WPC*  
           " s\ԅ]N;[r&!"sK2  D*_ڀ~p>SAʼC)s+HmՏ	8R \弞
FER&,58~r{9cB,telz|q}0%UzU%ec0K@[SMFrI:\~clĭ-qB*Ky
dv]R5F6İazC⟶ԁt	XL4}oRO	㛾βxG߱D|kΩ1D4V5pڶ!:z≢&rdm]!.T>>))Kixķ%sKa&kybuVe3^ve{xW;JXDϰlqsn+;\AK* }           M         UU   >     0     	  0   <   
  0   d  
  0   2  U     &     	        0              L  0      b   	                 	         	      +   	      ?        S   	         	         U   >   /   U   @   m     (      U   >      	         	      '  0   U   ;  0        0      m  0      ,  0        0        0      E  0        0         	      (   	      :   	      L  0      ^  0        0        0        0      <  0        0      x  0        0        0      #    	          	          	      !  0      !   	      !  0      !  0      "  0      =#  0      #  0      s$  0      %  0      %   b      &            &            &            &     Z   /&            /&            /&            /&            /&            /&            /&            /&            /&            /&            /&            /&            /&            /&            /&   	      &            &            &            &            &   	      &   	      &            &            &            &            &            &            &            &            &            &            &            &            &            &            &            &            &            &   	      &            &   	      &            &            &            &            &            &            &            &   	      &        &  0   r   '  #     }'   U   N   F*  	%      *  N      *  ^      *  w      *  4      *        *  	m      *      \	  	   `   & T i m e s   N e w   R o m a n             6                4 H e a d i n g   1                  x   (#      X      XX S            \	  	   `   & T i m e s   N e w   R o m a n         S 
                  8  .    `	   h   p    x   (#8 S            \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     <                    : D e f a u l t   P a r a         0                . H e a d e r           (#     X      XX S            \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S            \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     0   m             . F o o t e r           (# S            \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S            \	  	   `   & T i m e s   N e w   R o m a n         S  '                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
       
       
 0      
 .      
       
            I N   T H E   D I S T R I C T   C O U R T   O F                                                                                                         C O U N T Y ,   K A N S A S    T e x t 2 7       (   e               2JA$       
 s  \!        u  X8a  X  Xu X      X8a  X  Xu X8a      
              (   e               2JA$       
 s  \!        u  X8a  X  Xu X      X8a  X  Xu X8a      T e x t 4 1    
           C h e c k 4 3    C h e c k 4 4    C h e c k 4 5    
      
 	  JA'        u  X%Y  X  Xu X      X%Y  X  Xu X%Y     _           "   X     A " 11/23/10 C h e c k 4 6    C h e c k 4 7     \	  	   `   & T i m e s   N e w   R o m a n         Z 2  A $ `  ( A r i a l   U n i c o d e   M S                                                 \	  	   `  & T i m e s   N e w   R o m a n          C h e c k 1 2    C h e c k 1 1       *       +           ( _ 2 6     2      3
   
       . .        *   D   +       D   ( _ 2 5             ,  " 

 
  <   D   L , 2     3
   
       . .    ,  " 

 
  <   D   L ,             *   5   +       5   ( _ 2 4         )   	  <   D   L ) 2     3
   
       . .    )   	  <   D   L )         *   2   +       2   ( _ 2 3        `	 &   < <   D   L & 2     3
   
       . .    &   < <   D   L &    `	     *   /   +       /   ( _ 2 2         #      D   L # 2     3
   
       . .    #      D   L #         *   ,   +       ,   ( _ 2 1               D   L   2     3
   
       . .          D   L           *   )   +       )   ( _ 2 0        h    D D   L  2     3
   
       . .       D D   L     h     *   &   +       &   ( _ 1 9               L  2     3
   
       . .          L          *   #   +       #   ( _ 1 8              L  2     3
   
       . .         L       T e x t 5 2    T e x t 5 3    T e x t 5 4       *   >          >   ( _ 1 7           2  (   4 
  <   D   L 2 2      3
   
 Ԁ2  (   4 
  <   D   L 2           *   D          D   ( _ 1 6             ,  " 

 
  <   D   L , 2     3
   
 Ԁ,  " 

