SUPERIOR COURT OF WASHINGTON
COUNTY OF _______________________
JUVENILE COURT
In the Interest of:
NO:
ORDER ON AT-RISK-YOUTH PETITION
(ORARY)
D.O.B.:
Clerk’s Action Required.
Paragraphs 3.1, 3.6, 3.7.
I. HEARING
1.1 A petition was filed alleging the above-named child to be an at-risk youth and a hearing was held
on ____________________ (Date).
1.2 Persons appearing were:
Child Child’s Lawyer
Parent Parent’s Lawyer
DSHS Case Worker State’s Lawyer
Probation Counselor Other __________________________
1.3 Testimony was taken.
1.4 The court advised the parties of their rights pursuant to RCW 13.32A.192.
II. FINDINGS
THE COURT FINDS:
2.1 Indian status:
Does not apply.
The child is not Indian as defined in 25 U.S.C. 1903(4),
The child is Indian as defined in 25 U.S.C. 1903(4), and the notice required under RCW
13.32A.152(3) has has not been given.
2.3 The at-risk-youth petition should be dismissed.
2.4 The at-risk-youth petition should be granted because a preponderance of the evidence
has established that:
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(a) Petitioner(s) has have the right to legal custody of the child.
(b) The child is not the subject of a dependency proceeding under Chapter 13.34
RCW.
(c) The child is an at-risk youth because he/she:
Has been absent from home more than seventy-two (72) consecutive
hours without parental consent;
Is beyond parental control such that the child’s behavior substantially
endangers the health, safety, and welfare of the child or another person;
Has a serious substance abuse problem and there are no pending
charges related to the substance abuse.
(d) Court intervention and services are necessary to assist the petitioner(s) to
maintain care, custody, and control of the child.
(e) Alternatives to court intervention have been attempted.
There is good cause why alternatives to court intervention have not been
attempted.
III. ORDER
IT IS ORDERED:
3.1 The petition is dismissed and the child shall return or remain at home.
The petition is approved and the child shall reside in the parental home or in an out-of-
home placement approved by the parent(s).
3.2 The Department of Social and Health Services shall prepare and submit a disposition
plan.
3.3 Pending disposition, the parties shall:
3.4 The following is the disposition:
3.5 Other:
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3.6 A ______________________________________________ hearing shall be held:
On: __________________________________ at ______________________ a.m./p.m.
(Date) (Time)
At: _________________________ Court, Room/Department _____________________
Address: __________________________________________________
__________________________________________________
3.7 A copy of this order and notice of hearing shall be given to all parties by: ___________________.
Dated: ________________________ _____________________________________________
JUDGE/COMMISSIONER
Presented by:
_______________________________ _____________________________________________
Signature Parent
_______________________________ _____________________________________________
Type or Print Name/Title/WSBA No. Parent
_______________________________ _____________________________________________
Child DSHS
NOTICE
A PARTY WHO FAILS TO COMPLY WITH THE TERMS
OF THIS ORDER MAY BE FOUND IN CONTEMPT
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