STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT _ In The Interest Of ________________________________________________, a minor. Date of hearing: ___________________ Parties present for hearing: Assistant States Attorney: ______________________________ Minor: ________________________________ Attorney for minor: __________________________ Mother:________________________________Attorney for mother: __________________________ Father:_________________________________Attorney for father: __________________________ Relative, Guardian, Custodian: __________________________________________________________ TEMPORARY CUSTODY ORDER [705 ILCS 405/2-10] THIS MATTER comes before the Court for hearing on the date noted above with the parties indicated being present. The parties have been advised of the nature of the proceedings and of their rights. ___________________________________________ is appointed as Guardianad Litem and attorney for the minor. The Court FINDS that: a. The minor has G been served with summons G not been served with summons but is present G not been served with summons but has entered an appearance and is under the age of 8 years. b. The mother of the minor G has received notice and is present G has not received notice and is present G has received notice and notis present G has not received notice and is not presen t \jeri\cirwide\cirwide 2\temporary custody order 61 7/11/03 >>>> 2 c. The father of the minor G has received notice and is present G has not received notice and is present G cannot be found after a diligent search has G has received notice and notis present been made to locate him G has not received notice and is not present G is unknown \jeri\cirwide\cirwide 2\temporary custody order 61 7/11/03 >>>> 3 d. The responsible relative/guardian/custodian of the minor G has received notice and is present G has not received notice and is present G has received notice and notis present G has not received notice and is not presen t \jeri\cirwide\cirwide 2\temporary custody order 61 7/11/03 >>>> 4 e. G Probable cause for the filing of the petition donotes exist G Probable cause for the filing of the petitiodon es exist based on the following facts: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ____________________________________________________________________________ f. G There is no immediate and urgent necessity to remove the minor from the home and leaving the minor in the home is not contrary to the health, welfare and safety of the minor G There is immediate and urgent necessity to remove the minor from the home and leaving the minor in the home is contrary to the health, welfare and safety of the minor based on the following facts: _______________________________________________________________________________ _______________________________________________________________________________ _____________________________________________________________________________ g. G Reasonable efforts have not been made to keep the minor in the home G Reasonable efforts have been made to keep the minor in the home and they have eliminated the immediate and urgent necessity to remove the minor G Reasonable efforts have been made to keep the minor in the home but theynot have elimin ated the necessity for removal of the minor from the home and leaving the minor in the home is contrary to the health, welfare and safety of the minor G Reasonable efforts, at this time, cannot prevent or eliminate the necessity for removal of the minor from the home and leaving the minor in the home is contrary to the health, welfare and safety of the minor G The following facts form the basis for this finding: _______________________________ _______________________________________________________________________________ _______________________________________________________________________________ ____________________________________________________________________ THEREFORE , it is the ORDER of this Court that: 1. ~ The Petition is Dismissed. 2. ~ The request for temporary custody is denied. 3. Temporary custody of the minor is given to: G _______________________________ who is the _____________________ of the minor (Name of person) (Relationship of perso n)G The Guardianship Administrator of the Illinois Department of Children and Family Services who is authorized to place the minor G ________________________________________________________________________ (Other agency ) \jeri\cirwide\cirwide 2\temporary custody order 61 7/11/03 >>>> 5 4. Based on the findings, the following order are necessary and proper: a. The temporary custodian is: G not authorized to consent to major medical care for the minor G authorized to consent to mr majo edical care including surgical needs, psychological services, optical care and dental services for the minor G authorized to consent to major medical care including surgical needs, psychological services, optical care and dental services for the minor after consultation with _____________________________ and in the event the named person cannot be located without such consent G _________________________________________________________ ________________________________________________________________ _______ b. The Illinois Department of Children andmily Serv Fa ices shall investigate the need for services and provide the needed services in the following areas:______________________ ________________________________________________________________________ _______________________________________________________________________ The parties are advised that the acceptance of services will not be considered an admission of neglect, abuse or dependency. c. The following services are necessary to ameliorate the causes contributing to the finding of probable cause and immediate and urgent necessity and tarehey ordere d to be provided ________________________________________________________________________ ________________________________________________________________________ ______________________________________________________________________ d. Visitation G There is to be no visitation with the minor until further Order of the Court G Supervised v