Order of Disposition After Order of Removal

Form 3-30 — Juvenile Delinquency Order of Disposition (After Order of Removal — No Restrictive Placement)

F.C.A. §§ 346.1, 350.2, 352.1, 352.2, 353.1, 353.3, 353.6

12/2015

At a term of the Family Court of the State of New York, held in and for the County of at New York on

PRESENT:

Hon.

Judge

An Order of Removal pursuant to section 220.10 310.85 330.25 of the Criminal Procedure Law, deemed to be a petition in accordance with section 311.1 of the Family Court Act, having been duly filed with this Court on , and containing a finding:

upon the above-named Respondent's plea of guilty

after a juvenile delinquency fact-determination

after a verdict of guilty beyond a reasonable doubt

that the above-named Respondent, while years of age, committed an act which would constitute the crime(s) of as defined by section(s) of the Penal Law Other in that said Respondent did the following act(s):

I. Dispositional Findings

A. Respondent requires supervision, treatment, or confinement; and

B. The Court has determined that the Respondent requires the following disposition for the following reasons:

II. Required Findings in Cases in Which the Respondent is Placed

A. Best Interests Finding: Continuation in, or return to, the Respondent’s home would would not be contrary to Respondent’s best interests based upon the following facts and for the following reasons:

This determination was based upon the following information:

Probation Department report, dated

Mental health evaluation, dated

Uniform Case Record, dated

Risk Assessment Instrument

Summary of the Uniform Case Record, dated

Service Plan, dated

The report of , dated

Testimony of

Other

B. Reasonable Efforts Findings

1. Reasonable efforts, where appropriate, to prevent or eliminate the need for removal of the child from the home:

were made as follows

were not made but the lack of efforts was appropriate

because of prior judicial finding for parent(s)

because of prior judicial finding for guardian(s)

because of other reasons

were not made

This determination was based upon the following information:

Probation Department report, dated

Mental health evaluation, dated

Uniform Case Record, dated

Risk Assessment Instrument

Summary of the Uniform Case Record, dated

Service Plan, dated

The report of , dated

Testimony of

Other

2. Reasonable efforts, where appropriate, to return the Respondent home safely:

were made as follows

were not made but the lack of efforts was appropriate

C. Findings Regarding Transitional Services and Out-of-State Placements

[Required where Respondent is 14 years of age or older] Services needed to assist transition from foster care to independent living:

[Required where Respondent is placed outside New York State] Placement outside New York State is is not appropriate and in the Respondent’s best interests.

D. Findings Regarding Pre-dispositional Risk Assessment Instrument

There is is not a validated pre-dispositional risk assessment instrument in use in this county.

Respondent has been assessed on the risk assessment instrument as a level of risk:

[NYC cases only] low medium high very high

[NON-NYC cases only] low medium high

ORDERED AND ADJUDGED

The above-named Respondent is a juvenile delinquent based on the Order of Removal and on the further ground that the Respondent requires supervision, treatment, or confinement.

ORDERED that:

Respondent is conditionally discharged for a period of months upon the following terms and conditions:

Respondent is placed on probation under the supervision of the Probation Department of the County of for a period of upon the following terms and conditions:

This proceeding is continued and the Respondent is placed for a period of in the custody of , subject to further orders of this Court.

Signature

PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS...

Check applicable box:

Order mailed on

Order received in court on