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FCA 661 SCPA 708 1726 Form 6 2 Guardianship

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PERMANENCY HEARING REPORT

PERMANENCY HEARING DATE CERTAIN:

Judge / Referee
Court
Part

IN THE MATTER OF:

Child’s Name Date of Birth Sex Person ID (PID) Docket Number

DATE OF REPORT PREPARATION:

All information must be current and represent an update of events and circumstances since removal or the previous Permanency Hearing

Case Name:
Law Guardian(s):
CONNECTIONS Case ID:
Attorney for Parent(s) or Person(s) Legally Responsible:
Local Case #:
Attorney for DSS/ACS:
Case Manager & Phone:
Caseworker & Phone:
Agency with Planning Responsibility:
Child Protective Worker/Monitor & Phone:

PARENTS AND PERSONS LEGALLY RESPONSIBLE

Name Relationship Associated Child(ren)

SECTION I. PERMANENCY PLAN SUMMARY

Child’s Name Current Permanency Planning Goal (PPG) PPG/Date Established Anticipated PPG

Date by which it is expected that the current or anticipated PPG will be accomplished:

Child’s Name PPG Completion Date

SECTION II. PERMANENCY PLANNING

1. If there is a plan for continuing placement for any of the children, specify the child and describe the reason placement continues to be necessary and in accordance with the best interests and safety of the child, including whether the child would be at risk of abuse or neglect if returned to the parent or other person legally responsible.

2. If there is a plan for continuing placement for any of the children, describe the efforts made since removal or the last permanency hearing, if any, to locate any absent parent or relative(s) of the children and to notify each of them of the children’s placement in foster care.

3. State whether the absent parent or relative expressed an interest in obtaining custody of or planning for any of the children, or whether any relative is interested in becoming a foster parent for any of the children. If interest has been expressed, what has been done to further any of these outcomes?

4. Describe the concurrent plan or any other permanency discharge resource being considered for each child, in the event that any of the children are unlikely to be able to return home.

5. If there is a plan for trial discharge in the next six months, specify the child, the anticipated date and explain why such discharge is safe and appropriate.

6. If there is a plan for final discharge in the next six months, specify the child, the anticipated date and explain why such discharge is safe and appropriate.

7. If the permanency plan includes trial or final discharge from foster care, describe the Discharge Plan for the children.

Describe Type of Living Arrangement:

Educational/Vocational Plan:

Health Coverage:

Follow-up Health/Mental Health Treatment Plan:

Other:

SECTION III. REASONABLE EFFORTS TO FINALIZE PERMANENCY

8. Has there been a court determination that reasonable efforts to reunify the children with their parent(s) are not required?

9. For each parent for whom the answer to Question 8 is “No” and who has not had his or her parental rights terminated or surrendered, describe the reasonable efforts that have been made since removal or the last permanency hearing to enable the children to return home safely.

10a. If the permanency planning goal is Adoption and the children are not completely legally free, describe the reasonable efforts to free the children.

10b. Are the children placed in a pre-adoptive home?

If no, describe efforts made to identify an adoptive resource.

10c. What services are anticipated in the next six months?

11a. If the permanency goal is Guardianship or Placement with a Fit and Willing Relative: describe reasonable efforts made and services provided to finalize this plan.

11b. What services are anticipated in the next six months?

12a. If the permanency goal is Another Planned Permanent Living Arrangement, provide the compelling reason.

12b. Describe how this arrangement provides the children with a significant connection to an adult.

12c. What services are anticipated in the next six months?

13. Is any child AWOL?

If yes, identify the child(ren) and describe efforts to locate the child(ren).

SECTION IV. CHILDREN’S PLACEMENT(S)

Child’s Name Physical Removal Date # of Changes in Placement Since Removal or Previous Permanency Hearing Child Currently Placed

15. Provide current information regarding the placement of each child including the name of the person(s) with whom each child is placed, changes in the placement setting, protecting factors in the current home/facility that support the children’s safety, and how this setting supports the least restrictive, most appropriate placement that addresses the needs of the children.

