WPCa  
      g     2pf%.PdϱzlJSdF!!\{)mfr*\8NOaC|oʤ9>E_9H([eY?ߊb/_FfbKJƣ9{;n"5~ꋜ(: 0=6^xds84w2>a˕ČjͩyYySZ5ǌB͕r3@$%4:sT;_fE%!C=35GK
={ e+緵L+lsdEK<#\hǘl̂;0*N@
8ܩm5?xb%px;
w\Ĵz,ཀྵX38gA-s)>q* vAƣaԿ$5ێ=HFyANcK~7`Jv+ -           #     v   UL   N   ?  	%        0   :             	1   u     	7   2   	  0   d  E	  0   2  
  0   U     0   U   0   U   >      b           9     	         	        0   c   $   	         	         	         	         	         	        ^        w        4                        	m         N      7   U?   >   9   	      w   	         	         	         	         	         	                     	         	         	      '   	      ;   	      O   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    (                  $          USUS. ,   
      
 
  '    USUS. ,      _                 `	               h               p                x 8/1/07                 3#   3 7 = C I Q Y a g       1 .   a .   i .   ( 1 )   ( a )   ( i )   1 )   a )                i )                                           0                . H e a d e r           (#     X      XX S            \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S            \	  	   `   & T i m e s   N e w   R o m a n         S     X      XX     0   m             . F o o t e r           (# S            \	  	   `   & T i m e s   N e w   R o m a n         S  A  7        X   `	   h   p    x   (#A S            \	  	   `   & T i m e s   N e w   R o m a n         S     (   -               2$       
   !    USUS. ,          (   -               2$       
   !    USUS. ,       \	  	   `   & T i m e s   N e w   R o m a n         -  -    
   /  
   )    USUS. ,      _         	   $      (#   X$    X  X  X X         	  =              '    (#   (#'    ?o   X X #   X  X  ?o   #  T e x t 1    T e x t 2       (       ;           3$       2  #      0
   
 .3
   
 0      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   #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 7    C h e c k 8    C h e c k 1 9    C h e c k 1 7    C h e c k 1 8    C h e c k 1 6    C h e c k 1 5    C h e c k 1 3    C h e c k 1 4    C h e c k 1 2    C h e c k 1 1    T e x t 1 5   
   !    USUS. ,      _                         8    X  X       d                  d  8        @    (  174.2   	 D         X  X  X X            X    ,               INTHEDISTRICTCOURTOF     %     -     ________________-     %    d   ԀCOUNTY,KANSAS   	 0              3   	    p    x   (#   X3    33     INTHEINTERESTOF:   	    Ѐ   	 #      _  .  0      p" (#    pX0 Name%     -     ____________________________________-     %           p CaseNo.%     -     ____________________-     %    6      	 >      .  _   <   	    z    x   (#   p" (#<       33  DOB%     -     xx#   X  X  X X   # %          X  X  X X /xx#   X  X  X XY  #    X  X  X X /____%     %       %     -     %       0     A#   X  X  X X鄟  #    X  X  X X &#   X  X  X XB  #    X  X  X X %     %       Ԁmale%     #   X  X  X X鄈  #    X  X  X X Ԁ#   X  X  X X  #    X  X  X X &#   X  X  X X>  # %          X  X  X X Ԁfemale#   X  X  X X鄕  #    X  X  X X     Y	 (#(#     _  .   <        z p" (#    z X<    33     @    *  #   X  X  X X  #    X  X  X X #   X  X  X X鄹  #     ORDERAUTHORIZINGSECUREPLACEMENTFOR   	 {7		   VIOLATIONOFVALIDCOURTORDERTOREMAININPLACEMENT   	 R

