District Court Denver Juvenile Court ___________________________________County, Colorado Court Address: THE PEOPLE OF THE STATE OF COLORADO In the interest of: _________________________________________ Child(ren) and Concerning _________________________________________ Respondent(s) Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: E-mail: Atty. Reg. #: Division Courtroom D & N PERIODIC REVIEW OF OUT-OF-HOME PLACEMENT ORDER This matter came before the Court on the ______________________ day of___________________, 20______. The Court having reviewed the file and evidence in this matter and being otherwise sufficiently advised in the premises FINDS: _________________ Continued out of home placement is necessary and appropriate and is in the best interests of the child(ren). _________________ The child(ren) has/have been placed in the least restrictive placement available which can effectively meet (his) (her) (their) needs. _________________ The services provided to the family and the child(ren) by the ________________County Department of Social Services are appropriate. _________________ Reasonable efforts have been made to safely reunify the child(ren) and (his) (her) (their) family. OR Reasonable efforts to return the child(ren) to the home are not required because: _________________ 1) A court of competent jurisdiction has determined that the parent has been convicted of: a) Murder of another child of the parent; b) Voluntary manslaughter of another child of the parent; c) Aiding or abetting, attempting, conspiring, or soliciting to commit such a murder or such a voluntary manslaughter; d) A felony assault that results in serious bodily injury to the child or another child of the parent. 2) The parental rights of the parent with respect to a sibling have been terminated involuntarily. _________________ 3) A court of competent jurisdiction has determined that the parent has subjected the child to aggravated circumstances (as defined in State law). _________________ OR _________________ Efforts to reunite the child(ren) and (his) (her) (their) family have failed. AND _________________ Reasonable efforts have been made to find and finalize a safe and permanent placement for the child(ren). _________________ JDF 550 The child(ren)'s safety is protected in the placement. Page 1 of 2 2001 © American LegalNet, Inc. 5/01 D & N PERIODIC REVIEW OF OUT-OF-HOME PLACEMENT ORDER _________________ _________________ The extent of compliance with the case plan has been determined. The extent of progress made toward alleviating or mitigating the causes that necessitated the out of home placement has been determined. _________________ A projected date by which the child(ren) will be returned and safely maintained in (his) (her) home has been established. OR _________________ A projected date by which the child(ren) will be placed for legal guardianship has been established. OR _________________ _________________ projected date by which the child(ren) will be adopted has been established. OR A projected date by which the child(ren) will achieve another planned permanent living arrangement has been established _________________ Procedural safeguards to preserve parental rights have been applied in connection with any change in placement or any determination affecting parental visitation. _________________ The child(ren) is/are age sixteen (16) or over, and the Permanency Plan includes the services needed to assist in transitioning (him) (her) (them) to independent living. _________________ The out of state placement continues to be appropriate and in the best interests of the child(ren). THEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED: _________________ Temporary legal custody of the child(ren) continues with the _________________ County Department of Social Services. _________________ The ____________________ County Department of Social Services' report dated _____________ is hereby incorporated by reference. _________________ The Administrative Review Findings dated ___________ are hereby incorporated by reference. _________________ The ______________County Department of Social Services shall continue to make reasonable efforts to safely return said child(ren) to (his) (her) (their) home. OR _________________ The ______________County Department of Social Services shall continue to make reasonable efforts to find and finalize a safe and permanent placement for the child(ren). _________________ This matter is set for review on _________________, 20______, at ______ (am) (pm), at which time all parties must be present. OR _________________ Periodic reviews and/or Permanency Hearings shall be conducted by the Colorado Department of Human Services as Administrative Reviews, unless a party to the action requests a court hearing, or unless the Court deems it necessary to require a hearing. Dated: ______________________________ BY THE COURT _________________________________ JUDGE MAGISTRATE JDF 550 5/01 D & N PERIODIC REVIEW OF OUT-OF-HOME PLACEMENT ORDER Page 2 of 2 2001 © American LegalNet, Inc.