WPC6  
      v     [n2<k?RnwK󟙚3@B^XWޱ B^yۜ	~1_k)%w!7L}yfN:+<ud	2U3ĨxߐiRz-jQr
t02f]L\Wcv~%+͸=8]vlLFwQ"7 d	7駀*Pf}˯JRy`Zw,h؛:Ƽ5]LnM8Y(ǤML~.ԩfL#Ȕ?ӝM$ȗ[&V|e(ĴyT`nOrjthc~0s hKߌtm.٨Jlj Z$gL?| 2.r:MPJNAEM1m\S858P>mO'X            M         U]   >     0       0   <   c  0   d    0   2    0     5  0   l          <   b        0         	        0         	      <        T     Z                                                                                                                                                                              	      b   Uc   >   v            v            v            v            v   	         	         	         	         	         Ut   >                                                                                                                              	      L            L            L            L            L            L            L     (   `            `            `            `   	                                                         	         	         	         	                                 	                     	         	         	      &   	      :   	      N   	      b            b            b   	      t   	                     	         	                     	         	                     	         	         	         	      "            "            "   	      6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6            6   	      J   	      ^   	      r   	         	         	         	                                                                     	                     	                                                                                                                                        0   r     #     x   U	   N   A  	%        N         	         	         	        ^        w        4                	m         	                     	      "      \	  	   `   & T i m e s   N e w   R o m a n             6                4 H e a d i n g   1                  x   (#      X      XX S            \	  	   `   & T i m e s   N e w   R o m a n         S 
                  8  .    `	   h   p    x   (#8 S            \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     <                    : D e f a u l t   P a r a         0                . H e a d e r           (#     X      XX S            \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S            \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     0   m             . F o o t e r           (# S            \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S            \	  	   `   & T i m e s   N e w   R o m a n         S     6                4 B o d y   T e x t     )   	    	    x   (#)           &      && S            \	  	   `   & T i m e s   N e w   R o m a n         S  G  =              X   `	   h   p    x   (#G            X      XX S            \	  	   `   & T i m e s   N e w   R o m a n         S     :                  8 P a g e   N u m b e r                            '                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
       
       
 0      
 .      
       
       d     I N   T H E   D I S T R I C T   C O U R T   O F               C O U N T Y ,   K A N S A S   -  -       (   e               2$       
   7!          Xy  X  X X      Xy  X  X Xy      T e x t 5 4       (   e               2$       
   7!          Xy  X  X X      Xy  X  X Xy      D r o p d o w n 1    
      