   PursuanttoK.S.A.382260   	 q                  33       NOWonthis____dayof_______________,_____,theCourtconsiderstheapplicationfor   	    authorizationofsecureplacement,   X  X  X X Judge__________________#   X  X  X X鄟	  # Ԁpresiding.   	           X  X  X X 6    , `	X     z p" (#6 &#   X  X  X X'
  #    X  X  X X 0     #   X  X  X X鄧
  #    X  X  X X Thepetitionerappearsby__________________________&#   X  X  X X
  #    X  X  X X ԀCounty/DistrictAttorneyor   	 k   designee&#   X  X  X Xw  #    X  X  X X Ԁother___________________#   X  X  X X  #    X  X  X X .    [ (#(#  &#   X  X  X XT  #    X  X  X X 0     #   X  X  X X鄼  #    X  X  X X Thechild(ren)appears&#   X  X  X X
  #    X  X  X X Ԁinpersonand&#   X  X  X Xm  #    X  X  X X Ԁnotinperson,butbythechild(rens)guardian   	 G   adlitem,___________________________.    {7 (#(#  #   X  X  X X  #    X  X  X X &#   X  X  X X鄟  #    X  X  X X 0     򀀀NameofMother,#   X  X  X X  #    X  X  X X themother,&#   X  X  X Xf  #    X  X  X X Ԁappearsinpersonprose&#   X  X  X X鄻  #    X  X  X X Ԁappearsin   	 g#   person,andthroughherattorney,________________________&#   X  X  X X"  #    X  X  X X Ԁappearsnotin   	 W   person,butbyandthroughherattorney___________________________&#   X  X  X X  #    X  X  X X Ԁdoesnot   	 C   appear.    / (#(#  #   X  X  X Xs  #    X  X  X X &#   X  X  X X  #    X  X  X X 0     򀀀NameofFather,#   X  X  X XJ  #    X  X  X X the&#   X  X  X X  #    X  X  X X Ԁfather&#   X  X  X X  #    X  X  X X putativefatherof󀀀Nameofchild#   X  X  X Xk  #    X  X  X X ,#   X  X  X X  #    X  X  X X    	    &#   X  X  X X5  #    X  X  X X Ԁappearsinpersonprose&#   X  X  X X鄐  #    X  X  X X Ԁappearsinperson,andthroughhisattorney,   	    _____________________&#   X  X  X X  #    X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	    __________________________&#   X  X  X X鄕  #    X  X  X X Ԁdoesnotappear.     (#(#  #   X  X  X XC  #    X  X  X X &#   X  X  X X鄵  #    X  X  X X 0     򀀀NameofFather,#   X  X  X X  #    X  X  X X the&#   X  X  X X鄂  #    X  X  X X Ԁfather&#   X  X  X X  #    X  X  X X putativefatherof󀀀Nameofchild#   X  X  X X  #    X  X  X X ,#   X  X  X X鄦  #    X  X  X X    	    &#   X  X  X X  #    X  X  X X Ԁappearsinpersonprose&#   X  X  X XD  #    X  X  X X Ԁappearsinperson,andthroughhisattorney,   	    _____________________&#   X  X  X X鄫  #    X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	  k   __________________________&#   X  X  X XI  #    X  X  X X Ԁdoesnotappear.    !W (#(#  #   X  X  X X  #    X  X  X X &#   X  X  X Xi  #    X  X  X X 0     򀀀NameofFather,#   X  X  X X鄲  #    X  X  X X the&#   X  X  X X6  #    X  X  X X Ԁfather&#   X  X  X X鄃  #    X  X  X X putativefatherof󀀀Nameofchild#   X  X  X X  #    X  X  X X ,#   X  X  X XZ  #    X  X  X X    	 "C    &#   X  X  X X鄝  #    X  X  X X Ԁappearsinpersonprose&#   X  X  X X  #    X  X  X X Ԁappearsinperson,andthroughhisattorney,   	 w#3 !   _____________________&#   X  X  X X_  #    X  X  X X Ԁappearsnotinperson,butbyandthroughhisattorney,   	 c$!"   __________________________&#   X  X  X X  #    X  X  X X Ԁdoesnotappear.    