WPCi8  
           l7% 2GAqnqOd5zgK%ɝY0	g^5*c@GDKú(bk_Ӆ7"[h0E
%BLG1W]Ϧ88tP="]`I޲Xp5dզ}7f\p ǗZ5
.5N=(*(WWznw> V4;MvON
7{"ٽ3UXok^^wJ+H@ߠqvUˎ6SA\pm%t]"*8KeE=Ɇyu`"9S$îfC+פAKrWwm8YYe[tM>Vr~8kCsCAd!Q?D?im:[29q6sHuY,GwGyS:kfi4S!״89  h           #        U   N   y
  	%      
  0   :   
  0   U     0      \  0      ?  0        0        0      |  0      /  0        0        0      $  0        0        0      m  0        0        0      b  0        0        0        0        0        0      _  0      	  0        0      K  0        0      u  0        0        0      o  0   >   -  0      k  0      c   0      E!  0      '"  0      	#  0      #  0      $  0      %  0   2   Y&  0      &  0   :   '  0   Y   '  0   _   (  0   
  y(  0     )  0     +  	B   *   -  	D   /   5-  	D   +   d-  0     -   U   6   /  	D   /   /  0      /  0   6   0  0     0  0   :   2  0   ^   @2  0   <   2  	1   e   2   U   >   ?3   U   *   }3  N      3  	1   u   3  0   N   4  	7   2   l4  ^      4  w      4  4      4        4        4  	m      4   UL   >   4   	      (5   	      <5  0      N5  0   U   5   	      O6   	      c6   	      w6     Z   6            6            6            6   	      6   	      6   b      7     |   7   	      7   	      7   	      7   	      7   	      7   	      7   	      8   	      8   	      -8   	      A8   	      U8   \ \ K J C D C 0 1 \ S A V I N   9 0 6 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,      *       +           ( _ 2 6     2      3
   
       . .        *   G   +       G   ( _ 2 5             /  % `	 `	   h   p    x  / 2     3
   
       . .    /  % `	 `	   h   p    x  /             *   8   +       8   ( _ 2 4         ,  " 
   h   p    x  , 2     3
   
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   h   p    x  ,         *   5   +       5   ( _ 2 3        `	 )   	  h   p    x  ) 2     3
   
       . .    )   	  h   p    x  )    `	     *   2   +       2   ( _ 2 2         &   h h   p    x  & 2     3
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       . .       p p    x           *   &   +       &   ( _ 1 8                x   2     3
   
       . .           x           *   A          A   ( _ 1 7           5  +    `	   h   p    x  5 2      3
   
 Ԁ5  +    `	   h   p    x  5           *   G          G   ( _ 1 6             /  % `	 `	   h   p    x  / 2     3
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 Ԁ/  % `	 `	   h   p    x  /             *   8          8   ( _ 1 5         ,  " 
   h   p    x  , 2     3
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 Ԁ,  " 
   h   p    x  ,         *   5          5   ( _ 1 4        `	 )   	  h   p    x  ) 2     3
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 Ԁ)   	  h   p    x  )    `	     *   2          2   ( _ 1 3         &   h h   p    x  & 2     3
   
 Ԁ&   h h   p    x  &         *   /          /   ( _ 1 2         #      p    x  # 2     3
   
 Ԁ#      p    x  #         *   ,          ,   ( _ 1 1        h       p    x    2     3
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 Ԁ      p    x       h     *   )          )   ( _ 1 0            p p    x   2     3
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 Ԁ   p p    x           (   &          &   & _ 9                x   2     3
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 Ԁ       x           (   A          A   & _ 8           5  +    `	   h   p    x  5 2      3
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 5  +    `	   h   p    x  5           (   G          G   & _ 7             /  % `	 `	   h   p    x  / 2     3
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 /  % `	 `	   h   p    x  /             (   8          8   & _ 6         ,  " 
   h   p    x  , 2     3
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 ,  " 
   h   p    x  ,         (   5          5   & _ 5        `	 )   	  h   p    x  ) 2     3
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 )   	  h   p    x  )    `	     (   2          2   & _ 4         &   h h   p    x  & 2     3
   
 &   h h   p    x  &         (   /          /   & _ 3         #      p    x  # 2     3
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 #      p    x  #         (   ,          ,   & _ 2        h       p    x    2     3
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       p    x       h     (   )          )   & _ 1            p p    x   2     3
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    p p    x           &   &          &   $ _                x   2     3
   
