WPC^ Gy-mB!ʮ 7XiґA.wegC4BޡQh˵cաb/B#*u 6 oTw @E<_A?ƝDS,P/MENPbHW=b'i'Rş!8BAKg)dùJn7&8J#;^8%0&ѫV]r)$;yf2-|f=s@ߗɃ@n: z݂~YXz!P81+lCkP{dv^$jC'fc`9]i7scgIyL;L~mQFW2?+hPCi〞< ܾ?~_żTԣZ2< fDMU> 0 0 0s 0d4 02 $ U=> 0,, 0U.Fbt|Z00          . B T h |         " 4 FX 0rh#U/N %N^ w4  m(6\  `&Times New Roman<l:Default ParaXXX2AD0Level 1 X 5+ ` hp x (#5  8.` hp x (#82JD0Quick G P >4X` hp x (#>  8.` hp x (#80.Header (#XXXS\  `&Times New RomanSA7X` hp x (#AS\  `&Times New RomanSXXX0m.Footer (#S\  `&Times New RomanSA7X` hp x (#AS\  `&Times New RomanS'    0 .  IN THE DISTRICT COURT OF COUNTY, KANSAS\  `&Times New Roman(e2$ 9%!  ;XXX;XXXX;X  (e2$ 9%!  ;XXX;XXXX;X   b+ACalibri- -  '  ;XXX;XXXX;X  _"XA"11/23/108DocumentManagement::ModifiedBooleanTRUEText5Text6Text7Check7Check8Check19Check17Check18Check16Check15Text18Check13Check14Check12Check11Text15Text19Text8Text9Text11Check24Check25Text12Text13Text143|x(J%$  ;X WXX;XX WXX;X W\\KJCDC01\SAVIN 90600(9 Z6Times New Roman Regular;X\v=e}i=DMIN0U 9%!  ;XXX;XXXX;X  _@VV)106   8;;XXdd8=XXdd= XXXX@@@ INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   INTHEINTERESTOF f  Name_____________________________     p   CaseNo._____________ >  DOB#XXX XJ#xx XXXX/#XXX Xη#xx XXXX/____A&#XXX X# XXXXԀmale&#XXX XL# XXXXԀfemale *  #XXX XΙ# -px (#X-    !XX*#XX !8#EXPARTEORDEROFPROTECTIVECUSTODY  L   PursuanttoK.S.A.382242 (  0 @ @ ,B p x (#px (#B    Onthis%  _____%zԀdayof%  -  _______________-  %,%  _______%ԀthismattercomesbeforetheCourt,Judge ^  ___________________presiding. J    TheCourtfindsthattheIndianChildWelfareAct(ICWA) 0isapplicable0isnot  applicable0applicabilityisundetermined .Petitioner 0neednotgive0hasgiven0shallgive   noticetotheTribeandtheCourthasjurisdictiontoproceedtohearing.    THECOURTFURTHERFINDSthatthereisprobablecausetobelievethattheallegations h intheapplicationforprotectivecustodyaretrueandthat: T  9rrrp x (#pX9 > 0 r Reasonableeffortshavebeenmadeandhavefailedtomaintainthefamilyandpreventthe , unnecessaryremovalofthechildfromthechildshome, or  v  > 9 rp x (#rrrpX9%  Ԁ0%I Ԁ r Reasonableeffortshavenotbeenmade, or  f  <r rrp x (#rpX< >%  Ԁ0% Ԁ r Reasonableeffortsarenotrequiredtomaintainthechildinthehomebecauseanemergency V existswhichthreatensthesafetyofthechild, or B  > < rp x (#rrrpX< %  Ԁ0%Z 0 r Reasonableefforts%  0% Ԁhavebeenmade%  0% Ԁhavenotbeenmade tofacilitatethepermanency 2 plan."r(#r(# 0 r (Specifybasisforfinding)______________________________________________________   ________________________________________________________________________!r(#r(#  r ________________________________________________________________________ "   r _______________________________________________________________________. t#! .. < p x (#rpX< < rp x (#pX< r THECOURTFURTHERFINDSthereisprobablecausetobelievethat 0 thechildislikely L% # tosustainharmifnotimmediatelyremovedfromthehome;0% " %"cԀremaininginthehomeor <&!