WPC	  
      -     ;`JJh2V$9j;J}/hƵ{[Dӻ!u'|Qؗ&8w5	?Z.֓cL'I(`u8?D]vT3daDl,oAMWcXs׼(;$:hTۓzc%#@]hIvPA[ޠa1Wrh9CE[S%O#ϟN"Cl3Ri,L%Y/aIg	ibw jblиneI4ytiBfl*mfB\]0lCZugۻZeqX1,j qevmܽI׵q~xsWQOfjag
0|+>/,ow9
^`$Gj=ѧo<]m89י2]Celf:\F %           #        U   N     	%        0   :   #  N      ]  ^      _  w      k  4      o                  	m         U   >      U   >     0   U   '        |   b           z                                                                                                                  	      	            	   	      &	            &	            &	            &	   	      8	   	      J	   	      ^	   	      r	   H P L J 3 3 0 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,    6Z         DM6    :i +003| x                    U   \	  	   `   & T i m e s   N e w   R o m a n          \	  	   `  & T i m e s   N e w   R o m a n             (   -               2$       
   !    USUS. ,       
           -  -    
   p   
   '    USUS. ,      _           "   X       C " 8/1/07 C h e c k 9    C h e c k 8    T e x t 1 7    C h e c k 1 6    C h e c k 1 5    T e x t 1 8   
   !    USUS. ,      _                OY  @    VV)  256   	              8    X  X       d                  d  8 =      X   X       d                 d=           @      INTHEDISTRICTCOURTOF___________________COUNTY,KANSAS   	     INTHEMATTEROFTHEMARRIAGEOF:   	 R   ________________________________        	 *
   ̀and     0     0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# CaseNo.____________________    ` p(#p(#  ________________________________   	 8	
            `	    	 $
            `	               h          *CUSTODYORDERFORNON-PARENTALRESIDENCY   	     JOURNALENTRYONFILE   	    PursuanttoK.S.A.60-1607(a)(3)or60-1610(a)(5)(C)   	 z              Onthis______dayof___________________,______thismattercomesbeforethe   	 R   Court,Judge____________________presiding.   	 >   1.0     THECOURTHEREBYFINDSTHAT:    t (#(#     X  X  X X         0   r r r p    x   (#   X0    >   %     Ԁ0%       Ԁ    r Reasonableeffortshavebeenmadeandhavefailedtomaintainthefamilyandpreventthe   	 L   unnecessaryremovalofthechild(ren)fromthechild(_        ren_        )shome.(Specifybasisfor   	 8   findingsforeachchild)_____________________________________________________   	 $   ________________________________________________________________________   	    ________________________________________________________________________.   	       	    @    VV+  #   X  X  X Xr  #    X  X  X X or   	 v        >       9   	  r  p    x   (#r r r pX9 Ӏ00    r Reasonableeffortshavenotbeenmade.(Specifybasisforfindingsforeachchild)-     ______#   X  X  X Xy  #    X  X  X X    	 b   __________________________________________________________________#   X  X  X X	  #    X  X  X X _______   	 N    _________________________________________________________________________    :! r(#r(#  @    )  or   	 #p!         <   r	 r r  p    x   (#  r  pX<    >   %     Ԁ0%    v   Ԁ    r Reasonableeffortstomaintainthechild(ren)inthehomearenotrequiredbecausean   	 #\"   emergencyexistswhichthreatensthesafetyofthechild(ren).(Specifybasisforfindings   	 $H #   foreachchild)% !    ____________________________________________________________   	 %4!$       r ________________________________________________________________________   	 & "%       r ________________________________________________________________________   	 '#&   % !         	 (#'      	 )$(              2.     THECOURTFURTHERFINDSTHAT0#   X  X  X XJ