        x           0   A           A   . N o r m a l           5  +    `	   h   p    x  5 5  +    `	   h   p    x  5           <   A           A   : D e f i n i t i o n   T           5  +    `	   h   p    x  5 5  +    `	   h   p    x  5           <   A           A   : D e f i n i t i o n   L        , 5  +    `	   h   p    x  5       5  +    `	   h   p    x  5     8                  6 D e f i n i t i o n         (   h           h   & H 1           5  +    `	   h   p    x  5                                5  +    `	   h   p    x  5           (   ]           ]   & H 2           5  +    `	   h   p    x  5                       5  +    `	   h   p    x  5           (   ]           ]   & H 3           5  +    `	   h   p    x  5                       5  +    `	   h   p    x  5           (   ]           ]   & H 4           5  +    `	   h   p    x  5     X      XX            5  +    `	   h   p    x  5           (   ]           ]   & H 5           5  +    `	   h   p    x  5            5  +    `	   h   p    x  5                      (   ]           ]   & H 6           5  +    `	   h   p    x  5                       5  +    `	   h   p    x  5           2   D           D   0 A d d r e s s           5  +    `	   h   p    x  5 5  +    `	   h   p    x  5           8   M           M   6 B l o c k q u o t e        ,    , 5  +    `	   h   p    x  5             5  +    `	   h   p    x  5     ,                  * C I T E         ,       d       l    * C O D E                K 8          < 6X  9   ` (  C o u r i e r   N e w         K            S A           \	  	   `  & T i m e s   N e w   R o m a n         S     4                  2 E m p h a s i s         6                  4 H y p e r l i n k                    <                  : F o l l o w e d H y p e                   4       g       o    2 K e y b o a r d                K 8          < 6X  9   ` (  C o u r i e r   N e w         K            S A           \	  	   `  & T i m e s   N e w   R o m a n         S     <                 : P r e f o r m a t t e d           /  %    
  , K k     %#/            K 8          < 6X  9   ` (  C o u r i e r   N e w         K            S A           \	  	   `  & T i m e s   N e w   R o m a n         S /  %    
  , K k     %#/           <                 : z  B o t t o m   o f       7 5   (                   X                 7           5  +    `	   h   p    x  5            ? B          % 2  A   `   A r i a l         ?                 S A           \	  	   `  & T i m e s   N e w   R o m a n         S 7 6   (                   X                 7 5  +    `	   h   p    x  5         &              d          d   4 )     1                        d x    d  '                              d x    d    <                 : z  T o p   o f   F o r     7 9   (                   X                 7           5  +    `	   h   p    x  5            ? B          % 2  A   `   A r i a l         ?                 S A           \	  	   `  & T i m e s   N e w   R o m a n         S 7 6   (                   X                 7 5  +    `	   h   p    x  5       < 6X  9   ` (  C o u r i e r   N e w          4 )     2                        d x    d    0       K       S    . S a m p l e     K 8          < 6X  9   ` (  C o u r i e r   N e w         K S A           \	  	   `  & T i m e s   N e w   R o m a n         S     0                  . S t r o n g         8       d       l    6 T y p e w r i t e r                K 8          < 6X  9   ` (  C o u r i e r   N e w         K            S A           \	  	   `  & T i m e s   N e w   R o m a n         S     4                  2 V a r i a b l e         :                  8 H T M L   M a r k u p     B
   
                2       
            0 C o m m e n t     B
   
                   3 5 ; A G M S Y _ 1     1 .   1 .   1 .   1 .   1 .   1 .   1 .   1 .    \	  	   `  & T i m e s   N e w   R o m a n         % 2  A   `   A r i a l                           3#   3 7 = C I Q Y a g       1 .   a .   i .   ( 1 )   ( a )   ( i )   1 )   a )               (                 O$                          D    i )                                       >e         l=    :i +003| x                    U    \	  	   `   & T i m e s   N e w   R o m a n          C h e c k 2 0    T e x t 2 7       H   2           2   4 B o d y   T e x t   B o d y   T e x t       X      XX                                       (   -               2$       
   !    USUS. ,       C h e c k 2 1    C h e c k 2 2    C h e c k 4 3   8         D o c u m e n t M a n a g e m e n t : : M o d i f i e d B o o l e a n T R U E  T e x t 3 3    C h e c k 2 3   -  -    
   r   
 Q  '    USUS. ,      _           "   X     A " 11/23/10 C h e c k 2 7    C h e c k 2 8    C h e c k 4 4    C h e c k 2 9    C h e c k 3 0    C h e c k 3 1    C h e c k 3 2    T e x t 3 9    C h e c k 4 5    C h e c k 4 6    C h e c k 4 7   
   !    USUS. ,      _        _              @    $$(  217b         p                x    	        
@           (         0                               3                            D                    ?  +    `	   h   p    x     X?  [      8    X  X       d                  d  8 =      X   X       d                 d=   \         A  X  X  X X   @    @@  INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   	           INTHEINTERESTOF   	 f         Name_____________________________              p      CaseNo._____________   	 >	   DOB#   X  X  XA X  #  M  X  X  X X xx#   X  X  XM Xԉ  #  A  X  X  X X /#   X  X  XA X  #  M  X  X  X X xx#   X  X  XM X  #  A  X  X  X X /____A&#   X  X  XA XV  #  A  X  X  X X Ԁmale&#   X  X  XA Xԥ  #  A  X  X  X X Ԁfemale   	 *
   Name_____________________________              p      CaseNo._____________   	 `   DOB#   X  X  XA X  #  M  X  X  X X xx#   X  X  XM X  #  A  X  X  X X /#   X  X  XA X  #  M  X  X  X X xx#   X  X  XM XZ  #  A  X  X  X X /____A&#   X  X  XA Xԟ  #  A  X  X  X X Ԁmale&#   X  X  XA X  #  A  X  X  X X Ԁfemale   	 L	   #   X  X  XA X;  #  A  X  X  X X Name_____________________________              p      CaseNo._____________   	 $
