WPC~/  
      Z     K_#~6!܄U	@iG@jX&@ux~Ϭ)d.{1pQ]7wr?@T=1 2l;U YA$cPrNh}d-" 85!f3CkHXo`bnӥN:8i= r>mg-V:eIbinl@jKuia
stb8fu[!W[ͽSѷЏZz?X1$r0żBxHOMH{F1&E~2*A=<XrJ4EPqKd7wG$vC#F_#RmR\ksz9qnۇ.3ė4{FmӓSY;chڋ=dU@<&k
u~CK4LİxVm=T҈7)q=z\ww(	P647 [            U(   >          8  0   h   	  0      ,
  0        0        0      '  0        0      )  0        0   T   ;  0        0   V     0     g   U   ,   y         0           L  w  0              x     R               &       "       U   @   B   U   @      	         	         	         	         	                                 	                     	      ,   	      >   	      N   	      ^   	      p   	         	         	         	         	                0        #        U
   N   S  	%        M           (     N           Z                             0   U   /  0        0      g  0      ,  0        0         0      W!  0      "  0      "  0      L#  0      $   b      $  ^      $  w      %  4      %         %  	m      "%  0      9%  0      %  0      &  0      @'  0      '  0      |(  0      )            )  0      )  0      `*  0      .+  0      +  0      ,  0      ,-  0      -  0      b.  0      .   \	  	   `  & T i m e s   N e w   R o m a n          '                                 1 3 2 a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
            B r a n d y    0    n a t a l i e   
 .      
       
       
           h                    : D e f a u l t   P a r a   D e f a u l t   P a r a g r a p h   F o n t       <   >           k   . H e a d e r   H e a d e r       X      XX           (#      G  =              X   `	   h   p    x  (#G                P                  8   C h a r   C h a r 5     C h a r   C h a r 5                             <              A   . F o o t e r   F o o t e r       (# A  7        X   `	   h   p    x  (#A     P                  8   C h a r   C h a r 4     C h a r   C h a r 4                             H                 4 B o d y   T e x t   B o d y   T e x t       X      XX                P                  8   C h a r   C h a r 3     C h a r   C h a r 3                             ^                  : C o m m e n t   R e f e   C o m m e n t   R e f e r e n c e                             T                   : C o m m e n t   T e x t   C o m m e n t   T e x t       P                  8   C h a r   C h a r 2     C h a r   C h a r 2                             P                  8   C h a r   C h a r 1     C h a r   C h a r 1       L       Z       l    6   C h a r   C h a r     C h a r   C h a r              A                            $  T a h o m a         A            S            \	  	   `  & T i m e s   N e w   R o m a n         S                  $  T a h o m a          
     
   J'    .  .                  1  l   X1 X      l  1 l     _           Xk  X  l   
 "(#   X     A " 11/23/10   l   X Xk     (                  2J$       
 /  y;!    .  .                  1     X1 X        1       
   B  
   J)    .  .                  1  l   X1 X      l  1 l     _            !    (#   X!                          Xk  X  l    l   X Xk     (                  2J$       
 /  y;!    .  .                  1     X1 X        1       
            
   H  
   J'    .  .                  1  l   X1 X      l  1 l     _           Xk  X  l   
 "(#   X     . . B " _        10/1/10_        Ԉ   	 X         l   X Xk  
           
     
   J)    .  .                  1  l   X1 X      l  1 l     _        _           Xk  X  l _        _        _           l   X Xk  
          X    X Z 2  A $ `  ( A r i a l   U n i c o d e   M S         Z 2  A $ `   ( A r i a l   U n i c o d e   M S          T e x t 5    T e x t 6    T e x t 7    C h e c k 2 0    T e x t 2 8    C h e c k 1 2    T e x t 1 9    T e x t 8    T e x t 9    T e x t 1 0    T e x t 1 1    C h e c k 2 4    C h e c k 2 5    T e x t 1 2    T e x t 1 3    T e x t 1 4   #| x            (   r               y;$          .  .                  1     X1 X        1   \ \ K J C D C 0 1 \ S A V I N   9 0 6 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          1 X                                            8         D o c u m e n t M a n a g e m e n t : : M o d i f i e d B o o l e a n T R U E     *       +           ( _ 2 6     2      3
   
       . .        *   G   +       G   ( _ 2 5             /  % `	 `	   h   p    x  / 2     3
   
       . .    /  % `	 `	   h   p    x  /             *   8   +       8   ( _ 2 4         ,  " 
   h   p    x  , 2     3
   
       . .    ,  " 
   h   p    x  ,         *   5   +       5   ( _ 2 3        `	 )   	  h   p    x  ) 2     3
   
       . .    )   	  h   p    x  )    `	     *   2   +       2   ( _ 2 2         &   h h   p    x  & 2     3
   
       . .    &   h h   p    x  &         *   /   +       /   ( _ 2 1         #      p    x  # 2     3
   