 
  <   D   L ,             *   5          5   ( _ 1 5         )   	  <   D   L ) 2     3
   
 Ԁ)   	  <   D   L )         *   2          2   ( _ 1 4        `	 &   < <   D   L & 2     3
   
 Ԁ&   < <   D   L &    `	     *   /          /   ( _ 1 3         #      D   L # 2     3
   
 Ԁ#      D   L #         *   ,          ,   ( _ 1 2               D   L   2     3
   
 Ԁ      D   L           *   )          )   ( _ 1 1        h    D D   L  2     3
   
 Ԁ   D D   L     h     *   &          &   ( _ 1 0               L  2     3
   
 Ԁ      L          (   #          #   & _ 9              L  2     3
   
 Ԁ     L          (   >          >   & _ 8           2  (   4 
  <   D   L 2 2      3
   
 2  (   4 
  <   D   L 2        T e x t 9    T e x t 1 0    T e x t 1 1       (   D          D   & _ 7             ,  " 

 
  <   D   L , 2     3
   
 ,  " 

 
  <   D   L ,          C h e c k 2 5       (   5          5   & _ 6         )   	  <   D   L ) 2     3
   
 )   	  <   D   L )         (   2          2   & _ 5        `	 &   < <   D   L & 2     3
   
 &   < <   D   L &    `	     (   /          /   & _ 4         #      D   L # 2     3
   
 #      D   L #         (   ,          ,   & _ 3               D   L   2     3
   
       D   L           (   )          )   & _ 2        h    D D   L  2     3
   
    D D   L     h     (   &          &   & _ 1               L  2     3
   
       L          &   #          #   $ _              L  2     3
   
      L      P a g e      o f     &  8         D o c u m e n t M a n a g e m e n t : : M o d i f i e d B o o l e a n T R U E  T e x t 3 3    C h e c k 1 3    C h e c k 1 4    C h e c k 3 8    T e x t 4 3    T e x t 5 1   3| x            (   J               \$              u  X  X  Xu X      X  X  Xu X  \ \ K J C D C 0 1 \ S A V I N   9 0 6 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r          u X  Bv=e         }i=    D M I N   0             U  
 s  \!        u  X%Y  X  Xu X      X%Y  X  Xu X%Y     _                L   <      8 u  .
u % %       d                  d  8 @    $$(  132b         p                x        u  X%Y  X  X X%Y    	       =    %Y  X   X       d                 d= _                  _        #   X%Y  X  Xu X%Y:  #          `	              X%Y  X  X X%Y  
  [  @    @@  INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   	     #   X%Y  X  X X%Y3  #  u  X%Y  X  X X%Y  d        @    *   d#   X%Y  X  Xu X%Y  #    X%Y  X  X X%Y Ԉ            INTHEINTERESTOF   	 R         Name_____________________________              p      CaseNo._____________   	 *
   DOB#   X%Y  X  X X%Yi  # xx   X%Y  X  X X%Y /#   X%Y  X  X X%Y  # xx   X%Y  X  X X%Y /____A&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁmale&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁfemale   	 t   Name_____________________________              p      CaseNo._____________   	 L	   DOB#   X%Y  X  X X%Yd  # xx   X%Y  X  X X%Y /#   X%Y  X  X X%YG  # xx   X%Y  X  X X%Y /____A&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁmale&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁfemale   	 8	
   #   X%Y  X  X X%Y)  #    X%Y  X  X X%Y Name_____________________________              p      CaseNo._____________   	    DOB#   X%Y  X  X X%Y  # xx   X%Y  X  X X%Y /#   X%Y  X  X X%YN  # xx   X%Y  X  X X%Y /____A&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁmale&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁfemale   	    #   X%Y  X  X X%Y0	  #         X%Y  X  X X%Y #   X%Y  X  X X%Y	  #         *        x   (#   X*    X%Y  X  X X%Y    X%Y  X  X X%Y 
              	        0         x   (#  X0        X X%Y *#   X%Y  X   
  # COMBINEDJOURNALENTRYANDORDEROFTEMPORARYCUSTODY   	  
        
