Fill and Sign the Order of Adjudication and Disposition Georgia Form

_________ COUNTY JUVENILE COURT FILED IN THE CLERK’S OFFICE ON _____ DAY OF ______________. 20 ____ __________________________________ DEPUTY CLERK IN THE JUVENILE COURT OF _____________ COUNTY STATE OF GEORGIA IN THE INTEREST OF: __________________________ SEX: ___ DOB: __________ CASE # ___________________ __________________________ SEX: ___ DOB: __________ CASE # ___________________ __________________________ SEX: ___ DOB: __________ CASE # ___________________ __________________________ SEX: ___ DOB: __________ CASE # ___________________ Child(ren) Under 18 Years of Age ORDER OF ADJUDICATION and DISPOSITION The above and foregoing matter came before the Court on __________________, for an Adjudicatory Hearing based upon a Petition filed by the Georgia Department of Human Resources by and through the ____________ County Department of Family and Children Services alleging the above named child(ren) to be deprived. Based upon the evidence presented, the Court makes the following Findings of Fact and Conclusions of Law by clear and convincing evidence. FINDINGS OF FACT 1. Present in Court were: ( ) Mother ( ) Attorney ( ) Father (Legal) ( ) Attorney (Putative) ( ) Attorney ( ) DFACS ( ) SAAG ( ) Other Petitioner ( ) Attorney ( ) Guardian ad Litem ( ) Other __________________________________________________________________________ The following interested part(y)(ies) was/were NOT present: _____________________________________ 2003 Model Adjudication Disposition Order 3/11/2020 2 2. The child(ren) is/are of the age and sex and has/have the name(s) set forth above. (The child(ren) is/are (a) resident(s) of Bartow County, Georgia.) (The child(ren) was/were physically present in this county at the time of the filing of the Petition.) 3. The mother of the child(ren), ______________________, was/was not present in Court for the hearing. She was notified of the proceedings by (personal service) (certified mail) (publication). (She was not notified of the proceedings because ___________________________ _____________________________________________________________________________.) The (legal) (biological) (putative) father of the child(ren), __________________________, was/was not present in Court for the hearing. He was notified of the proceedings by (personal service) (certified mail) (publication). (He was not notified of the proceedings because ________ _____________________________________________________________________________.) 4. (facts showing deprivation) 5. [Facts outlining the efforts to prevent removal and make the child(ren)'s return home possible] [or facts showing that the Department has not made reasonable efforts] or The Court finds that based upon the Affidavit of Efforts filed by the ____________ County Department of Family and Children Services attached hereto as Exhibit A and incorporated herein, said Department made reasonable efforts to preserve and reunify the family prior to the placement of the child(ren) in foster care, to prevent or eliminate the need for removal of the child(ren) from the home and to make it possible for the child(ren) to return home. 6. The Court finds the gross income of the mother is $____________ per ___________. The Court finds the gross income of the (legal) (biological) (putative) father is $_____________ per ____________. ( ) The Court (does) (does not) find facts regarding special circumstances pursuant to O.C.G.A. §19-6-15(c). ( ) Facts regarding special circumstances are as follows: _______________________ __________________________________________________________________ CONCLUSIONS OF LAW Based upon the above findings of fact, the Court concludes as follows: The Court has subject matter jurisdiction over this action and personal jurisdiction over the child(ren), mother and (legal) (biological) (putative) father. Venue is proper in this Court. This/These child(ren) is/are (a) deprived child(ren) as defined in O.C.G.A. Section 15-11- 2(8)(A) in that he/she/they is/are without proper parental care or control, subsistence, education as required by law, or other care or control necessary for his/her/their physical, mental or emotional health or morals. The causes of the deprivation as to the mother are: ( ) Physical abuse ( ) Sexual abuse ( ) Emotional abuse ( ) Neglect/Lack of Supervision ( ) Medical Neglect ( ) Neglect/Inadequate Housing ( ) Educational Neglect ( ) Substance Abuse by Parent ( ) Abandonment ( ) Mental/Physical Impairment of Parent ( ) Neglect/Failure to Provide adequate support for child(ren) due to unstable or irregular employment ( ) (Perpetration of) (Failure to Protect from) Domestic Violence ( ) Other __________________________________________________ The causes of deprivation as to the (legal) (biological) (putative) father are: ( ) Physical abuse ( ) Sexual abuse ( ) Emotional abuse ( ) Neglect/Lack of Supervision ( ) Medical Neglect ( ) Neglect/Inadequate Housing ( ) Educational Neglect ( ) Substance Abuse by Parent 4 ( ) Abandonment ( ) Mental/Physical Impairment of Parent ( ) Neglect/Failure to Provide adequate support for child(ren) due to unstable or irregular employment ( ) (Perpetration of) (Failure to protect from) Domestic Violence ( ) Other __________________________________________________ The _________ County Department of Family and Children Services made reasonable efforts to preserve and reunify the family prior to the placement of the child(ren) in foster care, to prevent or eliminate the need for removal of the child(ren) from the home and to make it possible for the child(ren) to return home. The reason(s) the child(ren) cannot be adequately and safely protected at home is/are ____________________________________________________ ______________________________________________________________________________ Therefore, continuation in the home would be contrary to the welfare of the child(ren) and removal of the child(ren) from the home is in the best interest of the child(ren). Any of the “Findings of Fact” herein which should have been properly classified by the Court as “Conclusions of Law” shall be considered as “Conclusions of Law” and any “Conclusions of Law” which should have been properly classified