Fill and Sign the Washington Ju 497430084 Form

Superior Court of Washington County of _______________________ Juvenile Court In the Interest of: D.O.B.: No : Order of Disposition (CHINS) (ORD)  Clerk’s Action Required. Paragraphs 3.1, 3.2, 3.5, 3.6 I. Hearing 1.1 After proper notice, a disposition hearing was held on _____________________________ (Date) to consider the disposition following approval of a Child in Need of Services (CHINS) Petition regarding the above-named child. 1.2 Persons appearing were:  Child  Child’s Lawyer  Parent  Parent’s Lawyer  DCYF Case Worker  State’s Lawyer  Probation Counselor  Other_________________________________ 1.3 Testimony was taken. II. Findings The court finds: 2.1 Child’s Indian status:  Does not apply because the petition was not filed by Department of Children, Youth, and Families .  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 not apply. The notice required under RCW 13.38.070 and 25 U.S.C. § 1912(a)  has  has not been given.  . Order of Disposition (CHINS) (ORD) - Page 1 of 3 WPF JU 05.0400 (07/2018) - RCW 13.32A.179 2.2  A fact finding hearing was held and the CHINS petition was approved. 2.3  The court has received the disposition recommendations from all parties, including the Department of Children, Youth, and Families. 2.4  An at-risk-youth petition has been filed by the parents and consolidated with this action. 2.5  The court finds by clear, cogent and convincing evidence that:  out-of-home placement is in the child’s best interest as it is contrary to the welfare of the child to remain in or be returned to the child’s home;  it is in the child’s interest to be placed in foster care;  the parents have not requested out-of-home placement;  the parents have not exercised any other right listed in RCW 13.32A.160(1)(e);  the child has made reasonable efforts to resolve the problem that led to the filing of the petition;  the filing of the petition has been resolved by delivery of services to the family during continued placement of the child in the parental home;  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; and  a suitable out-of-home placement resource is available. 2.6  The parents have requested out-of-home placement. 2.7  There no longer is a reason to approve the CHINS petition. III. Order The court orders that: 3.1  The petition is dismissed, and the child shall return or remain at home.  The Department of Children, Youth, and Families shall submit a dispositional plan.  The at-risk-youth petition filed by the parents and consolidated with this proceeding is approved and the CHINS petition is dismissed.  The Department of Children, Youth, and Families shall review the matter for purposes of filing a dependency action under Chapter 13.34 RCW.  The child shall be placed or remain for a period not to exceed 90 days from the date of this order, in out-of-home placement, as follows:  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.  Conditions of Supervision . The child shall comply with the following conditions of supervision: .  DCYF Recommendations . Order of Disposition (CHINS) (ORD) - Page 2 of 3 WPF JU 05.0400 (07/2018) - RCW 13.32A.179 The recommendations set forth in the disposition plan submitted by the Department of Children, Youth, and Families are adopted:  in their entirety.  with the following amendments: . 3.2 Support payments by the child’s parents are:  ordered in the amount of $_____________ per month, beginning _________________.  not ordered at this time. 3.3 The person or agency having custody of the child shall have full power to authorize and provide all necessary, routine and emergency medical, dental, or psychological care as recommended by the child’s treating doctor or psychologist. 3.4 Other provisions: . 3.5  A review hearing shall be held: On: _____________________________ (Date) at ______________________ a.m./p.m. At: _____________________________ Court, Room/Department __________________ Address: __________________________________________________ __________________________________________________ 3.6 A copy of this order and notice of hearing shall be given to all parties by: ___________________. Dated: _______________________ ____________________________________________ Judge/Commissioner Presented by: _______________________________ ______________________________________ Signature Child ________________________________ ______________________________________ Type or Print Name/Title/WSBA No. Parent _______________________________ ______________________________________ DCYF Parent _______________________________ Attorney for Mother Attorney for Father ________________________________ Type or Print Name/WSBA No. Type or Print Name/WSBA No. Notice A party who fails to comply with the terms of this order may be found in contempt. Order of Disposition (CHINS) (ORD) - Page 3 of 3 WPF JU 05.0400 (07/2018) - RCW 13.32A.179