   '          Xy  X  X X      Xy  X  X Xy     _           "   X     A " 11/23/108         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  C h e c k 4 0    \	  	   `  & T i m e s   N e w   R o m a n          T e x t 2 3    T e x t 2 4    T e x t 2 5    C h e c k 1    C h e c k 2     \	  	   `   & T i m e s   N e w   R o m a n          C h e c k 3 2                                           C h e c k 7 3    C h e c k 2 1    C h e c k 2 2    C h e c k 7 4    C h e c k 1 8    T e x t 3 5    C h e c k 2 7    C h e c k 2 8    C h e c k 2 9    C h e c k 3 0    C h e c k 3 1    T e x t 3 4    C h e c k 3 3    T e x t 3 6    C h e c k 3 4    C h e c k 3 5    T e x t 3 8    T e x t 3 9    C h e c k 7 6    C h e c k 3 6    C h e c k 3 7    C h e c k 7 7    C h e c k 7 8    C h e c k 6 4    C h e c k 6 5    T e x t 4 7    T e x t 4 8    T e x t 4 9    C h e c k 6 6    T e x t 5 0    C h e c k 7 1    C h e c k 7 2   #| x            (   J               7$                XW  X  X X      XW  X  X XW  \ \ K J C D C 0 1 \ S A V I N   9 0 6 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X  T e x t 4 1    C h e c k 4 1    C h e c k 4 2   >e         l=     ~                  U   C h e c k 4 3    C h e c k 4 4   
   7!          Xy  X  X X      Xy  X  X Xy     _             @    $$(  219b   	        
      8   y X  X       d                  d  8 =    y  X   X       d                 d=               Xy  X  X Xy @    @@  INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   	           INTHEINTERESTOF   	 f         Name_____________________________              p      CaseNo._____________   	 >	   DOB#   Xy  X  X  XyK  # xx    Xy  X  X Xy /#   Xy  X  X  Xy̸  # xx    Xy  X  X Xy /____A&#   Xy  X  X  Xy  #     Xy  X  X Xy Ԁmale&#   Xy  X  X  XyM  #     Xy  X  X Xy Ԁfemale   	 *
   Name_____________________________              p      CaseNo._____________   	 `   DOB#   Xy  X  X  Xy̚  # xx    Xy  X  X Xy /#   Xy  X  X  Xy}  # xx    Xy  X  X Xy /____A&#   Xy  X  X  Xy  #     Xy  X  X Xy Ԁmale&#   Xy  X  X  Xy  #     Xy  X  X Xy Ԁfemale   	 L	   #   Xy  X  X  Xy_  #     Xy  X  X Xy Name_____________________________              p      CaseNo._____________   	 $
   DOB#   Xy  X  X  Xy̽  # xx    Xy  X  X Xy /#   Xy  X  X  Xȳ  # xx    Xy  X  X Xy /____A&#   Xy  X  X  Xy  #     Xy  X  X Xy Ԁmale&#   Xy  X  X  Xy  #     Xy  X  X Xy Ԁfemale   	    #   Xy  X  X  Xyf  #     Xy  X  X Xy #   Xy  X  X  Xy  #     Xy  X  X Xy @           M   X  Xy *#    Xy  X    M9  # INDIANCHILDWELFAREACT   	 v   #   Xy  X  X  Xy  #          *        x   (#   X*    Xy  X  X Xy    Xy  X  X Xy 
                      0         x   (#  X0 COMBINEDPERMANENCYHEARINGJOURNALENTRYANDORDER     r	        
Z	   Ԍ   	    Ќ     $  
    X   X$    Xy  X  X Xy    Xy  X  X Xy 	             t   X Xy    Xy  X  t PursuanttoK.S.A.382203(a),382264#   t   X Xy
  #    Xy  X  t    Xy  X  X Xy Ԁ#   Xy  X  X Xyf  #     Xy  X  X Xy and25U.S.C.1901etseq.#   Xy  X  X  Xy̩  # #   t   X XyG  #    	       ]   t (Orderspertainingtomorethanonechildmustincludefindingsspecifictoeachchildlistedinthecaption.)   	            &D
 %  ]              Xy  X
 % &D NOWonthis% %    ________% %   _   dayof% &    _____________% &      ,% '    -     ________-     % '      ,theabovecaptionedmatters   	 n   comeonforapermanencyhearingbeforeJudge___________________0% (    % (      Ԁtoestablisha   	 Z   permanencyplanand/or% )     *  Xy  X  X Xy 0% )      Ԁforreviewoftheplanforpermanency,progressbeingmade   	 J   towardsthegoalsoftheplanandtheviabilityofthosegoals.   	 6        THECOURTFINDSjurisdictionandvenueareproper.   Xy  X  X* Xy ԀNoticetoparties,interestedparties   	    andthoserequiredtoreceivenoticehasbeengivenasrequiredbylaw.   	    # *  Xy  X  X Xy  #     Xy  X  X* Xy      TheCourtfindsthat&eachchildnamedaboveor&thechild___________________is   	 x   anIndianchildasdefinedbytheIndianChildWelfareAct(ICWA)andnoticeasrequiredbyICWA   	 h   hasbeentimelyprovided.ApetitionrequestingthetransferofjurisdictiontotheTribe&hasnot   	 T    beenfiled&wasfiledandthetransferofjurisdictionwasdenied&wasfiledandthe   	 D!   transferofjurisdictionwasdeclined,andtheCourthasjurisdictiontoproceed.   	 0"    # *  Xy  X  X  Xy  #    _  .      Xy  X  X* Xy $    , `	X   X$ &# *  Xy  X  X  Xy̎  #     Xy  X  X* Xy 0     # *  Xy  X  X  Xy  #     Xy  X  X* Xy Thepetitionerappearsby__________________________&# *  Xy  X  X  XyL  #     Xy  X  X* Xy ԀCounty/DistrictAttorneyor   	 $j"   designee&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁother____________________# *  Xy  X  X  XyL  #     Xy  X  X* Xy .    $Z # (#(#  &# *  Xy  X  X  Xy̯  #     Xy  X  X* Xy 0     # *  Xy  X  X  Xy  #     Xy  X  X* Xy Thechild(ren)appears&# *  Xy  X  X  Xye  #     Xy  X  X* Xy Ԁinpersonand&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁnotinperson,butbythechild(rens)guardianad   	 %J!$   litem,___________________________.    &:"% (#(#  # *  Xy  X  X  Xy  #     Xy  X  X* Xy &# *  Xy  X  X  Xy  #     Xy  X  X* Xy 0     򀀀NameofMother,# *  Xy  X  X  XyC  #     Xy  X  X* Xy themother&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁappearsinpersonprose&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁappearsinperson,   	 '&#&   andthroughherattorney,________________________&# *  Xy  X  X  Xy|  #     Xy  X  X* Xy Ԁappearsnotinperson,butby   	 ($'   andthroughherattorney___________________________&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁdoesnotappear.    )%( (#(#  # *  Xy  X  X  Xy  #     Xy  X  X* Xy &# *  Xy  X  X  XyD  #     Xy  X  X* Xy 0     򀀀NameofFather,# *  Xy  X  X  Xy̐  #     Xy  X  X* Xy the&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁfather&# *  Xy  X  X  Xya  #     Xy  X  X* Xy putativefatherof󀀀Nameofchild# *  Xy  X  X  Xy̱  #     Xy  X  X* Xy ,# *  Xy  X  X  Xy8  #     Xy  X  X* Xy Ԁ&# *  Xy  X  X  Xy{  #     Xy  X  X* Xy    	 *%)   appearsinpersonprose&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁappearsinperson,andthroughhisattorney,   	 +&*   _____________________&# *  Xy  X  X  Xy=  #     Xy  X  X* Xy Ԁappearsnotinperson,butbyandthroughhisattorney,   	       __________________________&# *  Xy  X  X  Xy  #     Xy  X  X* Xy Ԁdoesnotappear.      (#(#  # *  Xy  X  X  Xỷ  #     Xy  X  X* Xy &# *  Xy  X  X  Xy  #     Xy  X  X* Xy 0     򀀀NameofFather,# *  Xy  X  X  XyD   #     Xy  X  X* Xy the&# *  Xy  X  X  Xy   #     Xy  X  X* Xy Ԁfather&# *  Xy  X  X  Xy!  #     Xy  X  X* Xy putativefatherof󀀀Nameofchild# *  Xy  X  X  Xye!  #     Xy  X  X* Xy ,# *  Xy  X  X  Xy!  #     Xy  X  X* Xy Ԁ&# *  Xy  X  X  Xy/"  #     Xy  X  X* Xy    	 z   appearsinpersonprose&# *  Xy  X  X  Xyv"  #     Xy  X  X* Xy Ԁappearsinperson,andthroughhisattorney,   	 j   _____________________&# *  Xy  X  X  Xy"  #     Xy  X  X* Xy Ԁappearsnotinperson,butbyandthroughhisattorney,   	 V   __________________________&# *  Xy  X  X  Xy̏#  #     Xy  X  X* Xy Ԁdoesnotappear.    B	 (#(#  # *  Xy  X  X  Xy=$  #     Xy  X  X* Xy &# *  Xy  X  X  Xy̯$  #     Xy  X  X* Xy 0     򀀀NameofFather,# *  Xy  X  X  Xy$  #     Xy  X  X* Xy the&# *  Xy  X  X  Xy|%  #     Xy  X  X* Xy Ԁfather&# *  Xy  X  X  Xy%  #     Xy  X  X* Xy putativefatherof󀀀Nameofchild# *  Xy  X  X  Xy&  #     Xy  X  X* Xy ,# *  Xy  X  X  Xy̠&  #     Xy  X  X* Xy Ԁ&# *  Xy  X  X  Xy&  #     Xy  X  X* Xy    	 .
