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JV-415
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

CHILD'S NAME:

FINDINGS AND ORDERS AFTER DISPOSITIONAL HEARING
(Welf. & Inst. Code, § 361 et seq.) 1. This matter came before the court on the original petition subsequent petition filed on (date): 2. Dispositional hearing a. Date: b. Department: c. Judicial officer (name): d. Court clerk (name): h. Party (name): (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Child: Mother: Father--presumed: Father--biological: Father--alleged: Legal guardian: Indian custodian: De facto parent: County agency social worker: Other:

CASE NUMBER:

supplemental petition

other (specify):

e. Court reporter (name): f. Bailiff (name): g. Interpreter (name and language): Present Attorney (name): Present Appointed Today

i. Others present in courtroom: (1) Court Appointed Special Advocate (CASA) volunteer (name): (2) Other (name): (3) Other (name): 3. The court has read and considered and admits into evidence: a. Report of social worker dated: For the purposes of establishing a guardianship, the report of the social worker includes an assessment as specified in Welf. & Inst. Code §§ 360(a), 361.5(g). Report of CASA volunteer dated: Other (specify): Other (specify): Testimony of qualified expert under the Indian Child Welfare Act

b. c. d. e.

Page 1 of 3 Form Approved for Optional Use Judicial Council of California JV-415 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER DISPOSITIONAL HEARING
(Welf. & Inst. Code, § 361 et seq.)

Welfare and Institutions Code, § 361 et seq.; Cal. Rules of Court, rule 5.695 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com

JV-415
CHILD'S NAME:
CASE NUMBER:

BASED ON THE FOREGOING AND ON ALL OTHER EVIDENCE RECEIVED, THE COURT FINDS AND ORDERS: 4. a. b. Notice of the date, time, and location of the hearing was given as required by law. For child 10 years of age and older who is not present: The child received proper notice of his or her right to attend the hearing. The child is may be an Indian child, and notice of the proceeding and the right of the tribe to intervene was provided as required by law. Proof of such notice was filed with this court. There is reason to believe that the child may be of Indian ancestry, and notice of the proceeding was provided as required by law. Proof of such notice was filed with this court. A Court Appointed Special Advocate is appointed for the child.

5. a. b.

6.

7. Paternity a. The court inquired of the mother others (names and relationships):

as to the identity and address of all presumed or alleged fathers. All alleged fathers present during the hearing who had not previously submitted a Statement Regarding Paternity (Juvenile Dependency) (form JV-505) were provided with and ordered to complete form JV-505 and submit it to the court. b. The clerk of the court is ordered to provide the notice required by Welf. & Inst. Code, § 316.2 to (1) alleged father (name): (2) alleged father (name): (3) alleged father (name):

8. The court informed and advised the mother biological father presumed father alleged father other (specify):

legal guardian Indian custodian

child

of the following: the right of each parent or guardian and the child to be present and to be represented by counsel at every stage of the proceedings and, if financially unable to retain counsel, any right to appointed counsel that exists, subject to the court's right to seek reimbursement; the right to assert the privilege against self-incrimination; the right to confront and cross-examine the persons who prepared the reports or documents submitted to the court by the petitioner and the witnesses called to testify against the parent, legal guardian, or Indian custodian; the right to subpoena witnesses; and the right to present evidence on one's own behalf. 9. The mother biological father legal guardian child presumed father alleged father Indian custodian other (specify): has knowingly and intelligently waived the right to a court trial on the issues, the right to assert the privilege against self-incrimination, the right to confront and cross-examine adverse witnesses, the right to subpoena witnesses, and the right to present evidence on his or her own behalf.

10.

Sibling group The child and the child's siblings listed below form a sibling group in that at least one child in the sibling group was under the age of three years at the time of the initial removal and all children in the sibling group were removed from parental custody at the same time. Sibling (name): a. b. c. d. e. f.

JV-415 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER DISPOSITIONAL HEARING
(Welf. & Inst. Code, § 361 et seq.)

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JV-415
CHILD'S NAME:
CASE NUMBER:

11. Disposition is ordered as set forth in (check appropriate box and attach indicated form): a. b. c. d. e. Dispositional Attachment: Dismissal of Petition With or Without Informal Supervision (Welf. & Inst. Code, § 361) (form JV-416), which is attached and incorporated by reference. Dispositional Attachment: In-Home Placement With Formal Supervision (Welf. & Inst. Code, § 361) (form JV-417), which is attached and incorporated by reference. Dispositional Attachment: Appointment of Guardian (Welf. & Inst. Code, § 360(a)) (form JV-418), which is attached and incorporated by reference. Dispositional Attachment: Removal From Custodial Parent--Placement With Previously Noncustodial Parent (Welf. & Inst. Code, § 361.2) (form JV-420), which is attached and incorporated by reference. Dispositional Attachment: Removal From Custodial Parent--Placement With Nonparent (Welf. & Inst. Code, § 361.2) (form JV-421), which is attached and incorporated by reference.

12. The child's rights under Welf. & Inst. Code, § 388 and the procedure for bringing a petition under Welf. & Inst. Code, § 388, including the availability of appropriate and necessary forms, was provided to the child as follows: a. Child under the age of 12 years, through the child's attorney of record or guardian ad litem b. Child 12 years of age or older who was present at the hearing, on the record and in writing by handing the child Child's Information Sheet--Request to Change Court Order (form JV-185) c. Child 12 years or older who was not present at the hearing, in writing by mailing the child a copy of Child's Information Sheet--Request to Change Court Order (form JV-185) 13. Contact with the child is ordered as set forth in (check appropriate box and attach indicated form): Visitation Attachment: Parent, Legal Guardian, Indian Custodian, Other Important Person (form JV-400). a. b. Visitation Attachment: Sibling (form JV-401). c. Visitation Attachment: Grandparent (form JV-402).

14. All prior orders not in conflict with this order remain in full force and effect. 15. Other findings and orders: a. See attached. (Specify): b. The next hearing is scheduled as follows: Hearing date: a. b. c. d. e. 17. Time: Dept: Room:

16.

In-home status review hearing (Welf. & Inst. Code, § 364) Six-month prepermanency hearing (Welf. & Inst. Code, § 366.21(e)) Selection and implementation hearing (Welf. & Inst. Code, § 366.26) Postpermanency hearing (Welf. & Inst. Code, § 366.3) Other (specify):

The petition is dismissed. Jurisdiction of the court is terminated. All appointed counsel are relieved of the duty to provide further representation.

18. Number of pages attached: Date:
JUDGE JUDGE PRO TEMPORE

Date:
COMMISSIONER REFEREE

JV-415 [Rev. January 1, 2007]

FINDINGS AND ORDERS AFTER DISPOSITIONAL HEARING
(Welf. & Inst. Code, § 361 et seq.)

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