WPCs#  
      b     㵕
ELtAr3`>|FF
0w̤Kt
c  41gLܼyk;}UoTw,+>R0r c	D+7"7EDDںƷ{5du"(BY9h˵n8^V$t3#Yak;+aKwW83;@zJ5)Z3!u	U0kf4	ebϔr6S\}H$8M|,}]?DfɋK T֠.OАHNU0-Nbzk~u]>4iQY**E)j^}୞R(o>x93T5$<W@ū5ؕ#n8CJ\;XS*6-(Rr. ?           #     r   U=   N   ;  	%        0   :     0   U     0      	  0      	  0      
  0      s  0      &  0        0      z  0        0        0      u  0      @  0        0        0      5  0        0      e  0        0      {  0      7  0        0        0      M  0        0        0        0        0      %  0         U   >      b        N        0   d    0   2  i  0   U     0   U      U%   >   E          ^      x    	          	          	          	          	          	          	          	            t   !  	1   {   |!  	7   2   !  w      )"  4      -"        A"        P"  	m      R"  	1   u   i"  	7   2   "  0   c   #   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
   
       . .        *   D   +       D   ( _ 2 5             ,  " 

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

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

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

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

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

 
  <   D   L ,             (   5          5   & _ 6         )   	  <   D   L ) 2     3
   
 )   	  <   D   L )         (   2          2   & _ 5        `	 &   < <   D   L & 2     3
   
 &   < <   D   L &    `	     (   /          /   & _ 4         #      D   L # 2     3
   
 #      D   L #         (   ,          ,   & _ 3               D   L   2     3
   
       D   L           (   )          )   & _ 2        h    D D   L  2     3
   
    D D   L     h     (   &          &   & _ 1               L  2     3
   
       L          &   #          #   $ _              L  2     3
   
      L          6   K          >   4 h e a d i n g   1           2  (   4 
  <   D   L 2 
            2  (   4 
  <   D   L 2           6   K          >   4 h e a d i n g   2           2  (   4 
  <   D   L 2 
          2  (   4 
  <   D   L 2        \	  	   `   & T i m e s   N e w   R o m a n         -  -        0                . H e a d e r           (#     X      XX S )           \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S )           \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     0   m             . F o o t e r           (# S )           \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S )           \	  	   `   & T i m e s   N e w   R o m a n         S     (   -               2$       
   !    USUS. ,          (   -               2$       
   !    USUS. ,       \	  	   `   & T i m e s   N e w   R o m a n          
      
 '  '    USUS. ,      _         %   $      (#   X$    X  X  X X    )  X  X  X X            %  =         8/1/07r6Z      T e x t 1    T e x t 2    T e x t 3    T e x t 4    T e x t 5    T e x t 6    C h e c k 1    C h e c k 2    
   j   
 '  '    USUS. ,      _           "   X     ""I "                  8j        3 C I O U [ a g m    N u m b e r s   1 .   1 .   1 .   1 .   1 .   1 .   1 .   1 .            5     1 .                                           DM6    :i +003| x                    U                   3#   3 7 = C I Q Y a g       1 .   a .   i .   ( 1 )   ( a )   ( i )   1 )   a )            <    i )                                           (       ;           3$       2  #      0
   
 .3
   
 0     
   !    USUS. ,      _        -      D   L    X-  )  X  X  X X            X    ,   *             222   	          @   #   X  X  X) Xj   #  #      8    X  X       d                  d  8 =      X   X       d                 d=   4  *      )  X  X  X X INTHEDISTRICTCOURTOF     % ,    -     ________________-     % ,      ԀCOUNTY,KANSAS   	 \         )  &U %  X) X 9   	    p    x   (#   DX9    33     # )  X  X %) &Ur  # INTHEINTERESTOF:   	 t   Ѐ   	 	      _  .  0      p" (#    pX0 Name% -    -     __________________________________-     % -          p CaseNo.% .    -     __________________-     % .         	 .
      .  _   <   	    z    x   (#   p" (#<       33  DOB% /    -     xx#   X  X  X) X  # % /       )  X  X  X X /xx#   X  X  X) X$  #  )  X  X  X X /____% 0    % 0      % 1    -     % 1      0     A#   X  X  X) Xj  #  "  X  X  X X &#   X  X  X" X  #  )  X  X  X X % 2    % 2   s   Ԁmale% 3    #   X  X  X) XT  #  )  X  X  X X Ԁ#   X  X  X) X  #  "  X  X  X X &#   X  X  X" X
  # % 3       )  X  X  X X Ԁfemale    I (#(#     _  .   <        z p" (#    z X<    33     #   X  X  X) Xa  #  )  X  X  X X <       z pX     z p" (#< Name-     __________________________________    p -     CaseNo.-     __________________-        	 P	
   ?   	    z    x   (#    z pX? DOB-     xx#   X  X  X) X'  #  )  X  X  X X /xx#   X  X  X) X	  #  )  X  X  X X /____-     0     A#   X  X  X) X	  #  "  X  X  X X &#   X  X  X" Xa
  #  )  X  X  X X Ԁmale#   X  X  X) X
  #  )  X  X  X X Ԁ#   X  X  X) X
  #  "  X  X  X X &#   X  X  X" X2  #  )  X  X  X X Ԁfemale    k
 (#(#  <        z p" (#    z X< #   X  X  X) Xx  #  "  X  X  X X       Name____________________________________    p CaseNo.__________________   	    DOB#   X  X  X" X  #  )  X  X  X X xx#   X  X  X) X  #  "  X  X  X X /#   X  X  X" X  #  )  X  X  X X xx#   X  X  X) X_  #  "  X  X  X X /____0     A&#   X  X  X" X  #  "  X  X  X X Ԁmale&#   X  X  X" X  #  "  X  X  X X Ԁfemale    8 (#(#  #   X  X  X" XL  # B     4  D   L      z p" (#B  "  X  X  X X      INDIANCHILDWELFAREACTSUPPLEMENTALORDER#   X  X  X" X  #  "  X  X  X X    	 n   PursuanttoK.S.A.382203(a)and25U.S.C.1901etseq.   	             Nowonthis______dayof______________,___________,theabovecaptionedmatter   	 C   comesonfor___________________hearingbeforeJudge________________________#   X  X  X" X|  #  "  X  X  X X .   	 ^        TheCourtfinds:   	     
5                   ( j        9                                3                            <                    " >  3                   "      >  3   2  j      1
   
