F.C.A.§§ 1017, 1022, 1027, 1028, 1055 Form 10-1b
(Child Protective– Order
of Investigation)
6/2016
At a term of the Family Court of the
State of New York, held in and for
the County of
at New York,
on ,.
P R E S E N T:
Hon.
Judge
...............................................................
In the Matter of Docket No.
CIN #
A Child(ren) under the Age of ORDER FOR
Eighteen Years Alleged to be DILIGENT SEARCH
“Abused “Neglected by AND INVESTIGATION
Respondent(s)
................................................................
[Check applicable box(es)]:
“ A petition under Article 10 of the Family Court Act having been filed with this Court
alleging “abuse “neglect of the above-named child(ren); and
“ An application having been made for the temporary removal of the child(ren) from home;
NOW therefore it is
“ “ ORDERED within 24 hours of this order, the Commissioner of Social Services shall
commence an investigation to identify and locate any non-respondent parent(s),
inform them of the pendency of the proceeding and of the opportunity for seeking
release or custody of the child(ren) , record the results of such investigation in the
child’s Uniform Case Record and report the results of the investigation to the Court,
all parties and counsels, including the child(ren)’s attorney, forthwith. Such search
shall also include, but not be limited to, a person not recognized as a legal parent of
the child(ren) but who has filed an instrument pursuant to section 4-1.2 of the Estates,
Powers and Trusts Law acknowledging paternity with the putative father registry, has
a pending paternity petition or has been identified as a parent by the other parent in a
written, sworn statement. Such search shall include, but not be limited to, the
following person(s) [specify, if known]:
(and it is further)
“ ORDERED that the Commissioner of Social Services shall investigate whether there are
Form 10-1b Page 2
any grandparents, other relatives or other suitable person(s) with whom the child(ren) may
appropriately reside, including, but not limited to [specify]:
; shall inform them of the pendency of the proceeding, shall ascertain whether such
person(s) wish to seek approval as foster parent(s) in order to provide care for the child(ren) or wish
to provide care and custody for the child(ren) without foster care subsidy during the pendency of
any order herein; and shall record the results of such investigation in the child’s case record;
(and it is further)
“ ORDERED that, within 24 hours of this order, the Commissioner of Social Services shall
commence an investigation of the following non-respondent parent(s), relatives or other suitable
persons [specify]: whether appropriate for the release or
custody of the children and, in the case of relatives and suitable persons, whether qualified as foster
parents and thereafter approve such person(s) to be foster parents, if qualified, and, if not, to report
such fact and the reasons therefor to the Court, all parties and counsels, including the attorney for the
child, forthwith.
(And it is further)
“ ORDERED that
ENTER
_____________________________________
Judge of the Family Court
Dated: , .
PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT,
AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30
DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT,
35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO
APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER
SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD
UPON THE APPELLANT, WHICHEVER IS EARLIEST
Check applicable box:
9 Order mailed on [specify date(s) and to whom mailed ]:__________________________
9 Order received in court on [specify date(s) and to whom given]:____________________
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