JV-418 CHILD'S NAME: CASE NUMBER: DISPOSITIONAL ATTACHMENT: APPOINTMENT OF GUARDIAN (Welf. & Inst. Code, § 360(a)) 1. The child is a person described under Welf. & Inst. Code, § 300 (check all that apply): 300(a) 300(c) 300(e) 300(g) 300(i) 300(b) 300(d) 300(f) 300(h) 300(j) The child is adjudged a dependent of the court. Reasonable efforts were were not made to prevent or eliminate the need for removal from the home. child child mother mother father . father , father , 2. 3. 4. a. b. The county agency solicited and integrated into the case plan the input of the other (specify): representative of child's identified Indian tribe The county agency did not solicit and integrate into the case plan the input of the representative of child's identified Indian tribe other (specify): The county agency did not solicit and integrate into the case plan the input of the representative of child's identified Indian tribe other (specify): and the agency is ordered to do so and submit an updated case plan within 30 days of the date of this hearing. c. child mother and the county agency is not required to do so because these persons are unable, unavailable, or unwilling to participate. 5. The court advised the mother presumed father biological father Indian custodian legal guardian other (specify): that no reunification services will be provided as a result of the guardianship of the child established in this matter. 6. The mother biological father legal guardian other (specify): presumed father Indian custodian signed a Guardianship (Juvenile)--Consent and Waiver of Rights (form JV-419), agreeing to the guardianship of the child, the waiver of his or her rights to family maintenance services and family reunification services, and, in the case of an Indian child, the waiver of his or her rights under the Indian Child Welfare Act. A signed form JV-419 for each individual indicated above was filed with the court. 7. a. The child signed a Guardianship (Juvenile)--Child's Consent and Waiver of Rights (form JV-419A), agreeing to the establishment of the guardianship and the waiver of his or her rights to family maintenance services and family reunification services. The child's signed form JV-419A was filed with the court. The child is prevented from providing a meaningful response to the request for guardianship and a waiver of his or her rights to family maintenance services and family reunification services because of the child's (1) age. (2) physical condition. (3) emotional condition. (4) mental condition. The child is an Indian child, and an authorized representative of the child's tribe signed a form JV-419 stating the tribe's agreement to the guardianship of the child, the waiver of the tribe's interests in family maintenance services and family reunification services, and the waiver of the tribe's rights under the Indian Child Welfare Act. The establishment of a legal guardianship is in the child's best interest. The county agency is ordered to release the child to the legal guardian named in item 11. b. 8. 9. 10. 11. The court appoints (name): as the legal guardian of the child's guardianship. Form Approved for Optional Use Judicial Council of California JV-418 [Rev. July 1, 2011] person estate and orders the clerk of the court to issue letters of Page 1 of 1 DISPOSITIONAL ATTACHMENT: APPOINTMENT OF GUARDIAN (Welf. & Inst. Code, § 360(a)) Welfare and Institutions Code, § 360(a); Cal. Rules of Court, rule 5.695 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com