   appearsinpersonprose&# *  Xy  X  X  Xy*'  #     Xy  X  X* Xy Ԁappearsinperson,andthroughhisattorney,   	 |   _____________________&# *  Xy  X  X  Xy̥'  #     Xy  X  X* Xy Ԁappearsnotinperson,butbyandthroughhisattorney,   	 
h   __________________________&# *  Xy  X  X  XyC(  #     Xy  X  X* Xy Ԁdoesnotappear.    T	 (#(#  # *  Xy  X  X  Xy(  #     Xy  X  X* Xy &# *  Xy  X  X  Xyc)  #     Xy  X  X* Xy 0     # *  Xy  X  X  Xy̬)  #     Xy  X  X* Xy (Otherparentappearances)____________________________________________________   	 @	
   ___________________________________________________________________________   	 0
   ___________________________________________________________________________     (#(#  &# *  Xy  X  X  Xy *  #     Xy  X  X* Xy 0     # *  Xy  X  X  Xý+  #     Xy  X  X* Xy Interestedpartiesappearingare:_________________________________________________     (#(#  0     ___________________________________________________________________________     (#(#  &# *  Xy  X  X  Xy+  #     Xy  X  X* Xy 0     TheSecretaryispresentthrough________________________________________________     (#(#  0     ___________________________________________________________________________    v (#(#  &# *  Xy  X  X  Xy-  #     Xy  X  X* Xy 0     Alsopresentis/are:___________________________________________________________    b (#(#  0     ___________________________________________________________________________    R (#(#  &0     The_________________________Tribe&appearsby_________________________,   	 >   attorney/representativeor&doesnotappear.    . (#(#  # *  Xy  X  X  XyA.  #    Xy  X  X* Xy     9   	    	    x   (# , `	X9             &D
 %  X Xy     &5 %
 % &D     &5 % %  &5     &5 % %  &5    &D
 % %  &5         d0                 # *  &D
 %
 % &DE0  #     &D
 %
 %* &D     Xy  X
 %  &D Ԁ   	 d   # *  Xy  X  X  Xy̹1  #      TheCourt0approvesandadoptstheproposedpermanencyplanastheplanfor   	 P   permanencyinthepresentmatteror0doesnotapprovetheproposedpermanencyplanand   	 @   ordersanewpermanencyplansubmittedtotheCourtwithin30days.   d0  e1   ݌   	 ,   Ќ0    , `	X    	 X0            *  Xy  X  X* Xy    Xy  X  X* Xy 	          THECOURTFURTHERFINDSTHAT:   	    ?  %    4 `	 
     x   (# , `	X? % @    "   US: !  '       % @   4        1.    4 Theprogresstoachievethegoalsoftheformerpermanencyplan   	         0    4 0    `	4(#4(# 0    
`	(#`	(# 0% E    % E   5   Ԁis0% F    % F   5   Ԁisnotadequateasto(Name)________________________________    ~ 
(#
(#       0    4 0    `	4(#4(# 0    
`	(#`	(# 0is0isnotadequateasto(Name)________________________________    n  
(#
(#       0    4 0    `	4(#4(# 0    
`	(#`	(# 0is0isnotadequateasto(Name)________________________________.B  %    4 `	 
     x   (#  , XB     ^! 
(#
(#  H  +    4  `	 	 
     x   (#  , XH % G    % G   "8        2.    4 % H    0% H   Z8        0    `	 a.0    
`	(#`	(# Reasonableefforts

havebeenmadetoaccomplishthepermanencygoal(s)of0% M    % M   9      	 N"    reintegration0% N    % N   Z9   Ԁadoption0% O    % O   9   permanentcustodianship0% P    % P   9   Ԁplacement   	 :#!   witharelative0% Q    % Q   -:   Ԁotherplannedpermanentlivingarrangementof   	 *$"   (Identify)____________________________________________________    %t # 
(#
(#  E  " 
   4  `	 	 
  (#   4   XE          4          `	     	     
 (Specifybasisforfindingforeachchild.)% R    _____________________________   	 &`!$        0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    &L"% 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    '8#& 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    ($$' 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________% R   ;   .    )%( 
(#
(#  @    )  or   	 +&*   N  +    4  `	 	 
     x   (#   4   (#N          4 % U    % U   ?   00         `	 b.0    
(#(# Reasonableeffortssetoutinthepermanencyplan

havenotbeenmade.(Specify   	     basisforfindingforeachchild.)_____________________________    z 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________% V        f 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    R 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    >	 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________.0 @  "    0 @  "(#(# % V   A       *
 