       . .    #      p    x  #         *   ,   +       ,   ( _ 2 0        h       p    x    2     3
   
       . .          p    x       h     *   )   +       )   ( _ 1 9            p p    x   2     3
   
       . .       p p    x           *   &   +       &   ( _ 1 8                x   2     3
   
       . .           x           *   A          A   ( _ 1 7           5  +    `	   h   p    x  5 2      3
   
 Ԁ5  +    `	   h   p    x  5           *   G          G   ( _ 1 6             /  % `	 `	   h   p    x  / 2     3
   
 Ԁ/  % `	 `	   h   p    x  /         P a g e      o f     &  v=e         }i=    n t F o l d              U      *   8          8   ( _ 1 5         ,  " 
   h   p    x  , 2     3
   
 Ԁ,  " 
   h   p    x  ,         *   5          5   ( _ 1 4        `	 )   	  h   p    x  ) 2     3
   
 Ԁ)   	  h   p    x  )    `	     *   2          2   ( _ 1 3         &   h h   p    x  & 2     3
   
 Ԁ&   h h   p    x  &         *   /          /   ( _ 1 2         #      p    x  # 2     3
   
 Ԁ#      p    x  #         *   ,          ,   ( _ 1 1        h       p    x    2     3
   
 Ԁ      p    x       h     *   )          )   ( _ 1 0            p p    x   2     3
   
 Ԁ   p p    x           (   &          &   & _ 9                x   2     3
   
 Ԁ       x           (   A          A   & _ 8           5  +    `	   h   p    x  5 2      3
   
 5  +    `	   h   p    x  5           (   G          G   & _ 7             /  % `	 `	   h   p    x  / 2     3
   
 /  % `	 `	   h   p    x  /             (   8          8   & _ 6         ,  " 
   h   p    x  , 2     3
   
 ,  " 
   h   p    x  ,         (   5          5   & _ 5        `	 )   	  h   p    x  ) 2     3
   
 )   	  h   p    x  )    `	     (   2          2   & _ 4         &   h h   p    x  & 2     3
   
 &   h h   p    x  &         (   /          /   & _ 3         #      p    x  # 2     3
   
 #      p    x  #         (   ,          ,   & _ 2        h       p    x    2     3
   
       p    x       h     (   )          )   & _ 1            p p    x   2     3
   
    p p    x           &   &          &   $ _                x   2     3
   
        x       
 /  y;!    .  .                  1  l   X1 X      l  1 l     _                 
                              X             X       X    X         Xk  X  l  D      8 1  l1         d                  d  8 107   	                            INTHEDISTRICTCOURTOF__________________COUNTY,KANSAS   	 |          Xk  X  X Xk              E        INTHEINTERESTOF   E     ݌   	 H   Ќ   Xk  X  X Xk 	            Xk  X  X Xk                       Name_____________________________              p      CaseNo._____________     Z   ݌   	 
d   Ќ   Xk  X  X Xk 	     DOBxx/xx/____A   X X  X Xk    Xk  X X X &#   X X  X Xk  #    Xk  X X X male&female   	 
J        -       p x  (#   X- INITIALORDEROFREMOVALFROMCUSTODYOFAPARENT   	 "	
   ANDAUTHORIZINGOUTOFHOMEPLACEMENT   	 
        PursuanttoK.S.A.382242,K.S.A.382243,42U.S.C.671etseq.and25U.S.C.1901et   	 
   seq.   	         B   	    p    x   (#    p x  (#B      Onthis%     _____%       Ԁdayof-     %     _______________-     %        ,%     20_____%    [   ԀthismattercomesbeforetheCourt.   	 P        THECOURTHEREBYFINDS:%     %          	 l      X X  X Xk    M   6     p    x   (#    pX6    Xk  X X X &     ReasonableeffortsL
   
 M
   
 dhavedL
   
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   
 dbeenmadeandhavefailedtomaintainthefamilyandprevent   	 ^   theremovalofthechildfromthechildshomeorreasonableeffortsarenotrequiredto   	 D   maintainthechildinthehomebecauseanemergencyexistswhichthreatensthesafetyofthe   	 *   childasfollows:(dL
   
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   
 dSpecifybasisforfindingsforeachchild.dL
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   
 d)   	         d     __________________________________________________________________________   	    -    p    x   (#  pX- __________________________________________________________________________   	    __________________________________________________________________________   	 r   __________________________________________________________________________   	 X   __________________________________________________________________________   	 >   d     -    r p    x   (# pX-    W   X Xk dAND   Xk  X  W    	 
Z       0     p    x   (# r pX0 &thechildL
   
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   
 disdL
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 dlikelytosustainharmifnotimmediatelyremovedfromthehome;remaining   	  f   inthehomeorreturningtothehomewouldbecontrarytothewelfareofthechild;and/or,   	  L   immediateplacementisinthebestinterestofthechild,specifically:dL
   
