Fill and Sign the Following People Can Object to Removal a Current Form

JV-325, Page 1 of 2 Objection to Removal 1 Information about the caregiver or caregivers: 2 If you (the person objectin g to the removal) are not the caregiver, fill out below. 7 If you are not the child’s attorn ey and you know who the child’ s attorney is, fill out below. 3 The caregiver or caregivers have been designated by the judge as the child’s prosp ective adoptive parent or parents. Phone number of ch ild’s attorney: 4 The child is 10 years of age or older. Child’s phone number: The child has an identified Indian tribe (specify tribe): 5 The child has a Court Appointed Special Advocate (CASA) volunteer. 6 a. b. c. Name: Name: Phone number: a. b. c. Name: I am the child child’s attorney child’s identified Indian tribe Phone number: Name of child’s attorney: a. b. If you do not agree with the removal, you can request a court hearing by filling out this form. Th e following people can object to removal: a current caregiver, the child’s attorney, the child (if 10 years of age or older), the child’s identified Indian tribe or cust odian, and the child's CASA program. Bring this form to the clerk of the court. If you want to keep an address or a phone number confidential, fill out form JV-322, Confidential Information—Prospec tive Adoptive Parent, and do not write the address or phone number on this form. If you are a caregiver or the child and you requested the hearing, the clerk will provide notice of the hearing to you and any other participants. If you are the child’s attorney and you req uested the hearing, you must provide notice of the hearing to all other participants. Phone number of tribe: Address of child’s attorney: c. d. Address: d. Address: Phone number of CASA program, if known: JV-325 Objection to Removal Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Child’s Name: Fill in child's name and date of birth: Case Number: Fill in case number: Date of Birth: Judicial Council of California, www.courtinfo.ca.gov New January 1, 2008, Mandatory Form Welfare and Institutions Code, § 366.26(n) Cal. Rules of Court, rules 5.727, 5.728 Confidential phone number in court file child’s identi fied Indian custodian child’s CASA program JV-325, Page 2 of 2 New January 1, 2008 Case Number: Child’s name: Objection to Removal 9 The social worker should not remove the child from the caregiver’s home because (give reasons): If you need more space, attach a shee t of paper and write “JV-325, Item 9—Reasons to Not Remove Child” at the top. Number of pages attached: I declare under penalty of perjury under the laws of the Stat e of California that the information on this form is true and correct, which means that if I lie on this form, I am committing a crime. Date: The caregiver or caregivers may meet the definition of prospective adoptive parent or parents. Form JV-321, Request for Prospective Adoptive Parent Designation, will be filed with this objection and request for hearing. Sign your name Type or print your name 8 What if I am deaf or hard of hearing? Requests for Accommodations Assistive listening systems, compute r-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the proceeding. Contact the clerk’s office or go to www.courtinfo.ca.gov/forms for a Request for Accommodations by Perso ns With Disabilities and Response (form MC-410). (Civil Code, § 54.8.)