  #    X  X  X X thechild(ren)islikelytosustainharmifnot   	 j*%)   immediatelyremovedfromthehome;0% "    % "      Ԁremaininginthehomeorreturninghomewould   	 Z+&*      OY  
            
       
   
 becontrarytothewelfareofthechild(ren);and/or% #    0% #      Ԁimmediateplacementisinthebest   	 d      interestofthechild(ren),specifically:(Specifybasisforfindings.)   	 T    ______________________________________________________________________________   	 D   ______________________________________________________________________________   	 0	   ______________________________________________________________________________% $    % $         	 
      	         3.     THECOURTFURTHERFINDSTHEREisprobablecausetobelievethatthechild(ren)is   	         aChildinNeedofCareasdefinedbysubsections(d)(1)(2)or(3)of#   X  X  X X~  # K.S.A.38-2202and   	 |   amendmentstheretoorthatneitherparentisfittohaveresidency.   	 h      	 T	   0     4.     ITISTHEREFORECONSIDEREDORDEREDANDDECREEDTHAT,pursuantto   	 @	
   K.S.A.60-1610asamended,thefollowingchild(ren)ofthepetitionerandtherespondentinthe   	 ,
   abovecaptionedcase,________________________________________________________,   	 |   shallbeplacedinthetemporarycustodyof:    h (#(#     X  X  X X      &#   X  X  X X0  # TheSecretaryofSocialandRehabilitationServices,or   	 T      X  X  X X      &#   X  X  X X  # ___________________________________________________________________   	 @      X  X  X X @    \\)  and   	 ,        &#   X  X  X X  #    X  X  X X ԀAchildsupportordershallissue.   	    #   X  X  X X  #    X  X  X X      &#   X  X  X X  #    X  X  X X ԀEachparentshallsubmitinformationtothechildsupportofficeforachildsupportordertobe   	    prepared,orpresentdocumentationofacurrentchildsupportorderwithin____days#   X  X  X X  #    X  X  X X .#   X  X  X X  #    X  X  X X    	    #   X  X  X X'  #    	 x                           ^         	 d        5.     THECOURTFURTHERORDERSallprovidersofservices,treatmentorcareofthechild   	 P   andfamily,evenifnotspecificallyreferredtoherein,toprovideinformationtotheSecretary,any   	 <   entityprovidingservicestothechildandfamily,counselforthepartiesincludingthecountyor   	 (   districtattorney,appointedCASA,CitizenReviewBoardmembers,thecourtandeachotherto   	 x   theextentneededtoensurethesafetyofthechildandfamily,preventfurtherabuseorneglect,   	 d    andtoprovideappropriatetreatmenttothechildandfamily.Thisorderencompassesthe   	 P   provisionsofthePrivacyRuleoftheHealthInsurancePortabilityandAccountabilityActof   	 <    1996(HIPAA),45C.F.R.164.512(e)(1).   	 (!      	 "        6.     THECOURTFURTHERFINDSTHATtheIndianChildWelfareAct(ICWA)   X  X  X X 0#   X  X  X X  # Ԁis   	  #      X  X  X X applicable0#   X  X  X XE  # Ԁisnotapplicable   X  X  X X 0#   X  X  X X  # Ԁapplicabilityisundetermined.Petitioner   X  X  X X 0#   X  X  X X#  # Ԁhasgiven   	 #       X  X  X X 0#   X  X  X X  # ԀshallgivenoticetotheTribe.   	 $|!      	 %l"        7.     ITISFURTHERORDEREDthatacopyofthisorderandatranscriptofthisproceedingbe   	 &X #   deliveredtotheCounty/DistrictAttorneywithin_____daysofthisdateandthatthe   	 'D!$   County/DistrictAttorneyshallfileapetitionasprovidedinK.S.A.38-2234andamendments   	 (0"%   thereto.   	 )#&           X  X  X X           ITISSOORDERED#   X  X  X X!  # THIS_______dayof___________________,______.   	 X+$(   Ї   	 d         	 P       	 <   0     0    (#(#      ____________________________    (	 (#(#                 JudgeoftheDistrictCourt'  
 r   Xr r r  pX' _        _        _        _        _        _        _        _        _        _        _        _        