16. Is any child placed out of state?

If Yes, explain why it is appropriate, necessary and in the best interests of the child?

SECTION V. PARENT STATUS AND SERVICES PROVIDED

17a. Describe services offered and/or provided to each parent/person legally responsible since removal or the last permanency hearing.

17b. Describe the efforts made by each parent/person legally responsible to engage in the services, the progress made towards reunification, and any other efforts made to achieve the permanency plan.

17c. Describe any barriers to service provision.

17d. Describe any additional services anticipated in the next six months.

SECTION VI. VISITING

18. Describe the current visiting plan, including whom each child is visiting, and the frequency, duration and quality of visits.

Describe any anticipated modifications to the visiting plan in the next six months, and the reasons therefore.

SECTION VII. SERVICES PROVIDED TO CHILDREN

19. Describe all services offered and/or provided to each child since removal or the last permanency hearing and the outcomes or progress each child has made.

Child’s NameServices / Progress

Describe any additional services for each child anticipated in the next six months.

Child’s NameAdditional Services

20. If any child is age 14 or older, describe the Independent Living Skills Services provided to each child since removal or the last permanency hearing and the skills attained.

Child’s NameIndependent Living Skills

SECTION VIII. CHILDREN’S HEALTH AND WELL-BEING

21. If applicable, note the following for each child:

Significant Chronic Conditions:

Child’s NameCondition

Significant Developmental Delay:

Child’s NameDelay

Mental Health Diagnoses:

Child’s NameDiagnosis

Serious Injuries/Hospitalization:

Child’s NameInjury/Hospitalization

Current Medication:

Child’s NameMedication

22. Describe any other significant information about the children’s current health and well-being not included above.

Child’s Name Date of Last Physical Date of Last Mental Health Appointment, if applicable Date of Last Dental Appointment Date of Last Vision Screening Date of Last Hearing Screening Immunizations Up-To-Date

23. Describe any follow-up treatment or recommendations for any of the children, as a result of the above appointments/screenings.

SECTION IX. CHILDREN’S EDUCATION

24. Provide information on each child’s current grade level or program, academic progress and achievements, and any other relevant educational information.

25. Describe the steps the agency will take during the next six months to enable prompt delivery of appropriate educational and/or vocational services to each child in their current placement or in any proposed placement, if applicable or while on trial or at final discharge.

26. Complete the sections appropriate to the age-level and educational status of the child.

a. If any child is under age 3, identify the child and check which, if any, of the following criteria the child meets:

Child’s Name Criteria

If one or more criteria are met, check the appropriate boxes.

Child’s Name Referred for EI Referral Date Receiving Services Not Eligible

Describe the steps taken to refer the child to Early Intervention Services, the status of the referral and any services the child is receiving. If any child listed above has not yet been referred, explain why.

b. If any child is eligible for Pre-Kindergarten (turns age 4 before December 1st), check the appropriate boxes.

Child’s Name Pre-K Not Available Pre-K Available Not Enrolled Enrolled

If Pre-kindergarten is available and the child is NOT enrolled, describe steps taken to enroll the child.

c. If any child is age three or older and is suspected of having a disability or has been found eligible for Special Education prior to or during foster care, describe the status of the referral, the IEP related recommendations and services provided by the school.

d. If any child is school age or elects to participate in a program leading to a high school diploma, describe the steps taken to enroll the child in a program or continue in a program leading to a high school diploma.

e. If any child is over age 16/17, and the child has elected not to participate in a high school diploma program, describe the steps taken to assist the child to become employed and/or to become enrolled in an appropriate vocational program.

VERIFICATION

STATE OF NEW YORK, COUNTY OF , BEING DULY SWORN, DEPOSES AND SAYS:

that I am employed at , as a caseworker;

that I have the foregoing permanency report and know the contents thereof;

that the information is true and complete to my own knowledge, or believed to be true based upon information derived from official records and/or reports kept in the regular course of business by this social services district or voluntary authorized agency directly involved in assessment and/or service provision to the individuals that are the subject(s) of this report;

that this report is a true and complete copy of the report that was mailed to the parties 14 days prior to the date certain of the permanency hearing.

