WPCd8  
           aUu!P- @[sc@ZВ	xy[ϗ0io&e2%hp)cbX_Ԛkm4	9#wV-򬁆F?x(oiu(F$ɅuFNODQ]j=ũv=|7"o;bMaw^P*`XT}fDIDZq.mr}Mx]MM..vq?J |Tc0eܮ}Y2ҟPmV$.U,ASa9f[3g\ۊ/h8FZ$-m4w t*Ѱq'p`ɥ[|
:`ëUme.ou^Hq<:up̨׋b6D;GuzN{'!PJ}ͻrDzF'hEw j           #        U   N   
  	%      
  0   :   
  0   U   #  0      x  0      [  0         0        0        0      K  0        0        0      @  0        0        0        0      6  0        0      ~  0        0        0      ;  0        0        0      {  0      %  0        0      g  0        0        0        0        0        0   >   I  0        0         0      a!  0      C"  0      %#  0      $  0      $  0      %  0   2   u&  0      &  0   :   '  0   Y   '  0   _   6(  0   
  (  0     )  0     !+  	B   *   '-  	D   /   Q-  	D   +   -  0     -   U   6   /  	D   /   /  0      0  0   6   0  0     1  0   :   "2  0   ^   \2  0   <   2  	1   e   2   U   >   [3   U   *   3  N      3  	1   u   3  0   N   :4  	7   2   4  ^      4  w      4  4      4        4        4  	m      4   UB   >   5   	      D5   	      X5  0      j5   	      6   	      (6   	      <6   	      P6        d6            d6            d6            d6   	      y6   	      6  0   U   6   b      6   	      6   	      7     z   $7   	      7   	      7   	      7   	      7   	      7   	       8   	      8   	      (8   	      <8   	      P8   H P L J 3 3 0 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          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
   
       . .    ,  " 
   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
   
       . .    &   h h   p    x  &         *   /   +       /   ( _ 2 1         #      p    x  # 2     3
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       . .    #      p    x  #         *   ,   +       ,   ( _ 2 0        h       p    x    2     3
   
       . .          p    x       h     *   )   +       )   ( _ 1 9            p p    x   2     3
   
       . .       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
   
 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
   
 Ԁ      p    x       h     *   )          )   ( _ 1 0            p p    x   2     3
   
 Ԁ   p p    x           (   &          &   & _ 9                x   2     3
   
 Ԁ       x           (   A          A   & _ 8           5  +    `	   h   p    x  5 2      3
   
 5  +    `	   h   p    x  5           (   G          G   & _ 7             /  % `	 `	   h   p    x  / 2     3
   
 /  % `	 `	   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
   
 )   	  h   p    x  )    `	     (   2          2   & _ 4         &   h h   p    x  & 2     3
   
 &   h h   p    x  &         (   /          /   & _ 3         #      p    x  # 2     3
   
