JV-550 ATTORNEY OR PARTY WITHOUT ATTORNEY: NAME: FIRM NAME: STREET ADDRESS: CITY: TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (name): STATE: FAX NO.: ZIP CODE: STATE BAR NO: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CHILD'S NAME: JUVENILE COURT TRANSFER-OUT ORDERS § 300 § 601 1. Child's name: 2. a. Date of hearing: b. Judicial officer (name): c. Persons present: Child Father Probation officer Other: Child's attorney Father's attorney District Attorney Mother Legal Guardian County Counsel Dept.: § 602 For Disposition CASE NUMBER: Date of birth: Room: Mother's attorney Social Worker CASA Advocate 3. The court has read and considered the motion for transfer and the report of the social worker. the report of the probation officer. other relevant evidence. 4. The court orders the transfer: a. GRANTED DENIED b. The child's address has not been verified, and accompanying documentation is not attached. Other: 5. The court finds and orders under Welfare and Institutions Code Section 375 750 and Cal. Rules of Court, rule 5.610 a. The legal residence of the child is with the following person who resides in the county specified in item 5e and has the legal right to physical custody of the child (indicate name and relationship): Name: Address: City: Confidential Address b. Transfer of the child's case is in the child's best interests. State: Mother Father Legal Guardian Other with whom the child resides with approval of the court Zip: Page 1 of 4 Form Adopted for Mandatory Use Judicial Council of California JV-550 [Rev. January 1, 2017] JUVENILE COURT TRANSFER-OUT ORDERS Welfare and Institutions Code, §§ 300, 375, 601, 602, 750; Cal. Rules of Court, rules 5.610, 5.612 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com JV-550 CHILD'S NAME: CASE NUMBER: c. The child currently resides with: Name(s) (if different from 5a above): Foster home (name): Group home (name): Residential facility (name): Other (name): Parents Guardian Mother Relative (relationship): Father The address of the child's parent(s) (other than listed in 5a or 5c above): Name: Address: State: Zip: Name: Address: State: Zip: out-of-custody. detained placed d. The child is e. The child's case is ordered transferred to the county of (specify): f. (1) (2) (3) The child shall remain at the present address. Zip: The child must be transported in custody to the receiving county at least two business days before the transfer-in hearing date. Under prior orders of this court (i) the child was detained on (date): the child was found to be described by section 300, subdivision: (ii) (a) (b)(1) (b)(2) (c) (d) on (date): (h) (i) (j) (iii) (iv) (v) dependency was declared on (date): on (date): (e) (f) (g) the child was found to be described by section 601 602 Delinquency Disposition Wardship was declared on (date): Section 725 was imposed on (date): Section 790 deferred entry of judgment was deferred on (date): Out-of-home placement order was made on (date): (vi) The last hearing was on (date): (iv) On (date): child the court ordered the to appear at the transfer-in hearing. mother father g. A transfer-in hearing has been set in receiving court for (date): at (time): at the following address: in dept.: h. The following hearings have been scheduled or need to be scheduled: Disposition hearing has been scheduled for (date): needs to be scheduled. other (identify): Review hearing (type): has been scheduled for (date): needs to be scheduled. JV-550 [Rev. January 1, 2017] JUVENILE COURT TRANSFER-OUT ORDERS Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com JV-550 CHILD'S NAME: CASE NUMBER: 6. The court further finds a. Regarding the Indian Child Welfare Act (ICWA) ICWA does apply; see minute order dated: ICWA does not apply; see minute order dated: The court has not yet determined whether ICWA is applicable. b. Jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act has been established. is not applicable. has not been established. c. d. e. (1) An application for special immigrant juvenile status is pending. An application for SSI is pending. This child has special education needs. An Individual Education Plan has been created by (school district) The child does not have special education needs. The child has other education issues (specify): The court has limited the rights of the parent or guardian to make educational or developmental-services decisions for the child (optional). The court has appointed an educational rights holder under JV-535 (dated): The local educational agency has appointed a surrogate parent under JV-536 (dated): Name of the educational rights holder or surrogate parent: (3) f. Name of child's last school and/or school district attended The child has the following juvenile cases Case Number County Case Type (2) g. h. i. j. Visitation has been determined as indicated on minute order dated: Reunification services were ordered for the parent(s)/legal guardian(s) on minute order dated: Parentage has been determined as indicated on minute order dated: A WIC § 241.1 determination that (check one, or both if a dual-status county) dependency delinquency serves the best interest of the child and protection of the public is indicated in the minute order dated: If a dual status county, the lead court/agency was identified as: or was deferred. k. l. m. The child has the following extraordinary medical needs: Orders regarding psychotropic medication were made on: Confinement time/custody credit (Delinquency Cases Only) the overall term of confinement time in the sending county was: i. As of ii. Overall custody credits: n. Other: JV-550 [Rev. January 1, 2017] JUVENILE COURT TRANSFER-OUT ORDERS Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com JV-550 CHILD'S NAME: CASE NUMBER: 7. The court further orders that: a. The court clerk has permission to open and access the documents placed under seal in this case for the purpose of transferring the matter to the new county. Once the receiving court has taken delivery of the sealed documents, the receiving county shall re-seal the documents. b. Other: Date: JUDICIAL OFFICER OF THE JUVENILE COURT JV-550 [Rev. January 1, 2017] JUVENILE COURT TRANSFER-OUT ORDERS Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com