JV-214(A), Page 1 of 2Judicial Council of California, www.courts.ca.gov New September 1, 2018, Mandatory Form Welfare and Institutions Code, 247 14717.1 Notice of and Order on Request for Hearing on Waiver of Presumptive Transfer Notice of and Order on Request for Hearing on Waiver of Presumptive Transfer JV-214(A)The Court Finds and Orders:a. Date: Dept.: Div.: Room:b. Address of court: Date:Judge (or Judicial Officer) The request for a hearing to review the request for waiver of presumptive transfer of the child222s or nonminor222s specialty mental health services filed on:, is granted and will be held as follows: Request is not in the child222s or nonminor222s best interest. A valid exception to presumptive transfer is not indicated. Person or agency making the request does not have standing to request a hearing. Other :Notice to:Social worker Probation officer Name: Attorney Name: Mother Father Name: Attorney Name: Legal guardian Mother Father Name: Attorney Name: Legal guardianb. c. 3 21 Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Court fills in case number when form is filed.Case Number: Fill in child's name and date of birth:American LegalNet, Inc. d. Mother Father Name: Attorney Name: Legal guardiane. Petitioner Name: Attorney Name:f. Child, if 10 years of age or older, or nonminor Name: Attorney Name:g. Legal guardian or guardians of the child Name:i. Mental health care decision maker for the child or nonminor, if one has been appointed undersection 361(a)(1) Name:j. Child222s caregiver Name:k. Known dependent siblings of the child or nonminorName: l. Other : Name:h. The Indian child222s tribe, if applicable, as defined in rule 5.502 Name: Case Number: Child's/Nonminor's Name: 3 Sign your name Date: Type or print your name JV-214(A), Page 2 of 2New September 1, 2018, Mandatory Form Notice of and Order on Request for Hearing on Waiver of Presumptive Transfer American LegalNet, Inc.