 #      p    x  #         (   ,          ,   & _ 2        h       p    x    2     3
   
       p    x       h     (   )          )   & _ 1            p p    x   2     3
   
    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 )                                       6Z         DM6    :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                                    T e x t 4 1    C h e c k 2 1    C h e c k 2 2    C h e c k 4 3    
           T e x t 3 3    C h e c k 2 3       (   -               2$       
   !    USUS. ,      -  -    C h e c k 2 7    C h e c k 2 8    
   p   
 [  '    USUS. ,      _           "   X       C " 8/1/07 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 3 7    C h e c k 4 4    C h e c k 4 5    C h e c k 4 6    C h e c k 4 7   
   !    USUS. ,      _              U  P  @    VV)  218   	        
@           (         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M  #  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  #  A  X  X  X X Ԁmale&#   X  X  XA Xi  #  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  #  A  X  X  X X /____A&#   X  X  XA Xc  #  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]  #  M  X  X  X X xx#   X  X  XM X!  #  A  X  X  X X /#   X  X  XA Xf  #  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=	  #  A  X  X  X X Ԁfemale   	    #   X  X  XA X	  #  A  X  X  X X @      *INDIANCHILDWELFAREACT   	 v   @      #   X  X  XA X	  #  A  X  X  X X @ @    COMBINEDJOURNALENTRYANDORDER   	 b   @      OF#   X  X  XA X
  # ԀREHEARINGOFDISPOSITION   	 N   @    			  PursuanttoK.S.A.382203(a),382256 A  X  X  X X and25U.S.C.1901etseq.#   X  X  XA X  # Ԉ   	 :        Nowonthis______dayof______________,___________,theabovecaptionedmatter   	 p   comesonforrehearingofdispositionbeforeJudge________________________, A  X  X  X X &#   X  X  XA X  # Ԁonthe   	 \   Courtsownmotion A  X  X  X X &#   X  X  XA XJ  # Ԁonthemotionof____________________________.   	 L    A  X  X  X X      #   X  X  XA X  #  A  X  X  X X TheCourtfindsthat&#   X  X  XA X%  #  A  X  X  X X Ԁeachchildnamedaboveor&#   X  X  XA X  #  A  X  X  X X Ԁthechild___________________#   X  X  XA X  #  A  X  X  X X    	 8   isanIndianchildasdefinedbytheIndianChildWelfareAct(ICWA)#   X  X  XA XD  #  A  X  X  X X Ԁandnoticeasrequiredby   	 (   ICWAhasbeentimelyprovided.ApetitionrequestingthetransferofjurisdictiontotheTribe&#   X  X  XA X  #  A  X  X  X X    	    hasnotbeenfiled#   X  X  XA X  #  A  X  X  X X Ԁ&#   X  X  XA X$  #  A  X  X  X X Ԁwasfiledandthetransferofjurisdictionwas#   X  X  XA Xk  #  A  X  X  X X denied&#   X  X  XA X  #  A  X  X  X X Ԁ#   X  X  XA X-  #  A  X  X  X X wasfiledand   	    thetransferofjurisdictionwas#   X  X  XA Xp  #  A  X  X  X X Ԁ#   X  X  XA X  #  A  X  X  X X declined,andtheCourthasjurisdictiontoproceed.#   X  X  XA X7  #  A  X  X  X X    	    #   X  X  XA X  #  A  X  X  X X      TheCourtfindsthatjurisdictionandvenueareproper.#   X  X  XA X  #  M  X  X  X X Noticetoparties,interested   	    partiesandthoserequiredtoreceivenoticehasbeengivenasrequiredbyK.S.A.382254.#   X  X  XM X  #  A  X  X  X X    	 n   #   X  X  XA X\  #  A  X  X  X X $    , `	X X$ &#   X  X  XA X  #  A  X  X  X X 0     #   X  X  XA X!  #  A  X  X  X X Thepetitionerappearsby__________________________&#   X  X  XA Xr  #  A  X  X  X X ԀCounty/DistrictAttorneyor   	 F!   designee&#   X  X  XA X  #  A  X  X  X X Ԁother____________________#   X  X  XA Xr  #  A  X  X  X X .    6"  (#(#  &#   X  X  XA X  #  A  X  X  X X 0     #   X  X  XA X7  #  A  X  X  X X Thechild(ren)appears&#   X  X  XA X  #  A  X  X  X X Ԁinpersonand&#   X  X  XA X  #  A  X  X  X X Ԁnotinperson,butbythechild(_        ren_        s)guardian   	 "#!   adlitem,___________________________.    $p" (#(#  #   X  X  XA X8  #  A  X  X  X X &0     򀀀NameofMother,#   X  X  XA X4  #  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V  #  A  X  X  X X Ԁappearsin   	 $\ #   person,andthroughherattorney,________________________&#   X  X  XA X  #  A  X  X  X X Ԁappearsnotin   	 %L!