   DOB#   X  X  XA Xԙ  #  M  X  X  X X xx#   X  X  XM X]  #  A  X  X  X X /#   X  X  XA XԢ  #  M  X  X  X X xx#   X  X  XM X  #  A  X  X  X X /____A&#   X  X  XA X*	  #  A  X  X  X X Ԁmale&#   X  X  XA Xy	  #  A  X  X  X X Ԁfemale   	    #   X  X  XA X	  #  A  X  X  X X @       A   }   XA X *# A  X  X A  }W
  # INDIANCHILDWELFAREACT   	 v   @      COMBINEDJOURNALENTRYANDORDEROF#   X  X  XA X$
  # DISPOSITION   	     A  X  X  X X @      PursuanttoK.S.A.38#   X  X  XA XK  #  A  X  X  X X 2203(a),382253,382255and25U.S.C.#   X  X  XA XԵ  #  A  X  X  X X 1901etseq.   	         Nowonthis______dayof______________,___________,theabovecaptionedmatter   	 t   comesonfordispositionbeforeJudge________________________.#   X  X  XA X#  #  A  X  X  X X Ԁ   	 `   #   X  X  XA X@  #  A  X  X  X X      #   X  X  XA XԘ  #  A  X  X  X X TheCourtfindsthat&#   X  X  XA X  #  A  X  X  X X Ԁeachchildnamedaboveor&#   X  X  XA XD  #  A  X  X  X X Ԁthechild___________________#   X  X  XA Xԥ  #  A  X  X  X X    	 L   isanIndianchildasdefinedbytheIndianChildWelfareAct(ICWA)#   X  X  XA X  #  A  X  X  X X Ԁandnoticeasrequiredby   	 <   ICWAhasbeentimelyprovided.ApetitionrequestingthetransferofjurisdictiontotheTribe&#   X  X  XA Xԣ  #  A  X  X  X X    	 (   hasnotbeenfiled#   X  X  XA X|  #  A  X  X  X X Ԁ&#   X  X  XA X  #  A  X  X  X X Ԁwasfiledandthetransferofjurisdictionwas#   X  X  XA X,  #  A  X  X  X X denied&#   X  X  XA XԞ  #  A  X  X  X X Ԁ#   X  X  XA X  #  A  X  X  X X wasfiledand   	 v   thetransferofjurisdictionwas#   X  X  XA X1  #  A  X  X  X X Ԁ#   X  X  XA XԵ  #  A  X  X  X X declined,andtheCourthasjurisdictiontoproceed.#   X  X  XA X  #  A  X  X  X X    	 b        TheCourtfindsthatjurisdictionandvenueareproper.Noticetoparties,interested   	 R   partiesandthoserequiredtoreceivenoticehasbeengivenasrequiredbylaw.   	 >   #   X  X  XA Xq  #  A  X  X  X X $    , `	X X$ &#   X  X  XA XԦ  #  A  X  X  X X 0     #   X  X  XA X  #  A  X  X  X X Thepetitionerappearsby__________________________&#   X  X  XA Xb  #  A  X  X  X X ԀCounty/DistrictAttorneyor   	    designee&#   X  X  XA X  #  A  X  X  X X Ԁother____________________#   X  X  XA Xb  #  A  X  X  X X .      (#(#  &#   X  X  XA XԿ  #  A  X  X  X X 0     #   X  X  XA X'  #  A  X  X  X X Thechild(ren)appears&#   X  X  XA Xu  #  A  X  X  X X Ԁinpersonand&#   X  X  XA X  #  A  X  X  X X Ԁnotinperson,butbythechild(_      ren_      s)guardian   	 !   adlitem,___________________________.    "  (#(#  #   X  X  XA X(  #  A  X  X  X X &0     򀀀NameofMother,#   X  X  XA X$  #  A  X  X  X X themother#   X  X  XA X԰  #  A  X  X  X X &#   X  X  XA X  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA XF  #  A  X  X  X X Ԁappearsin   	 p#!   person,andthroughherattorney,________________________&#   X  X  XA Xԭ  #  A  X  X  X X Ԁappearsnotin   	 `$"   person,butbyandthroughherattorney___________________________&#   X  X  XA XO  #  A  X  X  X X Ԁdoesnot   	 L% #   appear.    8&!$ (#(#  #   X  X  XA X  #  A  X  X  X X &#   X  X  XA Xԉ  #  A  X  X  X X 0     򀀀NameofFather,#   X  X  XA X  #  A  X  X  X X the&#   X  X  XA XY  #  A  X  X  X X Ԁfather&#   X  X  XA XԦ  #  A  X  X  X X putativefatherof󀀀Nameofchild#   X  X  XA X  #  A  X  X  X X ,#   X  X  XA X}  #  A  X  X  X X    	 ('"%   &#   X  X  XA X  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA X  #  A  X  X  X X Ԁappearsinperson,andthroughhisattorney,   	 (v#&   _____________________&#   X  X  XA XԂ  #  A  X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	 )b$'   __________________________&#   X  X  XA X    #  A  X  X  X X Ԁdoesnotappear.    )N%( (#(#  #   X  X  XA X   #  A  X  X  X X &#   X  X  XA X@!  #  A  X  X  X X 0     򀀀NameofFather,#   X  X  XA Xԉ!  #  A  X  X  X X the&#   X  X  XA X"  #  A  X  X  X X Ԁfather&#   X  X  XA XZ"  #  A  X  X  X X putativefatherof󀀀Nameofchild#   X  X  XA XԪ"  #  A  X  X  X X ,#   X  X  XA X1#  #  A  X  X  X X    	 *:&)   &#   X  X  XA Xt#  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA X#  #  A  X  X  X X Ԁappearsinperson,andthroughhisattorney,   	 +*'*   _____________________&#   X  X  XA X6$  #  A  X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	       __________________________&#   X  X  XA X$  #  A  X  X  X X Ԁdoesnotappear.      (#(#  #   X  X  XA XԂ%  #  A  X  X  X X &#   X  X  XA X%  #  A  X  X  X X 0     򀀀NameofFather,#   X  X  XA X=&  #  A  X  X  X X the&#   X  X  XA X&  #  A  X  X  X X Ԁfather&#   X  X  XA X'  #  A  X  X  X X putativefatherof󀀀Nameofchild#   X  X  XA X^'  #  A  X  X  X X ,#   X  X  XA X'  #  A  X  X  X X    	 z   &#   X  X  XA X((  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA Xԃ(  #  A  X  X  X X Ԁappearsinperson,andthroughhisattorney,   	 j   _____________________&#   X  X  XA X(  #  A  X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	 V   __________________________&#   X  X  XA XԈ)  #  A  X  X  X X Ԁdoesnotappear.    B	 (#(#  #   X  X  XA X6*  #  A  X  X  X X &#   X  X  XA XԨ*  #  A  X  X  X X 0     #   X  X  XA X*  #  A  X  X  X X (Otherparentappearances)____________________________________________________   	 .
