_________ COUNTY JUVENILE COURT FILED IN THE CLERKS OFFICE ON _____ DAY OF ______________. 20____ __________________________________ DEPUTY CLERK IN THE JUVENILE COURT OF _____________ COUNTY STATE OF GEORGIA IN THE INTEREST OF: __________________________ SEX: ___ DOB: __________ CASE # ___________________ __________________________ SEX: ___ DOB: __________ CASE # ___________________ __________________________ SEX: ___ DOB: __________ CASE # ___________________ __________________________ SEX: ___ DOB: __________ CASE # ___________________ Child(ren) Under 18 Years of Age ORDER OF ADJUDICATION and DISPOSITION/PERMANENCY ORDER The above and foregoing matter came before the Court on __________________, for an Adjudicatory Hearing based upon a Petition filed be Georgy th ia Department of Human Resources by and through the ____________ County Department of Family and Children Services alleging the above named child(ren) continue(s) to be deprived and requesting that temporary custody and control of said child(ren) continue in the Department. Based upon the evidence presented, the Court makes the following Findings of Fact and Conclusions of Law by clear and convincing evidence. FINDINGS OF FACT 1. ( ) Pursuant to O.C.G.A. 15-11-58(p), the child(ren)s custodian, foster parent(s), preadoptive parent(s) or relative(s) caring for the child(ren) we noretified of the date and time of the Hearing. 2. Present in / for Court were: ( ) Mother ___________________________ ( ) Attorney _______________________________ >>>> 2 ( ) Father of __________________________ (Legal) ___________________________ ( ) Attorney _______________________________ (Putative) _________________________ ( ) Attorney _______________________________ ( ) Father of __________________________ (Legal) ___________________________ ( ) Attorney _______________________________ (Putative) __________________________ ( ) Attorney _______________________________ ( ) DFACS ____________________________ ( ) SAAG _________________________________ ( ) Other Petitioner _____________________ ( ) Attorney _______________________________ ( ) Guardian ad Litem _____________________________________ ( ) Other ________________________________________________ The following part(y)(ies) was not/were not present: ____________________________________ ______________________________________________________________________________________ He/She/They was/were (not) notified of the proceedings as follows: _______________________________ ______________________________________________________________________________________ 3. The Permanency Plan(s) at the Time of this Hearing was / were (concurrently): ( ) Reunification with parent(s) ( ) Adoption ( ) Legal guardianship ( ) Placement with a fit and willing relative ( ) Placement in another planned permanent living arrangement To wit: ___________________________________________ 4. The child(ren) is/are of the age and sex and has/have the name(s) set forth above. (The child(ren) is/are (a) resident(s) of __________ County, Georgia. 5. The child(ren) were removed from his/her/their home on ___________________, which is the date the Court is using as the date the child(ren) entered foster care. 2>>>> 3 6. The child(ren) is/are (a) deprived child(ren) for the following reasons: _____________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ 7. ( ) Reasonable efforts have been made to finalthe ize permanency plan(s) in effect. Those efforts were: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ( ) DFACS has not made reasonable efforts to finalize the permanency plan(s) in effect in that: ___________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 8. The compliance of the mother with the case plan for reunification has been: ______________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ The compliance of the father with the case plan for reunification has been: ______________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ( ) There is no case plan for reunification at this time. 3>>>> 4 9. In accordance with O.C.G.A. 15-11-58(p), the Court nsidco ered the oral or written testimony offered by the parent(s), the custodian, the foster parent(s), and/or any preadoptive parents or relatives providing care for the child(ren) along with all testimony and evidence presented in this case. 10. ( ) There has been insufficient comliance with p the case plan for reunification to permit reunification at this time. ( ) Although the mother / father has/have actively paated in the case plan for reunrticip ification and has/have worked diligently to improve her/his/their circumstances, immediate reunification is not feasible because ____________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ( ) The mother / father has