Superior Court of Washington
County of ______
Juvenile Court
In the Interest of:
D.O.B.: / No:
Order on Child in Need of Services (CHINS) Petition
(ORCIN)
 Clerk’s Action Required.
Paragraphs 3.1, 3.3, 3.6, 3.7.

I. Hearing

1.1A petition was filed requesting approval of a CHINS petition regarding the above-named child, and a hearing was held on ______(Date). The court advised the parents of their rights under RCW 13.32A.160(1).

1.2Persons appearing were:

ChildChild’s Lawyer

ParentParent’s Lawyer

DCYF Case WorkerState’s Lawyer

Probation CounselorOther______

1.3Testimony was taken.

II. Findings

The Court finds:

2.1Child’s Indian status:

There is not a reason to knowthe child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), and the Federal and Washington State Indian Child Welfare Acts do not apply to this proceeding.

There is a reason to know the child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), andthe Federal and Washington State Indian Child Welfare Acts

apply  do not apply. The notice required under RCW 13.38.070 and 25 U.S.C. § 1912(a)  has  has not been given.

2.2The petition should be dismissed because:

.

2.3The petition should be approved because a preponderance of the evidence has established that:

a.The child is a child in need of services as defined in RCW 13.32A.030(5).

b.The petitioner, if the child, has made a reasonable effort to resolve the conflict.

c.Reasonable efforts have been made to prevent or eliminate the need for removal of the child from the child’s home and to make it possible for the child to return home.

d.It is contrary to the welfare of the child to remain in or return to the child’s home.

e.It is in the child’s best interest to be placed in foster care.

f.A suitable out-of-home placement resource is available.

III. Order

The court orders that:

3.1The petition is dismissed and the child shall return or remain at home.

3.2The petition is approved. Pending a disposition hearing for a period not to exceed 14 days from the date of this order, the child shall be placed or remain temporarily with:

Name:______

Telephone:______

Address:______

______

 The Department of Children, Youth, and Families for placement in foster care. The Department shall have placement and care authority over the child, with authority to place the child and to provide services to the child and family. Legal custody of the child remains with the child’s parent.

3.3The at-risk-youth petition filed by the parents is granted and the CHINS petition is dismissed.

3.4The Department of Children, Youth, and Families shall prepare and submit a disposition plan.

3.5The Department of Children, Youth, and Families shall review this case to determine if it is appropriate for a dependency petition under Chapter 13.34 RCW.

3.6A disposition hearing shall be held:

On: ______at ______a.m./p.m.

(Date)(Time)

At: ______Court, Room/Department ______

Address: ______

______

3.7A copy of this order and notice of hearing shall be given to all parties by: ______.

Dated: ______

Judge/Commissioner

Copy Received; Approved for Entry; Notice of

Presented by:Presentation Waived:

______

SignatureChild

Type or Print Name/Title/WSBA No.Parent

DCYFParent

______

Attorney for Mother/WSBA No.Attorney for Father/WSBA No.

Notice

A party who fails to comply with the terms

of this order may be found in contempt.

Order on CHINS Petition (ORCIN) - Page 1 of 3

WPF JU 05.0300 (07/2018) - RCW 13.32A.170, .190