   ___________________________________________________________________________   	 |   ___________________________________________________________________________    
h (#(#  &#   X  X  XA XE+  #  A  X  X  X X 0     #   X  X  XA X,  #  A  X  X  X X Interestedpartiesappearingare:_________________________________________________    T	 (#(#  0     ___________________________________________________________________________    D	
 (#(#  &#   X  X  XA X-  #  A  X  X  X X 0     TheSecretaryispresentthrough________________________________________________    0
 (#(#  0     ___________________________________________________________________________      (#(#  &#   X  X  XA XH.  #  A  X  X  X X 0     Alsopresentis/are:___________________________________________________________     (#(#  0     ___________________________________________________________________________     (#(#  Ѐ      #   X  X  XA XԆ/  #  A  X  X  X X &#   X  X  XA X0  #  A  X  X  X X ԀThe_________________________Tribe&#   X  X  XA X1  #  A  X  X  X X Ԁappearsby______________________,   	 v   attorney/representativeor&#   X  X  XA Xԃ1  #  A  X  X  X X Ԁdoesnotappear.#   X  X  XA X2  #  A  X  X  X X    	 f   #   X  X  XA Xr2  #  A  X  X  X X 1.     TheCourthasreceivedandconsideredevidenceincludingthetestimonyofaqualifiedexpert   	 >   witness,asrequiredby_      ICWA_      .#   X  X  XA X2  #  A  X  X  X X    	 *   2.     #   X  X  XA X3  #  A  X  X  X X TheCourtfindsthateachchildnamedabovehasbeenadjudicatedaChildinNeedofCare.#   X  X  XA X.4  #  A  X  X  X X    	 `   #   X  X  XA X4  # 3.     THECOURTFURTHERFINDSTHATtheCourtspreviousfindingsandorders:   	 8   &0     shallremaininfullforceandeffect.    $ (#(#  &0     shallremaininfullforceandeffecttotheextentthattheyarenotinconsistentwithany   	    findingsorordersinthepresentorder,andexceptthatitisnowinthebestinterestofthe   	    child(ren)forcustodytobeplacedwith______________________andthat:(ifthisisthe   	    firstorderremovingcustody,complete reasonableeffortsand contrarytowelfare   	 v   findingsbelow)    b  (#(#  0      , X , `	X0 % N    % N   !8    M  X  X  X X 4.0     &#   X  X  XM X?8  #  M  X  X  X X     4 Reasonableandactiveeffortshavebeenmadeandhavefailedtomaintainthefamily   	 :"    andpreventthe

removalofthechild(ren)fromthechild(ren)shomeasfollows:(Specify   	 &#!   basisforfindingforeachchild.)________________% O    -     _____________________________    $p" (#(#       ________________________________________________________________________-     % O   9   Ԁ   	 $\ #        ________________________________________________________________________   	 %H!$        or   	 &4"%      X              % R    % R   ~;   -     4(#   , X- 0     &    4 Reasonableandactiveeffortsarenotrequiredtomaintainthechild(ren)inthehome   	 ' #&   becausea#   X  X  XM Xԓ8  #  M  X  X  X X nemergencyexistswhichthreatensthesafetyofthechild(ren).(Specifybasis   	 ($'   forfindingforeachchild.)_______#   X  X  XM X{<  #  M  X  X  X X -     _________________________________________    )$( (#(#       _______________________________________________________________________-        	 *%)   _______________________________________________________________________   	 r+&*        #   X  X  XM XL=  #  M  X  X  X X Թ           X $     (#  4(#$      or   	     '      4(#  (#'      % S    % S   ?   #   X  X  XM X>  #  M  X  X  X X 0     &#   X  X  XM X?  #  M  X  X  X X     4 Reasonableandactiveeffortsarenotrequiredbecausetheparenthasbeenfoundbya   	 z   courttohave:    f (#(#        E  + `	 4 `	   h   p    x   (#   4(#E       % T        4 &% T   CA   0    `	 committedmurderinthefirstdegree,_      K.S.A._      Ԁ213401,andamendmentsthereto;   	 R   murderintheseconddegree,_      K.S.A._      Ԁ213402,andamendmentsthereto;capital   	 >	   murder,_      K.S.A._      Ԁ213439,andamendmentsthereto;voluntarymanslaughter,   	 *
   _      K.S.A._      Ԁ213403,andamendmentsthereto;orviolatedalawofanotherstatewhich   	 t   prohibitssuchmurderormanslaughter;ofanotherchildoftheparent;    ` `	(#`	(#  E  . `	  4 `	   h   p    x   (#`	 4 `	XE % _    0    4 &% _   2D   0    `	4(#4(# aidedorabetted,attempted,conspired,orsolicitedtocommitsuchmurderor   	 P	   voluntarymanslaughterofanotherchildoftheparent#   X  X  XM X @  #  M  X  X  X X Ԁasprovidedabove;    <	
 `	(#`	(#     _  .  *   `	  4 `	(#`	 , X* % e        4 &% e   E   0    `	 committedafelonybatterythatresultedinbodilyinjurytothechildoranother   	 (