l
   Ԍ   	 b   Ќ    $  
    X   X$    X%Y  X  X X%Y    X%Y  X  X X%Y 	     @ @  ||  PursuanttoK.S.A.382243and42U.S.C.671etseq.   	    B  .    `	   h   p    x   (#   XB       X X%Y (Orderspertainingtomorethanonechildmustincludefindingsspecifictoeachchildlistedinthecaption.)   	         !     (# X!    &.
 %                X%Y  X % &.
 Onthis#   &.
 %  X X%Y  # Ԁ% #       X%Y  X % &.
    X%Y  X  X X%Y _______% #      Ԁdayof% $    -     ___________________-     % $      ,% %    -     20_____-     % %      ԀthismattercomesbeforetheCourt.   	 $      X%Y  X  X X%Y      TheCourtfindsthattheIndianChildWelfareAct(ICWA)#   X%Y  X  X X%Ya  #    X%Y  X  X X%Y 0#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁis#   X%Y  X  X X%Y1  #    X%Y  X  X X%Y applicable0isnot   	 Z   applicable0applicabilityisundetermined.Petitioner0neednotgive0hasgiven0shall   	 J   givenoticetotheTribe#   X%Y  X  X X%Yw  #    X%Y  X  X X%Y ԀandtheCourthasjurisdictiontoproceedforthehearing.#   X%Y  X  X X%Y  #    	 :        TheCourtfindsthatjurisdictionandvenueareproper.Noticetoparties,interestedparties   	    andthoserequiredtoreceivenoticehasbeengivenasrequiredbylaw.   	       X%Y  X  X X%Y '    , `	X  (#' &#   X%Y  X  X X%Y  #    X%Y  X  X X%Y 0     #   X%Y  X  X X%Yd  #    X%Y  X  X X%Y Thepetitionerappearsby__________________________&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y ԀCounty/DistrictAttorneyor   	 |   designee&#   X%Y  X  X X%Y4  #    X%Y  X  X X%Y Ԁother_____________________________#   X%Y  X  X X%Y  #    X%Y  X  X X%Y .    l  (#(#  &#   X%Y  X  X X%Y!  #    X%Y  X  X X%Y 0     #   X%Y  X  X X%Y  #    X%Y  X  X X%Y Thechildappears&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁinperson,and&#   X%Y  X  X X%Y/  #    X%Y  X  X X%Y Ԁnotinperson,butbythechildsguardianadlitem,   	 \!   ___________________________.    L"  (#(#  #   X%Y  X  X X%Y  #    X%Y  X  X X%Y &0     򀀀NameofMother,#   X%Y  X  X X%Y]  #    X%Y  X  X X%Y themother#   X%Y  X  X X%Y  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y<  #    X%Y  X  X X%Y Ԁappearsinpersonprose&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁappearsin   	 8#!   person,andthroughherattorney,___________________________&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁappearsnotin   	 ($"   person,butbyandthroughherattorney,___________________________&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁdoesnot   	 %r #   appear.     &^!$ (#(#  &#   X%Y  X  X X%YA  #    X%Y  X  X X%Y 0     򀀀NameofFather,#   X%Y  X  X X%Y  #    X%Y  X  X X%Y the&#   X%Y  X  X X%Yd  #    X%Y  X  X X%Y Ԁfather&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y putativefatherof󀀀Nameofchild   	 &N"%   Ѐ#   X%Y  X  X X%Y  # ,   X%Y  X  X X%Y Ԁ&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁappearsinpersonprose&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁappearsinperson,andthroughhis   	 '>#&   attorney,__________________________&#   X%Y  X  X X%Yl  #    X%Y  X  X X%Y Ԁappearsnotinperson,butbyandthroughhis   	 (.$'   attorney,__________________________&#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁdoesnotappear.    )%( (#(#  #   X%Y  X  X X%Y  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y/  #    X%Y  X  X X%Y 0     򀀀NameofFather,#   X%Y  X  X X%Yx  #    X%Y  X  X X%Y the&#   X%Y  X  X X%Y   #    X%Y  X  X X%Y Ԁfather&#   X%Y  X  X X%YS   #    X%Y  X  X X%Y putativefatherof󀀀Nameofchild   	 *&)   Ѐ#   X%Y  X  X X%Y   #    X%Y  X  X X%Y ,#   X%Y  X  X X%Y_!  #    X%Y  X  X X%Y Ԁ&#   X%Y  X  X X%Y!  #    X%Y  X  X X%Y Ԁappearsinpersonprose&#   X%Y  X  X X%Y!  #    X%Y  X  X X%Y Ԁappearsinperson,andthroughhis   	 +&*   attorney,__________________________&#   X%Y  X  X X%YP"  #    X%Y  X  X X%Y Ԁappearsnotinperson,butbyandthroughhis   	       attorney,__________________________&#   X%Y  X  X X%Y"  #    X%Y  X  X X%Y Ԁdoesnotappear.      (#(#  #   X%Y  X  X X%Y#  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y$  #    X%Y  X  X X%Y 0     򀀀NameofFather,#   X%Y  X  X X%Y\$  #    X%Y  X  X X%Y the&#   X%Y  X  X X%Y$  #    X%Y  X  X X%Y Ԁfather&#   X%Y  X  X X%Y7%  #    X%Y  X  X X%Y putativefatherof󀀀Nameofchild   	 z   Ѐ#   X%Y  X  X X%Y%  #    X%Y  X  X X%Y ,#   X%Y  X  X X%YA&  #    X%Y  X  X X%Y Ԁ&#   X%Y  X  X X%Y&  #    X%Y  X  X X%Y Ԁappearsinpersonprose&#   X%Y  X  X X%Y&  #    X%Y  X  X X%Y Ԁappearsinperson,andthroughhis   	 j   attorney,__________________________&#   X%Y  X  X X%Y2'  #    X%Y  X  X X%Y Ԁappearsnotinperson,butbyandthroughhis   	 Z   attorney,__________________________&#   X%Y  X  X X%Y'  #    X%Y  X  X X%Y Ԁdoesnotappear.    F	 (#(#  #   X%Y  X  X X%Y(  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y(  #    X%Y  X  X X%Y 0     #   X%Y  X  X X%Y>)  #    X%Y  X  X X%Y (Otherparentappearances)____________________________________________________   	 2
   ___________________________________________________________________________   	 "   ___________________________________________________________________________    l (#(#  &#   X%Y  X  X X%Y)  #    X%Y  X  X X%Y 0     #   X%Y  X  X X%Y+  #    X%Y  X  X X%Y Interestedpartiesappearingare:_________________________________________________    X	 (#(#  0     ___________________________________________________________________________    H	
 (#(#  &#   X%Y  X  X X%Ya+  #    X%Y  X  X X%Y 0     TheSecretaryispresentthrough_________________________________________________    4
 (#(#  0     ___________________________________________________________________________    $ (#(#  &#   X%Y  X  X X%Y,  #    X%Y  X  X X%Y 0     Alsopresent:________________________________________________________________     (#(#  0     ___________________________________________________________________________      (#(#  Ѐ      #   X%Y  X  X X%Y-  #      THECOURTFURTHERFINDSthereisprobablecausetobelievethattheallegationsinthe   	 z   applicationforcustodyaretrueandthat:   	 f    u  X%Y  X  X X%Y    ,   &0     AppropriatepublicorprivateagencieshavemadereasonableeffortsbuthavefailedtoL
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    X%Y  X  X X%Y (Specifybasisforfindingforeachchild.)#   X%Y  X  X X%Y{1  #  u  X%Y  X  X X%Y _______________________________________    t (#(#  Ѐ     ______%     -     __________________________________________________________________   	 `        ________________________________________________________________________-     %    f2   Ԁ   	 L        ________________________________________________________________________   	 8        _______________________________________________________________________.   	 $   #   X%Y  X  Xu X%Y1  #    	             , OR   	       X   $  
  (# , `	X$  u  X%Y  X  X X%Y           &     AppropriatepublicorprivateagenciesarenotrequiredtomakereasonableeffortstoL
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 #   X%Y  X  Xu X%Y4  #    X%Y  X  X X%Y    	 v   maintainthechildinthehomebecauseanemergencyexistswhichthreatensthesafetyofthe   	 b    child.#   X%Y  X  X X%Y5  # L
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    X%Y  X  X X%Y (Specifybasisforfindingsforeachchild.)#   X%Y  X  X X%Y6  # L
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    X%Y  X  X X%Y __________________________________   	 N!        ________________________________________________________________________   	 :"    ________________________________________________________________________   	 &#!        ________________________________________________________________________   	 $p"        _______________________________________________________________________.#   X%Y  X  X X%Y 7  #    	 $\ #      	 %H!$              X !     (# (#!     OR   	 &4"%   % O       X%Y  X  X X%Y    ,       &#   X%Y  X  X X%Y9  #  u  X%Y  X  X X%Y 0     AppropriatepublicorprivateagenciesarenotrequiredtomakereasonableeffortsL
