Fill and Sign the Fca1035 10361055 Form 10 7c New York State Unified

FCA § 1035(b), 1036Form 10-7a[NOTE: May be served outside New York State](Summons-Child Abuse Case)(8/2010)FAMILY COURT OF THE STATE OF NEW YORKCOUNTY OF _______________________________......................................................................................In the Matter of Docket No.________SUMMONSCIN # (CHILD ABUSE CASE)Respondent(s)......................................................................................NOTICE:IF YOUR CHILD STAYS IN FOSTER CARE FOR 15 OF THE MOST RECENT22 MONTHS, THE AGENCY MAY BE REQUIRED BY LAW TO FILE APETITION TO TERMINATE YOUR PARENTAL RIGHTS AND MAY FILEBEFORE THE END OF THE 15-MONTH PERIOD. IF SEVERE OR REPEATEDABUSE IS PROVEN BY CLEAR AND CONVINCING EVIDENCE, THISFINDING MAY CONSTITUTE THE BASIS TO TERMINATE YOURPARENTAL RIGHTS. IF THE PETITION IS GRANTED, YOU MAY LOSEYOUR RIGHTS TO YOUR CHILD AND YOUR CHILD MAY BE ADOPTEDWITHOUT YOUR CONSENT. BY ORDER OF THE FAMILY COURT OF THE STATE OF NEW YORK TO THE ABOVE-NAMED RESPONDENT(S), who reside(s) or (is)(are) found at [specifyaddress(es)]:and to [specify name(s) and address(es)]:(A)(P)(p)etition(s) under Article 10 of the Family Court Act having been filed with this Court,and annexed heretoYOU AND EACH OF YOU ARE HEREBY SUMMONED to appear before this Courtat_________________________, New York, on _____________________, _____, at ______ o’clockin the G morning Gafternoon of that day to answer the petition and to be dealt with in accordancewith Article 10 of the Family Court Act.On your failure to appear as herein directed, a warrant may be issued for your arrest.Dated:_______________, __.__________________________________________Clerk of Court