$   person,butbyandthroughherattorney___________________________&#   X  X  XA X_  #  A  X  X  X X Ԁdoesnot   	 &8"%   appear.    '$#& (#(#  #   X  X  XA X  #  A  X  X  X X &#   X  X  XA X  #  A  X  X  X X 0     򀀀NameofFather,#   X  X  XA X  #  A  X  X  X X the&#   X  X  XA Xi  #  A  X  X  X X Ԁfather&#   X  X  XA X  #  A  X  X  X X putativefatherof󀀀Nameofchild#   X  X  XA X  #  A  X  X  X X ,#   X  X  XA X  #  A  X  X  X X    	 ($'   &#   X  X  XA X  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA X+   #  A  X  X  X X Ԁappearsinperson,andthroughhisattorney,   	 )%(   _____________________&#   X  X  XA X   #  A  X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	 *%)   __________________________&#   X  X  XA X0!  #  A  X  X  X X Ԁdoesnotappear.    ~+&* (#(#  _       #   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"  #  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#  #  A  X  X  X X ,#   X  X  XA XQ$  #  A  X  X  X X    	       &#   X  X  XA X$  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA X$  #  A  X  X  X X Ԁappearsinperson,andthroughhisattorney,   	     _____________________&#   X  X  XA XV%  #  A  X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	 ~   __________________________&#   X  X  XA X%  #  A  X  X  X X Ԁdoesnotappear.    j (#(#  #   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]'  #  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    	 V   &#   X  X  XA XH)  #  A  X  X  X X Ԁappearsinpersonprose&#   X  X  XA X)  #  A  X  X  X X Ԁappearsinperson,andthroughhisattorney,   	 F	   _____________________&#   X  X  XA X
*  #  A  X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	 2
   __________________________&#   X  X  XA X*  #  A  X  X  X X Ԁdoesnotappear.    | (#(#  #   X  X  XA XV+  #  A  X  X  X X &#   X  X  XA X+  #  A  X  X  X X 0     #   X  X  XA X,  #  A  X  X  X X (Otherparentappearances)____________________________________________________   	 
h   ___________________________________________________________________________   	 X	   ___________________________________________________________________________    D	
 (#(#  &#   X  X  XA Xe,  #  A  X  X  X X 0     #   X  X  XA X-  #  A  X  X  X X Interestedpartiesappearingare:________________________________________________    0
 (#(#  0     ___________________________________________________________________________      (#(#  &#   X  X  XA X4.  #  A  X  X  X X 0     TheSecretaryispresentthrough________________________________________________     (#(#  0     ___________________________________________________________________________     (#(#  &#   X  X  XA Xg/  # 0     Alsopresentis/are:___________________________________________________________     (#(#  0     ___________________________________________________________________________    z (#(#   A  X  X  X X &#   X  X  XA X1  #  A  X  X  X X 0     The_________________________Tribe&#   X  X  XA X1  #  A  X  X  X X Ԁappearsby______________________,   	 f   attorney/representativeor&#   X  X  XA X\2  #  A  X  X  X X Ԁdoesnotappear.#   X  X  XA X2  #  A  X  X  X X     V (#(#  #   X  X  XA XK3  #  A  X  X  X X 1.     TheCourthasreceivedandconsideredevidenceincludingthetestimonyofaqualifiedexpert   	 .   witness,asrequiredbyICWA.#   X  X  XA X3  #  A  X  X  X X    	 x   #   X  X  XA X4  # Ԁ   	 d   2.     THECOURTFURTHERFINDSTHATtheCourtspreviousfindingsandorders:   	 P   &0     shallremainoffullforceandeffect.    < (#(#  &0     shallremainoffullforceandeffecttotheextentthattheyarenotinconsistentwithany   	 (   findingsorordersinthepresentorder,andexceptthatitisnowinthebestinterestofthe   	    child(ren)forcustodytobeplacedwith______________________andthat:(ifthisisthe   	     firstorderremovingcustody,complete reasonableeffortsand contrarytowelfare   	    findingsbelow)    z (#(#  0      , X , `	X0 % N    % N   7    M  X  X  X X 0     &#   X  X  XM X8  #  M  X  X  X X     4 Reasonableandactiveeffortshavebeenmadeandhavefailedtomaintainthefamily   	 f    andpreventthe

