F.C.A. 247115 GF - 42 (Special Findings Order) 3/2018 At a Term of the Family Court of the State of New York, held in and for the County of at , New York, on , . PRESENT: Hon. -------- ------------------------------------------ x In the Matter of Docket No. Family File No. Also Known As: Date of Birth: ORDER - Special Findings -------------------------------------------------- x This Court, after examining the motion papers, supporting affidavits, pleadings and prior proceedings in this matter, and/or hearing testimony, finds, in accordance with its jurisdiction to determine custody and guardianship of minors up to the age of 21 under Articl e 6, 24713, of the New York State Constitution, section 115 of the Family Court Act and 247 of the [check applicable box]: Family Court Act Social Services Law Domestic Relations Law Other [specify]: , that: 1. The above - named child is under 21 years of age and is unmarried. 2. Pursuant to 247 of the [check applicable box]: Family Court Act Social Services Law Domestic Relations Law Other [specify]: , the above - named child: is dependent upon the Family Court, or has been committed to or placed in the custody of a state agency or department, or has been placed in the custody or guardianship of an individual or entity ap pointed by the state or Family Court. 3. a) Reunification with the following parent [specify]: is not viable due to [check applicable box(es)]: abuse; neglect; abandonment; and/or a similar basis under New York law, because [state the reasons reunification is not viable and the facts constituting abuse, neglect, abandonment or similar basis under NY law, including disposition of a related case, if any]: . b) [Optional if applicable to more than one parent]: Reunification with the following pare nt [specify]: is not viable due to [check applicable box(es)]: abuse; neglect; abandonment; and/or a similar basis under New York law because [ state the reasons reunification is not viable and the facts constituting abuse, negl ect, abandonment or similar basis under NY law, including disposition of a related case, if any]: , his/her country of nationali ty or country of last habitual residence of the child or of his/her birth parent or parents, because [state the factual basis for the best interests determination]: . Dated: ENTER Judge of the Family Court NOTE [Guardianship cases]: Family Court Act 247 657( c) provides that an order of guardianship under Family Court Act 247661 ection, education, care and control, health and medical PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK UPON THE APPELLANT, WHICHEVER IS EARLIEST. Check applicable box: Order mailed on [specify date(s) and to whom mailed]: Order received in court on [specify date(s) and to whom given]: American LegalNet, Inc. www.FormsWorkFlow.com