Superior Court of Washington
County of ______
Juvenile Court
In Re the Welfare of:
D.O.B.: / No:
Review Hearing Order (ORRVH)
Permanency Planning Hearing
(ORPP)
Clerk’s Action Required.
Paragraphs 3.1, 3.6
The court will hear dependency review permanency planning ______on [date] ______at ______a.m./p.m.at: ______Court, Room/Department: ______, located at: ______
______

I. Hearing

1.1The court held a review permanency plan hearing on ______[date].

1.2The following persons appeared:

ChildChild's Lawyer

MotherMother's Lawyer

FatherFather's Lawyer

Guardian or Legal CustodianGuardian's or Legal Custodian's Lawyer

Child's GALGAL's Lawyer

DCYFDCYF’s Lawyer

Interpreter for mother father Other ______

other ______

1.3The court heard testimony.

II. Findings

2.1Child’s Indian status: On this date On ______, the court asked each participant on the record whether the participant knows or has reason to know the child is an Indian child.

There is not a reason to know the child is an Indian child as defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), based upon prior findings and order(s). The Federal and Washington State Indian Child Welfare Acts do not apply to this proceeding.

There is reason to know the child is an Indian child as defined inRCW 13.38.040 and 25 U.S.C. § 1903(4), based upon prior findings and order(s). The Federal and Washington State Indian Child Welfare Acts apply to this proceeding. The notice and evidentiary requirements of the Federal and Washington State Indian Child Welfare Acts were found in previous proceedings and are incorporated here by reference.

DCYF made active efforts by actively working with the parent, parents, or Indian Custodian to engage them in remedial services and rehabilitative programs to prevent the breakup of the Indian family beyond simply providing referrals to such services, but those efforts have been unsuccessful.

Other:

2.2Jurisdiction:

The child resides in this county.

The child has a developmental disability, as defined in RCW 71A.10.020.

The child has been placed in out-of-home care pursuant to RCW 74.13.350.

The parents or legal guardians agreed to the child’s placement in out-of-home care.

2.3It is not in the best interest of the child to remain in out-of-home placement.

2.4It is in the best interest of the child to remain in out-of-home placement.

III. Order

3.1The out-of-home placement is not in the best interest of the child. The child isreturned to the parents and the case is dismissed.

Continued out-of-home placement is in the best interest of the child, the supervising agency is: ______.

3.2The child shall be placed or remain in ______.

3.3The prior court order entered on ______[date] remainsin full force and effect.

3.4The following permanent plan of care is approved:

Return of the child to the home of the child’s parent or legal guardian.

Adoption.

Guardianship.

Long-term out-of-home care until the child is 18, with a written agreementbetween the parties and the child’s care provider.

Permanent legal custody pursuant to Chapter 26.10 RCW, or the equivalentlaws of another state or a federally recognized Indian tribe.

3.5 The agency report for the next review permanency plan hearing shall be submitted to the court at least ______days, and to all parties at least ______days, prior to the hearing.

3.6All parties shall appear at the next scheduled hearing (see page one).

Dated: ______

Judge/Commissioner

Presented by:

______

Signature

______

Type or Print Name WSBA No.

Copy Received; Approved for Entry; Notice of Presentation Waived:

Signature of Child Signature of Child’s Lawyer

Print NameWSBA No.

Signature of Mother Signature of Mother’s Lawyer

Print NameWSBA No.

Signature of Father Signature of Father’s Lawyer

Print NameWSBA No.

Signature of Guardian or Legal Custodian Signature of Guardian or Legal Custodian’s Lawyer

Print NameWSBA No.

Signature of Child’s GAL Signature of Lawyer for the Child’s GAL

Print NamePrint NameWSBA No.

Signature of DCYF Representative Signature of DCYF Representative’s Lawyer

Print NamePrint NameWSBA No.

______

Other

Review Hrg Or/Permanency Planning Or (ORRVH, ORPP) - Page 1 of3

WPF JU 12.0500 (07/2018) - JuCR 3.9; RCW 13.34.270(5); RCW 74.13.350