   childoftheparent;     `	(#`	(#     .  _   E  . `	  4 `	   h   p    x   (#`	 ,(#E % f    0    4 &% f   F   0    `	4(#4(# subjectedthechildtoaggravatedcircumstancesasdefinedin_      K.S.A._      Ԁ382202(c);     `	(#`	(#     _  .   *   `	  4 `	(#`	 , X* % g        4 &% g   G   0    `	 parentalrightsoftheparenttoasiblinghavebeenterminatedinvoluntarily.#   X  X  XM X.E  #  M  X  X  X X      `	(#`	(#      4 (Specifydeterminingfactors.)% Y    ___________________________________________   	 ~   _________________________________________________________________   	 j   _________________________________________________________________   	 V       4 0    `	 0 @  `	    % Y   I       `	(#`	(#                   $     (#`	 ,(#$ or   	 .        % Z    % Z   J   #   X  X  XM XԦH  #  M  X  X  X X '      4(#  (#' 0     &#   X  X  XM XK  #  M  X  X  X X 0    4(#(# Reasonableandactiveeffortshavenotbeenmade.(Specifybasisforfindingforeach   	 x   child.)_______________________________________________________________   	 d   _____________________________________________________________________   	 P   _____________________________________________________________________    < 4(#4(#            or   	         0     &#   X  X  XM XԗK  #  M  X  X  X X 0    4(#(# Reasonableandactiveefforts&havebeenmade#   X  X  XM XM  #  M  X  X  X X &#   X  X  XM XYN  #  M  X  X  X X ԁhavenotbeenmadeto   	     facilitatethepermanencyplan.(Specifybasisforfindingforeachchild.)#   X  X  XM XԥN  #  M  X  X  X X    	    ____________________________________________________________________   	 ~   ____________________________________________________________________   	 j   ____________________________________________________________________#   X  X  XM XjO  #  M  X  X  X X     V  4(#4(#  @    *  #   X  X  XM XԷP  #  M  X  X  X X Ԉ   .  _   *    , `	X   4(#* _      5._      _      _      ԀTHECOURTFURTHERFINDSTHAT&#   X  X  XM X0Q  #  M  X  X  X X Ԁthechild(ren)islikelytosustainharmifnot   	 ."    immediatelyremovedfromthehome;#   X  X  XM XR  #  M  X  X  X X &% ]    % ]   R   Ԁremaininginthehomeorreturninghomewould   	 #|!   becontrarytothewelfareofthechild(ren);and/or&% ^    % ^   S   Ԁimmediateplacementisinthebest   	 
$h"   interestofthechild(ren),specifically:(Specifybasisforfindingforeachchild.)#   X  X  XM XR  #  M  X  X  X X     x #   X  X  XM XbT  #  M  X  X  X X -        	 $X #        Name:____________________________________________________________________   	 %H!$        __________________________________________________________________________-        	 &4"%        Name:____________________________________________________________________   	 ' #&        __________________________________________________________________________   	 ($'   #   X  X  XM X԰T  #  M  X  X  X X      Name:____________________________________________________________________   	 )$(        __________________________________________________________________________   	 *%)   _        #   X  X  XM XV  #  M  X  X  X X      #   X  X  XM XX  #  M  X  X  X X          `	               h    	 r+&*   @    \\)  and   	       thereisclearandconvincingevidencethatremaininginthecustodyoftheparentorIndian   	     custodianislikelytoresultinseriousemotionalorphysicaldamagetothenamedchild(Specify   	 z   basisforfindingforeachchild)__________________________________________________   	 f   _____________________________________________________________________________   	 R   6.0     TheCourt#   X  X  XM XaX  #  M  X  X  X X 0#   X  X  XM XZ  #  M  X  X  X X Ԁapprovesandadoptstheproposedpermanencyplanastheplanfor   	 *
   permanencyinthepresentmatteror#   X  X  XM X=[  #  M  X  X  X X 0#   X  X  XM X[  #  M  X  X  X X Ԁdoesnotapprovetheproposedpermanency   	 x   planandordersanewpermanencyplansubmittedtotheCourtwithin30days.    d (#(#  #   X  X  XM X@\  #  M  X  X  X X 7.0     &THECOURTFURTHERFINDS:    @	
 (#(#                _______________________________________________________________________   	 ,
        _______________________________________________________________________   	 0        _______________________________________________________________________.   	             #   X  X  XM X.]  #  M  X  X  X X #   X  X  XM X _  #  M  X  X  X X 8.0     Theplacementofthechild(_      ren_      )is#   X  X  XM Xc_  #  A  X  X  X X &#   X  X  XA X_  #  M  X  X  X X Ԁtheleastrestrictivesettingwhichmostapproximatesa   	 >   family;#   X  X  XM XB`  #  A  X  X  X X &#   X  X  XA X`  #  M  X  X  X X Ԁ#   X  X  XM X%a  #  M  X  X  X X withinreasonableproximitytothechild(_      ren_      )shome;#   X  X  XM Xha  #  A  X  X  X X &#   X  X  XA Xb  #  M  X  X  X X appropriatetothe   	 .   child(_      ren_      )#   X  X  XM XPb  #  M  X  X  X X sspecialneeds.     (#(#  9.0     TheCourthasconsidered_      ICWA_      Ԁplacementpreferences,inorderofpreference,asfollows:#   X  X  XM Xb  #  M  X  X  X X      (#(#  0                #   X  X  XM Xc  #  A  X  X  X X &#   X  X  XA Xgd  #  M  X  X  X X Placementwithextendedfamily(Listconsideredplacementsoreffortstoidentify   	    placements.)____________________________________________________________   	 t   ________________________________________________________________________    ` (#(#  0                #   X  X  XM XԱd  #  A  X  X  X X &#   X  X  XA XKf  #  M  X  X  X X ԀFosterhomelicensed,approvedorspecifiedbytheTribe(Listconsideredplacementsor   	 L   effortstoidentifyplacements.)