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Order on CHINS Petition (ORCIN) - Page 1 of 3WPF JU 05.0300 (07/2018) - RCW 13.32A.170, .190 Superior Court of Washington County of _______________________ Juvenile Court In the Interest of:D.O.B.: No: Order on Child in Need of Services (CHINS) Petition(ORCIN) Clerk’s Action Required. Paragraphs 3.1, 3.3, 3.6, 3.7. I. Hearing 1.1 A petition was filed requesting approval of a CHINS petition regarding the above-named child, and a hearing was held on ___________________ (Date). The court advised the parents of their rights under RCW 13.32A.160(1).1.2 Persons appearing were:  Child Child’s Lawyer Parent Parent’s LawyerDCYF Case Worker State’s Lawyer Probation Counselor Other_________________________________ 1.3Testimony was taken. II. Findings The Court finds:2.1 Child’s Indian status:  There is not a reason to know the child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), and the Federal and Washington State Indian Child Welfare Acts do not apply to this proceeding. There is a reason to know the child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), and the Federal and Washington State Indian Child Welfare Acts  apply  do n ot a pply . The notice required under RCW 13.38.070 and 25 U.S.C. § 1912(a)  has  has n ot b een g iv e n.2.2  The petition should be dismissed because: Order on CHINS Petition (ORCIN) - Page 2 of 3WPF JU 05.0300 (07/2018) - RCW 13.32A.170, .190 . 2.3  The petition should be approved because a preponderance of the evidence has established that: a.The child is a child in need of services as defined in RCW 13.32A.030(5). b. The petitioner, if the child, has made a reasonable effort to resolve the conflict. c. Reasonable efforts have been made to prevent or eliminate the need for removal of the child from the child’s home and to make it possible for the child to return home.d. It is contrary to the welfare of the child to remain in or return to the child’s home.e. It is in the child’s best interest to be placed in foster care.f. A suitable out-of-home placement resource is available. III. Order The court orders that:3.1 The petition is dismissed and the child shall return or remain at home.3.2 The petition is approved. Pending a disposition hearing for a period not to exceed 14 days from the date of this order, the child shall be placed or remain temporarily with:Name: ____________________________________ Telephone:____________________________________Address:____________________________________ ____________________________________  The Department of Children, Youth, and Families for placement in foster care. The Department shall have placement and care authority over the child, with authority to place the child and to provide services to the child and family. Legal custody of the child remains with the child’s parent.3.3 The at-risk-youth petition filed by the parents is granted and the CHINS petition is dismissed.3.4 The Department of Children, Youth, and Families shall prepare and submit a disposition plan.3.5The Department of Children, Youth, and Families shall review this case to determine if it is appropriate for a dependency petition under Chapter 13.34 RCW. 3.6 A disposition hearing shall be held: On: __________________________________ at _______________________ a.m./p.m. (Date) (Time) At: ___________________________ Court, Room/Department ___________________Address: __________________________________________________ __________________________________________________ 3.7A copy of this order and notice of hearing shall be given to all parties by: __________________.Dated: __________________________ _____________________________________________ Judge/Commissioner Order on CHINS Petition (ORCIN) - Page 3 of 3WPF JU 05.0300 (07/2018) - RCW 13.32A.170, .190 Copy Received; Approved for Entry; Notice of Presented by: Presentation Waived:_________________________________Signature ChildType or Print Name/Title/WSBA No.ParentDCYF Parent________________________________________________________________________Attorney for Mother/WSBA No. Attorney for Father/WSBA No. Notice A party who fails to comply with the terms of this order may be found in contempt.