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 #   X%Y  X  Xu X%Y :  #    X%Y  X  X X%Y with   	 ($'   respecttoaparentbecausetheparenthasbeenfoundbyacourttohave:#   X%Y  X  X X%Y:  #    X%Y  X  X X%Y     )$( (#(#  B  + `	 4 `	   h   p    x   (#  (#B % O   9   %              , &%    
<       4 committedmurderinthefirstdegree,K.S.A.213401,andamendmentsthereto;murder   	 *%)   intheseconddegree,K.S.A.213402,andamendmentsthereto;capitalmurder,K.S.A.   	 r+&*   213439,andamendmentsthereto;voluntarymanslaughter,K.S.A.213403,and   	       amendmentsthereto;orviolatedalawofanotherstatewhichprohibitssuchmurderor   	     manslaughterofanotherchildoftheparent;   	 z   E  . `	  4 `	   h   p    x   (#`	 4 `	XE %     &%    y>       4 aidedorabetted,attempted,conspired,orsolicitedtocommitsuchmurderorvoluntary   	 f   manslaughterofanotherchildoftheparent;   	 R      _  .  *   `	  4 `	(#`	 , X* %     &%    ?       4 committedafelonybatterythatresultedinbodilyinjurytothechildoranotherchildof   	 >	   theparent;   	 *
      .  _   E  . `	  4 `	   h   p    x   (#`	 ,(#E %     &%    @       4 subjectedthechildtoaggravatedcircumstancesasdefinedinK.S.A.382202_        (c)_        ;   	 t      _  .   *   `	  4 `	(#`	 , X* %     &%    A   0    4 parentalrightsoftheparenttoasiblinghavebeenterminatedinvoluntarily.    ` 4(#4(#  (Specifybasisforfindingforeachchild)_______________________________________   	 L	   ________________________________________________________________________   	 8	
   ________________________________________________________________________   	 $
   ________________________________________________________________________   	    ________________________________________________________________________#   X%Y  X  X X%Yy;  #    	        4 0    !     !(#!(#                  $     (#`	 ,(#$ OR   	 v      X%Y  X  X X%Y   X      ,     ,     &#   X%Y  X  X X%YD  #    X%Y  X  X X%Y 0     #   X%Y  X  X X%YKE  #    X%Y  X  X X%Y AppropriatepublicorprivateagencieshavenotmadeL
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    X%Y  X  X X%Y Ԁ#   X%Y  X  X X%YG  #    X%Y  X  X X%Y _____________________________________________________    : (#(#       ________________________________________________________________________   	 &        ________________________________________________________________________   	 p        ________________________________________________________________________   	 \        _______________________________________________________________________.   	 H      	 4   #   X%Y  X  X X%YH  #     XD     ,
E          X%Y  X  X X%Y      , AND   	     #   X%Y  X  X X%YJ  #    X%Y  X  X X%Y        ,   &#   X%Y  X  X X%YK  #    X%Y  X  X X%Y 0     #   X%Y  X  X X%YmK  #    X%Y  X  X X%Y ThereisprobablecausetobelievethatL
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    X%Y  X  X X%Y thechild.   	 z       4 #   X%Y  X  X X%Yb  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y3c  # L
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    X%Y  X  X X%Y _,ayouthresidentialfacility.   	 f       4 #   X%Y  X  X X%Yfe  #    X%Y  X  X X%Y &#   X%Y  X  X X%Ye  # L
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    X%Y  X  X X%Y ԀTheSecretary#   X%Y  X  X X%Yi  # L
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   childhasnoidentifiableparentalorfamilyresourcesorshowssignedofphysical,mental,   	 j
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   
    X%Y  X  X X%Y .#   X%Y  X  X X%Yj  # L