O%"# (#(#  #   X  X  X X鄫  #    X  X  X X &#   X  X  X X   #    X  X  X X 0     #   X  X  X Xf   #    X  X  X X (Otherparentappearances)____________________________________________________   	 ;&"$   ___________________________________________________________________________   	 +'#%   ___________________________________________________________________________    ($& (#(#  &#   X  X  X X鄺   #    X  X  X X 0     #   X  X  X X;"  #    X  X  X X Interestedpartiesappearingare:_________________________________________________    )%' (#(#  0     ___________________________________________________________________________    )&( (#(#  &#   X  X  X X鄉"  #    X  X  X X 0     TheSecretaryispresentthrough________________________________________________    *') (#(#  0     ___________________________________________________________________________    +(* (#(#  &#   X  X  X X鄽#  #    X  X  X X 0     Alsopresentis/are:___________________________________________________________    ,w)+ (#(#  0     ___________________________________________________________________________    -g*, (#(#  Ѐ#   X  X  X X$  #      0     THECOURTFINDS:    .S+- (#(#     	 /?,.   1.0     Avalidcourtordertoremaininplacementwasissuedinthecaptionedmatteron________;    D    (#(#  2.0     Thechildnamedaboveandtheguardianadlitemwerepresentonthatdateandinformed   	    orallyoftheorderandtheconsequencesofaviolationoftheordertoremaininplacement.A   	    copyoftheorderwasprovidedtothechildandguardianadlitem;     (#(#  3.0     Thechildnamedabovewasadjudicatedhereinon__(date)___________pursuantto   	    subsection&(d)(6)&(d)(7)&(d)(8)&(d)(9)&(d)(10)&(d)(12)ofK.S.A.382202;    	t (#(#  0           4.        X  X  X X &#   X  X  X X鄢)  # A.Uponapreliminaryhearing,thereisprobablecausetobelievethatthechildnamed   	 P	   abovehasviolatedtheordertoremaininplacementwithoutgoodcauseandplacementina   	 @	
   securefacilityisnecessaryfortheprotectionofthechildortoassurethepresenceofthechild   	 p,
   attheevidentiaryhearing,whichisscheduledfor򀀀(Dateandtime,within72hours)󀀀;    \ (#(#  @    )  or   	 4   0        X  X  X X &#   X  X  X X+  # B.Uponevidentiaryhearing,thereisclearandconvincingevidencethatthechildhasbeen   	     providedwiththerightssetoutinK.S.A.382260(d)(2)and(e)(3),andthatthechildhas   	    violatedtheordertoremaininplacementwithoutgoodcause,asfollows:______________   	    __________________________________________________________________________;     (#(#  @    )  or   	 |   0        X  X  X X &#   X  X  X X<.  # C.Uponhearingoftherequestforextensionofauthorization,thechildwaspreviously   	 h   foundtohaveviolatedtheordertoremaininplacementandhasalreadybeenplacedina   	 X   securefacilityfor&sixtydaysor&120days;    D (#(#  5.0     BasedonawrittenreportsubmittedtotheCourt,allotherplacementoptionshavebeen   	 d    exhaustedorareinappropriatetotheneedsofthechild.    P (#(#     X  X  X X THECOURTFURTHERFINDSTHAT:(Ifthisisthefirstorderremovingthechildfromthe   	 (   home,orthefirstorderofremovalwhenthechildhasbeenhomeforsixmonthsorlonger,the   	    followingreasonableeffortsandcontrarytowelfarefindingsarerequired,seeNotesonUse.)   	           6   r r r p    x   (# , `	X6    >   0    r 0Reasonableeffortshavebeenmadeandhavefailedtomaintainthefamilyandprevent   	    theunnecessaryremovalofthechildfromthechildshome,or       r(#r(#       >       9   	  r  p    x   (#r r r pX9 %          r 0%     3   ԀReasonableeffortshavenotbeenmade,or   	 !!         <   r	 r r  p    x   (#  r  pX<    >   % !        r 0% !   ]4   ԀReasonableeffortsarenotrequiredtomaintainthechildinthehomebecausean   	 "t"   emergencyexistswhichthreatensthesafetyofthechild,or   	 #` #        >       <   	  r  p    x   (#r r r  pX< % "    0    r 0% "   5   ԀReasonableefforts% #    0% #   5   Ԁhavebeenmade% $    0% $   6   Ԁhavenotbeenmadetofacilitatethe   	 $P!$   permanencyplan.    %@"% r(#r(#  0    r (Specifybasisforfinding.)__________________________________________________    p&,#& r(#r(#      r ________________________________________________________________________   	 \'$'       r _______________________________________________________________________.   	 H(%(      .  _   <   	    p    x   (#  r  pX< <   	  r  p    x   (#    pX<     r THECOURTFURTHERFINDSTHAT0% %    % %   8   Ԁremaininginthehomeorreturninghome   	  *&*   wouldbecontrarytothewelfareofthechildand/or% &    0% &   P9   Ԁimmediateplacementisinthebest   	 +'+   interestofthechild,specifically:(Specifybasisforfindings)____________________________   	  ,(,   _        _____________________________________________________________________________._           	 ,)-   <   	    p    x   (#  r  pX< <   	  r  p    x   (#    pX< #   X  X  X X鄎0  #    X  X  X X     r 0#   X  X  X XE;  #    X  X  X X THECOURTTHEREFOREORDERSTHATtheabovenamedchild% (    % (   ;   0shallbe% )    % )   <   0shall   	 .+/   continuetobeplacedinthecustodyof:   	 /t,0       r % *    0% *   <   ԀTheSecretaryofSocialandRehabilitationServices,or   	 D          r % +    % +   "=   % ,    -     0_______________________________________________________________________-     % ,   C=   .   	 0    #   X  X  X X鄘;  #     r ITISFURTHERORDEREDthatthelegalcustodianofthechildisauthorizedtoplacethe   	    childinasecurefacility.Anyorderissueduponfindingparagraph4Bor4Cshallexpiresixty   	    daysfromtodaysdate.Itisfurtherorderedthatacopyofthisordershallbegiventothechild   	    namedabove,theguardianadlitem,thechildsparents,andthechildslegalcustodian.   	        r ITISSOORDERED.   	 L	       r          p                x           r          p _______________________   	 h$
            r 0     0    p(#(# JudgeoftheDistrictCourt    T p(#p(#  @    ""  CERTIFICATEOFSERVICE   	        r TheundersignedcertifiesthatacopyoftheforegoingOrderwasservedonthefollowing   	    personsasindicatedbelow:(Listname,mannerofservice,anddate.)   	    _             r 0     0    p(#(# __________________________    H p(#p(#      r 0     0    p(#(# ClerkoftheCourt/Deputy    x4 p(#p(#  @    jj&  Authority   	 P   K.S.A.382260.   	 (   @    $  NotesonUse   	        r Thisform_      may_      Ԁbeusedforthepreliminaryprobablecausehearing(seeparagraph4A),the   	      evidentiaryhearing(seeparagraph4B),theplacementhearing,andreviewhearingsat60and120   	 !l!   days(seeparagraph4C).   	 "X"       r Ifthisisthefirstorderremovingthechildfromthehomeorthefirstorderofremovalwhen   	 #D #   thechildhasbeenhomeforsixmonthsorlonger(asinaninformalsupervision),SupremeCourt   	 t$0!