WPC =WP}`Vk>؀"AM fIi1U/%H]?6tK8 gH )0\렟Z6wҐHӏFdYH ho g&r?R* ly zX#fV:V2WuVw)g2y=^,:ZA;<~` hED@F^˃#ϱw#"(Eiqʣv ұxjxY2 3_;7+o5uGA Cױm }zˢİK_-`񯉂=6 ܑ+U(E  *ɸW!.!fM[^̇ {PC3{NC,e<<`M!'O;}@JV@b|cSwh_@2?:cXiM UM> 0 0<c 0d 02 05 0l<U> 0FF 0b`hhhhhhhhhhhhhh  . @ R d vU->(    ( <<<<<<< PPPPP d x         & 88 J ^ r           0 DDDDDD VVVV jjjjj |||| 0r#U N %-N3 5 G [^ ow{4 m  \  `&Times New Roman64Heading 1    x (# XXXS\  `&Times New RomanS     8.` hp x (#8 S\  `&Times New RomanSXXX<:Default Para0.Header (#XXXS\  `&Times New RomanSA7X` hp x (#AS\  `&Times New RomanSXXX0m.Footer (#S\  `&Times New RomanSA7X` hp x (#AS\  `&Times New RomanS64Body Text)   x (#)&&&S\  `&Times New RomanSG=X` hp x (#GXXXS\  `&Times New RomanS:8Page Number'    0 .  dIN THE DISTRICT COURT OF COUNTY, KANSAS\  `&Times New Roman(e2G$ 7!  XwXXXXwXXXw  (e2G$ 7!  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XXXXXXXX  _@**(170a   8XXdd8=XXdd= XXXX@@@ INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   INTHEINTERESTOF f  Name_____________________________     p   CaseNo._____________ >  DOB#XXX XK#xx XXXX/#XXX X#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX XM# XXXXԀfemale *  Name_____________________________     p   CaseNo._____________  ` DOB#XXX X#xx XXXX/#XXX X}#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX X# XXXXԀfemale  L  #XXX X_# XXXXName_____________________________     p   CaseNo._____________ $  DOB#XXX X#xx XXXX/#XXX X#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX X# XXXXԀfemale   #XXX Xf# XXXX#XXX X#   * x (#X*XXXXXXXX       0 x (#X0 uXX*#XX u#PERMANENCYHEARINGORDERFORCHILDINNEEDOFCARE   Ԍ v  Ќ  $ XX$ XXXXXXXX    PursuanttoK.S.A.382264  Separatejournalentrymustbeattached  XX(Orderspertainingtomorethanonechildmustincludefindingsspecifictoeachchildlistedinthecaption.)    &E %    XX %&ENOWonthis% % ________%% dayof% & -  _____________-  %& ,% ' -  ________-  %'G ,theabovecaptionedmatters n comeonbeforeJudge___________________forapermanencyhearing 0% ( %( Ԁtoestablisha Z permanencyplanand/or% ) *XXXX0%)c Ԁforreviewoftheplanforpermanency,progressbeingmade J towardsthegoalsoftheplanandtheviabilityofthosegoals . 6  XXX*X  #*XXX XL# XXX*XTheCourtfindsthattheIndianChildWelfareAct(ICWA)#*XXX X# XXX*XԀisnotapplicable.#*XXX X# XXX*XԀ#*XXX Xi# XXX*XԀ(IfICWAis  applicableuseform219a.)#*XXX X# XXX*X  #*XXX X/#XXX*X  Ajournalentryrecitingappearances,findingsandordersisattached.#*XXXX# x '"(#X'<   x (#"(#<*&E %X*X&E % %*&E  W  W݌̌3"(# X3XX %&E*XXXX    TheCourtXXX*X 0#*XXXX#Ԁapprovesandadoptstheproposedpermanencyplanastheplanfor <  permanencyinthepresentmatterorXXX*X0#*XXXX#Ԁdoesnotapprovetheproposedpermanencyplanand ,! ordersanewpermanencyplansubmittedtotheCourtwithin30days . "v    THECOURTFURTHERFINDSTHAT: #R" B% 4`  x (#"(#B% @ "US:! '%@  1. 4 % A %AnTheprogresstoachievethegoalsoftheformerpermanencyplanXXX*XԀ $> #   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________%*!$ (# (#   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________&"% (# (#   0 4 0` 4(#4(#0 ` (#` (# 0is0isnot adequateasto(Name)________________________________.#*XXXX#' #& (# (#   2. 4 % H 0%Ha ` a.0 Reasonableeffortshavebeenmadetoaccomplishthepermanencygoal(s)of (#'  0% M %MԀreintegration0% N %N9Ԁadoption0% O %OeԀpermanentcustodianship0 placementwith )$( arelative0% Q %QԀotherplannedpermanentlivingarrangementof (Identify)____ x*%) ______________________________________________________________h+&* (# (# __?" 4` (#,X?   4    `   (Specifybasisforfindingforeachchild.)