10-567. Abuse and neglect party dismissal sheet.
Abuse and Neglect Cases – Party Dismissal Sheet
Type or print responses. Required in all abuse and neglect cases anytime a
party is being dismissed from the case. This form should accompany an order.
______________________________________________________________________
THIS SECTION FOR OFFICIAL USE ONLY
NOTE TO COURT CLERK:
DOCKET EVENT CODE 9500, CRT: Abuse and Neglect Party Dismissal Sheet.
Scan document, but will not become part of the official record.
______________________________________________________________________
Children’s Court Attorney’s Name: __________________________________________
Person Completing Form: _________________________________________________
Phone Number: _______________________ E-mail: __________________________
Case number: ______________ Does This Action Close the Case? _________
Enter as much of the following information as possible for each party being dismissed: |
|
Minor Child 1 |
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Name (F, M, L) |
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Reason for dismissal* |
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Date of dismissal |
|
|
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Minor Child 2 |
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Name (F, M, L) |
|
Reason for dismissal* |
|
Date of dismissal |
|
|
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Minor Child 3 |
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Name (F, M, L) |
|
Reason for dismissal* |
|
Date of dismissal |
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Add information for additional children as necessary. |
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* Type of placement: Kinship Guardianship; Non-relative Guardianship; Adoption; Reunification; PPLA / Aging out of care.
Respondent 1 |
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Name (F, M, L) |
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Reason for Dismissal** |
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Address at Dismissal |
|
|
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Respondent 2 |
|
Name (F, M, L) |
|
Reason for Dismissal** |
|
Address at Dismissal |
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Add information for additional Respondents as necessary. |
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**Reasons for Dismissal: Relinquishment, Termination of Parental Rights, Dismissed by Judge Post Adjudication, Dismissed Prior to Adjudication.
[Adopted by Supreme Court Order No. 14-8300-002, effective for all cases filed on or after August 31, 2014.]