$ returninghomewouldbecontrarytothewelfareofthechild; and/or % # 0%#Ԁimmediateplacement ('"% isinthebestinterestofthechild ,specifically:(Specifybasisforfindings)___________ (v#& ____________________________________________________________________________ )f$' ______________________________________________________________________________ )R%( ______________________________________________________________________________ *>&) ______________________________________________________________________________% $ %$3. +*'* < p x (#rpX<< rp x (#pX<  r THECOURTTHEREFOREORDERSTHATtheabovenamedchild % % %%,0shallbe% & %&X0shall z continuetobe placedintheprotectivecustodyof: j  r % ' 0%'ԀTheSecretaryofSocialandRehabilitationServices,or Z  r % ( %(i% ) -  0_______________________________________________________________________-  %). F  @* r _.* (#rpX*  &RG%XXXX%&RG XXXXdTHECOURTFURTHERORDERSallprovidersofservices#XXX X#;XXXX#XXX;XJ#;XXXX#XXX;XΌ#X!X XXX#XX XX!X#X< XXXL  M  #XX XX<#;XXXX#XXX;Xi# XXXX#XXX XΫ#X!X XXX#XX XX!X# XXXXԀ #XXX X/#;XXXX#XXX;Xu# XXXX#XXX Xη#X!X XXX#XX XX!X#X< XXXL  M  #XX XX<;#;XXXX#XXX;XΑ# XXXX#XXX X#X!X XXX#XX XX!X# XXXXincludingeducationalservices#XXX XW#;XXXX#XXX;Xη# XXXX#XXX X#X!X XXX#XX XX!X;#X< XXXL  M  #XX XX<}#;XXXX#XXX;X# XXXX#XXX X#X!X XXX#XX XX!XW# XXXX,  h treatment,#XXX XΙ#;XXXX#XXX;X# XXXX#XXX X>#X!X XXX#XX XX!X#X< XXXL  M  #XX XX<#;XXXX#XXX;X# XXXX#XXX XZ#X!X XXX#XX XX!X# XXXXeducation#XXX X#;XXXX#XXX;X) # XXXX#XXX Xk #X!X XXX#XX XX!X #X< XXXL  M  #XX XX< #;XXXX#XXX;XE!# XXXX#XXX X·!#X!X XXX#XX XX!X!# XXXXԀorcareofthechildandfamily,evenifnotspecificallyreferredtoherein,to  X  provideinformation# &RG%X Xα# XX% &RG# &RG%X X"##&RG%% &RG "#;&RG%%&RG#&RG%%;&RG,## &RG%%&RG#&RG%% &RGn##&> %%&RG#&RG% %&>##&e %%&RGL  M  X< X %&e#&e % XX<%$#X< X %&e#XX XX<##;XXXX#XXX;XΩ$# XXXX#XXX X$#X!X XXX#XX XX!X-%# XXXXincluding#XXX Xo%#;XXXX#XXX;Xκ%# XXXX#XXX X%#X!X XXX#XX XX!X>&#X< XXXL  M  #XX XX<&#;XXXX#XXX;X&# XXXX#XXX X'#X!X XXX#XX XX!XZ'# XXXXԀ#XXX XΜ'#;XXXX#XXX;X'# XXXX#XXX X!(#X!X XXX#XX XX!Xc(#X< XXXL  M  #XX XX<(#;XXXX#XXX;X(# XXXX#XXX X=)#X!X XXX#XX XX!X)# XXXXanyandalleducationalrecords#XXX X)#;XXXX#XXX;X"*# XXXX#XXX Xd*#X!X XXX#XX XX!X*#X< XXXL  M  #XX XX<*#;XXXX#XXX;X>+# XXXX#XXX X΀+#X!X XXX#XX XX!X+# XXXXԀtothesecretary,anyentityproviding  D  servicestothechildandfamily,counselforthepartiesincludingthecountyordistrictattorney, 0  appointedCASA,CitizenReviewBoardmembers,thecourt,andeachothertotheextentneededto   ensurethesafetyofthechild,preventfurtherabuseorneglect,andtoprovideappropriatetreatment#XXX X,#;XXXX#XXX;X-# XXXX#XXX X.#X!X XXX#XX XX!XY.#X< XXXL  M  #XX XX<.#;XXXX#XXX;X.