% R _____________________________    0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________z (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________f (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________%R.R (# (# XXX*X@) or  *  N+ 4`  x (#4 (#N   4 % , %,00   ` b.0 (#(#Reasonableeffortssetoutinthepermanencyplanhavenotbeenmade.(Specify  ` basisforfindingforeachchild.)____________________________________ L  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#% - ______________________________________________________________ 8  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________$  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________.0@"0@"(#(#%-?!  (# (# N+ 4`  x (#4 XN% . %.$#*XXXX#@) or  v  N+ 4`  x (#4 XN0  04(#(#04(#4(# 4 % S "&US:! 'US:! '&00(#(#%S% ` c.0 (#(#0 (# (#Reasonableeffortstoreunifythechild(ren)andthefamilyarenotrequired N becausereintegrationisnotaviablealternative.(Specifybasisforfindingfor : eachchild.)_____________________________________________________& (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________p (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________\ (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________H (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#______________________________________________________________% T %TC*.4 (# (# 0     3. 4 Continuedoutofhomeplacement 0% X %X*Ԁisnecessary0% Y %Y+Ԁisnot necessary forthesafetyof: (#(# E" 4` (#4 XE0  04(#(#   4 NAME:% Z _____________________________________because XXX*X( completeonlyif is  necessaryischecked)#*XXXXA,#%Z,_________________________________________________4(#4(# 0  04(#(#____________________________________________________________________.N+ 4`  x (#4 (#N @"  @"  @"  @"  z Continuedoutofhomeplacement 0isnecessary0isnot necessary forthesafetyof:f4(#4(#   0 4 NAME:% [ -  _______________________________________because XXX*X( completeonlyif @>"  @>" is V  necessaryischecked)#*XXXX'/#%[._________________________________________________F!4(#4(#    4 _____________________________________________________________________. 2"    XXX*X 4 Continuedoutofhomeplacement 0isnecessary0isnot necessary forthesafetyof:#*XXXX0# #|!    4 NAME:% \ _______________________________________because XXX*X( completeonlyif $l"    4 isnecessaryischecked)#*XXXX1#%\1Ԁ______________________________________________ $\ #    4 ______________________________________________________________________. %H!$ H% 4  x (#4 XH% ^ %^3  4. 4 Thechild(ren)sneeds 0% _ %_3Ԁare0% ` %`!4Ԁarenot beingadequatelymet.  &4"%  % a %a{4  5.0 4 XXX*XTheCourthasconsideredinstateandoutofstatepermanentplacementoptions.#*XXXX4#The '$#& child(ren) XXX*X0 #*XXXXl5#Ԁ isXXX*XԀ0isnot #*XXXX5#Ԁinoutofstateplacement,andsuchplacement 0continues0 ($' doesnotcontinue tobeappropriateandinthebestinterestofthechild(ren).)%(4(#4(# Q+ `  x (#4 XQ% d %d)7  6. Q+ `  x (# XQ XXX*X0a. Reintegration 0maybe0continuestobe aviablealternativefor: *%) Q+ 4`  x (# XQ    4    `   (Checkappropriatestatusfromlistbelow:) +&* _H% 4 X (#4 XH   4    `  NAME:*XXXX_______________________________  Status:01020304     4    `  NAME:% z _______________________________%z:  Status:01020304     4    `  NAME:%  _______________________________%a;  Status:01020304 z    4    `  (1) Thechild(_ren_)shouldnotbereintegrateduntilfurtherorderoftheCourt. f ].4`  x (# 4 X X]   4    `  (2) Thechild(_ren_)mayreturnhome 0%  %=Ԁimmediately0%  %=withatargetdate R W14`  x (#4 XW   4    `    of%   _____ -  %>Ԁ dayof ___________________ %  %6?,%  -   ______ -  %\?,0%  %?