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JV-433
CHILD'S NAME:
CASE NUMBER:

SIX-MONTH PREPERMANENCY ATTACHMENT: REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.21(e)) 1. By a preponderance of the evidence, the return of the child to his or her parent or legal guardian would create a substantial risk of detriment to the safety, protection, or physical or emotional well-being of the child. The factual basis for this conclusion is stated on the record. 2. The child's out-of-home placement is necessary. 3. 4. The child's current placement is appropriate. The child's current placement is not appropriate. The county agency must locate an appropriate placement for the child. a. The matter is continued to the date and time indicated in JV-430, item 21 for a written oral report by the county agency on the progress made in locating an appropriate placement. b. other (specify):

5.

The child is placed outside the state of California and that out-of-state placement a. b. does continue to be the most appropriate placement for the child and is in the best interest of the child. does not continue to be the most appropriate placement for the child and is not in the best interest of the child. The matter is continued to the date and time indicated in JV-430, item 21 for a written oral report by the county agency on the progress made toward (1) (2) (3) returning the child to California and locating an appropriate placement within California. locating an out-of-state placement that is the most appropriate placement for the child and in the best interest of the child. other (specify):

Reunification services 6. Reunification services terminated: Child under age of three years at time of removal or member of sibling group a. The child was under the age of three years on the date of the initial removal from the home. b. The child and the child's siblings listed below form a sibling group in that 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. (1) (2) (3) (4) (5) (6) c. By clear and convincing evidence the mother biological father Indian custodian presumed father legal guardian other (specify): failed to participate regularly and make substantive progress in a court-ordered treatment plan. Reunification services are terminated. d. Scheduling a hearing under Welf. & Inst. Code, § 366.26 for this child and some or all members of the sibling group is in the child's best interest. The factual basis for this finding is stated on the record.

Page 1 of 3 Form Approved for Optional Use Judicial Council of California JV-433 [Rev. January 1, 2007]

SIX-MONTH PREPERMANENCY ATTACHMENT: REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.21(e))

Welfare and Institutions Code, § 366.21(e); Cal. Rules of Court, rule 5.710 www.courtinfo.ca.gov

American LegalNet, Inc. www.FormsWorkflow.com

JV-433
CHILD'S NAME:
CASE NUMBER:

7.

Reunification services terminated: Child of any age a. Reunification services are terminated for the mother biological father presumed father legal guardian other (specify): because, by clear and convincing evidence, (1) (2) b.

Indian custodian

the child was initially removed from the person indicated under Welf. & Inst. Code, § 300(g) and the person's whereabouts remain unknown. the person has not had contact with the child for six months.

c.

Reunification services are terminated for the Indian custodian mother biological father presumed father legal guardian other (specify): because, by clear and convincing evidence, that person has been convicted of a felony indicating parental unfitness. Reunification services are terminated for the Indian custodian mother biological father presumed father legal guardian other (specify): because it is determined that the person is deceased.

8.

Reunification services were not ordered for the legal guardian mother presumed father Indian custodian other (specify): because the child was removed initially under Welf. & Inst. Code, § 300(g) and, by clear and convincing evidence, the person's whereabouts are still unknown.

Services 9. Child 10 years of age or older, placed in a group home for six months or longer from the date the child entered foster care a. b. c. The agency has made efforts to identify individuals who are important to the child and to maintain the child's relationship with those individuals, consistent with the child's best interest. The agency has not made efforts to identify individuals who are important to the child and to maintain the child's relationship with those individuals, consistent with the child's best interest. To identify individuals who are important to the child and to maintain the child's relationships with those individuals, the agency must provide the services (1) as stated on the record. (2) as follows:

Health and education 10. biological father other (specify): mother presumed father legal guardian is unable unwilling unavailable to make decisions regarding the child's needs for medical, surgical, dental, or other remedial care, and the right to make these decisions is suspended under Welf. & Inst. Code, § 369 and vested with the county child and family services agency. The 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 Representative--Juvenile (form JV-535) filed in this matter.

11.

JV-433 [Rev. January 1, 2007]

SIX-MONTH PREPERMANENCY ATTACHMENT: REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.21(e))

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JV-433
CHILD'S NAME:
CASE NUMBER:

12.

a. The matter is ordered set for hearing under Welf. & Inst. Code, § 366.26 to select the most appropriate permanent plan for the child. b. By clear and convincing evidence reasonable services have been provided or offered to the child's parents, legal guardian, or Indian custodian. c. The agency and the licensed county adoption agency or the California Department of Social Services, acting as an adoption agency, will prepare and serve an assessment report as described in Welf. & Inst. Code § 361.5(g). d. The court advised all parties present in court that to preserve any right to review on appeal of this order, a party must seek an extraordinary writ by filing notice of intent to file a writ petition and a request for the record, which may be submitted on Notice of Intent to File Writ Petition and Request for Record, Rule 8.450 (form JV-820) and a petition for extraordinary writ, which may be submitted on Petition for Extraordinary Writ, Rules 8.452, 8.456 (Juvenile Dependency) (form JV-825). A copy of each form is available in the courtroom. The court further advised all parties present in court that, as to them, a notice of intent to file a writ petition and request for record must be filed with the juvenile court clerk within seven days of the date of this hearing. The clerk of the court is directed to provide written notice as set forth in rule 5.695(f)(18) of the California Rules of Court to any party not present. e. The court advised each parent present in court of the date, time, and place of the hearing set under Welf. & Inst. Code, § 366.26; their right to counsel; the nature of the proceedings; and the requirement that at the proceedings the court must select and implement a plan of adoption, guardianship, or an identified placement with a specific goal for the child. The court ordered each parent present in court to appear for the hearing set under Welf. & Inst. Code, § 366.26 and directed that each parent be notified hereafter by first-class mail to his or her usual place of residence or business only. f. The court orders that no notice of the hearing set under Welf. & Inst. Code, § 366.26 be provided to the person named below who is a mother, a presumed father, or an alleged father and who has relinquished the child for adoption where the relinquishment has been accepted and filed with notice under Family Code section, § 8700, or an alleged father who has denied paternity and has executed section 1 of Statement Regarding Paternity (form JV-505). (1) (name): (2) (name): (3) (name): (4) (name): g. The likely date by which the child may be placed for adoption, for legal guardianship, or in an identified placement with a specific goal is (specify date):

JV-433 [Rev. January 1, 2007]

SIX-MONTH PREPERMANENCY ATTACHMENT: REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.21(e))

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