(#
(#  @    )  or   	 `   0     0    4(#(# 0    4(#4(#      4 % 5    "&   US: !  '  US: !  '  & 00    (#(# % 5   D       `	 c.0    	(#(# 0    
	(#	(# Reasonableeffortstoreunifythechild(ren)andthefamilyarenotrequired   	 8	
   becausereintegrationisnotaviablealternative.(Specifybasisforfinding.)   	 $
   _______________________________________________________     
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________     
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________     
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    v 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________% K    % K   aI   .    b 
(#
(#  N  +    4  `	 	 
     x   (#   4   XN N  +    4  `	 	 
     x   (#   4   XN 0                3.    4 0Activeeffortshavebeenmadetoaccomplishthegoalofreintegration.or    : (#(#           4 0Activeeffortstoreunifythechild(ren)andfamilyarenotrequired.or   	 *            4 0Activeeffortstoreunifythechild(_        ren_        )andfamilyhavenotbeenmade.   	 t   0     0    4(#(# (Specifybasisforfindingforeachchild.)___________________________________   	 `   ____________________________________________________________________   	 L   _____________________________________________________________________    8 4(#4(#       4.    4 Continuedoutofhomeplacement0% X    % X   M   Ԁisnecessary0% Y    % Y   M   Ԁisnotnecessaryforthesafetyof:   	    E  " 
   4  `	 	 
  (#   4   XE 0     0    4(#(#           4 NAME:_____________________________________because(completeonlyif is   	     necessaryischecked)_________________________________________________     4(#4(#       0    4 ____________________________________________________________________.    ~ 4(#4(#  0     0    4(#(# Continuedoutofhomeplacement0isnecessary0isnotnecessaryforthesafetyof:    j 4(#4(#  E  " 
   4  `	 	 
  (#   4   (#E      0    4 NAME:% [    -     _______________________________________because(completeonlyif is   	 Z    necessaryischecked)% [   Q   _________________________________________________    J! 4(#4(#           4 ____________________________________________________________________.   	 6"             4 Continuedoutofhomeplacement0isnecessary0isnotnecessaryforthesafetyof:   	 "#!   E  " 
   4  `	 	 
  (#   4   (#E 0     0    4(#(# NAME:% \    _______________________________________because(completeonlyif is   	 $p"   necessaryischecked)% \   S   Ԁ_________________________________________________    %` # 4(#4(#           4 ____________________________________________________________________.   	 %L!$   H  %    4 	 
     x   (#   4   (#H % ^    % ^   AU             5.    4 Thechild(ren)sneeds0% _    % _   U   Ԁare0% `    % `   U   Ԁarenotbeingadequatelymet.   	 '$#&   % a    % a   *V        _             6._        0    4 TheCourthasconsideredinstateandoutofstatepermanentplacementoptions.The   	 ) %(   child(_      ren_      )0is0isnotinoutofstateplacement,andsuchplacement0continues0   	 *%)   doesnotcontinuetobeappropriateandinthebestinterestofthechild(_      ren_      ).    ~+&* 4(#4(#  Q  +      `	 	 
     x   (#   4 	 
  XQ % d    % d   yX        7.Q  +      `	 	 
     x   (#       XQ 0a.Reintegration0maybe0continuestobeaviablealternativefor:   	       H  " 
   4  	 	 
  X       XH    t   X Xy          4          `	     	     	    Xy  X  t (Checkappropriatestatusfromlistbelow:)#   t   X Xy"Z  #    	        &D
 %  t          4         Xy  X
 % &D     `	 NAME: *  Xy  X  X Xy ___________________________________     Status:01020304   	 ~            4          `	 NAME:___________________________________     Status:01020304   	 j            4          `	 NAME:___________________________________     Status:01020304   	 V            4          `	 (1)    
 Thechild(ren)shouldnotbereintegrateduntilfurtherorderoftheCourt.   	 B	   Z  .    4  `	 	 
      x   (#
   4  	 	 
  XZ          4          `	 (2)    
 Thechild(ren)mayreturnhome0%     %    =^   Ԁimmediately0%     %    n^   withatargetdateof%     _____-     %    ^   Ԁ   	 .
