____________ 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 SUPPLEMENTAL ORDER FOLLOWING JUDICIAL CITIZEN PANEL REVIEW The above styled matter was reviewed at a Judicial Citizen Review Panel meeting held on ____________________. The recommendations of the Panel were submitted to thue Cort within five days of the Review as required by O.C.G.A Section 15-11-58 (k). No party requested a hearing on the recommendations. Upon review of the recommendations by the Panel, the Court makes the followFINDIing NGS OF FACT : The Permanency Plan(s) at the Time of this Review 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: _______________________ __ 1._____ Returning to the home would be contrary to the welfare of the child(ren)becaus e _______________________________ ________________________________________________________________________________________________ 2._____ Since the last Review, reasonable efforhave bts een made to finalize the permanency plan(s) in effect. DFACS Affidavit of Efforts is attachhed ereto and incorporated herein and approved by the Court. 3._____ DFACS has not made reasonable efforts to finalize the permanencyplan(s ) in effect as follows: ___________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 4._____ DFACS revised plan is for: ( ) Reunification with parent(s) ( ) Adoption ( ) Legal guardianship ( ) Placement with a fit and willing relative ( ) Placement in another planned permanent living arrangement, to wit: _________________________ 5._____ DFACS does / does not intend to peon titifor termination of parental rights. 6._____ The current placement is appropriate for the child(ren)s needs. 7._____ The current placement is not appropriate for the child(ren)s nineeds that _____________________________________ >>>> 2 IT IS THEREFORE ORDERED AND ADJUDGED: a._____ A guardian ad litem shall be appointed to determwheine ther termination proceedings should be commenced (when DFACS indicates that it does not intend pto etition for termination of parental rights). b._____ The child(ren) shall return to the home of the parent(s), legal guardian or cuodian. DFACS is herebsty relieved of legal custody. c._____ The child(ren) shall continue in the current placement as it is appropriate for the child(ren)s needs. d._____ The child(ren) shall continue in the current placement but the current placement plan is no longer appropri ate for the child(ren)s needs. Bartow County DFACS is HEREBY DIRECTED to devise another plan addressing the concerns outlined in # 7 above and submit said plan to the Court within 10 days for Court approval. e._____ A hearing has been requested by a party/or upon the Courownt motion. s The Clerk of Court is instructed to set the the above-styled case for a hearing within ______ days with notice to all parties. The purpose of the hearing is to address the following issues: _____________________________________________________________________ f._____ The revised plan is a change from reunification to adoption following termination of parent ralights. Reunification services shall continue to be offered andprovid ed until any termination is complete. g. _____ The revised plan is a change from reunification to reunification concurrent with adoption / placement with a fit and willing relative. DFACS shall make reasonable efforts to accomplish the concurrent plan as well. h. _____The revised plan is substantially the same as the case plan currently in eff. All ectelements previously found by th e Court to be essential to accomplish the permanency plan remain essential. i._____ The revised plan is substantially different than the previous plan in effect. The following elements are essential to accomplish the permanenc plany in place: _________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Other: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ The parties are ordered to abide by each and every requirement of the Order of the Court. IT IS SO ORDERED this _____ day of ________________, 20____. _______________________________________ J UDGE ____________ County Juvenile Court