# XXXX#XXX X3/#X!X XXX#XX XX!Xu/# XXXX,   careandservices#XXX Xη/#;XXXX#XXX;X 0# XXXX#XXX Xb0#X!X XXX#XX XX!X0#X< XXXL  M  #XX XX<0#;XXXX#XXX;X<1# XXXX#XXX X~1#X!X XXX#XX XX!X1# XXXXԀtothechildandfamily.Thisorderencompasses#XXX X2#;XXXX#XXX;Xu2# XXXXL  M  #XXX Xη2#X!X XXX#XX XX!X 3# XXXXandcomplieswith#XXX XO3#;XXXX#XXX;X΢3# XXXX#XXX X3#X!X XXX#XX XX!X&4#X< XXXL  M  #XX XX %%&RG#&RG% %&>;#&e %%&RGL  M  X< X %&e#&e % XX<;#X< X %&e#XX XX<;#;XXXX#XXX;X΂<# XXXX#XXX X<#X!X XXX#XX XX!X=# XXXXandthe#XXX XH=#;XXXX#XXX;XΑ=# XXXX#XXX X=#X!X XXX#XX XX!X>#X< XXXL  M  #XX XX#;XXXX#XXX;Xέ># XXXX#XXX X>#X!X XXX#XX XX!X1?# XXXXԀPrivacy   RuleoftheHealthInsurancePortabilityandAccountabilityActof1996(_HIPAA_),45_C.F.R._ n 164.512(e)(1).#XXX Xs?##&RG%XX@<#dXX%&RG#&RG%XXι@# Z XX%&RG#&RG%XXA#XX%&RG0#&RG%XXSA#XX%&RGԀVisitationduringprotectivecustodypursuanttoK.S.A.382242(b)(2)isnotinthebestinterest 2 ofthechild(ren)andisprohibited. | 0Arestrainingordershallbefiledagainst_______________________________________. T #&RG%XXΙA#XX%&RG&#&RG%XXB#XX%&RG  ITISFURTHERORDEREDthatanydulyauthorizedlawenforcementofficerofthe , jurisdictionwherethechildcanbefoundshalltakethechildnamedaboveintocustodyanddeliver  thechildto___________________________________.#&RG%XX@C#    XX%&RGTHECOURTFURTHERORDERSthismattersetfor% . -  ________________-  %. E____hearing j beforetheCourtonthe% / -  ______-  %/EԀdayof% 0 -  ________-  %0E_____,-  ______-  ,at% 2 -  ________-  %2[FԀ 0% 3 %3FԀa.m.% 4 0%4FԀp6 p x (#(#6.m .#&RG%XXλD# V < rp x (#pX< r ITISSOORDEREDTHIS% 5 -  _____-  %5GԀdayof% 6 -  _____________________-  %6H,% 7 -  _______-  %7oH. !| < p x (#rpX<     p     3pf!(#pX3     p ________________________ #"      p JudgeoftheDistrictCourt ~$# ;&RG%%&RG;XX%;&RG#XXX;XJ##&RG%XX  monthsorlonger(asinaninformalsupervision),SupremeCourtAdministrativeOrderNo.155 *  appliesandrequirestheuseofthisformoranotherformapprovedbytheSupremeCourtasmeeting  t therequirementsoftheAdoptionandSafeFamiliesAct(ASFA),42_USC_Ԁ671etseq.Failureto  ` makeandproperlydocumentthefindingsrequiredbyASFAwillresultinthelossoffederalfunding  L  fortheplacement,oranysubsequentplacement,ofthechildinthepresentcase.Federalfundingis  8  notavailablewhenthecourtfindsreasonableeffortshavenotbeenmadeunlessthecourtalsofinds $  theeffortswerenotrequired.Findingthatreasonableeffortswerenotmadedoesnotbarthecourt   fromremovingthechildandfailuretomakethesefindingsdoesnotbarthecourtfromremovingthe   child.     