            4          `	     	     
 dayof___________________%     %    j_   ,%     -     ______-     %    _   ,0%     %    _   Ԁifthefollowingconditionsaremet:%        	 |            4          `	     	     
 ______________________________________________________________   	 l            @    0     0    (#(# 0    4(#(# 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    X	 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________    D	
 
(#
(#       0    4 0    4(#4(# 0    `	(#(# 0    	`	(#`	(# 0    
	(#	(# ______________________________________________________________%    +`   .    0
 
(#
(#           4          `	 (3)    
 Servicessetoutinthepermanencyplannecessaryforasafereturnofthe   	          T  .   4   `	 	 
      x   (#   4    XT     `	     	     
 child(ren)havenotbeenmadeavailabletotheparentwithwhom   	        `	     	     
 reintegrationwasplanned.   	        `	 (4)0    
 Within30days,anewplanforreintegrationshouldbepreparedand     
(#
(#      `	     	     
 submittedtotheCourtwithmeasurablegoals,objectivesandtimeframes.   	 n   ̀@    -     Xy  X  X* Xy or# *  Xy  X  X Xyjf  # Ԉ   	 F      Xy  X  X* Xy 0%     %    f       `	 b.Reintegration0maynotbe# *  Xy  X  X Xyf  #    Xy  X  X* Xy Ԁ0# *  Xy  X  X Xy[g  #    Xy  X  X* Xy Ԁisnolonger

# *  Xy  X  X Xỵg  # Ԁaviablealternativefor:   	 6       `	     	     
           (Checkappropriatestatusfromlistbelow:) *  t   X* Xy    	 &   # *  Xy  X * th  #     0    `	 0    	`	T$`	T$     
 0    	T$	T$ NAME:%        Xy  X  X* Xy ___________________________________%    Ei         Status:0%     %    i   1%     0%    i   Ԁ2%     0%    j   3# *  Xy  X  X XyRi  #    Xy  X  X* Xy 0# *  Xy  X  X Xy`j  #    Xy  X  X* Xy    t   X Xy #   Xy  X  tj  # 4    p T$T$      `	     	     
      NAME:# *  Xy  X  X Xy̲j  #    Xy  X  X* Xy ___________________________________      Status:%     %    k   # *  Xy  X  X Xy̥k  #    Xy  X  X* Xy 010203# *  Xy  X  X Xy@l  #    Xy  X  X* Xy    t   X Xy #   Xy  X  tl  # 0# *  Xy  X  X Xy̪l  #    Xy  X  X* Xy    t   X Xy #   Xy  X  t^m  # 4   t   X Xy # *  t   t?m  #    t  * t    	 \   #   Xy  X  tm  #     `	     	     
      NAME:# *  Xy  X  X Xym  #    Xy  X  X* Xy ___________________________________Status:010203# *  Xy  X  X Xy̬n  #    Xy  X  X* Xy Ԁ0# *  Xy  X  X Xy9o  #    Xy  X  X* Xy    t   X Xy #   Xy  X  to  # 4# *  Xy  X  X Xỳo  #    Xy  X  X* Xy    	 H       W  .    4  `	 	 
      x   (#	  4      XW     "     N          z (1)Thechild(ren)isinastableplacementwitharelative.   	 4   0    " 0    N"(#"(# 0    N(#N(# 0    z(#(# (2)     Servicessetoutinthepermanencyplannecessaryforasafereturn   	     ofthechild(ren)havebeenmadeavailabletotheparentwithwhom     z(#z(#      "     N          z reintegrationwasplanned# *  Xy  X  X Xyp  #    Xy  X  X* Xy .   	    0    " 0    N"(#"(# 0    N(#N(# 0    z(#(#           z (3)Eitheradoptionorpermanentcustodianshipmightbeinthebest   	    interestsofthechild(ren)andtheCounty/DistrictAttorneyordesignee   	 v   W  1    4  `	 	 
       x   (#   4    XW shallfileapleadingtoterminateparentalrightsorapleadingto   	 b    establishapermanentcustodianshipwithin30days.    N! z(#z(#  E      " N   X	   4     XE 0    " 0    N"(#"(# 0    N(#N(# 0    z(#(# (4)Permanentcustodianshipandadoptionhavebeenconsideredand   	 :"    thestatehasdocumentedacompellingreasoninsupportofanother   	 &#!   plannedpermanentlivingarrangement.# *  Xy  X  X Xy̪r  #    Xy  X  X* Xy     $p" z(#z(#      "     N          z                           8.ThepreviousordersofthisCourt0shallcontinueinfullforceandeffect0exceptas   	 %H!