Name:

Title:

Sworn to before me this day of

Enter text✕

What the FCA 661 SCPA 708 1726 Form 6 2 Guardianship Is

The FCA 661 SCPA 708 1726 Form 6 2 Guardianship is a court-related guardianship filing used in proceedings that invoke provisions of Family Court and Surrogate’s Court practice in certain jurisdictions. It documents the petitioner, proposed guardian, protected person, and the scope of authority requested. The form standardizes identifying information, proposed powers and limitations, and supporting facts the court needs to evaluate appointment, and it is used alongside service, notice, and supporting affidavit papers in a guardianship case.

Why this Form Matters and When It Applies

Filing a correctly completed FCA 661 SCPA 708 1726 Form 6 2 Guardianship ensures the court has the statutory details needed to decide appointment, scope, and oversight. Electronic execution is acceptable under the ESIGN Act (15 U.S.C. §7001) and UETA where adopted, subject to statutory exceptions and any court-specific rules.

Why this Form Matters and When It Applies

Who Typically Prepares and Submits This Form

Guardianship filings are prepared by petitioners, attorneys, court clerks, and agency representatives according to local court rules.

  • Attorneys for petitioners preparing legal pleadings and exhibits on behalf of a proposed guardian or the protected person.
  • Family members or fiduciaries acting as petitioners when they seek appointment or modification of guardianship.
  • Court staff and social services agents assembling forms, notices, and supporting documentation for intake.

Proper completion reduces delays at filing, improves service accuracy, and supports clear court orders and subsequent case management.

Core Parts of a Professional FCA 661 SCPA 708 1726 Form 6 2 Guardianship

A complete form groups identity, authority requested, factual basis, proposed care plan, and certification. Present data clearly and attach required exhibits such as medical reports or financial statements where the court requires them.

Caption

Court name, index or docket number, and full case caption identifying petitioner and respondent or protected person.

Petitioner Details

Full legal name, relationship to protected person, mailing address, phone, and counsel details if applicable.

Proposed Guardian

Name, contact details, proposed scope of guardianship, and any limitations or co-guardian arrangements.

Scope of Authority

Specific powers requested (personal care, finances, medical decisions), with clear start and end conditions.

Factual Basis

Concise statement of incapacity or need, referenced medical or social evaluations, and supporting exhibits.

Certification

Signatures, dates, verification of service, and notary or witness blocks as required by local court rules.

Step-by-Step: Filling and Preparing the Form

Follow these sequential steps to prepare a filing-ready guardianship form and supporting package.

  • 01
    Gather Records: Collect medical, financial, and social evaluations before drafting.
  • 02
    Complete Form: Fill each field with validated details and attach exhibits.
  • 03
    Authenticate: Sign, notarize, or obtain witness signatures per court rules.
  • 04
    File and Serve: Submit to the clerk and serve required parties per local procedure.

Typical Filing Flow for the Guardianship Packet

A streamlined filing flow reduces processing time and helps the court schedule hearings and appointments.

  • Preparation: Assemble form, exhibits, service forms, and any required certifications.
  • Local Filing: File with the court clerk following local filing and cover sheet requirements.
  • Service: Serve notice to interested parties per statute or court rule.
  • Court Review: Court schedules hearing or issues interim orders after reviewing the packet.

Digital Workflow Settings for Online Completion

Configure a consistent e-filing and e-sign workflow so each party receives correct fields and authentication prompts.

Field Configuration
Signer Order Petitioner → Proposed guardian → Notary/witness
Authentication Email + SMS code for non-sensitive, or KBA for higher assurance
Retention Enable audit trail and enforce read-only after completion
Notifications Auto reminders and confirmation receipts for all signers

Technical Requirements for eCompletion and eSubmission

Ensure your eSignature platform supports required file types, secure authentication, and audit trails before e-filing or remote notarization.

  • File Formats: PDF and DOCX are commonly accepted; keep original exhibits in searchable PDF where possible.
  • Integrations: Connections to cloud storage (Box, Google Drive) and court e-filing systems reduce manual upload steps.
  • Security: TLS encryption, AES-256 storage, and detailed audit logs meet most court and agency expectations.

