Fill and Sign the Order on Review of Transfer to Tribal Form

RCW 13.38.080 Mandatory Form (05/2016) FL Non -Parent 44 4 Order on Review of Transfer to Tribal Court p. 1 of 2 Superior Court of Washington, County of In re custody of : Children: Petitioner /s (person /s who started this case) : Respondents (parent s and any guardian or custodian ): No. Order on Review of Transfer to Tribal Court ( ORRVTA / ORRVTD)  Cler k’s action required : 2 . Order on Review of Transfer to Tribal Court 1 . The court approved an Order about Transfer to Tribal Court on (date): . Th at Order was served on the t ribe on (date): as shown by the: Proof of Service of Order about Transfer to Tribal Court . Other: 2. The Tribal Court has : accepted the transfer . This Superior Court case is dismiss ed without prejudice. The court clerk must send a copy of the court file for this case to the Tribal Court upon payment of copy fees . Copy fees must be paid by (name): by (date): . declined the transfer (check one): expressly . by not responding within 75 days of being served with the Order about Transfer to Tribal Court . This court vacates th e Order about Transfer to Tribal Court and will proceed with this case in Superior Court in strict compliance with the state and federal Indian Child Welfare Acts and any applicable tribal -state agreement . RCW 13.38.080 Mandatory Form (05/2016) FL Non -Parent 44 4 Order on Review of Transfer to Tribal Court p. 2 of 2 other: Ordered. Date Judge or Commissioner Petitioner and Respondent or their lawyers fill out below. This order (check any that apply) : This order (check any that apply) : is an agreement of the parties is an agreement of the parties is presented by me is presented by me may be signed by the court without notice to me may be signed b y the court without notice to me Petitioner signs here or lawyer signs here + WSBA # Respondent signs here or lawyer signs here + WSBA # Print Name Date Print Name Date This order (check any that apply) : This order (check any that apply) : is an agreement of the parties is an agreement of the parties is presented by me is presented by me may be signed by the court without notice to me may be signed by the court without notice to me Other Petitioner or lawyer signs here + WSBA # Other Respondent or lawyer signs here + WSBA # Print Name Date Print Name Date