$   herebymodified0areherebyrescindedandthefollowingordersareherebyissuedpursuant   	 &8"%   toK.S.A.382255:________________________________________   	 '(#&   0     ___________________________________________________________________    ($' (#(#  0     ___________________________________________________________________    )%( (#(#  0     ___________________________________________________________________.    *%) (#(#          	 ~+&*   %     %    y   9      " B'   " N   X9      THECOURTFURTHERFINDS:   	            ______________________________________________________________________   	          ______________________________________________________________________   	 z        ______________________________________________________________________   	 f        ______________________________________________________________________.   	 R   %     %    |        THECOURTFURTHERORDERS:   	 *
        # *  Xy  X  X Xy}v  #    Xy  X  X* Xy _______________________________________________________________________   	 t        _______________________________________________________________________   	 `        _______________________________________________________________________   	 L	        _______________________________________________________________________.   	 8	
        # *  Xy  X  X Xy̬|  #     Xy  X  X* Xy dTHECOURTFURTHERORDERSallprovidersofservices# *  Xy  X  X  Xy̙~  # L
   
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     Xy  X  X* Xy Ԁ# *  Xy  X  X  Xy*  # L
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     Xy  X  X* Xy includingeducationalservices# *  Xy  X  X  Xȳ  # L
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     Xy  X  X* Xy ,   	    treatment,# *  Xy  X  X  Xy  # L
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     Xy  X  X* Xy education# *  Xy  X  X  Xyo  # L
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     Xy  X  X* Xy Ԁorcareofthechildandfamily,evenifnotspecificallyreferredtoherein,to   	     provideinformation# *  Xy  X  X  Xy΀  # L
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     Xy  X  X* Xy including# *  Xy  X  X  Xy̞  # L
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     Xy  X  X* Xy Ԁ# *  Xy  X  X  Xy  # L
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     Xy  X  X* Xy anyandalleducationalrecords# *  Xy  X  X  XyT  # L
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     Xy  X  X* Xy Ԁtothesecretary,anyentityproviding   	    servicestothechildandfamily,counselforthepartiesincludingthecountyordistrictattorney,   	 z   appointedCASA,CitizenReviewBoardmembers,thecourt,andeachothertotheextentneededto   	 f   ensurethesafetyofthechild,preventfurtherabuseorneglect,andtoprovideappropriatetreatment# *  Xy  X  X  Xyɂ  # L
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     Xy  X  X* Xy ,   	 R   careandservices# *  Xy  X  X  Xy̮  # L
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     Xy  X  X* Xy Ԁtothechildandfamily.Thisorderencompasses# *  Xy  X  X  Xy+  # L
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     Xy  X  X* Xy andcomplieswith# *  Xy  X  X  Xy̲  # L
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     Xy  X  X* Xy Ԁtheprovisions   	 >   ofthe# *  Xy  X  X  Xy  # L
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     Xy  X  X* Xy FamilyEducationRightsandPrivacyAct(20U.S.C.1232g;34_        C.F.R._        Ԁ99# *  Xy  X  X  Xy̚  # L
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     Xy  X  X* Xy ԀPrivacy   	 *   RuleoftheHealthInsurancePortabilityandAccountabilityActof1996(_        HIPAA_        ),45_        C.F.R._           	 t   164.512(e)(1).# *  Xy  X  X  Xy