$   AdministrativeOrderNo.155appliesandrequirestheuseofthisformoranotherformapproved   	 `%"%   bytheSupremeCourtasmeetingASFArequirements.Failuretomakeandproperlydocumentthe   	 L&#&   findingsrequiredbyASFAwillresultinthelossoffederalfundingfortheplacement,orany   	 8'#'   subsequentplacement,ofthechildinthepresentcase.Federalfundingisnotavailablewhenthe   	 $($(   courtfindsreasonableeffortshavenotbeenmadeunlessthecourtalsofindstheeffortswerenot   	 )%)   required.Findingthatreasonableeffortswerenotmadedoesnotbarthecourtfromremovingthe   	 )&*   childfromthehomeandfailuretomakethesefindingsdoesnotbarthecourtfromremovingthe   	 *'+   child.   	 +(,       r Thecourtmayenteranexparteorderdirectingthatachildbeheldinasecurefacility,which   	 ,|)-   maybeajuveniledetentionfacility(Form174.1),ifthecourtfindsprobablecausetobelievethat   	 -h*.   thechildviolatedavalidcourtordertoremaininplacementwithoutgoodcause.Thecourtshall   	 .T+/   holdapreliminaryprobablecausehearingwithin24hours,notincludingSaturdays,Sundaysorlegal   	 /@,0   holidays,ofthechildbeingtakenintocustodyundertheexparteorder.Noticeofthehearingshall   	 D      begivenorallyorinwritingtothechildsparents,legalcustodianandguardianadlitem.   	 0        r Atthepreliminaryprobablecausehearing,ifthecourtfindsprobablecause,inparagraph4A   	    ofthisform,tobelievethatthechildviolatedavalidcourtordertoremaininplacementwithout   	    goodcauseandthatplacementinasecurefacilityisnecessaryeitherfortheprotectionofthechild   	    ortoassurethepresenceofthechild,thecourtmayorderthechildheldinasecurefacilitypending   	    theevidentiaryhearing.Ifthechildadmitstotheallegationsintheapplication,orentersanocontest   	    statement,thecourtshallproceedimmediatelytoaplacementhearing.   	 	t       r Thecourtshallholdanevidentiaryhearingontheapplicationwithin72hours,notincluding   	 
`   Saturdays,Sundaysorlegalholidays,ofthechildsbeingtakenintocustody.Noticeofthehearing   	 L	   shallbegivenorallyorinwritingtothechildsparents,legalcustodianandguardianadlitem.The   	 |8	
   childshallbeprovidedwiththefollowingrightsattheevidentiaryhearing:tohaveaguardianad   	 h$
   litem,tohaveacopyoftheapplication,tobeinformedofthenatureandconsequencesofthe   	 T   proceeding,toconfrontandcrossexaminewitnesses,topresentevidence,tohaveatranscriptor   	 @   recordingoftheproceedings,andtoappeal.Ifthecourtfinds,inparagraph4Boftheform,byclear   	 ,   andconvincingevidence,thatthechildviolatedavalidcourtordertoremaininplacementwithout   	    goodcauseandthattheforegoingrightshavebeenprovided,thecourtshallproceedimmediately   	    toaplacementhearing.   	        r Duringtheplacementhearingthecourtmayenteracustodyorderandauthorizeplacementin   	    asecurefacilityifthecourtfindsthatallotherplacementoptionshavebeenexhaustedorare   	    inappropriate,baseduponawrittenreportsubmittedbythesecretary(ifthechildisinthesecretarys   	 p   custody)orbyapublicagencyindependentofthecourtandlawenforcement(ifthechildisnotin   	 \   thesecretaryscustody).Theauthorityforsecureplacementgrantedbythecourtshallexpire60   	 H   days,includingweekendsandlegalholidays,afteritisissued.Thecourtmaygrantanextensionof   	 x4   theauthorityfortwoadditionalperiods,inparagraph4Coftheform,eachnottoexceed60days,   	 d    uponrehearing.Authoritytoplaceinasecurefacilityisnotauthoritytoplaceinanadultjailor   	 P   lockup.   	 <   
