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FCA §§ 1035, 1036,1055Form 10-7c[NOTE: May be served outside New York State] (Summons-Child Neglect Proceeding)(8/2010)FAMILY COURT OF THE STATE OF NEW YORKCOUNTY OF _______________________________......................................................................................In the Matter of a Proceeding underDocket No.________Article 10 of the Family Court ActSUMMONS(CHILD NEGLECT CASE)CIN #Respondent......................................................................................NOTICE:IF YOUR CHILD STAYS IN FOSTER CARE FOR 15 OF THE MOSTRECENT 22 MONTHS, THE AGENCY MAY BE REQUIRED BY LAW TOFILE A PETITION TO TERMINATE YOUR PARENTAL RIGHTS ANDMAY FILE BEFORE THE END OF THE 15-MONTH PERIOD. IF THEPETITION IS GRANTED, YOU MAY LOSE YOUR RIGHTS TO YOURCHILD AND YOUR CHILD MAY BE ADOPTED WITHOUT YOURCONSENT. BY ORDER OF THE FAMILY COURT OF THE STATE OF NEW YORKTO THE ABOVE-NAMED RESPONDENT(S) WHO RESIDE(S) OR IS FOUND AT [specifyaddress(es)]:and to [specify name(s) and address(es) and relationship to child(ren)]:(A)(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’clock in the Qmorning Qafternoon of that day to answer the petition and to be dealt with inaccordance with 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