Free D.R.L.§115-C S.C.P.A.§1725 Form 21-D (Temporary Guardianship) 12/97 FAMILY C... - New York

D.R.L.§115-C S.C.P.A.§1725

Form 21-D (Temporary Guardianship) 12/97

FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF

In the Matter of the Temporary Guardianship of A Child Whose First Name is

(Docket) (File) No. NOTICE (Denial of Withdrawal of Application; Removal of Child)

TO. PLEASE TAKE NOTICE that on the ( ) the petition of guardianship was denied. ) the petition for adoption filed by (withdrawn) (denied). ) the child, custody of day of 19 :

for an order of temporary

(

has been

(

, has been removed from the physical .

(

) the order dated the day of 19 , granting temporary guardianship of the child, , to has expired without the entry of a final order of adoption.

The law requires this notice to be sent to you. You may wish to consult a lawyer about your legal rights at this time.

Dated:

,19

.

Form 21-D page 2

CLERK OF THE COURT _______________________________________ Petitioner _______________________________________ Print or type name _______________________________________ Signature of Attorney, if any ___________________________________ Attorney's Name (Print or Type) ___________________________________ ___________________________________ ___________________________________ Attorney's Address and Telephone Number