removalofthechild(ren)fromthechild(ren)shomeasfollows:(Specify   	 R!   basisforfindingforeachchild.)________% O    -     _____________________________________    >"  (#(#       ________________________________________________________________________-     % O   9   Ԁ   	 *#!        ________________________________________________________________________   	 $t"        or   	 %L!$      X              % R    % R   T;   -     4(#   , X- 0     &    4 Reasonableandactiveeffortsarenotrequiredtomaintainthechild(ren)inthehome   	 &8"%   because#   X  X  XM Xh8  # Ԁanemergencyexistswhichthreatensthesafetyofthechild(ren).(Specifybasis   	 '$#&   forfindingforeachchild.)   	 ($'   _______ M  X  X  X X -     ____________________________________________    )$( (#(#       _______________________________________________________________________-        	 *%)   _______________________________________________________________________   	 v+&*        #   X  X  XM X<  #  M  X  X  X X Թ           X $     (#  4(#$      or   	     '      4(#  (#'      % S    % S   7?   #   X  X  XM Xx>  #  M  X  X  X X 0     &#   X  X  XM Xx?  #  M  X  X  X X     4 Reasonableandactiveeffortsarenotrequiredbecausetheparenthasbeenfoundbya   	 z   courttohave:    f (#(#        E  + `	 4 `	   h   p    x   (#   4(#E       % T        4 &% T   @   0    `	 committedmurderinthefirstdegree,K.S.A.213401,andamendmentsthereto;   	 R   murderintheseconddegree,K.S.A.213402,andamendmentsthereto;capital   	 >	   murder,K.S.A.213439,andamendmentsthereto;voluntarymanslaughter,   	 *
   K.S.A.213403,andamendmentsthereto;orviolatedalawofanotherstatewhich   	 t   prohibitssuchmurderormanslaughter;ofanotherchildoftheparent;    ` `	(#`	(#  E  . `	  4 `	   h   p    x   (#`	 4 `	XE % f    0    4 &% f   \C   0    `	4(#4(# aidedorabetted,attempted,conspired,orsolicitedtocommitsuchmurderor   	 P	   voluntarymanslaughterofanotherchildoftheparent#   X  X  XM X?  #  M  X  X  X X Ԁasprovidedabove;    <	
 `	(#`	(#     _  .  *   `	  4 `	(#`	 , X* % g        4 &% g   D   0    `	 committedafelonybatterythatresultedinbodilyinjurytothechildoranother   	 (
   childoftheparent;     `	(#`	(#     .  _   E  . `	  4 `	   h   p    x   (#`	 ,(#E % h    0    4 &% h   F   0    `	4(#4(# subjectedthechildtoaggravatedcircumstancesasdefinedinK.S.A.382202(c);     `	(#`	(#     _  .   *   `	  4 `	(#`	 , X* % i        4 &% i   G   0    `	 parentalrightsoftheparenttoasiblinghavebeenterminatedinvoluntarily.#   X  X  XM XXD  #  M  X  X  X X      `	(#`	(#      4 (Specifydeterminingfactors.)% Y    ___________________________________________   	 ~   _________________________________________________________________   	 j   _________________________________________________________________   	 V       4 0    `	 0 @  `	    % Y   "H       `	(#`	(#                   $     (#`	 ,(#$ or   	 .        % Z    % Z   I   #   X  X  XM XG  #  M  X  X  X X '      4(#  (#' 3.0     &#   X  X  XM X(J  #  M  X  X  X X 0    4(#(# Reasonableandactiveeffortshavenotbeenmade.(Specifybasisforfindingforeach   	 x   child.)_______________________________________________________________   	 d   _____________________________________________________________________   	 P   _____________________________________________________________________    < 4(#4(#            or   	         0     &#   X  X  XM XJ  #  M  X  X  X X 0    4(#(# Reasonableandactiveefforts&havebeenmade#   X  X  XM XL  #  M  X  X  X X &#   X  X  XM XeM  #  M  X  X  X X ԁhavenotbeenmadeto   	     facilitatethepermanencyplan.(Specifybasisforfindingforeachchild.)#   X  X  XM XM  #  M  X  X  X X    	    ____________________________________________________________________   	 ~   ____________________________________________________________________   	 j   ____________________________________________________________________#   X  X  XM XvN  #  M  X  X  X X     V  4(#4(#  @    *  #   X  X  XM XO  #  M  X  X  X X Ԉ   .  _   H  .    `	   h   p    x   (#   4(#H 4.     THECOURTFURTHERFINDSTHAT&#   X  X  XM X=P  #  M  X  X  X X Ԁthechild(ren)islikelytosustainharmif   	 #x!   notimmediatelyremovedfromthehome;#   X  X  XM XQ  #  M  X  X  X X &% ]    % ]   Q   Ԁremaininginthehomeorreturninghome   	 
