JV-416 CHILD'S NAME: CASE NUMBER: DISPOSITIONAL ATTACHMENT: DISMISSAL OF PETITION WITH OR WITHOUT INFORMAL SUPERVISION (Welf. & Inst. Code, § 360(b)) 1. The child is a person described by 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 county agency is ordered to immediately return the child to the legal guardian mother biological father presumed father Indian custodian other (specify): were were not made to prevent or eliminate the need for removal from the home. 2. 3. Reasonable efforts Case plan development 4. a. b. The county agency solicited and integrated 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 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): child child mother mother father . father , father 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. Custody of the child and services 5. legal guardian mother biological father presumed father Indian custodian other (specify): retains custody of the child. The family is placed under the supervision of the county agency for a minimum of six months under the voluntary agreement for informal supervision and the provision by the county agency of services designed to keep the family together as specified in the family's case plan. The The mother presumed father other (specify): biological father Indian custodian legal guardian 6. retains custody of the child and is not in need of treatment or rehabilitation. The factual basis for the finding in this item 6 is stated on the record. Page 1 of 1 Form Approved for Optional Use Judicial Council of California JV-416 [Rev. July 1, 2011] Welfare and Institutions Code, § 360(b); DISPOSITIONAL ATTACHMENT: Cal. Rules of Court, rule 5.695 www.courts.ca.gov DISMISSAL OF PETITION WITH OR WITHOUT INFORMAL SUPERVISION (Welf. & Inst. Code, § 360(b)) American LegalNet, Inc. www.FormsWorkFlow.com