Fill and Sign the California Notice Hearing 497299256 Form

––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– ––––– ––––– –– ––––– –– ––––– –– ––––– –– –– ––––– ––––– ––––– –– JV- 540 CHILD'S ATTORNEY (Name and Address): FOR COURT USE ONLY TELEPHONE NO. (Optional): E-MAIL ADDRESS (Optional): FAX NO. (Optional): CHILD'S NAME SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME CASE NUMBER NOTICE OF HEARING ON JOINDER- JUVENILE 1. Child's name: 2. Date of birth: 3. The child is under dependenc y delinquenc y jurisdictio n. The court may make any and all reasonable orders for the child's care, supervision, custody, conduct, maintenance, and support, including medical treatment. In order to facilitate coordination and cooperation among agencies, the court may join, after notice and the opportunity to be heard, any agency or private service provider that has failed to meet a legal obligation to provide services to the child. A private service provider is an agency or individual receiving federal, state, or local government funding or reimbursement for providing services to dependent children or wards of the court. 4. A hearing on joinder will be held in this court as follows: a. Date: Tim e: Dep t.: Roo m: Div .: b. Address of court: is shown above. other (specify): 5. The name of the person and/or agency to be joined is: 6. Facts supporting the allegation that the person or agency to be joined has failed to meet a legal obligation to provide services to the child (specify): Continued in the attached declaration. Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California JV-540 [New January 1, 2002] NOTICE OF HEARING ON JOINDER- JUVENILE Welfare & Institutions Code, §§ 362, 727electronic form ã 2001 WWW.LawCA.com Law Publishers ––––– ––––– ––––– –– –– –––––- CHILD'S NAME: CASE NUMBER 7. The court poses the following questions to the individual or agency regarding services provided to the child: 8. The court requests: a . That agency representatives meet prior to the hearing to coordinate services and address any alleged failure to meet legal obligations to the child. b . That the agency submit a written response to the court at least five court days prior to the hearing. Dat e: JUDICIAL OFFICER JV-540 [New January 1, 2002] NOTICE OF HEARING ON JOINDER- JUVENILE Page 2 of 2electronic form ã 2001 WWW.LawCA.com Law Publishers