1. þ In the matter of þ en-USname(s), alias(es) 2. þ Date of hearing: en-US þ Judge/Referee: en-USBar no. 3. þ A petition has been filed in this matter and notice of hearing on the petition has been served as required by law. 4. þ The juvenile has appeared in court in person with parent(s), guardian, legal custodian, guardian ad litem, and þ þ was represented by an attorney. þ þ waived representation by an attorney. en-USTHE COURT FINDS: 5. þ The following material allegations of the petition are sustained or dismissed: en-USCounten-USADJUDICATED BYen-USDISMISSEDen-USALLEGATIONSen-USCHARGE CODE(S)en-USPlea*en-USCourten-USJuryen-USBy*en-USMCL Citation/PACC Codeen-US*For plea, insert 223A224 for admission or 223NC224 for nolo contendere. For dismissal, insert 223D224 for dismissed by court or 223NP224 for dismissed by prosecutor/plaintiff. þ 6. þ The juvenile committed an offense that requires collection of biometric data under MCL 28.243. þ Biometric data þ has þ has not þ been collected. þ 7. þ The offense adjudicated is abstractable to the Secretary of State under MCL 257.625(21)(a), MCL 257.732, þ MCL 324.80131, MCL þ 324.81134(12), MCL 324.81135(7), MCL 324.82157, or MCL 333.7408a(12). þ The juvenile222s driver222s license number is en-US en-US . þ 8. þ The licensing sanction is reportable to the Michigan State Police under MCL 333.7408a(12) or MCL 257.625(21)(b). þ Revoked. þ en-US Suspended en-US days. þ en-US Restricted en-US en-US days. American LegalNet, Inc. www.FormsWorkFlow.com Order of Adjudication (Delinquency Proceedings) þ (12/18) þ Page of Case No. Petition No. þ 9. þ It is contrary to the welfare of the juvenile to remain in the home because: þ 10. þ þ a. þ Reasonable efforts to prevent removal of the juvenile from the home were not made. þ þ b. þ Reasonable efforts were made before the placement of the juvenile in foster or other out-of-home care, to prevent þ or eliminate the need for removal of the juvenile from his/her home. Those efforts include: en-US(Specify.) þ 11. þ þ a. þ Reasonable efforts shall be made to preserve and reunify the family to make it possible for the juvenile to safely þ return home. þ þ b. þ Reasonable efforts shall not be made to preserve and reunify the family because it would be detrimental to the þ juvenile222s health and safety. 12. þ Other: en-USNote:en-US If the juvenile had been previously removed from the home, was then returned to the home, and is being removed again through this order, contrary to en-USthe welfare and reasonable efforts findings must be made even though the findings had been made at a prior hearing. American LegalNet, Inc. www.FormsWorkFlow.com Order of Adjudication (Delinquency Proceedings) þ (12/18) þ Page of Case No. Petition No. en-USIT IS ORDERED: þ 13. þ The dispositional hearing is set for en-USDate, time, and placeen-US . þ 14. þ Pending disposition, the juvenile shall be under the supervision of this court and shall þ þ a. þ remain in the care and custody of en-US en-US , þ and be subject to the reasonable and lawful commands of the parent(s), guardian, or legal custodian and those þ terms and conditions as ordered by the court. þ þ b. þ be placed with the department for care and supervision, subject to the rules and conditions of foster care. Parenting þ time shall be as ordered by the court. þ c. þ be referred to the department for placement and care pursuant to MCL 400.55(h). þ þ d. þ be placed at en-US en-US . þ Parenting time shall be as ordered by the court. þ þ e. þ cooperate with and participate in services, evaluations, tests, and the dispositional investigation. þ þ f. þ cooperate with an evaluation to determine the need for psychiatric or psychological treatment as prescribed by þ MCL 712A.18l. þ 15. þ The parent(s) shall file appropriate financial statements with this court not later than en-USDateen-US . þ 16. þ Other: en-USRecommended by: Referee signature þ Date en-USDate þ en-USJudge American LegalNet, Inc. www.FormsWorkFlow.com