Free JV-417.v3.092806.xyz.ofm - California

JV-417
CHILD'S NAME:
CASE NUMBER:

DISPOSITIONAL ATTACHMENT: IN-HOME PLACEMENT WITH FORMAL SUPERVISION
(Welf. & Inst. Code, § 361) 1. The child is a person described by Welf. & Inst. Code, § 300 (specify all that apply): 300(a) 300(c) 300(e) 300(g) 300(i) 300(b) 300(d) 300(f) 300(h) 300(j) and is adjudged a dependent of the court. The county agency is ordered to immediately return the child to the legal guardian mother biological father presumed father Indian custodian alleged father other (specify): were were not made to prevent or eliminate the need for removal from the home.

2.

3. Reasonable efforts Custody of the child

4. Custody of the child is retained by mother biological father presumed father alleged father other (specify): 5. The child and the mother biological father presumed father alleged father other (specify): are placed under the supervision of the county agency. Family maintenance services 6.

legal guardian Indian custodian

legal guardian Indian custodian

The county agency must provide, and the legal guardian mother biological father presumed father Indian custodian alleged father other (specify): must participate in, family maintenance services designed to keep the family together as specified in the family's case plan.

Education 7. The right of the legal guardian mother biological father presumed father Indian custodian alleged father other (specify): to make educational decisions for the child is limited as set forth in the Order Limiting Parent's Right to Make Educational Decisions for the Child and Appointing Responsible Adult as Educational Representative­Juvenile (form JV-535) filed in this matter. The legal guardian mother biological father presumed father Indian custodian alleged father other (specify): must ensure the child's regular school attendance and make reasonable efforts to obtain the education services necessary to meet the child's specific needs.

8.

Page 1 of 1 Form Approved for Optional Use Judicial Council of California JV-417 [Rev. January 1, 2007]

DISPOSITIONAL ATTACHMENT: IN-HOME PLACEMENT WITH FORMAL SUPERVISION
(Welf. & Inst. Code, § 361)

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