_______________________________________   	 <   ________________________________________________________________________    ( (#(#  0                #   X  X  XM XԔf  #  A  X  X  X X &#   X  X  XA X3h  #  M  X  X  X X ԀIndianfosterhomelicensedbynonIndianauthority(Listconsideredplacementsorefforts   	 r   toidentifyplacements.)_______________________________________________   	 b   ________________________________________________________________________    N (#(#  #   X  X  XM X|h  #  M  X  X  X X 0                #   X  X  XM Xi  #  A  X  X  X X &#   X  X  XA Xaj  #  M  X  X  X X ԀPlacementapprovedbyTribeoroperatedbyIndianorganization(Listconsidered   	  :    placementsoreffortstoidentifyplacements.)___________________________________   	 !*!   ________________________________________________________________________    "" (#(#  #   X  X  XM XԪj  #  M  X  X  X X 0           10.#   X  X  XM X%l  #  A  X  X  X X &#   X  X  XA Xԇl  #  M  X  X  X X ԀGoodcauseexistsnottofollowtheplacementpreference:(Specifybasisforfindingfor   	 $$   eachchild.)______________________________________________________________   	 % %   ________________________________________________________________________    l&!& (#(#  #   X  X  XM Xl  #  M  X  X  X X #   X  X  XM XNn  #  M  X  X  X X 11.     THECOURTTHEREFOREORDERSTHATtheabovenamedchild(ren)&% `    % `   o   Ԁshouldbe   	 0)$)   % a    % a   Ao   &shouldremainplacedinthecustodyof:   	  *~%*        % b    &% b   o   ԀTheSecretary,or   	 +n&+        % c    &% c   p   Ԁ% d    -     ____________________________________________________________________-     % d   ,p   .   	 +Z',   @    \\)  and   	            &#   X  X  XM XԒn  #  M  X  X  X X ԀAchildsupportordershallissue.   	     #   X  X  XM X#q  #  M  X  X  X X      &#   X  X  XM Xԝq  #  M  X  X  X X ԀEachparentshallsubmitinformationtothechildsupportofficeforachildsupportorderto   	 z   beprepared,orpresentdocumentationofacurrentchildsupportorderwithin____days#   X  X  XM Xq  #  M  X  X  X X .#   X  X  XM Xr  #  M  X  X  X X    	 f   #   X  X  XM X>s  #  M  X  X  X X #   X  X  XM XԘs  #  M  X  X  X X      12.     #   X  X  XM Xs  #  A  X  X  X X dTHECOURTFURTHERORDERSallprovidersofservices#   X  X  XA X;t  # L
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  A  X  X  X X Ԁtothesecretary,anyentityproviding   	 x   servicestothechildandfamily,counselforthepartiesincludingthecountyordistrictattorney,   	 d   appointedCASA,CitizenReviewBoardmembers,thecourt,andeachothertotheextentneededto   	 P	   ensurethesafetyofthechild,preventfurtherabuseorneglect,andtoprovideappropriatetreatment#   X  X  XA Xkx  # L
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   
  A  X  X  X X ԀPrivacy   	    RuleoftheHealthInsurancePortabilityandAccountabilityActof1996(_      HIPAA_      ),45_      C.F.R._         	     164.512(e)(1).#   X  X  XA XԬ}  # d M  X  X  X X    	    #   X  X  XM X~  #  M  X  X  X X H  .    `	   h   p    x   (# , `	XH #   X  X  XM X&  #  M  X  X  X X 13.&THECOURTFURTHERORDERS:   	 f            $    , `	X X$      _______________________________________________________________________   	 R        _______________________________________________________________________   	         _______________________________________________________________________.   	 t            #   X  X  XM XԱ  #  A  X  X  X X #   X  X  XA XԲ  #  M  X  X  X X 14.     THECOURTFURTHERORDERSallpreviousordersenteredbythisCourtshallremainin   	 d   effectexceptashereinmodified.#   X  X  XM X  #  A  X  X  X X    	 P   #   X  X  XA Xς  #  M  X  X  X X 15.0     &#   X  X  XM X'  #  A  X  X  X X ԀArestrainingordershallbefiledagainst____________________________________.#   X  X  XA X|  #  A  X  X  X X     ( (#(#       THECOURTFURTHERORDERSthismattersetforreviewhearing#   X  X  XA X  #  M  X  X  X X before0#   X  X  XM XԺ  #  M  X  X  X X ԀtheCourt0#   X  X  XM X
  #  M  X  X  X X    	 J   #   X  X  XM X\  #  A  X  X  X X the#   X  X  XA XԳ  #  M  X  X  X X CRB#   X  X  XM X  #  A  X  X  X X Ԁonthe_____dayof_______________,________,at____:____#   X  X  XA XA  #  M  X  X  X X &#   X  X  XM X  #  A  X  X  X X Ԁa.m.#   X  X  XA X	  #  M  X  X  X X &#   X  X  XM XS  #  A  X  X  X X Ԁp.m.andfor   	 :   permanencyhearing#   X  X  XA Xԙ  #  M  X  X  X X before0#   X  X  XM X  #  M  X  X  X X ԀtheCourt0#   X  X  XM Xc  #  M  X  X  X X Ԁ#   X  X  XM XԵ  #  A  X  X  X X the#   X  X  XA X  #  M  X  X  X X CRB#   X  X  XM X>  #  A  X  X  X X Ԁonthe_____dayof______________,   	  *    ________,at____:____#   X  X  XA XԆ  #  M  X  X  X X &#   X  X  XM X  #  A  X  X  X X Ԁa.m.#   X  X  XA Xc  #  M  X  X  X X &#   X  X  XM XԬ  #  A  X  X  X X Ԁp.m.