Fill and Sign the Who Was Placed in the Custody of or through an Agreement with Form

PETITION FOR PERMANENCY PLANNING HEARING Court Case No. ........................................................................\ ... Commonwealth of Virginia Va. Code §§ 16.1-282.1, 63.2-906 Agency Case No. ....................................................................... ........................................................................\ ............................................................................................. Juvenile and Domestic Relations District Court In re: ........................................................................\ ...............................................................................................................................\ .......................................................... NAME OF CHILD [ ] Male ........................................................................\ .................................... [ ] Female ........................................................................\ .................................... AGE (YEARS/MONTHS) DATE OF BIRTH who was placed in the custody of or through an agreement with ........................................................................\ ............................................................................................................. on ........................................................................\ ......... PUBLIC OR PRIVATE CHILD-PLACING AGENCY DATE I, the undersigned Petitioner, state under oath to the best of my knowledge and belief that the following are true: 1. The above-named child is the subject of a permanency pl anning hearing pursuant to Virginia Code § 16.1-282.1 because: [ ] (a) the child i. was the subject of a foster care plan filed in this court pursuant to Virginia Code § 16.1-281, has not previously been the subject of a permanency pla nning hearing at which the court approved a permanent goal, and ii. has been: [ ] placed through an agreement with the local board of social services where legal custody remains with the parents or guardian and such agreement has not been dissolved by court order; or [ ] in the legal custody of the local board of social se rvices or a child welfare agency and the child has not had a petition to terminate parental rights grante d, filed or ordered to be filed on his/her behalf; has not been placed in permanent foster care; or is age 16 or over and the plan for the child is not independent living. OR [ ] (b) the child was the subject of a hearing at which the Cour t made a determination that reasonable efforts to reunite the child with parents are not required, in accordance w ith the provisions of Virginia Code § 16.1-281 B. OR [ ] (c) the child was the subject of a permanency planning he aring pursuant to Virginia Code § 16.1-282.1 at which the Court approved an interim plan for the child. OR [ ] (d) the child has been placed in another planned perman ent living arrangement and his/her need for long-term residential treatment for a disabling condition is elim inated such that a permanency planning hearing is required pursuant to Virginia Code § 16.1-282.1 A2. 2. [ ] A new foster care plan that identifies a permanent goal of ........................................................................\ ............................................. for PERMANENT GOAL review at this permanency planning hearing is attached hereto and incorporated herein; FORM DC-556 (MASTER, PAGE 1 OF 3) 07/09 Cou rt Case No. ........................................................................\ ... AND [ ] (a) the board or agency seeks to achieve the permanent goal for the child and, therefore, petitions the court for the following relief: [ ] transfer custody of child to his/her prior family, namely ........................................................................................................\ ........................ ........................................................................\ ..................................................... NAME [ ] dissolve the board’s placement agreement and return the child to his/her prior family. [ ] transfer custody of the child to a relative other than the child’s prior family, namely ........................................................................................................\ ........................ ........................................................................\ ..................................................... NAME [ ] approve termination of residual parental rights as being in the best interest of the child, and, upon separate petitions [ ] filed [ ] to be filed, terminate residual parental rights pursuant to Virginia Code § 16.1-277.01 or § 16.1-283. [ ] place child, who is 16 years of age or older, in permanent foster care. [ ] A permanent foster care agreement is append ed. [ ] direct the agency with custody of the child to provide the child with services to transition to independent living if the child has been admitted to the United States as a refugee or asylee, has attained the age of 16 years and the plan is indepe ndent living. [ ] place the child, who is 16 years of age or older, in another planned permanent living arrangement. OR [ ] (b) The board or agency has thoroughly investigated the feasibility of the alternatives listed in Virginia Code § 16.1- 282.1 A (i ) – (v) and alleges that none of these alternatives is in the best interest of the child and, therefore, petitions the court for approval of an interim plan and the following relief: [ ] continue custody with the board or agency or continue placement with the board through a parental agreement; or [ ] transfer custody to the board or agency from the parents or guardian of a child who has been in foster care through an agreement where the parents or guardian retained legal custody. 3. [ ] If 2(b) above is applicable, the foster care plan pursuant to Virginia Code § 16.1- 282.1 B includes provisions for accomplishing the permanent goal within 6 months, and summarizes the investigation conducted of the alternatives listed in Virginia Code § 16.1 -282.1 A (i) – (v) and states why achieving each of these is not in the best interest of the child at this time. The foster care plan describes the child’s placement, including in -state and out -of-state placement options and whether the child’s placement is in -state or out-of-state. If the child’s placement is out -of-state, the foster care plan provides the reason why the out -of -state placement is appropriate and in the best interests of the child. Wherefore, Petitioner requests that the court grant the following relief and such other relief as the child’s best interest requires: 1. [ ] Docket the case for a permanency planning hearing to be held within thirty days, since a hearing was not previously scheduled pursuant to Virginia Code § 16.1-281 B, 16.1-282 E, or § 16.1-282.1 B. 2.Provide notice of the hearing and a copy of the petition, pursuant to Virginia Code §§ 16.1-282.1 and 16.1- 282, to the following at addresses provided on the attached transmittal form: •Child, if he/she is 12 years of age or older; • Guar dian ad litem for child; • Child’s parents and any person standing in loco parentis at time agency assumed custody; • Foster parents or other care providers of the child; • Petitioning board of social services or other child welfare agency; and • Such other persons as the court may direct, including, but not limited to, pre -adoptive parents, if any. FORM DC-556 (MASTER, PAGE 2 OF 3) 07/17 Cou rt Case No. ........................................................................\ ... 3. Ente r a finding that: [ ] Reasonable efforts [ ] have been made [ ] have not been made by the agency to reunite the child with his or her pa rents, guardian or other person standing in loco parentis to the child. [ ] Reasonable efforts to reunite the child with a parent are not required pursuant to Virginia Code § 16.1- 281 B. [ ] The board or agency has identified a permanent goal for the child other than returning the child home and reasonable efforts [ ] have been made [ ] have not been made to achieve the permanent goal identified in the foster care plan. 4.Ent er an order of disposition that adopts and approves the attached foster care plan for the child. 5. [ ] Schedule a future hearing date and give notice to all parties of the following: [ ] a second permanency planning hearing pursuant to Virginia Code § 16.1-282.1 B to be held within six months of this permanency planning hea ring, if a continuation of foster care is the interim plan for the child. [ ] a foster care review hearing in 6 months pursuant to Virginia Code § 16.1- 282.1 A2 to review the foster care plan for a child who is placed in another planned permanent living arrangement. [ ] an annual foster care review hearing within 12 months pursuant to Virginia Code § 16.1- 277.01 E, § 16.1- 277.02 D, § 16.1-278.3 E, or § 16.1-283 F. ........................................................................\ ...................................................... PUB LIC OR PRIVATE CHILD-PLACING AGENCY ........................................................................\ .................................... ______________________________________________________________ DATE PETI TIONER Subs cribed and s worn to before me this .............................................. ______________________________________________________________ DATE [ ] INTAKE OFFICER [ ] CLERK FOR NOTARY PUBLIC’S USE ONLY: State of ....................................................................... [ ] City [ ] County of ................................................................ ... Acknowledged, subscribed and sworn to before me this .............. day of ............................................................ , 20 ................ ............................................................... ________________________________________________________________ _ NOTARY R EGISTRATION NUMBER NOTARY PUBLIC (My commission expires: ................................. ) FORM DC -556 (MASTER, PAGE 3 OF 3) 07/17