANTED and FINDING ¶A, above, has been checked; check all applicable box(es) and specify]: “ ORDERED that the parent or other person legally responsible shall “ immediately at any hour “ between the hours of 6AM and 9 PMbring the following child or children [specify names]: for observation and interviews outside the presence of the parent or other person legally responsible: “ to the following Child Advocacy Center [specify name and address]:“ to the following person for an interview and observation [specify name and address ofinterview/observation location]: “ to the Petitioner/Applicant for an interview and observation as follows [specify, includingaddress of interview/observation]: [Applicable where application has been GRANTED and FINDING ¶B, above, has been checked; check all applicable box(es)]: “ ORDERED that the parent or other person legally responsible shall permit the child protectiveinvestigator to enter the home: “ immediately at any hour “ between the hours of 6AM and 9 PMin order to:“ determine whether an abused or neglected child or children is/are present; “ conduct a home study to evaluate the home environment of the child or children;(and it is further) [REQUIRED in all cases in which the application has been GRANTED; check box if applicable]: “ ORDERED that the Petitioner/Applicant shall report back to this Court within three business daysregarding what, if any, findings have been made and what, if any, actions have been taken with respect tothe child and/ or other children in the household; (and it is further) “ ORDERED that [specify]:. ENTER _____________________________________ Judge of the Family Court Dated: PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDERMUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OFCOURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. Check applicable box(es):GOrder transmitted on [specify date]:______________________ by: G facsimile G e-mailGOrder received in court on [specify date(s) and to whom given]:______________________ GOrder mailed on [specify date(s) and to whom mailed ]:_____________________________