Fill and Sign the Ju 120400 Order on Review of Out of Home Placement Washington Form

SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ JUVENILE COURT In Re the Welfare of: D.O.B.: No : Order on Review of Out-of-Home Placement (OROHC) [ ] Clerk’s Action Required : Paragraphs 4.1, 4.7. The court will hear [ ] dependency review [ ] permanency planning [ ] ___________________________ on [date] _______________________ at _________ a.m./p.m.at: _______________________ Court, Room/Department: _________________, located at: ______________________________________ _________________________________________________________________________________. I. Hearing 1.1 A petition was filed requesting the court to make a determination that continued out-of-home placement is in the best interests of the child, and a hearing was held on ______________ [date]. 1.2 The following persons appeared: [ ] Child [ ] Child's Lawyer [ ] Mother [ ] Mother's Lawyer [ ] Father [ ] Father's Lawyer [ ] Guardian or Legal Custodian [ ] Guardian's or Legal Custodian's Lawyer [ ] Child's GAL [ ] GAL's Lawyer [ ] DSHS/Supervising Agency Worker [ ] Agency’s Lawyer [ ] Interpreter for [ ] mother [ ] father [ ] Other __________________________ [ ] other ___________________ 1.3 The court heard testimony. Or on Review of Out-of-Home Placement (OROHC) - Page 1 of 3 WPF JU 12.0400 (07/2011) - JuCR 3.7; RCW 13.34.270; RCW 74.13.350 II. Findings 2.1 Child’s Indian status: The petitioner [ ] has [ ] has not made a good faith effort to determine whether the child is an Indian Child. [ ] Based upon the following information, the child is not an Indian child as defined in Laws of 2011, ch. 309, §4, and the federal and Washington State Indian Child Welfare Acts do not apply to these proceedings: . [ ] Based upon the following, the child is an Indian child as defined in Laws of 2011, ch. 309, §4, and the federal and Washington State Indian Child Welfare Acts apply to this proceeding: . [ ] The petitioner [ ] has [ ] has not provided notice of these proceedings as required by Laws of 2011, ch. 309, §7 and the federal Indian Child Welfare Act to all tribes to which the petitioner or court knows or has reason to know the child may be a member or eligible for membership. 2.2 Jurisdiction: [ ] The child resides in this county. [ ] The child has a developmental disability, as defined in RCW 71A.10.020. [ ] The child has been placed in out-of-home care pursuant to RCW 74.13.350. 2.3 [ ] Facts establishing that continued out-of-home placement is in the best interest of the child have not been proved. 2.4 [ ] The following facts establishing that continued out-of-home placement is in the best interest of the child have been proved: . III. Conclusions of Law 3.1 The court has jurisdiction over: [ ] the child [ ] the mother [ ] the father [ ] the legal guardian 3.2 The [ ] mother [ ] father [ ] legal guardian received timely and proper notice. 3.3 [ ] The Department of Social and Health Services made reasonable attempts to notify the parent, whose identity and location is known, who is not a party to the placement agreement. 3.4 [ ] It is not in the best interest of the child to remain in out-of-home placement. 3.5 [ ] It is in the best interest of the child to remain in out-of-home placement. Or on Review of Out-of-Home Placement (OROHC) - Page 2 of 3 WPF JU 12.0400 (07/2011) - JuCR 3.7; RCW 13.34.270; RCW 74.13.350 IV. Order 4.1 [ ] The child’s best interests are not served by continued out-of-home placement. The child is returned to his or her parents or legal guardians and the petition is dismissed. 4.2 [ ] The child’s best interests are served by continued out-of-home placement. 4.3 The child shall be placed or remain: [ ] at a facility to be determined by the Department of Social and Health Services. [ ] at ___________________________________________________________, a licensed facility approved by the Department of Social and Health Services. 4.4 The placement set forth above shall be under the supervision of _________________________ _____________________________________________ (agency). 4.5 The legal status of the child, and the rights and obligations of the parents or legal guardians, the child, and the Department of Social and Health Services while the child is in placement, shall be as specified in the out-of-home placement agreement. 4.6 [ ] The agency report for the next [ ] review [ ] permanency hearing shall be submitted to the court at least __________days, and to all parties at least __________ days, prior to the hearing. 4.7 All parties shall appear at the next scheduled hearing (see page one). Dated: ___________________________ _____________________________________________ Judge/Commissioner Presented by: _________________________________________ Signature _________________________________________ Type or Print Name/Title WSBA No. Copy Received; Approved for Entry; Notice of Presentation Waived: ______________________________________ _____________________________________________ [ ] Mother [ ] Father ______________________________________ _____________________________________________ [ ] Mother’s Lawyer [ ] Father’s Lawyer ______________________________________ _____________________________________________ Type or Print Name WSBA No. Type or Print Name WSBA No. ______________________________________ _____________________________________________ [ ] Guardian Ad Litem Supervising Agency Representative ______________________________________ _____________________________________________ Type or Print Name Type or Print Name ______________________________________ _____________________________________________ [ ] Guardian Ad Litem’s Lawyer Supervising Agency’s Lawyer ______________________________________ _____________________________________________ Type or Print Name WSBA No. Type or Print Name WSBA No. Or on Review of Out-of-Home Placement (OROHC) - Page 3 of 3 WPF JU 12.0400 (07/2011) - JuCR 3.7; RCW 13.34.270; RCW 74.13.350