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 d   X%Y  X  X X%Y    	 V         d#   X%Y  X  X X%Y-k  #    X%Y  X  X X%Y           #   X%Y  X  X X%Yk  #    X%Y  X  X X%Y AND   	 .   #   X%Y  X  X X%Yk  #    X%Y  X  X X%Y     9    ,   X I `	  `	 X ![9      &#   X%Y  X  X X%Y\l  #    X%Y  X  X X%Y ԀAchildsupportordershallissue.   	 d   #   X%Y  X  X X%Yl  #    X%Y  X  X X%Y 0     &#   X%Y  X  X X%Ynm  #    X%Y  X  X X%Y ԀEachparentshallsubmitinformationtothechildsupportofficeforachildsupportorder   	 <   tobeprepared,orpresentdocumentationofacurrentchildsupportorderwithin____days#   X%Y  X  X X%Ym  #    X%Y  X  X X%Y .#   X%Y  X  X X%Yn  #    X%Y  X  X X%Y     ( (#(#  #   X%Y  X  X X%Yo  #         X%Y  X  X X%Y dTHECOURT_        _        _        ORDERS_        Ԁallprovidersof_        services#   X%Y  X  X X%Yo  # L
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   
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   
    X%Y  X  X X%Y including_        Ԁeducational_        services#   X%Y  X  X X%Yp  # L
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    X%Y  X  X X%Y ,_        Ԁtreatment,   	    _        #   X%Y  X  X X%Yfq  # L
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    X%Y  X  X X%Y education#   X%Y  X  X X%Yq  # L
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   
    X%Y  X  X X%Y _        Ԁorcareofthechildandfamily,evenifnotspecificallyreferredtoherein,toprovide   	 ~   information_        #   X%Y  X  X X%Y\r  # L
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   
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   
    X%Y  X  X X%Y any_        Ԁandalleducational_        records#   X%Y  X  X X%Y"t  # L
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    X%Y  X  X X%Y ,_        Ԁcareand   	 .   _        services#   X%Y  X  X X%Yv  # L
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   
    X%Y  X  X X%Y _        Ԁtothechildandfamily.Thisorderencompasses_        #   X%Y  X  X X%YYw  # L
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    X%Y  X  X X%Y and_        Ԁcomplies_        with#   X%Y  X  X X%Y x  # L
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   
    X%Y  X  X X%Y _        Ԁtheprovisionsofthe   	 x   _        #   X%Y  X  X X%Yx  # L
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   
    X%Y  X  X X%Y Family_        ԀEducationRightsandPrivacyAct(20U.S.C.1232g;34_        C.F.R._        Ԁ_        99#   X%Y  X  X X%Y(y  # L
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    X%Y  X  X X%Y _        Ԁ_        #   X%Y  X  X X%Yz  # L
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    X%Y  X  X X%Y _        ԀPrivacyRuleof   	  d   theHealthInsurancePortabilityandAccountabilityActof1996(_        HIPAA_        ),45_        C.F.R._        Ԁ164.512(e)(1).#   X%Y  X  X X%Yz  # d   	  P      .  _   Q  .    `	   h   p    x   (# ,   X I[Q      % g    % g   |      ,   &     THECOURTFURTHERORDERS:   	 #!        _______________________________________________________________________   	 $  "        _______________________________________________________________________   	 % #        _______________________________________________________________________.   	 z&!$           X%Y  X  X X%Y &#   X%Y  X  X X%YK~  #  u  X%Y  X  X X%Y 0     Arestrainingordershallbepreparedby________________________,filed,andserved   	 R(#&   upon_______________________________________.#   X%Y  X  Xu X%Y~  #    X%Y  X  X X%Y     >)$' (#(#     	 **%(   #   X%Y  X  X X%Yu  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y  #    X%Y  X  X X%Y ԀTheSecretary#   X%Y  X  X X%Y4  #    X%Y  X  X X%Y &CourtServices#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁ#   X%Y  X  X X%Y܀  #    X%Y  X  X X%Y &____________________________________________   	 +t&)   shallcompletereportsandsubmitthemtotheCourtby___________________________.#   X%Y  X  X X%Y   #    X%Y  X  X X%Y    	 ,d'*   #   X%Y  X  X X%Y  #    	 ,P(+      L  
           