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   
 (Specifybasisfor   	 !2    findingforeachchild.)________________________________________________________   	 "!   __________________________________________________________________________   	 #"   __________________________________________________________________________   	 $#   __________________________________________________________________________   	 z% $   __________________________________________________________________________   	 `&!%   6   	    p    x   (#  pX6 %     %       @    +      OR   	 )b$(        &L
   
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   
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   
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   
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   
 dReasonableeffortsdL
   
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   
 dhavenotdL
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   
 dbeenmaded   	 *.&*        BUT   	 ,',           	 -(-                  
                
             
          XX    XX 
       
   
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   
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   
 disdL
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   
 dlikelytosustainharmifnotimmediatelyremovedfromthehome;remaining   	       inthehomeorreturninghomewouldbecontrarytothewelfareofthechild;and/or   	     immediateplacementisinthebestinterestofthechild,specifically:dL
   
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   
 d(Specifybasisfor   	 |   findingforeachchild.)dL
   
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   
 d________________________________________________________   	 b   __________________________________________________________________________   	 H   __________________________________________________________________________   	 .	~   __________________________________________________________________________   	 
d   __________________________________________________________________________   	 
J   d     M H  +    `	   h   p    x      pXH L
   
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   
 dd0      p    x   (# X0      THECOURTTHEREFOREORDERSTHATtheabovenamedchildshallimmediatelybe   	 	   placedintheprotectivecustodyof:   	 
   6      p    x   (#   pX6      &_______________________,relative;apersonwhoneednotbelicensed;ayouth   	 	   residentialfacility;ashelterfacility;or   	 x
   % "            X X  X Xk    Xk  X X X &#   X X  X Xk$  # % "         Xk  X X X ԀL
   
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   
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   
 M
   
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   
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   
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   
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   
 TheSecretaryL
   
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   
 difthechildis15yearsofageoryounger,or16or17yearsofageifthe   	 ^   childhasnoidentifiableparentalorfamilyresourcesorshowssignsofphysical,mental,   	 D   emotionalorsexualabuse.d   	 *z   9   	    p    x   (#   pX9      *     2(#    pX*      L
   
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   
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   
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   
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   
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   
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   
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   
 d     THECOURTFURTHERORDERSallprovidersofservicesdL
   
 M
   
 ddL
   
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   
 dincludingeducationalservices,   	 ,   treatment,educationorcareofthechildandfamily,evenifnotspecificallyreferredtoherein,to   	    provideinformationincludinganyandalleducationalrecordstothesecretary,anyentity   	    providingservicestothechildandfamily,counselforthepartiesincludingthecountyordistrict   	    attorney,appointedCASA,CitizenReviewBoardmembers,thecourt,andeachothertothe   	 t   extentneededtoensurethesafetyofthechild,preventfurtherabuseorneglect,andtoprovide   	 Z   appropriatetreatment,careandservicestothechildandfamily.Thisorderencompassesand   	 @   complieswiththeprovisionsoftheFamilyEducationRightsandPrivacyAct(20U.S.C.1232g;   	 &v   34_      C.F.R._      Ԁ99andthePrivacyRuleoftheHealthInsurancePortabilityandAccountabilityActof   	 \   1996(_      HIPAA_      ),45_      C.F.R._      Ԁ164.512(e)(1).d   &
 %  X Xk    	 B   $     2(#  2(#$    Xk  X
 % &    X X  X Xk    Xk  X X X &#   X X  X Xkh"  #    Xk  X X X ԀArestrainingordershallbefiledagainst_______________________________________.   	    6   	    p    x   (#  2(#6               THECOURTFURTHERORDERSthismattersetfor-     % $    ________________-     % $   #   Ԁhearingbefore   	     theCourtonthe-     % %    ______-     % %   H$   Ԁdayof-     % &    ________% &   $   ___________-     ,-     % '    20_____-     % '   $   ,at-     % (    ____:____-     % (   %   Ԁ   X X  X Xk    Xk  X X X &#   X X  X Xko%  # Ԁ   Xk  X X X % )    % )   %   a.m.   X X  X Xk % *       Xk  X X X &#   X X  X Xk%&  # % *   &   Ԁ   Xk  X X X p.m.   	 !3!             ITISSOORDEREDTHIS-     % +    _____-     % +   &   Ԁdayof-     % ,    ____________________-     % ,   6'   ,% -    20_-     ____-     % -   v'   .   	 $ %   <   	    p    x   (#    pX<                        p 3       p2f! (#    pX3               p ____________________________   	 'C#)                 p JudgeoftheDistrictCourt   	 ()$*      X X  X Xk    Xk  X X X &#   X X  X XkB)  #    Xk  X X X Thecourtprovidedtheparents,grandparentsand/orinterestedparties,whowerepresentat   	 *%,   thishearingandwhohadnotpreviouslyreceivedthem,withinformationmaterialspertainingto   	 +'-   theirrespectiverightsandresponsibilitiesinconnectionwiththeproceedings.   	 ,'.           l   X Xk 
