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Permanency Order Form. This is a Illinois form and can be use in Cook Local County.
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Tags: Permanency Order, CCJP-0656A, Illinois Local County, Cook
(Rev. 2/7/01) CCJP 0656 A
STATE OF ILLINOIS
COUNTY OF COOK
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q 4580
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION
CHILD PROTECTION DIVISION
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IN THE INTEREST OF:
_______________________________________________
A Minor
Calendar # _______________
No. _____________________________
PERMANENCY ORDER
THIS CAUSE coming to be heard for a permanency hearing, the parties being present or represented by counsel, the Court
having received evidence, and being fully advised in the premises:
THE COURT FINDS:
1.
The parties present at the permanency planning hearing are:
q
q
q
q
q
q
Mother
Father
Minor
DCFS Worker
Private Agency Worker
Foster Parent
q
q
q
q
q
q
Attorney for Mother
Attorney for Father
Attorney for Minor
Attorney for DCFS
Other ___________________________
Other ___________________________
2.
Number of homes since T.C. ______________
3.
The appropriate permanency goal is:
7158
7159
7160
7161
7162
7163
7164
7165
Number of relocations since last P. H. _____________
q A. RETURN HOME within 5 months.
q B. RETURN HOME within 12 months.
q The mother (has q) (has not q) made substantial progress towards the return home of this minor.
q The father (has q) (has not q) made substantial progress towards the return home of this minor.
q B.2 RETURN HOME pending status hearing.
q The mother has not made substantial progress.
q The father has not made substantial progress.
The date of adjudication was ______________________________.
q C. SUBSTITUTE CARE PENDING COURT DETERMINATION ON TERMINATION OF
PARENTAL RIGHTS
q D. ADOPTION
q E. PRIVATE GUARDIANSHIP
q F. SUBSTITUTE CARE PENDING INDEPENDENCE
q G. SUBSTITUTE CARE, HOME ENVIRONMENT NOT APPROPRIATE
______________________________
__________________________________________________________________________________
The reasons for selecting this goal and for ruling out the preceding goals are:
_________________________________________________________________________________
_________________________________________________________________________________.
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
(Rev. 2/7/01) CCJP 0656 B
___________________________________________
4.
The planned achievement date of the permanency goal is:
5.
The services contained by the service plan:
q are appropriate and reasonably calculated to facilitate achievement of the permanency goal.
q are inappropriate and not reasonably calculated to facilitate achievement of the permanency goal because:
q the following additional types of services are required to effectuate the permanency goal: _______________
___________________________________________________________________________
q other:
6.
7.
___________________________________________________________________
The selected goal:
q has been achieved.
q cannot be immediately achieved because:
__________________________________________________
The services required by the service plan:
q have been provided.
q have not been provided because: _______________________________________________________
____________________________________________________________________________
8.
The minor's placement (q is) (q is not) necessary and appropriate to the case plan and goal.
9.
The Department of Children and Family Services has:
7108 q made reasonable efforts in providing services to facilitate achievement of the permanency goal.
7208 q not made reasonable efforts in providing services to facilitate achievement of the permanency goal.
BASED UPON THE ABOVE FINDINGS, IT IS HEREBY ORDERED:
The permanency goal of ___________________________________________ is hereby entered.
DCFS shall file a new or amended service plan consistent with the above findings within 45 days.
DCFS shall provide services consistent with the goal.
Concurrent with this order, the Court is entering additional orders necessary to conform the minor's
status and custody to effectuate any of the Court's determinations made herein.
q E. This matter is set on ___________________________, ________ at ______________ a.m./p.m. for:
4290 q Progress Report
4590 q Permanency hearing
4390 q Status
4890 q Termination
4359 q Completion of Adoption
4490 q Other ____________________
q
q
4411 q
q
4410
A.
B.
C.
D.
BEFORE THE:
RECOMMENDED BY:
4391
q JUDGE
4392
q HEARING OFFICER
_______________________________________________ (Hearing Officer # 33832)
PARTIES IN AGREEMENT:
_________________________________________
________________________________________
_________________________________________
__________________________________________
_________________________________________
_________________________________________
DATED:
______________________, _______ ENTERED: _____________________________________
Judge
Judge's No.
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
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