$h"   wouldbecontrarytothewelfareofthechild(ren);and/or&% ^    % ^   R   Ԁimmediateplacementisinthe   	 $T #   bestinterestofthechild(ren),specifically:(Specifybasisforfindingforeachchild.)#   X  X  XM XQ  #  M  X  X  X X       #   X  X  XM XWS  #  M  X  X  X X -        	 %D!$   Name:_______________________________________________________________________   	 &4"%        ________________________________________________________________________-        	 ' #&   Name:_______________________________________________________________________   	 ($'        ________________________________________________________________________   	 )$(   #   X  X  XM XS  #  M  X  X  X X Name:_______________________________________________________________________   	 *%)        ________________________________________________________________________   	 r+&*   #   X  X  XM XU  #  M  X  X  X X      #   X  X  XM XV  #  M  X  X  X X @    \\)  and   	     thereisclearandconvincingevidencethatremaininginthecustodyoftheparentorIndian   	 z   custodianislikelytoresultinseriousemotionalorphysicaldamagetothenamedchild(Specify   	 f   basisforfindingforeachchild)__________________________________________________   	 R   _____________________________________________________________________________   	 >	   #   X  X  XM X&W  #  M  X  X  X X 5.0     &THECOURTFURTHERFINDS:    t (#(#       % Q    _______________________________________________________________________   	 d        _______________________________________________________________________   	 P	        _______________________________________________________________________% Q   Y   .   	 <	
   #   X  X  XM XPY  #  M  X  X  X X 6.0     Theplacementofthechild(ren)is#   X  X  XM XA[  #  A  X  X  X X &#   X  X  XA X[  #  M  X  X  X X Ԁtheleastrestrictivesettingwhichmostapproximates   	    afamily;#   X  X  XM X\  #  A  X  X  X X &#   X  X  XA X\  #  M  X  X  X X Ԁ#   X  X  XM X\  #  M  X  X  X X withinreasonableproximitytothechild(ren)shome;#   X  X  XM X']  #  A  X  X  X X &#   X  X  XA X]  #  M  X  X  X X appropriatetothe   	    child(ren)#   X  X  XM X]  #  M  X  X  X X sspecialneeds.     (#(#  7.0     TheCourthasconsideredICWAplacementpreferences,inorderofpreference,as   	 n   follows:#   X  X  XM Xb^  #  M  X  X  X X     Z (#(#  0                #   X  X  XM XR_  #  A  X  X  X X &#   X  X  XA X_  #  M  X  X  X X Placementwithextendedfamily(Listconsideredplacementsoreffortstoidentify   	 F   placements.)____________________________________________________________   	 6   ________________________________________________________________________    " (#(#  0                #   X  X  XM X$`  #  A  X  X  X X &#   X  X  XA Xa  #  M  X  X  X X ԀFosterhomelicensed,approvedorspecifiedbytheTribe(Listconsideredplacements   	 l   oreffortstoidentifyplacements.)_______________________________________   	 \   ________________________________________________________________________    H (#(#  0                #   X  X  XM Xb  #  A  X  X  X X &#   X  X  XA Xc  #  M  X  X  X X ԀIndianfosterhomelicensedbynonIndianauthority(Listconsideredplacementsor   	 4   effortstoidentifyplacements.)_______________________________________________   	 $   ________________________________________________________________________     (#(#  #   X  X  XM Xc  #  M  X  X  X X 0                #   X  X  XM Xke  #  A  X  X  X X &#   X  X  XA Xe  #  M  X  X  X X ԀPlacementapprovedbyTribeoroperatedbyIndianorganization(Listconsidered   	    placementsoreffortstoidentifyplacements.)__________________________________   	    ________________________________________________________________________    z (#(#  #   X  X  XM Xf  #  M  X  X  X X 8.0     #   X  X  XM Xg  #  A  X  X  X X &#   X  X  XA Xg  #  M  X  X  X X ԀGoodcauseexistsnottofollowtheplacementpreference:(Specifybasisforfindingfor   	 R!   eachchild.)______________________________________________________________   	 B"    Ѐ_______________________________________________________________________    .#! (#(#  #   X  X  XM X9h  #  M  X  X  X X #   X  X  XM Xi  #  A  X  X  X X #   X  X  XA Xi  #  M  X  X  X X 9.     THECOURTTHEREFOREORDERSTHATtheabovenamedchild(ren)&% `    % `   j   Ԁshallbe   	 %P!$   % a    % a   j   &shallremainplacedinthecustodyof:   	 &@"%        % b    &% b   Xk   ԀTheSecretary,or   	 '0#&        % c    &% c   k   Ԁ% d    -     ____________________________________________________________________-     % d   k   .   	 ($'   @    \\)  and   	 *%)        &#   X  X  XM X>j  #  M  X  X  X X ԀAchildsupportordershall_      issue.   	 +&*     U P  
   U         
     U  
   