as “Findings of Fact” shall be considered as “Findings of Fact.” TEMPORARY DISPOSITION Temporary custody and control of the child(ren) is HEREBY AWARDED to the Georgia Department of Human Resources through the _____________ County Department of Family and Children Services pending receipt of the relative search report from the Department within 90 days of the date the child(ren) was/were removed from the home. Unless otherwise ordered following a permanency hearing, the Permanency Plan is to reunite the child(ren) with the parent(s). ACCORDINGLY, the _________ County Department of Family and Children Services is HEREBY DIRECTED to prepare a Case Plan for reunification 5 pursuant to Section 15-11-58 of the Official Code of Georgia Annotated which shall be submitted to the Court to become the Court Ordered plan of care unless a party appeals the plan as provided by law. At a minimum, said plan shall include the following goals which must be accomplished before the child(ren) may return home. Said goals must coincide with the issues of deprivation found herein. Mother’s Goals: ______________________________________________________________________________ ______________________________________________________________________________ (Legal) (Biological) (Putative) Father’s Goals: ______________________________________________________________________________ ______________________________________________________________________________ Based upon the above Findings of Fact, the Court further concludes that the Child Support Guidelines presumptively set support for _____ child(ren) at _____% to _____% of a parent’s gross income. Having found that no special circumstances exist or having found the special circumstances specified herein, the Court orders the mother to pay to the ____________ County Department of Family and Children Services $__________ per _____________ as child support on behalf of the above child(ren) which constitutes _____ % of the mother’s gross income. Said payments shall begin on _______________________. Based upon the above Findings of Fact, the Court further concludes that the Child Support Guidelines presumptively set support for _____ child(ren) at _____% to _____% of a parent’s gross income. Having found that no special circumstances exist or having found the special circumstances specified herein, the Court orders the father to pay to the ____________ County Department of Family and Children Services $__________ per _____________ as child support on behalf of the above child(ren) which constitutes _____ % of the father’s gross income. Said payments shall begin on _______________________. IT IS FURTHER ORDERED that while said child(ren) is/are in the custody of the ____________ County Department of Family and Children Services the parents of said child(ren) 6 shall participate in the Judicial Citizen Panel Review program or Judicial Review as directed and the ____________ County Department of Family and Children Services is HEREBY directed to furnish the Court or the Judicial Citizen Review Panels all information in its possession concerning the family, including but not limited to psychological evaluations performed on the child(ren), the parents or any other extended family member if available. IT IS FURTHER ORDERED that the mother and the father shall notify the Clerk of this Court of any change in address within 72 hours of the change. IT IS FURTHER ORDERED that the _______________ County Department of Family and Children Services is authorized to obtain for said child(ren) physical examinations, ordinary medical care, and such additional medical treatment and care which, in the opinion of a licensed physician, is necessary for the care and well being of the child(ren). This matter is HEREBY SET for Final Disposition on the _______ day of ______________, 20____ at _____________, ___.m. at which time the Court will consider the report to be filed by the Department concerning the availability as a placement resource of a relative or other individual with an ongoing commitment to the child. All parties shall be in attendance at that time. This Order shall expire on ____________________, unless sooner terminated by Order of this Court. IT IS SO ORDERED this _____ day of _________________, 20____. ____________________________________ JUDGE _____________ County Juvenile Court 7 Notes for consideration with this Order Disposition alternatives: ****** "The permanency plan is uncertain at this time. Accordingly, the _____________________ Department of Family and Children Services is hereby directed to prepare a case plan for reunification or nonreunification pursuant to O.C.G.A. Sec. 15-11-58. If reunification is deemed appropriate, the plan shall be submitted to the Court to become the Court ordered plan of care unless a party appeals the plan as provided by law. If nonreunification is deemed appropriate, a hearing shall be set on the matter." ****** "The Court recessed while the parents, the representatives from the Department of Family and Children Services, the representative from the Citizen's Review Panel, and the attorneys conferred on a case plan for reunification. The parties reached an agreement as to that plan which has been presented to the Court. The Court finds the plan to be appropriate and finds the following elements of the plan essential for reunification of the child with the parent: 1. 2. 3. etc. The Court finds that substantial compliance with items 1, 2, 3, and (whatever) must be accomplished by the father/mother before reunification can be achieved." ****** "Disposition is hereby continued until [date and time] . The parties are HEREBY ORDERED to be in attendance at that time." ****** "This matter shall be reviewed by the Court on [date and time] . A Permanency Hearing is hereby set for [date and time approximately 11 months away]. The parties are HEREBY ORDERED to be in attendance at that time." ******"This matter is hereby set for review by the (Court) (Judicial Citizen Review Panels) on the following dates: [Set dates and times for reviews (90 days, 6 months after that)] A Permanency Hearing is hereby set for [date and time approximately 11 months away]. The parties are HEREBY ORDERED to be in attendance at that time." 8