Verify court e-filing rules and, if using remote notarization, confirm notary session recording, identity-proofing, and retention meet the receiving court's standards.

Timing and Processing Expectations

Observe local court timetables for filing, hearing notices, and any statutorily required service windows to avoid delay.

Filing Window:

File as soon as evidence and supporting affidavits are available; some courts require submission before hearing scheduling.

Service Timing:

Follow statutory notice periods for interested parties to permit responses or objections.

Hearing Scheduling:

Courts set hearings based on backlog; expect variable wait times depending on jurisdiction.

Interim Orders:

Temporary guardianship may be granted when immediate action is necessary; prepare emergency affidavits if needed.

Processing Delays:

Incomplete forms, missing exhibits, or improper notarization commonly extend processing by days to weeks.

Essential Data Elements and Security Notes

Petitioner ID: Full legal name and contact details
Protected Person: Name, DOB, current address
Guardian Details: Proposed guardian contact and relationship
Scope: Specific authorities requested
Support Docs: Medical reports, evaluations
Authentication: Signatures, notary, audit trail

Common Risks and Legal Consequences of Errors

Filing Rejection: Incorrect caption or missing info may lead to rejection
Service Defect: Improper service can void notices or delay hearings
Unauthorized Authority: Overbroad powers may be denied by the court
Privacy Breach: Unauthorized PHI disclosure violates HIPAA
Notarization Defect: Invalid notary blocks can halt acceptance
Perjury Exposure: False statements risk criminal penalties

Frequent Preparation Pitfalls to Avoid

  • Missing or unsigned exhibits that the form references cause processing delays and possible court objections.
  • Using inconsistent names or dates across documents can create identity and jurisdictional issues.
  • Failing to notarize or obtain required witness signatures in jurisdictions that mandate them may result in refusal to file.
  • Submitting scanned poor-quality exhibits (illegible medical records) leads to additional requests and scheduling delays.

Sample eSignature Pricing and Capability Comparison

Compare common eSignature vendors and key plan features relevant to completing and storing court documents; signNow is listed first per comparison conventions.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies Varies Varies Varies
Bulk Send Yes Varies Varies Varies Varies
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies Varies Varies

Practical Examples of Use

Real-world examples show how organizations complete and use guardianship filings efficiently while preserving evidence and audit trails.

Hospital Intake

A discharge planner assembles medical reports and a petition online to request temporary guardianship for urgent care

  • Uses scanned clinical notes and a physician affidavit
  • The court accepted the packet with digital signatures and scheduled an expedited hearing within business days, reducing patient transfer delays.

Agency Petition

A social services caseworker prepares the form and attachments for a long-term guardianship petition

  • Includes social assessment and financial summary
  • The agency used secure eSubmission and retained full audit logs to support later accounting and oversight.

Practical Tips for Accurate and Efficient Filing

Adopt consistent preparation and review practices to reduce clerical errors, ensure compliance, and streamline court acceptance.

Verify Names and Dates
Cross-check full legal names, dates of birth, and docket numbers across all documents to prevent clerical rejection.
Attach Index
Include a clear exhibit index with page numbers and brief descriptions for each supporting document.
Use Certified Copies
Provide certified medical or financial documents when courts or third parties require them for verification.
Document Service
Keep proof of service and return receipts in the record; courts frequently require strict service documentation.

Typical Signers and Their Roles

Petitioner — Self or Representative

The petitioner is the person or entity initiating the guardianship petition; they must supply factual grounds, attest to service, and may need to appear at hearing. Their statements should be verifiable and supported by exhibits where courts expect documentary proof.

Proposed Guardian — Individual

The proposed guardian signs to accept nomination and provide required disclosures; background, contact information, and any conflict-of-interest statements should be complete to facilitate vetting by the court.

Frequently Asked Questions and Troubleshooting

Answers to common questions about completion, authentication, and eSubmission of the FCA 661 SCPA 708 1726 Form 6 2 Guardianship.


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