#   X  X  XA X  #  A  X  X  X X    	 !!   #   X  X  XA X<  #  A  X  X  X X      ITISSOORDERED#   X  X  XA Xԓ  #  A  X  X  X X THIS______dayof___________________,________.   	 ##                 `	               h           _      ___________________________________         	 \&!&                 `	               h           JudgeoftheDistrictCourt   	 H'"'   _      #   X  X  XA X  #   /                   _      @    *     	 +B',           @    jj&  Authority   	       _      K.S.A._      Ԁ382203(a),382247,382253,382255and25U.S.C.1901etseq.   	 z   @    $  NotesonUse   	 >	        Thisisthelongformandnootherjournalentryisrequirednoradvised.Thisformiscomplete   	 t   inandofitself,recitingappearancesandallowingspaceforfindingsandordersofthecourt.   	 `        Ifthecourt,inissuingthisorder,removesthechildfromthehome,andifitisthefirstorder   	 L	   removingthechildfromthehomeorthefirstorderofremovalwhenthechildhasbeenhomeforsix   	 8	
   monthsorlonger(asinaninformalsupervision),SupremeCourtAdministrativeOrderNo.155   	 $
   appliesandrequirestheuseofthisformoranotherformapprovedbytheSupremeCourtasmeeting   	    _      ASFA_      Ԁrequirements.Failuretomakeandproperlydocumentthefindingsrequiredby_      ASFA_      Ԁwill   	    resultinthelossoffederalfundingfortheplacement,oranysubsequentplacement,ofthechildin   	    thepresentcase.Federalfundingisnotavailablewhenthecourtfindsreasonableeffortshavenot   	 v   beenmadeunlessthecourtalsofindstheeffortswerenotrequired.Findingthatreasonableefforts   	 b   werenotmadedoesnotbarthecourtfromremovingthechildandfailuretomakethesefindings   	 N   doesnotbarthecourtfromremovingthechild.   	 :        _      K.S.A._      Ԁ382253requiresthatanorderofdispositionbeenteredwithin30daysfollowing   	 &   adjudication._      Dispositional_      Ԁhearingsshallbeclosedexcepttheparties,theguardianadlitem,   	 p   interestedparties,officersofthecourt,CASAandthecustodianmayattend.Otherpersonsmaybe   	 \   permittedtoattendbyconsentofthepartiesororderofthecourt,ifthecourtdeterminesthattheir   	 H   attendancewouldbeinthebestinterestsofthechildortheconductoftheproceedings.Thecourt   	 4   mayimposelimitationsasappropriate.Inaddition,thecourtshallpermittheattendanceofuptotwo   	     peoplewhohavebeendesignatedbytheparentasallies,iftheyhaveparticipatedinaparentally   	    orientationprogramapprovedbythejudicialadministrator.Anallymayberemovediftheally   	    becomesdisruptiveorhasbeendisruptiveinapriorproceeding._      K.S.A._      Ԁ382247.   	         _      K.S.A._      Ԁ382255(a)setsouttheconsiderationsthatthecourtmustmakepriortoenteringa   	 r   _      dispositional_      Ԁorder.Inadditiontoenteringacustodyorder,thecourtmayimposetermsand   	 ^   conditionswhichmayincludeparticipationbytheparentandchildinprogramsandtreatmentfor   	 J    thechild.The_      dispositional_      Ԁhearingmayserveasapermanencyhearing,iftherequirementsof   	 6!   _      K.S.A._      Ԁ382265havebeenmet.Thoserequirementsarenoticerequirements.   	 ""         Ifthecourtremovesthechildfromthehome,inadditiontothefindingsrelatedtoreasonable   	 #l!   effortsrequiredby_      ASFA_      ԀandKansaslaw,theIndianChildWelfareAct(_      ICWA_      )requiresthecourt   	 #X"   todetermineifactiveeffortstopreventtheremovaloftheIndianchildfromthehomeweremade.   	 $D #   _      ICWA_      Ԁalsorequiresthecourttodeterminebyclearandconvincingevidencethatcontinuedcustody   	 %0!$   withthechildsparentsorIndiancustodianislikelytoresultinseriousphysicaloremotional   	 &"%   damagetothechild.Inmakingthatdetermination,thecourtshallconsiderthetestimonyofoneor   	 '#&   moreexpertsqualifiedtoaddressthatissue.Source:DepartmentoftheInterior,BIAGuidelines   	 (#'   forStateCourts,IndianChildCustodyProceedings.   	 )$(        Ifthecourtmakestherequiredfindingsandremovesthechildfromaparentscustody,thecourt   	 n*%)   mayawardcustodyofthechildtoarelative,toapersonwithwhomthechildhascloseemotional   	 Z+&*   ties,toanyothersuitableperson,toashelterfacility,toayouthresidentialfacilityortothesecretary,   	       subjectto_      ICWA_      .Ifthechildisremovedfromthehome,_      ICWA_      Ԁrequiresaplacementintheleast   	     restrictivesettingwhichmostapproximatesafamily,inwhichthechildsspecialneedsmaybemet,   	 z   andwhichisinreasonableproximitytothechildshome._      ICWA_      Ԁalsoprovidesplacement   	 f   preferenceswhichmustbeconsideredbythecourtandshallbefollowedbythecourtoragency   	 R   _      unlessgoodcauseisfoundtonotfollowthem.ThemandatoryICWAplacementpreferencesare   	 >	   givenintheorderofpriorityinthisform.GoodcausenottofollowtheICWApreferences_      maybe   	 *
   basedontherequestofthechild(whenthechildisofsufficientage)orthechildsbiologicalparents,   	 t   extraordinaryphysicaloremotionalneedsofthechildasestablishedbytestimonyofaqualified   	 `   expertwitness,ortheunavailabilityofsuitablefamiliesmeetingthepreferencecriteriaaftera   	 L	   diligentsearch.Id.Inmakingaplacementrecommendationoracustodyorder,thecourtshould   	 8	
