JV-403 CHILD'S NAME: CASE NUMBER: 1. The child has siblings under the court's jurisdiction. a. The nature of the relationship between the child and the child's siblings is stated on the record. (1) (2) described in the social worker's report. (3) other (specify): b. (1) Developing or maintaining the sibling relationship with the siblings named below is appropriate. (a) (name): (b) (name): (c) (name): (2) (d) (name): (e) (name): (f) (name): Developing or maintaining the sibling relationship with the siblings named below is not appropriate. (a) (name): (b) (name): (c) (name): (d) (name): (e) (name): (f) (name): (3) The basis for the finding in item 1b is (a) (b) (c) stated on the record. described in the social worker's report. other (specify): c. The impact of the sibling relationships on the child's placement and planning for legal permanence is (1) (2) (3) 2. 3. a. stated on the record. described in the social worker's report. other (specify): The child and all of the child's siblings under the court's jurisdiction are placed together in the same home. The child and all of the child's siblings under the court's jurisdiction are not placed together in the same home. Efforts are being made to place the child and the following siblings together. (1) Child's siblings: (a) (name): (b) (name): (c) (name): (d) (name): (e) (name): (f) (name): (2) The reasons the child and these siblings are not placed together and the efforts being made to do so are (a) stated on the record. described in the social worker's report. (b) other (specify): (c) Efforts to place the child with the following siblings are not appropriate. b. (1) Child's siblings: (a) (name): (b) (name): (c) (name): (2) The reasons that efforts to place the child with these siblings are not appropriate are (a) (b) (c) c. (1) (2) (3) stated on the record. described in the social worker's report. other (specify): The frequency and nature of the visits between the child and the child's siblings who are not placed together are stated on the record. described in the social worker's report. other (specify): Page 1 of 2 Form Approved for Optional Use Judicial Council of California JV-403 [Revised Jan. 1, 2016] SIBLING ATTACHMENT: CONTACT AND PLACEMENT Welfare and Institutions Code, §§ 366, 366.3; Cal. Rules of Court, rules 5.708 and 5.740 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com JV-403 CHILD'S NAME: CASE NUMBER: 3. d. (1) (2) (3) e. (1) (2) (3) f. (1) (2) (3) g. (1) (2) (3) The reasons why the visits between the child and the child's siblings are supervised are stated on the record. described in the social worker's report. other (specify): What needs to be accomplished in order for the visits to be unsupervised is stated on the record. described in the social worker's report. other (specify): The location and length of the visits between the child and the child's siblings who are not placed together are stated on the record. described in the social worker's report. other (specify): The plan to increase visitation between the child and the child's siblings who are not placed together is stated on the record. described in the social worker's report. other (specify): JV-403 [Revised Jan. 1, 2016] SIBLING ATTACHMENT: CONTACT AND PLACEMENT Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com