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: Division D & N PLACEMENT COURT ORDER E-mail: Atty. Reg.#: Courtroom 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: _________________ _________________ Placement out of the home is necessary and is in the best interests of the child(ren) AND a) Reasonable efforts were made to prevent or eliminate the need for placement of the child(ren). OR _________________ b) An emergency existed such that the lack of efforts to prevent removal from the home was reasonable. OR _________________ c) Reasonable efforts to prevent the child(ren)'s removal from 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). _________________ The child(ren) has/have been placed in the least restrictive placement available which can effectively meet (his) (her) (their) needs. _________________ Procedural safeguards to preserve parental rights have been applied in connection with the removal of the child(ren) from the home. JDF 552 5/01 D & N Placement Court Order Page 1 of 2 2001 © American LegalNet, Inc. THEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED: _________________ Temporary legal custody of the child(ren) is granted to the _________________ County Department of Social Services for out of home placement. _________________ The ______________County Department of Social Services shall make reasonable efforts to safely return said child(ren) to (his) (her) (their) home. OR _________________ The ______________ County Department of Social Services shall make reasonable efforts to find and finalize a safe and permanent placement for the child(ren). _________________ The parent(s)/guardian shall immediately provide the Court and the ___________________ County Department of Social Services the names and addresses of and/or means of locating any parent(s) not present in court and of other relatives of the child(ren) or other individuals who may be able to provide placement for the child(ren) if (he) (she) (they) remain(s) in out of home placement. Good cause exists and the ____________________County Department of Social Services is authorized to contact identified relatives and/or individuals and share information, including otherwise confidential information, regarding the child(ren), the parent(s), and this proceeding to complete an appropriate placement study of such relatives or individuals. _________________ This matter is set for ________ on _____________, 20____, at _____ (am) (pm), at which time all parties must be present. OR _________________ Six (6) month 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 552 5/01 D & N Placement Court Order Page 2 of 2 2001 © American LegalNet, Inc.