_________ 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 ON PETITION FOR PL ACEMENT WITH A RELATIVE OR OTHER THIRD PARTY UNTIL CHILD(REN) 18 YEARS OF AGE The above and foregoing matter came before the Court on ____________________ for a placement hearing pursuant to O.C.G.A. 15-11-58(i). The Court has previously entered an Order that efforts to reunify the child(ren) with the mother and father should not be made or should be terminated. Based upon the evidence presented, the Court makes the following Findings of Fact and Conclusions of Law by clear and convincing evidence. Any of the Findings of Fact herein which should have been properly classified by the Court asConclusions of Law shall be considered as Conclusions of Law and any Conclusions of Law which should have been properly classified as Findings of Fact shall be considered as Findings of Fact. FINDINGS OF FACT 1. The child(ren) is/are of the age(s) and sex and has/have the name(s) set forth above. 2. The Court has subject matter jurisdiction over this action and personal jurisdiction over the child(ren), the mother, the father, and the proposed long term custodian(s), ________________________. >>>> 2 3. ( ) 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), was/were notified of the date and time of the Hearing. 4. Present in Court were: ( ) Mother ______________________ ( ) Attorney _________________________ ( ) Father (Legal) _______________________ ( ) Attorney _________________________ (Putative) _____________________ ( ) Attorney _________________________ ( ) DFACS _______________________ ( ) SAAG ___________________________ ( ) Guardian ad Litem ___________________________ ( ) Other ________________________________________________________________________ The following part(y)(ies) was not/were not present: ___________________________________ He / She / They was (not) / were (not) notified of the proceedings as follows: _____________________________________________________________________________ _____________________________________________________________________________ 5. In accordance with O.C.G.A. 15-11-58(p), the Court considered 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. 6. As found in a previous unappealed Deprivation Order and based upon the previous Court hearing granting the Motion of the _____________ County Department of Family and Children Services for Nonreunification with the child(ren)s mother and efathr, the child(ren) remain(s) deprived. Efforts to reunify the child(ren) with a parent would be detriml toenta the child(ren) and therefore reunification is not in the best interest of the child(ren). 7. Referral for termination of parental rights and adoption is not in the best interest of the child(ren) because _______________________________________________________________________________ 2 >>>> 3______________________________________________________________________________________ ______________________________________________________________________________________ 8. ( ) Facts which indicate the appropriateness of e pthroposed placement pursuant to O.C.G.A. Section 15-11-58(i)(1)(A), (B), or (C) are: __________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ( ) There is a compelling reas tonhat a placement pursuant to subsection (A), (B) or (C) of O.C.G.A. Section 15-11-58(i)(1) is not in the best interest of the child(ren), to wit: ____________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ The Court finds that a placement with ____________________________ will provide a family home because of the following characteristics: _____________________________________________________ ______________________________________________________________________________________ 9. ( ) The mother, through her attorney and in ope Counrt, consents to the placement of the child(ren) with the proposed custodian. The father, through his attorney and in open Court, consents to the placement of the child(ren) with the proposed custodian . 10. The Court finds that the _______________ County Department of Family and Children Services has made reasonable efforts to finalize the permanency plan in place. CONCLUSIONS OF LAW AND DISPOSITION The Court has subject matter jurisdiction over this action and personal jurisdiction over the child(ren), the mother, the father and (the relatives or other proposed custodi)an ______________________________________________. 3>>>> 4 These child(ren) is/are (a) deprived child(ren) as defined in O.C.G.A. Section 15-11-2(8)(A) in that he/she/they is/are without proper parental care or control, subsistence, education as required by law, or other care or control necessary for his/her/their physical, mental or emotional health or morals. The Department has made reasonable effortto s finalize the permanency plan in place. The Departments Petition for permanent placemoef thnt e child(ren) with a relative or other third party is HEREBY GRANTED. Pursuant to O.C.G.A. 15-11-58(i), legal custody and control of the above named child(ren) until the child(ren) is/are 18 years of age, is HEREBY AWARDED to __________________________________. Said custodian(s) may not return custody of the child(ren) to any parent or any other person with