Fill and Sign the Jv 565 Request for Assistance with Expedited Placement Form

1. On (date): , this court made orders concerning the expedited placement (under Regulation No. 7 of the Interstate Compact on the Plac ement of Children (ICPC)) of the above-named child with a relative in your jurisdiction. 2. Our records indicate that a copy of the order and all othe r required documents were sent to the Compact Administrator in yo ur 4. The Compact Administrator of your jurisdiction has been in po ssession of all required documents for the expedited placement request under Regulation No. 7 for more than 20 business days. 5. The sending agency has not received notice under ICPC article 3(d) of whether the child may be placed as requested. REQUEST FOR ASSISTANCE 6. 7. In addition, I request and urge you, c onsistent with applicable laws, to communicate directly with me to discuss any issues raised in this request or the submitted documents. REQUEST FOR ASSISTANCE WITH EXPEDITED PLACEMENT UNDER THE INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN jurisdiction on (date): . Form Approved for Optional Use Judicial Council of California JV-565 [Rev. January 1, 2013] Family Code, § 7900 et seq.; Cal. Rules of Court, rule 5.616; ICPC Regulation No.7 Page 1 of 1 JV-565 REQUEST FOR ASSISTANCE WITH EXPEDITED PLACEMENT UNDER THE INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: CASE NUMBER: TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): . TO Honorable (name): , of (court name): in (jurisdiction): 3. Copies of additional court orders or other documentation are attached (list): Therefore, in an effort to promote cooperation between our juri sdictions and our courts and to continue to promote and protect the interests of the children who come before us , I am requesting that your court take whatever steps you deem appropriate or necessary, within your jurisdiction and authority—such as holding hearings, taking evidence, or issuing court orders—to assist this court in determining the suitability of t he proposed placement and to expedite the comp letion of the home study, as directed by Regulation No. 7. A copy of that order is included in attachment 1. Name: Superior Court of California, County of: Phone No.: Fax No.: E-mail: NOTE: Under ICPC article 5(a), the sending agency will retain jurisdiction over the child and continue to assume financial responsibility for the support and maintenan ce of the child during the period of placement. Date: JUDICIAL OFFICER