       
   
           THECOURTFURTHERORDERSthismattersetfor% i    Ԁ% i      Ԁhearing   	     before   X%Y  X  X X%Y &theCourt&#   X%Y  X  X X%Yi  #    X%Y  X  X X%Y the#   X%Y  X  X X%YÃ  #    X%Y  X  X X%Y CRB#   X%Y  X  X X%Y	  # Ԁ u  X%Y  X  X X%Y ______dayof% 0    -     ___________________-     % 0      ,% 1    -     20_____-     % 1   ׄ   ,at% 2    -     ____:____-     % 2   "      	 z   #   X%Y  X  Xu X%YS  #    X%Y  X  X X%Y &#   X%Y  X  X X%Y  #  u  X%Y  X  X X%Y Ԁa.m.% 4    % 4      #   X%Y  X  Xu X%Y  #    X%Y  X  X X%Y &#   X%Y  X  X X%YR  #  u  X%Y  X  X X%Y Ԁp3   	    p    x   (# X3 .m.#   X%Y  X  Xu X%Y  #    	 j                  ITISSOORDEREDTHIS-     ________dayof_________________,% q    20_____-     % q      .   	 B	      	 .
   -      p(#    pX-    	 x        0    p _____________________________    d p(#p(#  -      p 2(#   p(#-          p JudgeoftheDistrictCourt   	 P	    u  X%Y  X  X X%Y @    *  #   X%Y  X  Xu X%Y  #    X%Y  X  X X%Y &#   X%Y  X  X X%Yi  # L
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    X~ X  X X%Y Ԁ#   X%Y  X X X~É  # L
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    X%Y  X  X X%Y Thecourtprovidedtheparents,grandparentsand/orinterestedparties,whowerepresentat   	 (
   thishearingandwhohadnotpreviouslyreceivedthem,withinformationmaterialspertainingtotheir   	 4   respective#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y rightsandresponsibilities#   X%Y  X  X X%Ye  # L
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    X%Y  X  X X%Y .#   X%Y  X  X X%YO  #  u  X%Y  X  X X%Y    	          @    *     	       	 r      	 ^      	 J      	 6      	 "      	 l   @    jj&  @ @  jj&  Authority   	 X      	 D   K.S.A.382243and#   X%Y  X  Xu X%Y  #    X%Y  X  X X%Y 42U.S.C.#   X%Y  X  X X%Y  #    X%Y  X  X X%Y Ԁ671etseq.#   X%Y  X  X X%YX  #    	 0      	       	    @    $  NotesonUse   	       	         Thisisthelongformfortemporarycustody.Whenusingthisformnootherjournalentry   	 n    isrequiredoradvised.Thisformiscompleteinandofitself,recitingappearancesandallowing   	 Z!   spaceforfindingsandordersofthecourt.   	 F"         Ifthecourt,inissuingthisorder,removesthechildfromthehome,andifitisthefirstorder   	 2#!   removingthechildfromthehomeorthefirstorderofremovalwhenthechildhasbeenhomeforsix   	 $|"   monthsorlonger,SupremeCourtAdministrativeOrderNo.155appliesandrequirestheuseofthis   	 
%h #   formoranotherformapprovedbytheSupremeCourtasmeeting_        ASFA_        Ԁrequirements.Failureto   	 %T!$   makeandproperlydocumentthefindingsrequiredby_        ASFA_        Ԁwillresultinthelossoffederalfunding   	 &@"%   fortheplacement,oranysubsequentplacement,ofthechildinthepresentcase.Federalfundingis   	 ',#&   notavailableL
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    X%Y  X  X X%Y Ԁreasonableeffortshavebeenmade#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y or#   X%Y  X  X X%YM  # L
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    X%Y  X  X X%Y Ԁwerenotrequired.#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y F#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y ailuretomake   	 )%(   thesefindingsdoesnotbarthecourtfromremovingthechild.#   X%Y  X  X X%Yg  #    	 *%)        Whenacourthasreasontobelieveachildinvolvedinachildinneedofcareproceedingis   	 ~+&*   anIndianchild,ICWAapplies;noticerequirements,findingsandprocedurearedictatedbyICWA,   	 j,'+   andtheICWAforms(Forms210!223)mustbeused.RemovalofanIndianchildfromthehome   	 V-(,   isprohibitedwithoutthespecificfindingsrequiredbyICWAeitherenteredwiththeorderof   	 B.)-   removal,orwithin90daysiftheremovalwasduetoanemergency.Thecircumstancesunderwhich   	       acourthasreasontobelieveachildisanIndianchildinclude,butarenotlimitedto,thefollowing:   	     anypartytothecase,Indiantribe,oragencyinformsthecourtthatthechildisanIndianchild;any   	 z   agencyinvolvedinchildprotectionservicesorfamilysupporthasdiscoveredinformationsuggesting   	 f   thatthechildisanIndianchild;thechildgivesthecourtreasontobelieveheorsheisanIndian   	 R   child;theresidenceofthechild,parent(s),orcustodianisknowntobeapredominantlyIndian   	 >	   community;aparentofthechildisenrolledinatribe;oranofficerofthecourthasknowledgethat   	 *