  # d   Xy  X  X* Xy    	 `   # *  Xy  X  X Xy-  #    Xy  X  X* Xy <   	  r  p    x   (#   " B'<     r # *  Xy  X  X Xȳ  #    Xy  X  X* Xy <   	  r  p    x   (#  r  pX<      THECOURTFURTHERORDERSthismattersetfor%     -     ______________-     %       _____hearing   	 8   before0# *  Xy  X  X Xy  #    Xy  X  X* Xy ԀtheCourt0# *  Xy  X  X XyG  #    Xy  X  X* Xy Ԁ# *  Xy  X  X Xy̙  #     Xy  X  X* Xy the# *  Xy  X  X  Xy܋  #    Xy  X  X* Xy CRB# *  Xy  X  X Xy"  #    Xy  X  X* Xy Ԁonthe________dayof______________,_____,at-     ________0# *  Xy  X  X Xyj  #    Xy  X  X* Xy    	 $   a.m0# *  Xy  X  X Xy  #    Xy  X  X* Xy Ԁp.m.%     %          	    # *  Xy  X  X Xyg  #    Xy  X  X* Xy <   	    p    x   (#  r  pX< <   	  r  p    x   (#    pX< # *  Xy  X  X Xy  #     Xy  X  X* Xy     r ITISSOORDERED# *  Xy  X  X  Xy̦  #    Xy  X  X* Xy THIS________dayof_____________________,_______.   	    <   	    p    x   (#  r  pX<                         p      _______________________   	 B!      .  _   <   	    p    x   (#    pX<               p      JudgeoftheDistrictCourt   	 ."    _        _                   _         	 f+&*        # *  Xy  X  X Xy  # @    jj&  Authority   	       K.S.A.382203(a),382264,25U.S.C.1901etseq.   	 z   @    $  NotesonUse   	 >	        Thisisthelongformandnootherjournalentryisrequirednoradvised.Thisformis   	 *
   completeinandofitself,recitingappearancesandallowingspaceforfindingsandordersofthe   	 t   court.   	 `        SupremeCourtAdministrativeOrderNo.155appliesandrequirestheuseofthisformor   	 L	   anotherformapprovedbytheSupremeCourtasmeetingASFArequirements.Failuretomakeand   	 8	
   properlydocumentthefindingsrequiredbyASFAwillresultinthelossoffederalfunding.Federal   	 $
   fundingisnotavailablewhenthecourtfindsreasonableeffortshavenotbeenmadeunlessthecourt   	    alsofindstheeffortswerenotrequired.Thelossoffederalfundingcontinuesuntilthecourtfinds   	    reasonableeffortshavebeenmadeorarenotrequiredandthecourtsfindingsareproperly   	    documented.InadditiontothefindingsrelatedtoreasonableeffortsrequiredbyASFAandKansas   	 v   law,thecourtshoulddetermineifactiveeffortstoreunifythechildandfamilyweremade.   	 b        Apermanencyhearingshallbeheldwithin12monthsofthedatethechildenteredoutof   	 N   homeplacement,andatleastevery12monthsthereafter.Ifthecourtfindsatanytimeotherthan   	 :   duringapermanencyhearing(asinareviewhearing)thatreintegrationmaynotbeaviable   	 &   alternative,thenapermanencyhearingshallbeheldwithin30daysofthatdetermination.A   	 p   permanencyhearingmaybeconductedbythecourtorbyacitizenreviewboard.Thepurposeofthe   	 \   hearingistodetermineprogresstowardthegoalsofthepermanencyplan,asdefinedbyK.S.A.38   	 H   2263.NoticeofapermanencyhearingisdictatedbyK.S.A.382265.   	 4        Thecourt,afterhearingorbasedoncitizenreviewboardrecommendations,shalldetermine   	     whetherthechildwillbereintegratedwithaparent,placedforadoption,placedwithapermanent   	    custodian,orplacedinanotherplannedpermanentlivingarrangement.Assetoutintheform,the   	    courtshallmakereasonableeffortsfindings.Uponfindingthatreintegrationcontinuestobeaviable   	    alternative,thecourtmayrescindpriordispositionalordersandenteranydispositionalorder   	 r   authorizedbythecode,ororderthatanewreintegrationplanbeprepared.Uponfindingthat   	 ^   reintegrationisnolongeraviablealternative,thecourtshallmaketheconsiderationsandfindings   	 J    setoutintheform.Ifreintegrationisnotaviablealternativeandeitheradoptionorappointmentof   	 6!   apermanentcustodianmightbeinthebestinterestsofthechild,thenthecountyordistrictattorney   	 ""    shallfileamotiontoterminateparentalrightsoramotiontoappointapermanentcustodianwithin   	 #l!   30days,andthecourtshallsetahearingonsuchmotionwithin90daysofthefilingofthemotion.   	 #X"        Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay   	 $D #   bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfinding.   	 %0!$      Xy  X  X* Xy 