 .3
   
 0          AjournalentryrecitingappearancesandtheCourtsfindingsandordersisattached. >  3     ݌    + (#(#  Ќ	     " >  3                  "      >  3   2  j      2
   
 .3
   
 0          Thechild(ren)namedaboveisanIndianchild. >  3  2   ݌    F (#(#  Ќ	     " >  3                  "      >  3   2  j      3
   
 .3
   
 0          The______________________________Tribehasbeennotifiedoftheseproceedingsand   	 a   &#   X  X  X" X  #  "  X  X  X X Ԁhas&#   X  X  X" X  #  "  X  X  X X Ԁhasnotintervened. >  3  )   ݌     | (#(#  Ќ	     " >  3                  "      >  3   2  j      4
   
 .3
   
 0          &#   X  X  X" X`  #  "  X  X  X X ԀActiveeffortshavebeenmadetoprovideremedialservicesandrehabilitativeprograms   	     designedtopreventthebreakupoftheIndianfamilyandtheseeffortshavebeen   	 >!   unsuccessful.#   X  X  X" X  #  )  X  X  X X Ԁ(Specifybasisforfindingforeachchild.)_____________________________ >  3     ݌    Y" (#(#  Ќ	          ________________________________________________________________________   	 t#        ________________________________________________________________________   	 $!   @    )  or   	 &A#!        #   X  X  X) X  #  "  X  X  X X &#   X  X  X" X  #  )  X  X  X X ԀActiveeffortshavenotbeenmade.   	 '\$"    
<                   ( #   3                                   9                            5                    5.0     #   X  X  X) X  #  "  X  X  X X &#   X  X  X" X  #  )  X  X  X X ԀClearandconvincingevidenceexists,baseduponthetestimonyofaqualifiedexpert   	 *&$   witnessandtheevidencepresented,thatthecontinuedcustodyofthechild(ren)byaparent   	 9+'%   orIndiancustodianislikelytoresultinseriousemotionalorphysicaldamagetothe   	 T,(&   child(ren).(Specifybasisforfindingforeachchild.)_____________________________    o-)' (#(#       ________________________________________________________________________   	 .+(        ________________________________________________________________________   	 /!,)   _         ԇ6.0     Theplacementofthechild(ren)is:        (#(#       #   X  X  X) X5  #  "  X  X  X X &#   X  X  X" X  #  )  X  X  X X ԀTheleastrestrictivesettingwhichmostapproximatesafamily   	         #   X  X  X) X  #  "  X  X  X X &#   X  X  X" Xq  # Ԁ )  X  X  X X Withinreasonableproximitytothechild(_      ren_      )shome   	 :        #   X  X  X) X  #  "  X  X  X X &#   X  X  X" Xx   #  )  X  X  X X Appropriatetothechild(_      ren_      )#   X  X  X) X   #  )  X  X  X X sspecialneeds   	 Y   7.0     TheCourthasconsideredICWAplacementpreferences,inorderofpreference,asfollows:#   X  X  X) XA!  #  )  X  X  X X     	 (#(#  0                #   X  X  X) X"  #  "  X  X  X X &#   X  X  X" X"  #  )  X  X  X X Placementwithextendedfamily(Listconsideredplacementsoreffortstoidentify   	 2
   placements.)____________________________________________________________   	 Q   ________________________________________________________________________    l (#(#  0                #   X  X  X) X"  #  "  X  X  X X &#   X  X  X" X~$  #  )  X  X  X X ԀFosterhomelicensed,approvedorspecifiedbytheTribe(Listconsideredplacementsor   	 
	   effortstoidentifyplacements.)_______________________________________   	 "
   ________________________________________________________________________    = (#(#  0                #   X  X  X) X$  #  "  X  X  X X &#   X  X  X" Xf&  #  )  X  X  X X ԀIndianfosterhomelicensedbynonIndianauthority(Listconsideredplacementsorefforts   	 X   toidentifyplacements.)______________________________________________________   	 w   ________________________________________________________________________     (#(#  #   X  X  X) X&  #  )  X  X  X X 0                #   X  X  X) X2(  #  "  X  X  X X &#   X  X  X" X(  #  )  X  X  X X ԀPlacementapprovedbyTribeoroperatedbyIndianorganization(Listconsidered   	 1   placementsoreffortstoidentifyplacements.)