   thechildmaybeanIndianchild.DepartmentoftheInterior,BIAGuidelinesforStateCourts,Indian   	 t   ChildCustodyProceedings.ThecourtshouldinquireaboutpossibleIndianheritageofthechild,   	 `   andthestateandthesecretaryshouldbepursuingICWAinformationatthistime.   	 L	        Thecourtmayissueatemporarycustodyorderafterahearinganduponmakingprobable   	 8	
   causefindingsasrequiredby_        ASFA_        ԀandK.S.A.382243(_        i_        ),whicharesetoutinthisform.The   	 $
   statuterequiresthatthetemporarycustodyhearingtakeplacewithin72hours(notincluding   	    Saturday,SundaL
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    X%Y  X  X X%Y Ԁlegalholidays#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y anddaysonwhichtheclerkofthecourtisnotavailable)#   X%Y  X  X X%Y%  # L
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 Ԁofthe   	    executionofaprotectivecustodyorder(Form106)orofachildsbeingadmittedtoaplacement   	    whileinpoliceprotectivecustodypursuanttoK.S.A.382233(e).Noticeofthetemporarycustody   	 v   hearingshallbegiventoallpartiesandinterestedpartiesatleast24hourspriortothehearing.Oral   	 b   noticemaybeusedifthereisinsufficienttimetogivewrittennotice.Oralnoticeiscompletedupon   	 N   thefilingofacertificateoforalnotice(Form131).   	 :        Thecourtmayenterarestrainingorder(Form134)againstanyallegedperpetratorof   	 &   physical,sexual,mentaloremotionalabuseofthechild.Thereisaprovisioninthisformdirecting   	 p   thatarestrainingorderissuepursuanttoK.S.A.382243(h).   	 \        IfthepetitionallegesthatthechildisarunawaypursuanttoK.S.A.382202(d)(9)or(d)(10),   	 H   butthechildhasnotyetbeenadjudicatedasarunaway,thentheordermaydirectthatthechildbe   	 4   detainedinasecurefacility,whichmaybeajuveniledetentionfacility,butnotformorethan24   	     hours,excludingSaturdays,SundayL
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    X%Y  X  X X%Y ,#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y Ԁlegalholidays#   X%Y  X  X X%YJ  # L
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    X%Y  X  X X%Y anddaysonwhichtheclerkofthecourtisnot   	    available#   X%Y  X  X X%Y  # L
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    X%Y  X  X X%Y .Thetimelimitationof24hoursisthetotaltimepermittedinasecurefacilitywhetherby   	    policeprotectivecustodyorcourtorder.Ifthecourtawardscustodyofthechildtothesecretarythen   	    thesecretaryshallhavetheauthoritytoplacethechild,andthecourtmaymakeplacement   	 r   recommendations.Ifthecourtawardscustodytothesecretary,thenthecourtisrequiredtoprovide   	 ^   thesecretarywithacopyofanyordersentered.#   X%Y  X  X X%YS  #  u  X%Y  X  X X%Y    	 J         Theorderoftemporarycustodyshallremainineffectuntilmodifiedorrescindedoruntila   	 6!   dispositionorderisentered,butnotexceeding60days,unlessgoodcauseisshownandstatedonthe   	 ""    record.Thecourtshallmakeachildsupportdeterminationifthechildisplacedwithapersonother   	 #l!   thanaparent.   	 #X"        Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay   	 $D #   bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfindingfor   	 %0!$   eachchild.   	 &"%      	 '#&   #   X%Y  X  Xu X%Y  # 
