IN THE CIRCUIT COURT FOR [ ] COUNTY, MARYLAND Sitting as a Juvenile Court In The Matter of: * [name] * Respondent(s) Case Number(s): DOB(s): * DISPOSITION HEARING ORDER Upon consideration of the [written stipulation/proffer/evidence] presented at a disposition hearing, an adjudication hearing having been held on _______________________, 200___, and with the following persons present: Child _________________ Case Worker _____________ Mother _________________ Father __________________ Guardian _______________ CASA _________________ Child’s Attorney _________________ DSS Attorney __________________ Mother’s Attorney _______________ Father’s Attorney________________ Custodian _____________________ Other ________________________ in accordance with Rule in accordance with Rule 11-115 and the Courts and Judicial Proceedings Article of the Annotated Code of Maryland, §3-819, the Court for [county], on this ____day of _____________ 200___ ,finds: That the child is not a Child In Need of Assistance for the following reasons:; or That having sustained allegations against one parent only and finding that the other parent is available and is able and willing to care for the child, custody is awarded to [name of appropriate custodial parent]. In light of the above findings, it is therefore ORDERED that the case is dismissed [with/without prejudice]; or That the child is a Child In Need of Assistance for the following reasons: That the evidence presented sustained the finding that continuation of the aforesaid child in the child’s home is not contrary to the child’s welfare and that it is now possible to return the child to that home because the following circumstances exist:; or is contrary to the child’s welfare and that it is not possible to return the child to that home because the following circumstances exist: Page 1 of 4 JO 23 Revised 1 February 2006 American LegalNet, Inc. www.USCourtForms.com That the evidence presented sustained the finding that the following reasonable efforts were made prior to placement to prevent or eliminate the need for removal of the child:; or That the evidence presented sustained a finding that because of the emergent nature of the situation, such reasonable efforts to prevent or eliminate the need for removal of the child could not be made; the emergent nature that existed is that:; or That the absence of efforts to prevent removal from the home was not reasonable for the following reasons: In light of the above-stated factual findings, on this _________day of _____200___, it is therefore, ORDERED, that [the Respondent(s) or First or Full Name of Child] remain/be placed in the custody of the [name of parent(s)/relative/other]; or ORDERED, that [the Respondent(s) or First or Full Name of Child] be placed in the custody of the [county/city] [DSS/DHMH] pending further disposition before this Court on the above-captioned matter; and it is further; ORDERED, that [the Respondent(s) or First or Full Name of Child] be placed under the protective supervision of the [county/city] [DSS/DHMH]; and it is further ORDERED, that [Executive Director] [of the local DSS/DHMH] be awarded limited guardianship for the purpose of routine medical, dental, educational, psychological and out of state travel decisions on behalf of the Child; ORDERED, that visitation between the [Respondent(s) or First or Full Name of Child], and ______________________________________________________be: liberal and unsupervised; or liberal and supervised as arranged by the department of social services with a minimum of _______________________________; or until,_______________________________________________________________ ; or as arranged between the parties; ORDERED, that there be no contact between [the Respondent(s) or First or Full Name of Child] and ______________________________________________________________. ORDERED, that visitation between [the Respondent(s) or First or Full Name of Child], and sibling(s) shall be liberal with a minimum of __________________ as arranged by DSS or as arranged by the parties, if the child is in the care and custody of one of the parents. ORDERED, that DSS/DHMH provide or make referrals for the following services: Page 2 of 4 JO 23 Revised 1 February 2006 American LegalNet, Inc. www.USCourtForms.com family counseling substance abuse evaluation psychological evaluation parenting classes individual counseling substance abuse treatment psychiatric evaluation medical evaluation ORDERED, that [name of party/other interested person] is to complete all ordered evaluations and classes and is to enter and complete any treatment or class that may be recommended. ORDERED, that counseling is to involve when deemed appropriate by the therapist. ORDERED, that the [local DSS/other agency] submit a written progress report to the Court and all parties no later than [date] and it is further; ORDERED, that a Writ of Attachment be issued for [Name] for [failing to appear for a hearing/AWOL from placement]. Upon being apprehended, he/she is to be turned over to a local agency case worker for temporary shelter care and is to be brought before the Court on the next day the Court sits. ORDERED, that the Writ of Attachment issued against ___________on the _______day of _______________ 200 _____ is to be quashed and recalled. ORDERED, that a review hearing permanency planning hearing be scheduled on the __________day of__________200____, at ______________a.m./p.m. before the Court. It is further ORDERED, THAT ALL PARTIES PRESENT HAVE A CONTINUING OBLIGATION TO ASSIST THE COURT IN IDENTIFYING AND LOCATING EACH PARENT OF EACH CHILD; THAT ALL PARENTS PRESENT SHALL KEEP THE CLERK OF THE COURT AND THE DEPARTMENT OF SOCIAL SERVICES APPRISED OF THEIR CURRENT ADDRESS. THAT THE PERMANENCY PLAN OF REUNIFICATION MAY BE CHANGED TO ANOTHER PERMANENCY PLAN, WHICH MAY INCLUDE THE FILING OF A PETITION FOR TERMINATION OF PARENTAL RIGHTS IF THE PARENTS HAVE NOT MADE SIGNIFICANT PROGRESS TO REMEDY THE CIRCUMSTANCES THAT CAUSED THE NEED FOR REMOVAL AS SPECIFIED IN THIS COURT ORDER AND ARE UNWILLING OR UNABLE TO GIVE THE CHILD PROPER CARE AND ATTENTION WITHIN A REASONABLE PERIOD OF TIME. EXCEPTIONS SHALL BE IN WRITING AND SHALL BE FILED WITH THE CLERK’S Page 3 of 4 JO 23 Revised 1 February 2006 American LegalNet, Inc. www.USCourtForms.com OFFICE. IF ANY PARTY TAKES EXCEPTION, THEY MUST FILE ON OR BEFORE [SPECIFY DATE], 200____. THE FILING SHALL SPECIFY THOSE ITEMS TO WHICH EXCEPTIONS ARE TAKEN. COPIES OF EXCEPTIONS MUST BE SERVED ON ALL OTHER PARTIES INVOLVED IN THE CASE. ALL PARTIES LISTED ABOVE AS PRESENT RECEIVED NOTICE OF THE FINDINGS ON THE RECORD AND UPON COMPLETION A COPY OF THIS ORDER WAS HANDED TO THEM SENT BY FIRST CLASS MAIL. A COPY OF THIS ORDER WILL BE MAILED TO THOSE PARTIES NOT PRESENT. SERVICE IS TO BE BY: First class mail Sheriff’s Service on . Certified Mail, Return Receipt Requested on . Appropriate means when an address is supplied to the Court Recommendations Made By: ___________________________________ Master ___________________________________ Date ___________________________________ JUDGE ___________________________________ Date Page 4 of 4 JO 23 Revised 1 February 2006 American LegalNet, Inc. www.USCourtForms.com