JV-540 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (Name): FAX NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CASE NUMBER: NOTICE OF HEARING ON JOINDER--JUVENILE 1. Name of child or youth: 2 Date of birth: dependency delinquency 3. The child or youth is under transition jurisdiction. The court may make any and all reasonable orders for the care, supervision, custody, conduct, maintenance, and support, including medical treatment, of a dependent or ward of the court. To facilitate coordination and cooperation among agencies, the court may join, after notice and a hearing, any agency that the court determines has failed to meet a legal obligation to provide services to a child or youth for whom a petition has been filed under section 300, 601, or 602, regardless of the status of the adjudication. 4. A hearing on joinder will be held in this court as follows: a. b. Date: Address of court Time: is shown above Dept: other (specify): Room: Div: 5. The name of the agency or agencies to be joined: "Agency" means any governmental agency, private service provider, or individual who receives governmental funding or reimbursement for providing services directly to a child or youth. 6. Facts supporting the determination that the agency or agencies named in 5 failed to meet a legal obligation to provide services to the child or youth (specify): Continued in the attached declaration. Form Adopted for Mandatory Use Judicial Council of California JV-540 [Rev. January 1, 2014] Page 1 of 2 Welfare & Institutions Code, §§ 362, 727 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com NOTICE OF HEARING ON JOINDER--JUVENILE JV-540 CHILD'S NAME: CASE NUMBER: 7. The court poses the following questions to the agency or agencies named in 5 regarding services provided to the child or youth: 8. The court requests: a. that representatives of the agency or agencies named in 5 and of the county placing agency meet before the hearing to coordinate services and to address any alleged failure to meet legal obligations to the child or youth. that the agency or agencies named in 5 submit a written response to the court at least five court days before the hearing. b. Date: JUDICIAL OFFICER JV-540 [Rev. January 1, 2014] NOTICE OF HEARING ON JOINDER--JUVENILE Page 2 of 2