Fill and Sign the Colorado Home Order Form

 District Court  Denver Juvenile Court ___________________________________County, Colorado Court Address: THE PEOPLE OF THE STATE OF COLORADO In the interest of: _________________________________________ Child(ren) and Concerning _________________________________________ Respondent(s)  COURT USE ONLY  Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom D & N PERIODIC REVIEW OF OUT-OF-HOME PLACEMENT ORDER This matter came before the Court on the ______________________ day of___________________, 20______. The Court having reviewed the file and evidence in this matter and being otherwise sufficiently advised in the premises FINDS: _________________ Continued out of home placement is necessary and appropriate and is in the best interests of the child(ren). _________________ The child(ren) has/have been placed in the least restrictive placement available which can effectively meet (his) (her) (their) needs. _________________ The services provided to the family and the child(ren) by the ________________County Department of Social Services are appropriate. _________________ Reasonable efforts have been made to safely reunify the child(ren) and (his) (her) (their) family. OR Reasonable efforts to return the child(ren) to the home are not required because: _________________ 1) A court of competent jurisdiction has determined that the parent has been convicted of: a) Murder of another child of the parent; b) Voluntary manslaughter of another child of the parent; c) Aiding or abetting, attempting, conspiring, or soliciting to commit such a murder or such a voluntary manslaughter; d) A felony assault that results in serious bodily injury to the child or another child of the parent. _________________ 2) The parental rights of the parent with respect to a sibling have been terminated involuntarily. _________________ 3) A court of competent jurisdiction has determined that the parent has subjected the child to aggravated circumstances (as defined in State law). OR _________________ Efforts to reunite the child(ren) and (his) (her) (their) family have failed. AND _________________ Reasonable efforts have been made to find and finalize a safe and permanent placement for the child(ren). _________________ The child(ren)’s safety is protected in the placement. JDF 550 5/01 D & N PERIODIC REVIEW OF OUT-OF-HOME PLACEMENT ORDER Page 1 of 2 _________________ The extent of compliance with the case plan has been determined. _________________ The extent of progress made toward alleviating or mitigating the causes that necessitated the out of home placement has been determined. _________________ A projected date by which the child(ren) will be returned and safely maintained in (his) (her) home has been established. OR _________________ A projected date by which the child(ren) will be placed for legal guardianship has been established. OR _________________ projected date by which the child(ren) will be adopted has been established. OR _________________ A projected date by which the child(ren) will achieve another planned permanent living arrangement has been established _________________ Procedural safeguards to preserve parental rights have been applied in connection with any change in placement or any determination affecting parental visitation. _________________ The child(ren) is/are age sixteen (16) or over, and the Permanency Plan includes the services needed to assist in transitioning (him) (her) (them) to independent living. _________________ The out of state placement continues to be appropriate and in the best interests of the child(ren). THEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED: _________________ Temporary legal custody of the child(ren) continues with the _________________ County Department of Social Services. _________________ The ____________________ County Department of Social Services’ report dated _____________ is hereby incorporated by reference. _________________ The Administrative Review Findings dated ___________ are hereby incorporated by reference. _________________ The ______________County Department of Social Services shall continue to make reasonable efforts to safely return said child(ren) to (his) (her) (their) home. OR _________________ The ______________County Department of Social Services shall continue to make reasonable efforts to find and finalize a safe and permanent placement for the child(ren). _________________ This matter is set for review on _________________, 20______, at ______ (am) (pm), at which time all parties must be present. OR _________________ Periodic reviews and/or Permanency Hearings shall be conducted by the Colorado Department of Human Services as Administrative Reviews, unless a party to the action requests a court hearing, or unless the Court deems it necessary to require a hearing. Dated: ______________________________ BY THE COURT _________________________________  J UDGE  M AGISTRATE JDF 550 5/01 D & N PERIODIC REVIEW OF OUT-OF-HOME PLACEMENT ORDER Page 2 of 2