Fill and Sign the Minnesota Responsibilities Form

Advisory of Participant Rights and Responsibilities To: Each Person Identified as a Participant to this Juvenile Protection Matter Who is a Participant: You have been identified as a participant to this Juvenile Protection Matter pursuant to Rule 22 of the Rules of Juvenile Protection Procedure. Participants include the following individuals who are either related to the child or who are not be related to the child but who may have information about the child or family that may be important to the Court: a. The child who is the subject of this Juvenile Protection Matter; b. Any parent who is not the child’s legal custodian and any alleged, adjudicated, or presumed father of the child; c. Grandparents with whom the child has lived within the two (2) years preceding the filing of the petition; d. Relatives or other persons providing care for the child and other relatives who request notice of hearings relating; e. Current foster parents and persons proposed as long-term foster parents; f. The spouse of the child, if any; g. The responsible social services agency, when the responsible social services agency is not the petitioner; h. Any guardian ad litem for the child’s legal custodian; and i. Any other person who is determined by the court to be important to a resolution that is in the best interests of the child. Your Rights as a Participant: As a participant to this Juvenile Protection Matter, you have the following rights: 1. To receive a copy of the Petition regarding this Juvenile Protection Matter. 2. To receive notice of all hearings (only if you keep the court administrator informed of your address). 3. To attend all hearings, unless excluded by the court. 4. To offer information about the case, if the court asks you to offer such information. 5. To be heard in any hearing regarding the child if you request and if you are the child’s foster parent, preadoptive parent, relative providing care for the child, or a relative to whom the social services agency proposes to transfer permanent legal and physical custody of the child. Any other relative may also request an opportunity to be heard, but the court is not required to grant your request. A foster parent, preadoptive parent, relative providing care, or other relative need not be made a party to the matter before asking to be heard. 6. To intervene as a party to the case if you are (to intervene as a party, you must file certain papers which are available from the court administrator):  the child who is the subject of this proceeding, or  the child’s parent, or  the child’s grandparent and the child has lived with you at any time during the two years prior to the filing of the petition in this matter. 7. To assert any other rights as set forth in statute or rule. Your Responsibilities as a Participant: It is the responsibility of each participant to provide any change of address to the court administrator at :     COURT ADMINISTRATOR, FILL IN YOUR MAILING ADDRESS. . When writing to the Court Administrator, please be sure to include your name and the court file number stated on the attached Notice. Questions: Questions about your rights and responsibilities can be addressed to a lawyer or to the court at the time of any hearing. CHP202 State ENG Rev 3/04-D www.courts.state.mn.us/forms Page 1 of 1