 #   X  X  XM Xl  #  M  X  X  X X      &#   X  X  XM Xm  #  M  X  X  X X ԀEachparentshallsubmitinformationtothechildsupportofficeforachildsupport   	       ordertobeprepared,orpresentdocumentationofacurrentchildsupportorderwithin____days#   X  X  XM Xm  #  M  X  X  X X .#   X  X  XM Xn  #  M  X  X  X X    	     #   X  X  XM X;o  #  M  X  X  X X 10.     THECOURTORDERSallprovidersofservices,treatmentorcareofthechildand   	 f   family,evenifnotspecificallyreferredtoherein,toprovideinformationtotheSecretary,any   	 R   entityprovidingservicestothechildandfamily,counselforthepartiesincludingthecountyor   	 >	   districtattorney,appointedCASA,CitizenReviewBoardmembers,thecourt,andeachotherto   	 *
   theextentneededtoensurethesafetyofthechild,preventfurtherabuseorneglect,andto   	 t   provideappropriatetreatmenttothechildandfamily.Thisorderencompassestheprovisionsof   	 `   thePrivacyRuleoftheHealthInsurancePortabilityandAccountabilityActof1996(HIPAA),45   	 L	   C.F.R.164.512(e)(1).   	 8	
   #   X  X  XM Xo  #  M  X  X  X X B  .    `	   h   p    x   (# XB % e    % e   s   #   X  X  XM X1s  # 11.0     &THECOURTFURTHERORDERS:     (#(#   A  X  X  X X 0     ______________________________________________________________________0 @  `" &        _____      (#(#  0     _______________________________________________________________________0 @  "(#(#      (#(#       ________________________________________________________________________   	 z   #   X  X  XA X't  #  M  X  X  X X 12.0     &#   X  X  XM Xu  #  A  X  X  X X ԀArestrainingordershallbefiledagainst____________________________________.#   X  X  XA XJv  #  A  X  X  X X     R (#(#  #   X  X  XA Xv  #  M  X  X  X X 13.0     &#   X  X  XM X?w  #  A  X  X  X X ԀTheSecretary#   X  X  XA Xw  #  M  X  X  X X &CourtServices#   X  X  XM Xw  #  A  X  X  X X Ԁ#   X  X  XA X>x  #  M  X  X  X X &______________________________________   	 .   shallcompletereportsandsubmitthemtotheCourtby___________________________.#   X  X  XM Xx  #  A  X  X  X X     | (#(#  #   X  X  XA XZy  #  A  X  X  X X      THECOURTFURTHERORDERSthismattersetforreviewhearingbefore#   X  X  XA Xy  #  M  X  X  X X &#   X  X  XM XQz  #  A  X  X  X X Ԁthe   	 @   Court#   X  X  XA Xz  #  M  X  X  X X Ԁ&#   X  X  XM Xz  #  A  X  X  X X Ԁthe#   X  X  XA X?{  #  A  X  X  X X CRBonthe_____dayof_______________,________,at_______#   X  X  XA X{  #  M  X  X  X X &#   X  X  XM X	|  #  A  X  X  X X Ԁa.m.#   X  X  XA XR|  #  M  X  X  X X Ԁ&#   X  X  XM X|  #  A  X  X  X X    	 0   p.m.andforpermanencyhearingbefore#   X  X  XA X|  #  M  X  X  X X &#   X  X  XM Xe}  #  A  X  X  X X ԀtheCourt#   X  X  XA X}  #  M  X  X  X X Ԁ&#   X  X  XM X}  #  A  X  X  X X Ԁthe#   X  X  XA X@~  #  A  X  X  X X CRB#   X  X  XA X~  #  A  X  X  X X Ԁonthe_____dayof   	     ____________,________,at_______#   X  X  XA X~  #  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  #  A  X  X  X X Ԁp.m.#   X  X  XA X7  #  A  X  X  X X    	         ITISSOORDEREDTHIS______dayof___________________,________.   	             `	               h               p _____________________________   	 R!            `	               h               p JudgeoftheDistrictCourt   	 >"             `	           #   X  X  XA X聀  # @    jj&  Authority   	 %L!$   K.S.A.382203(a),382256and25U.S.C._      1901_      Ԁetseq.   	 '$#&   @    *     	 v+&*   Ї     NotesonUse   	              _      This_      Ԁistheonlyformforrehearing,completewitharecitationofappearancesandspacefor   	 f   findingsandorders.Thereisnoshortform,andaseparatejournalentrydraftedbycounselisneither   	 R   requirednoradvised.   	 >	        Ifthecourt,inissuingthisorder,removesthechildfromthehome,andifitisthefirstorder   	 *
   removingthechildfromthehomeorthefirstorderofremovalwhenthechildhasbeenhomeforsix   	 t   monthsorlonger(asinaninformalsupervision),SupremeCourtAdministrativeOrderNo.155   	 `   appliesandrequirestheuseofthisformoranotherformapprovedbytheSupremeCourtasmeeting   	 L	   ASFArequirements.FailuretomakeandproperlydocumentthefindingsrequiredbyASFAwill   	 8	
