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Dependency Motion For Transfer Form. This is a California form and can be use in Sacramento Local County.
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Tags: Dependency Motion For Transfer, JC-E-325, California Local County, Sacramento
FOR COURT USE ONLY
SACRAMENTO COUNTY DHHS
Telephone no: (916) 875-XXXX
Fax no:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO
STREET ADDRESS:
3341 Power Inn Road
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CHILD’S NAME:
Sacramento, California 95826
Sac. County Juvenile Court
CASE NUMBER:
Date:
DEPENDENCY MOTION FOR TRANSFER
Time:
(Social Worker is to call the court department clerk and get a date/time for a
hearing if transfer-out is being recommended in-between hearings)
Dept:
1.
Disposition not yet ordered
Disposition ordered on:
Long term placement – The Department in the proposed transfer in county has agreed the transfer is in the best interest of
the child.
2.
Transfer in County:
County receiving transfer is a member of the local protocol.
3.
Reasons for transfer (including why this is in the best interest of the child):
4.
The parents’/legal guardian’s address was confirmed by
(name),
.
(title), in
County as:
Name:
Street Address:
City, State, Zip
Telephone:
5.
Last Sacramento school district:
Child has an IEP.
6.
The proposed transfer-in county can offer the following services (check all that apply):
Alcohol and Drug treatment program
Name
Court no.
JC\E-325
3/06
Drug testing
DEPENDENCY MOTION FOR TRANSFER
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Parenting classes
Counseling: Family/Individual
Counseling: Anger Management/Domestic Violence
Educational Services
Counseling: Sexual Abuse/Offender
Other (specify):
7.
The applicability of the Indian Child Welfare Act has been determined. See minute order dated
8.
Paternity has been determined. See minute order dated
Not Applicable
9.
A Welfare and Institutions Code section 241.1 determination has been made. See minute order dated
Not Applicable
10.
The petitioner has notified the following parties and attorneys of the requested transfer (state names of persons notified and
relationship to the child or the case):
Mother’s Attorney:
Father’s Attorney:
Child’s Attorney:
County Counsel:
Other Attorney:
Other Attorney:
Social Worker:
(print or type name)
Social Worker Supervisor:
(print or type name)
Name
Court no.
JC\E-325
3/06
.
.
.
Date of Notice:
Date of Notice:
Date of Notice:
Date of Notice:
Date of Notice:
Date of Notice:
Social Worker: ___________________________________
Date: _______________
Social Worker Supervisor: _________________________________
Date: _______________
DEPENDENCY MOTION FOR TRANSFER
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www.USCourtForms.com