ThestateandthesecretaryshouldbepursuingICWAinformationatthistime.Whenacourt v  hasreasontobelieveachildinvolvedinachildinneedofcareproceedingisanIndianchild,ICWA b applies;noticeisrequiredbyICWA,andtheICWAforms(Forms210!223)mustbeused. N RemovalofanIndianchildfromthehomeisprohibitedwithoutthespecificfindingsrequiredby : ICWAeitherenteredwiththeorderofremoval,orwithin90daysiftheremovalwasduetoan & emergency.ThecircumstancesunderwhichacourthasreasontobelieveachildisanIndianchild p include,butarenotlimitedto,thefollowing:anypartytothecase,Indiantribe,oragencyinforms \ thecourtthatthechildisanIndianchild;anyagencyinvolvedinchildprotectionservicesorfamily H supporthasdiscoveredinformationsuggestingthatthechildisanIndianchild;thechildgivesthe 4 courtreasontobelieveheorsheisanIndianchild;theresidenceofthechild,parent(s),orcustodian   isknowntobeapredominantlyIndiancommunity;aparentofthechildisenrolledinatribe;oran   officerofthecourthasknowledgethatthechildmaybeanIndianchild.DepartmentoftheInterior,  BIAGuidelinesforStateCourts,IndianChildCustodyProceedings.    Thisordermaybeissueduponthecourtsdeterminationthatthereisprobablecauseto r believethattheallegationsintheverifiedapplicationforprotectivecustodyaretrue.Nochildshall ^ beheldinprotectivecustodyformorethan72hours(notincludingSaturday,Sundaysandlegal J  holidays).Aprotectivecustodyordermaynotbeusedinconjunctionwithpolicecustodytoextend 6! thetotal72hoursthatachildmaybeinprotectivecustodywithoutatemporarycustodyhearing. ""  Thetimebeginstorunwhentheplacementacceptsphysicalcustodyofthechildwhileinpolice #l! protectivecustodypursuanttoK.S.A.382232(e).Atemporarycustodyhearingshalltakeplaceand #X" anorderoftemporarycustody(Form132)shallbeissuedwithinthattimeframeifthechildisto $D # remainincustodybeyond72hours. %0!$   IfthepetitioninthecaseallegesthatthechildisarunawaypursuanttoK.S.A.382202(d)(9) &"% or(d)(10),butthechildhasnotyetbeenadjudicatedasarunaway,thentheordermaydirectthatthe '#& childbedetainedinasecurefacility,whichmaybeajuveniledetentionfacility,butnotformore (#' than24hours,notincludingSaturdays,Sundaysandlegalholidays. )$(   Ifthecourtawardscustodyofthechildtothesecretarythenthesecretaryshallhavethe n*%) authoritytodesignatetheplacement,andthecourtmaymakeplacementrecommendations.While Z+&* theexparteprotectivecustodyorderisineffectthestatuterequiresthatthesecretaryallowavisit  betweenthechildandparentorparents;however,thecourtmayfindthatsuchavisitisnotinthe  bestinterestofthechildandmayprohibitthevisit,asprovidedintheform.Ifthecourtawards z custodytothesecretary,thenthecourtisrequiredtoprovidethesecretarywithacopyofanyorders f entered.Thisordershallbeservedonthechildsparentsandanyotherpersonhavinglegalcustody R ofthechild. >    Thecourtmayenterarestrainingorder(Form134)againstanyallegedperpetratorof *  physical,sexual,mentaloremotionalabuseofthechild.Thereisaprovisioninthisformdirecting  t thatarestrainingorderissuepursuanttoK.S.A.382242(e).  `   Whentheterm orstandsalonebetweenoptionalfindings/orders,morethanonechoicemay  L  bechecked.Eachchoicecheckedmustbejustifiedasinstructed,e.g.specifybasisforfinding.#XXX;XK##&RG%XXL#