Rev. . 71-6903. PARENTAL CONSENT ORDER AND FINDINGS OF FACT IN THE COURT OF COUNTY, NEBRASKA (County, District or Separate Juvenile) IN THE MATTER OF THE PETITION OF: Name: ORDER ANDFINDINGS OF FACT This matter comes before the court on , upon the Petition for Waiver of Parental Consent. The petitioner requests that the Court authorize the pregnant woman to consent to the performance or inducement of an abortion without the consent of a parent or guardian. The Petition was filed on . The Petitioner ( was) ( was not) personally present and ( was) ( was not) represented by an attorney. (Name if present) . Guardian ad litem for the petitioner ( was) was not) present. (Name if present) . Also present at the request of was . Upon evidence presented at the hearing, the court makes the following: FINDINGS OF FACT The Court makes the following specific factual findings and legal conclusions: Based upon these findings and conclusions, the Court finds, byclear and convincing evidence, thatthe pregnant woman is bothsufficiently mature and well-informed to decide whether to haveanabortion.Based upon these findings and conclusions, the Court finds thatthere is not clear and convincingevidence that the petitioner issufficiently mature and well-informed enough to decide whetherto havean abortion. OR CASE No. American LegalNet, Inc. www.FormsWorkFlow.com The Court makes the following specific factual findings and legal conclusions: Based upon these findings and conclusions, the Court finds, by clear and convincing evidence, that thereis evidence of abuse as defined in Section 28-351, sexual abuse as defined in Section 28-367, or childabuse or neglect as defined in Section 28-710 of the pregnant woman by a parent or a guardian, or that anabortion without the consent of a parent or a guardian is in the best interest of the pregnant woman.Based upon these findings and conclusions, the Court does not find clear and convincing evidence thatthe petitioner was the victim of abuse, sexual abuse, or child abuse or neglect, or that an abortion withoutthe consent of a parent or a guardian is in the best interest of the pregnant woman. IT IS THEREFORE ORDERED In compliance with Neb. Rev. Stat. 247 71-6903, the Court authorizes the pregnant woman to consent to the performance or inducement of an abortion without the consent of a parent or a guardian. OR The petition for waiver of parental consent is dismissed. Petitioner is notified of her right to appeal this decision to the Nebraska Supreme Court. Date: By the Court: Judge American LegalNet, Inc. www.FormsWorkFlow.com