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JDF 554 5/01 Juvenile Delinquency Placement Order Page 1 of 2 District Court  Denver Juvenile Court__________________________________________County, ColoradoCourt Address:THE PEOPLE OF THE STATE OF COLORADOIn the interest of:_________________________________________Child(ren) and Concerning_________________________________________Parent(s)/Guardians(s) COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg.#:Case Number:Division Courtroom JUVENILE DELINQUENCY PLACEMENT ORDER This matter came before the Court on the ________________ day of _______________________, 20 _______.The Court having reviewed the file and evidence in this matter and being otherwise sufficiently advised in the premises, FINDS:_______________ There is reason to believe that the juvenile has committed a delinquent act, violated probation, runaway, failed to appear, or violated the conditions of bond._______________ The juvenile is a danger or threat to (himself) (herself) or the community._______________ Placement out of the home is necessary and is in the best interests of the juvenile and the community AND_______________ a) Reasonable efforts were made to prevent or eliminate the need for placement of the juvenile OR_______________ b) An emergency existed such that the lack of efforts to prevent removal from the home was reasonable. _______________ The juvenile has been placed in the least restrictive placement available which can effectively meet (his) (her) needs and is closest to the home._______________ Procedural safeguards to preserve parental rights have been applied in connection with the removal of the juvenile from the home.THEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED:_______________ Temporary legal custody of the juvenile is granted to the _________________ County Department of Social Services for out of home placement._______________ The ______________County Department of Social Services shall make reasonable to safely return said juvenile to (his) (her) home._______________ The parent(s)/guardian shall immediately provide the Court and the ___________________ County Department of Social Services the names and addresses of and/or means of locating any parent(s) not present in court and of other relatives of the JDF 554 5/01 Juvenile Delinquency Placement Order Page 2 of 2juvenile or other individuals who may be able to provide placement for the juvenile if (he) (she) remains in out of home placement. Good cause exists and the ____________________County Department of Social Services is authorized to contact identified relatives and/or individuals and share information, including otherwise confidential information, regarding the juvenile, the parent(s), and this proceeding to complete an appropriate placement study of such relatives or individuals._______________ This matter is set for __________ on ______________, 20____, at ________ (am) (pm), at which time all parties must be present._______________ Six (6) month Periodic reviews and/or Permanency Hearings shall be conducted by the Colorado Department of Human Services as Administrative Reviews, unless a party to the action requests a court hearing, or unless the Court deems it necessary to require a hearing.Dated: ______________________________ BY THE COURT _________________________________  JUDGE  MAGISTRATE