JV-565 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FOR COURT USE ONLY FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NAME: FINDINGS AND REQUEST FOR ASSISTANCE UNDER INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN (ICPC) CASE NUMBER: FINDINGS 1. On (date): , this court made orders concerning the priority placement of the child (as described in . A copy of that order Regulation 7 of the ICPC) with a relative in (jurisdiction): is included as Attachment 1. 2. Records of the ICPC Administrator in this jurisdiction indicate that a copy of the order and all other required documents were sent to the Compact Administrator in the receiving jurisdiction on (date): . 3. The Compact Administrator of the receiving jurisdiction has been in possession of all required documents for the priority placement request under Regulation 7, section 5a, for over 20 business days. 4. The Compact Administrator of the receiving jurisdiction has been in possession of the completed ICPC-100A form (Regulation 7, section 5b) and supporting documents for over 30 business days. 5. The sending agency has not received notice under article 111(d) of the ICPC indicating whether or not the child may be placed as requested. REQUEST FOR ASSISTANCE 6. THEREFORE, in an effort to promote further cooperation between our jurisdictions and our courts and to continue to promote and protect the interests of the children who come before us, I am requesting that the court take whatever steps it feels appropriate or necessary, including issuing court orders to assist the sending court in determining the suitability of the proposed placement; and expedite the completion of the home study, as directed by Regulation 7, section 3. 7. IN ADDITION, I request and urge you, consistent with applicable laws, to communicate directly with me to discuss any issues raised in this request or submitted documents. NOTE: Under article V(a) of the ICPC, the sending agency will retain jurisdiction over the child and the sending agency will continue to assume financial responsibility for the support and maintenance of the child during the period of placement. Date: JUDICIAL OFFICER Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California JV-565 [Rev. January 1, 2007] FINDINGS AND REQUEST FOR ASSISTANCE UNDER INTERSTATE COMPACT ON THE PLACEMENT OF CHILDREN (ICPC) Family Code, § 7900 et seq.; Cal. Rules of Court, rule 5.616 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com