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Fill and Sign the Rule 17 Appendix a Faqs Cherokee County Form

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________ COUNTY JUVENILE COURT FILED IN THE CLERK’S OFFICE ON _____ DAY OF ______________. 20______________________________________ DEPUTY CLERKIN 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 the Age of 18 72 HOUR HEARING ORDER The above and foregoing matter is before the Court for a 72 Hour Hearing based upon a (Complaint)(Petition) filed by the Georgia Department of Human Resources by and through the ____________ County DFACS/ _________________________________ alleging the above named child(ren) to be deprived. Present in / for Court were: ( ) Mother ___________________________ ( ) Attorney _______________________________( )Father of __________________________(Legal) ___________________________ ( ) Attorney _______________________________ (Putative) _________________________( ) Attorney _______________________________ ( )Father of __________________________(Legal) ___________________________ ( ) Attorney _______________________________ (Putative) __________________________( ) Attorney _______________________________ ( )DFACS ____________________________ ( ) SAAG _________________________________( )Other Complainant ___________________ ( ) Attorney _______________________________( )Guardian ad Litem _____________________________________( ) Other ________________________________________________ The following part(y)(ies) was not/were not present: ____________________________________ He/She/They was/were (not) notified of the proceedings as follows: _______________________________ ______________________________________________________________________________________ ( )Prior to the call of the matter for hearing, or during the course of the hearing, the parties conferred and the (mother)(father) consented to temporary custody and control of said child(ren) being placed with the following individual or agency: _________________________________________________________ 2( )Based upon the evidence presented [or consent of the parent(s)], the Court finds that there is probable cause to believe the above named child(ren) is/are deprived pursuant to O.C.G.A. Section 15-11-2(8)(A): _______________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________ ( )Based upon the evidence presented, the Court does not find that there is probable cause to believe the above named child(ren) to be deprived. Accordingly, the Complaint is HEREBY DISMISSED.( )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 the removal of the child(ren) from his/her/their home, and to make it possible for the child(ren) to return safely home: ____________________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________( )Reasonable efforts by the ______________ County Department of Family and Children Services to preserve and reunify the family prior to the placement of the child(ren) in foster care, to prevent or eliminate the need for the removal of the child(ren) from his/her/their home, and to make it possible for the child(ren) to return safely home were not required under O.C.G.A. Section 15-11-58(a)(4)(A-C) because:_______________________________________________________________________________ ( )The _______________ County Department of Family and Children Services failed to make 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 the removal of the child(ren) from his/her/their home, and to make it possible for the child(ren) to return safely home. The following efforts would have been reasonable to prevent or eliminate the need for removal: ______________________________________________________________________________________ ( )This is a private deprivation matter in which DFACS is not involved. The child(ren) is not /are not placed in foster care. Reasonable efforts are not an issue.( )Continuation in the home would be contrary to the welfare of the child(ren) and removal of the child(ren) from his/her/their home is in his/her/their best interest because ______________________________________________________________________________________________________________ ( )Continuation in the home would not be contrary to the welfare of the child(ren). The Court finds that the risk can be managed with the child(ren) in the home provided that the parent(s) and DFACS comply with the following conditions: _____________________________________________________________________________________________________________________________________________ 3Therefore, the child(ren) is not / are not removed from the custody of ______________________________. ( ) IT IS THEREFORE ORDERED that temporary custody of the above named child(ren) should be and is HEREBY PLACED in __________ County DFACS / __________________________________ pending (the filing of a Petition and) an Adjudicatory Hearing to be scheduled in this Court (now scheduled for: _____________________ at ______, ___.m.). DFACS shall begin reasonable efforts to locate a relative or other person with a committed relationship to the child(ren) who may serve as a placement resource for the family.IT IS FURTHER ORDERED that the following home evaluation(s) be performed: ______________________________________________________________________________________ IT IS FURTHER ORDERED: ______________________________________________________ ______________________________________________________________________________________ IT IS FURTHER ORDERED that the named custodian is hereby authorized to obtain for this/these 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).Unless otherwise noted, all parties named as present at the 72 Hour Hearing were given a copy of this Order.IT IS SO ORDERED this ______ day of ______________________, 20______. ____________________________________JUDGE_____________ County Juvenile Court (If applicable) Consented to by:___________________________________ __________________________________________MotherAttorney for mother_____________________________________________________________________________FatherAttorney for father_____________________________________________________________________________FatherAttorney for father_____________________________________________________________________________Other PetitionerPetitioner's Attorney______________________________________________________________________________SAAGGuardian ad Litem

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