Ԁifthefollowing B  Q( 4` (# 4 XQ   4    `    conditionsaremet :%  __________________________________________ 2   @ 0  0(#(#04(#(#04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (#___________________________________________________________"  (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (#___________________________________________________________ l (# (#   0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (#___________________________________________________________%@. X  (# (#    4    `  (3) Servicessetoutinthepermanencyplannecessaryforasafereturnofthe  D   W.4`  x (# 4 (#W `    child(_ren_)havenotbeenmadeavailabletotheparentwithwhom 0   `    reintegrationwasplanned.    W.4` "  x (# 4 XW   4    `  (4) "  Within30days,anewplanforreintegrationshouldbepreparedand   W.4`  x (# 4" XW   4    `    submittedtotheCourtwithmeasurablegoals,objectivesandtimeframes     0 4 04(#4(#0` (#(#0 ` (#` (#0 (# (#0 (# (# XXX*Xor #*XXXXH#n (# (#   0 4 XXX*X0%  %VI  b.Reintegration 0maynotbe0#*XXXX3I#XXX*Xisnolonger aviablealternativefor:J4(#4(# Q+ 4`  x (#4 XQ XX#*  I#  *    4    `   #XX J# (Checkappropriatestatusfromlistbelow:) XX : Q.4`  x (#4 XQ#XX K#   4    `  NAME:%  #*XXXXJ#XXX*X______________________________________%L  Status:0%  %,M 1%  0%RMԀ2%  0 %wM 3#*XXXXL#  0 4 &    4    `  NAME:XXX*X______________________________________  Status:%  %N#*XXXX5N#XXX*X 0 1020 3#*XXXXN#XXX*X 0 4 XX#*  =O#  *  p #XX vO#    4    `  NAME:#*XXXXO#XXX*X______________________________________0  Status:0 1020 3#*XXXXP#Ԁ0 4\ T$ T$ T.4`  x (#4 XT   4    `  (1)0 Thechild(_ren_)isinastableplacementwitharelative.H (# (#    4    `  (2) Servicessetoutinthepermanencyplannecessaryforasafereturnofthe 4 H"  X4 XH  `    child(ren)havebeenmadeavailabletotheparentwithwhom    `    reintegrationwasplanned.     F    r      (3)0 Eitheradoptionorpermanentcustodianshipmightbeinthebestinterestsof  thechild(_ren_)andtheCounty/DistrictAttorneyordesigneeshallfilea  pleadingtoterminateparentalrightsorapleadingtoestablishapermanent r custodianshipwithin30days.^  (# (# W+ 4`  x (#  XW0  04(#(#04(#4(#0` (#(#0 ` (#` (#0 (# (# (4)0 (# (#Adoptionandpermanentcustodianshiphavebeenconsideredandthestate J! hasdocumentedacompellingreasoninsupportofanotherplanned 6"  permanentlivingarrangement."#! (# (#    4    `     XXX*XTHECOURTFURTHERORDERSallprovidersofservices,treatmentorcareofthechild $X # andfamily,evenifnotspecificallyreferredtoherein,toprovideinformationtothesecretary,any %D!$ entityprovidingservicestothechildandfamily,counselforthepartiesincludingthecountyor &0"% districtattorney,appointedCASA,CitizenReviewBoardmembers,thecourt,andeachothertothe '#& extentneededtoensurethesafetyofthechild,preventfurtherabuseorneglect,andtoprovide ($' appropriatetreatmenttothechildorfamily.ThisorderencompassestheprovisionsofthePrivacy )$( RuleoftheHealthInsurancePortabilityandAccountabilityActof1996(HIPAA),45C.F.R. *%) _164.512(e)(1).#*XXXXaX# n+&* XXX*XB   x (#4 XB  %  %n\#*XXXX\#XXX*X? rp x (# X?  THECOURTFURTHERORDERSthismattersetfor%  -  ______________-  %I]_____hearing  before 0#*XXXX\#XXX*XԀtheCourt0#*XXXX]#Ԁ XXX*Xthe#*XXX X=^#CRB XXX*XԀonthe________dayof______________,_____,at-  ________ 0#*XXXX^#XXX*X  a.m0#*XXXX&_#XXX*XԀp.m .%  %_ ~ < p x (#rpX<< rp x (#pX<#*XXXX_# XXX*X r ITISSOORDERED#*XXX X`#XXX*XTHIS________dayof_____________________,_______-  . Z < p x (#rpX<     p _.3D (#pX3     D __________________________  h   0  0D(#(#JudgeoftheDistrictCourt T D(#D(# N.` hp x (#D (#N#*XXXX`#XXX*X  #*XXXX:c#XXX*X#*XXXXc#XXX*X@jj&Authority   K.S.A.382264.   @$NotesonUse V   _Thisistheshortformforuseinconjunctionwithajournalentrydraftedbycounselthat . recitestheappearances,findingsandordersofthecourt.Form170b,thelongform,maybeused x withoutaseparatejournalentry,asitincludesarecitationofappearancesandspaceforfindingsand d ordersofthecourt. P   SupremeCourtAdministrativeOrderNo.155appliesandrequirestheuseofthisformor < anotherformapprovedbytheSupremeCourtasmeetingASFArequirements.Failuretomakeand ( properlydocumentthefindingsrequiredbyASFAwillresultinthelossoffederalfunding.Federal  fundingisnotavailablewhenthecourtfindsreasonableeffortshavenotbeenmadeunlessthecourt  alsofindstheeffortswerenotrequired.Thelossoffederalfundingcontinuesuntilthecourtfinds  reasonableeffortshavebeenmadeorarenotrequiredandthecourtsfindingsareproperly z documented. f   Whenacourthasreasontobelieveachildinvolvedinachildinneedofcareproceedingis R  anIndianchild,ICWAapplies;noticerequirements,findingsandprocedurearedictatedbyICWA, >! andtheICWAforms(Forms210!223)mustbeused.Thecircumstancesunderwhichacourthas *"  reasontobelieveachildisanIndianchildinclude,butarenotlimitedto,thefollowing:anyparty #t! tothecase,Indiantribe,oragencyinformsthecourtthatthechildisanIndianchild;anyagency $`" involvedinchildprotectionservicesorfamilysupporthasdiscoveredinformationsuggestingthat $L # thechildisanIndianchild;thechildgivesthecourtreasontobelieveheorsheisanIndianchild; %8!$ theresidenceofthechild,parent(s),orcustodianisknowntobeapredominantlyIndiancommunity; &$"% aparentofthechildisenrolledinatribe;oranofficerofthecourthasknowledgethatthechildmay '#& beanIndianchild.RemovalofanIndianchildfromthehomeisprohibitedwithoutthespecific (#' findingsrequiredbyICWAeitherenteredwiththeorderofremoval,orwithin90daysiftheremoval )$( wasduetoanemergency.DepartmentoftheInterior,BIAGuidelinesforStateCourts,IndianChild v*%) Custody_Proceedings. b+&*   Apermanencyhearingshallbeheldwithin12monthsofthedatethechildenteredoutof  homeplacement,andatleastevery12monthsthereafter.Ifthecourtfindsatanytimeotherthan  duringapermanencyhearing(asinareviewhearing)thatreintegrationmaynotbeaviable z alternative,thenapermanencyhearingshallbeheldwithin30daysofthatdetermination.A f permanencyhearingmaybeconductedbythecourtorbyacitizenreviewboard.Thepurposeofthe R hearingistodetermineprogresstowardthegoalsofthepermanencyplan,asdefinedbyK.S.A.38 >  2263.NoticeofapermanencyhearingisdictatedbyK.S.A.382265. *    Thecourt,afterhearingorbasedoncitizenreviewboardrecommendations,shalldetermine  t whetherthechildwillbereintegratedwithaparent,placedforadoption,placedwithapermanent  ` custodian,orplacedinanotherplannedpermanentlivingarrangement.Assetoutintheform,the  L  courtshallmakereasonableeffortsfindings.Uponfindingthatreintegrationcontinuestobeaviable  8  alternative,thecourtmayrescindpriordispositionalordersandenteranydispositionalorder $  authorizedbythecode,ororderthatanewreintegrationplanbeprepared.Uponfindingthat   reintegrationisnolongeraviablealternative,thecourtshallmaketheconsiderationsandfindings   setoutintheform.Ifreintegrationisnotaviablealternativeandeitheradoptionorappointmentof   apermanentcustodianmightbeinthebestinterestsofthechild,thenthecountyordistrictattorney v  shallfileamotiontoterminateparentalrightsoramotiontoappointapermanentcustodianwithin b 30days,andthecourtshallsetahearingonsuchmotionwithin90daysofthefilingofthemotion. N   Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay : bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfinding.#*XXXXc#XXX*X