_____________________________________   	 P   ________________________________________________________________________    k (#(#  #   X  X  X) X(  #  )  X  X  X X 8.0     #   X  X  X) Xa*  #  "  X  X  X X &#   X  X  X" X*  #  )  X  X  X X ԀGoodcauseexistsnottofollowtheplacementpreference:(Specifybasisforfindingfor   	    eachchild.)________________________________________________________________   	 <   ________________________________________________________________________    W (#(#  #   X  X  X) X +  #  
5                   ( j        8                               3                           <                   7    "  X  X  X X      ITISSOORDEREDTHIS______dayof___________________,________.   	             V          p ________________________   	 b             V          p JudgeoftheDistrictCourt   	 }!   #   X  X  X" X-  # @    jj&  Authority   	 $J!    "  X  X  X X K.S.A.382203and25U.S.C.#   X  X  X" X.  #  "  X  X  X X 1901etseq.#   X  X  X" X/  #    	 '#    @    $  NotesonUse   	 :)%"        33       WhenthecourthasreasontobelievethatachildisanIndianchild,thisformmaybeused   	 p+'$   toaccompanyanyoftheSupremeCourtAdministrativeOrder155formsnotdesignedspecifically   	 \,(%   forICWA,inlieuofusingForms215!219.SeetheNotesonUsefortheformtobeused.This   	 H-)&   formsatisfiestherequirementsofICWAwhichservetopreserveIndianfamilies,cultureand   	 4.*'   heritagetothegreatestextentpossible,whilenotthreateningthesafetyand_      wellbeing_      Ԁofthechild.   	  /+(   CompliancewithICWAisjurisdictional.FailuretocomplywithICWAmayrenderordersdevoid   	       ofauthority.   	 p      33    /   @    ::&  Comments   	          33       ICWAdidnotapplytoadoptionproceedinginvolvingnonIndianmothersillegitimatechild,   	 	D   whohadneverbeenincareorcustodyofputativefather,whowasdulyenrolledasamemberofthe   	 
0   KiowaTribe.InreBabyBoyL.,231_      Kan_      .199,643P.2d168(1982).   	         Whenthecourthasreasonablegroundstobelieveachildinvolvedintheproceedingisor   	 		   maybeanIndianchild,thecourtmustcomplywithICWA.Inre_      H.D._      ,11_      Kan_      .App.2d531,729   	 x	
   P.2d1234(1986).   	 d
        ThepurposeandintentofICWAarediscussed,andthemeaningof domicileclarifiedin   	 P   thiscase.MississippiChoctawIndianBandv._      Holyfield_      ,490U.S.30,109_      S.Ct_      .1597(1989).   	 <        InordertocomplywithICWA,thetrialcourtmustobtainadeclinationofjurisdictionfrom   	 (   thetribalcourt(notthetribeorcounselforthetribe)ormakeafindingthatgoodcauseexistsnot   	    totransferthecasetothetribalcourtbeforeproceedingtoexercisejurisdictionoveranIndianchild.   	  |   Inre_      C.Y._      ,22_      Kan_      .App.2d941,925O.2d447(1996).   	 h        Thestatemayshowgoodcausefornottransferringaterminationofparentalrightscase   	 T   involvinganIndianchildtothetribalcourt.InreA.P.,26_      Kan_      .App.2d268,961P.2d706(1998).   	 @        Onthefactsspecifictothiscase,iftheprovisionsofICWAarenotinitiallyfollowed,   	 ,   subsequentremedialactsmaybringthecaseintocompliancewiththeact,suchasthetribes   	    interventionandparticipationinthecase.Inre_      H.A.M._      ,25_      Kan_      .App.2d289,961P.2d716(1998).   	         OnceacourtisfacedwithevidencethatthechildisanIndianchild,thecourtisboundto   	 t   applyICWA,andtocomplywithitsrequirements.Inre_      S.M.H._      ,33_      Kan_      .App.2d424,103P.3d976   	 `   (2005).   	 L        InacaseinvolvinganIndianchild,ICWAdictatesplacementpreferences,intheabsenceof   	 8   goodcausetothecontrary.Thebestinterestofthechildremainstheparamountconsiderationand   	 $   goodcausecanbebasedonparentalpreference.IntheMatteroftheAdoptionof_      B.G.J._      ,281_      Kan_      .   	    552,133P.3d1(2006).   	 x   