   resultinthelossoffederalfundingfortheplacement,oranysubsequentplacement,ofthechildin   	 $
   thepresentcase.Federalfundingisnotavailablewhenthecourtfindsreasonableeffortshavenot   	    beenmadeunlessthecourtalsofindstheeffortswerenotrequired.Findingthatreasonableefforts   	    werenotmadedoesnotbarthecourtfromremovingthechildandfailuretomakethesefindings   	    doesnotbarthecourtfromremovingthechild.   	 v        Thecourtmayenteranydispositionalorderauthorizedbythecodeafternoticeasrequired   	 b   byK.S.A.382254andarehearing,subjecttoICWA.However,achildsupportorderregistered   	 N   underK.S.A.382279mayonlybemodifiedpursuantthereto.   	 :        Ifthecourtremovesthechildfromthehome,inadditiontothefindingsrelatedtoreasonable   	 &   effortsrequiredbyASFAandKansaslaw,theIndianChildWelfareAct(ICWA)requiresthecourt   	 p   todetermineifactiveeffortstopreventtheremovaloftheIndianchildfromthehomeweremade.   	 \   ICWAalsorequiresthecourttodeterminebyclearandconvincingevidencethatcontinuedcustody   	 H   withthechildsparentsorIndiancustodianislikelytoresultinseriousphysicaloremotional   	 4   damagetothechild.Inmakingthatdetermination,thecourtshallconsiderthetestimonyofoneor   	     moreexpertsqualifiedtoaddressthatissue.Source:DepartmentoftheInterior,BIAGuidelines   	    forStateCourts,IndianChildCustodyProceedings.   	         Ifthecourtmakestherequiredfindingsandremovesthechildfromaparentscustody,the   	    courtmayawardcustodyofthechildtoarelative,toapersonwithwhomthechildhasclose   	 r   emotionalties,toanyothersuitableperson,toashelterfacility,toayouthresidentialfacilityorto   	 ^   thesecretary,subjecttoICWA.Ifthechildisremovedfromthehome,ICWArequiresaplacement   	 J    intheleastrestrictivesettingwhichmostapproximatesafamily,inwhichthechildsspecialneeds   	 6!   maybemet,andwhichisinreasonableproximitytothechildshome.ICWAalsoprovides   	 ""    placementpreferenceswhichmustbeconsideredbythecourtandshallbefollowedbythecourtor   	 #l!   agencyunlessgoodcauseisfoundtonotfollowthem.ThemandatoryICWAplacementpreferences   	 #X"   aregivenintheorderofpriorityinthisform.GoodcausenottofollowtheICWApreferencesmay   	 $D #   bebasedontherequestofthechild(whenthechildisofsufficientage)orthechildsbiological   	 %0!$   parents,extraordinaryphysicaloremotionalneedsofthechildasestablishedbytestimonyofa   	 &"%   qualifiedexpertwitness,ortheunavailabilityofsuitablefamiliesmeetingthepreferencecriteriaafter   	 '#&   adiligentsearch.Id.Inmakingaplacementrecommendationoracustodyorder,thecourtshould   	 (#'   makeandrecordspecificfindingsrelatingtotheICWAplacementpreferences.Thefindingsshould   	 )$(   
    
 bebasedontheevidencepresentedinreportsandtestimony.   	 n*%)        CompliancewithICWAisjurisdictional.FailuretocomplywithICWAmayrenderorders   	       
    
 devoidofauthority.   	          Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay   	 z   bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfinding.   	 f        ThisformhasbeendraftedtoreflectthelanguageofASFAintheexceptiontothe   	 R   requirementforreasonableeffortsincasesofmurder,attemptedmurder,etc.Thespecificlanguage   	 >	   ofASFAisused,whichlimitstheapplicationoftheexception.   	 *
    A  X  X  X X #   X  X  XA X  #   /                   