   makeandrecordspecificfindingsrelatingtotheICWAplacementpreferences.Thefindingsshould   	 $
   bebasedontheevidencepresentedinreportsandtestimony.   	         CompliancewithICWAisjurisdictional.FailuretocomplywithICWAmayrenderorders   	    devoidofauthority.   	         Ifthecourtawardscustodyofthechildtothesecretarythenthesecretaryshallhavetheauthority   	 v   toplacethechild,andthecourtmaymakeplacementrecommendations.Thecourtshallprovidethe   	 b   secretarywithacopyofanyordersentered.Thecourtmaydetermine,afternoticeandhearing,that   	 N   thesecretarysplacementiscontrarytothewelfareorbestinterestsofthechild,consideringthe   	 :   healthandsafetyneedsofthechildandtheresourcesavailable.Ifthecourtdeterminesthatthe   	 &   placementiscontrarytothewelfareornotinthebestinterestsofthechild,thecourtshallnotifythe   	 p   secretary,whoshallthenmakeanalternativeplacement.   	 \        Thecourtmayenteranorderforoneorbothparentstopaychildsupportifthechildisplaced   	 H   withapersonotherthanaparent,andshallenterachildsupportorderifthesecretaryisgranted   	 4   custodyofthechild.Thecourtshallissueanincomewithholdingorder,regardlessofwhethera   	     _      payor_      /employerhasbeenidentified.Theparentshallbegivennoticethattheordermayberegistered   	    pursuanttoK.S.A.382279,thatthewithholdingordermaybeservedontheparentsemployer   	    withoutfurthernotice,andthechildsupportordermaybeenforcedbyanymethodallowedbylaw.   	    K.S.A.382256providesthatachildsupportorderthathasbeenregisteredunderK.S.A.382279   	 r   mayonlybemodifiedpursuanttothatstatute.   	 ^        Ifthecourtawardscustodyofthechildtoapersonotherthanaparent,thecustodianshallnotify   	 J    thecourtinwritingatleast10dayspriortoanyplannedplacementwithaparent,statingthebasis   	 6!   forthecustodiansbeliefthatplacementwithaparentisnolongercontrarytothewelfareofthe   	 ""    child.Thecourtmaysettheproposedplacementwithaparentforhearingtodetermineifthechild   	 #l!   shouldbeallowedtoreturnhome.Ifthematterissetforhearing,thecustodianshallnotreturnthe   	 #X"   childhomewithoutthewrittenconsentofthecourt(Form165).K.S.A.382255(d)(2)   	 $D #        Thecourtmayenterarestrainingorder(Form134)againstanyallegedperpetratorofphysical,   	 %0!$   sexual,mentaloremotionalabuseofthechild.Thereisaprovisioninthisformdirectingthata   	 &"%   restrainingorderissuepursuanttoK.S.A.382255(d)(4).   	 '#&        Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay   	 (#'   bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfinding.   	 )$(        ThisformhasbeendraftedtoreflectthelanguageofASFAintheexceptiontotherequirement   	 n*%)   forreasonableeffortsincasesofmurder,attemptedmurder,etc.ThespecificlanguageofASFAis   	 Z+&*   used,whichlimitstheapplicationoftheexception.   	       @    ::&  Comments   	 f        Thefindingsrequiredinadispositionalorderafterthecourtmakesthechildinneedofcare   	 >	   determinationareexamined.InreA.B.,12_      Kan_      .App.2d391,746P.2d96(1987).   	 *
        ThepurposeandintentofICWAarediscussed,andthemeaningof domicileclarifiedinthis   	 t   case.MississippiChoctawIndianBandv._      Holyfield_      ,490U.S.30,109_      S.Ct_      .1597(1989).   	 `        AnadjudicationhearingisrequiredwhenapartyfilesaCINCpetitionandnostipulationhas   	 L	   beenentered.Inre_      K.W._      ,24_      Kan_      .App.2d724,953P.2d229(1998).   	 8	
        Onthefactsspecifictothiscase,iftheprovisionsofICWAarenotinitiallyfollowed,   	 $
   subsequentremedialactsmaybringthecaseintocompliancewiththeact,suchasthetribes   	    interventionandparticipationinthecase.Inre_      H.A.M._      ,25_      Kan_      .App.2d289,961P.2d716(1998).   	         AnadjudicationhearingisrequiredwhenapartyfilesaCINCpetitionandnostipulationhas   	    beenentered.Inre_      K.W._      ,24_      Kan_      .App.2d724,953P.2d229(1998).   	 v        Acourtmayorderthatachildbecounseledbyaspecificcounselor.InreT.D.,27_      Kan_      .App.   	 b   _      2d_      Ԁ331,3P.3d590(2000).   	 N        Acourtisnotrequiredtodeterminewhetherreintegrationwiththecustodialparentisaviable   	 :   alternativebeforeplacingthechildwiththe_      noncustodial_      Ԁparent.InreT.S.,276_      Kan_      .282,74P.3d   	 &   1009(2003).   	 p        InacaseinvolvinganIndianchild,ICWAdictatesplacementpreferences,intheabsenceofgood   	 \   causetothecontrary.Thebestinterestofthechildremainstheparamountconsiderationandgood   	 H   causecanbebasedonparentalpreference.IntheMatteroftheAdoptionof_      B.G.J._      ,281_      Kan_      .552,   	 4   Ѐ(2006).   	            A                        *ThisformhasbeenapprovedbytheJudicialAdministratorpursuanttoSupremeCourt   	    AdministrativeOrderNo.155,firstenteredSeptember22,2000.       7   
