JC 14:11(4) NEW 11/07 Neb. Rev. Stat. 43-2473(a) ADJUDICATION FINDINGS AND ORDER CASE NUMBER: IN THE JUVENILE COURT OF COUNTY, NEBRASKA IN THE INTEREST OF ADJUDICATION FINDINGSAND ORDER CHILD/CHILDREN UNDER EIGHTEEN YEARS OF AGE 1.On , this matter came on before the Court for Arraignment on the original petition subsequent petition supplemental petition other (specify): . 2.Appearing in court were: Child(ren) (Name, DOB, etc): GAL for child(ren): Attorney for child(ren): Mother: Attorney for mother: Father: Attorney for father: Father: County attorney: NDHHS: Facilitator: CASA: Other: 3.EXHIBITS OFFERED AND ADMITTED INTO EVIDENCE: None Case Plan/ Court Report CASA Report GAL Report Visitation Report Caregiver Information Form FCRB Report Other: THE COURT FINDS AND ORDERS: 4.a. Notice of the date, time, and location of the hearing was properly given as required by law.b. The petition was read to those present at the beginning of the hearing. Reading of the petition was waived by those present at the beginning of the hearing. 5.a. The child(ren) is may be an Indian child, and notice of the proceeding and the right of the tribe to intervene was provided as required by law. Proof of such notice was filed with this Court. b.There is reason to believe that the child(ren) may be of Indian ancestry, andnotice of the proceedings was provided to the Bureau of Indian Affairs asrequired by law. Proof of such notice was filed with this Court. 6.The child(ren)222s county of residence is: . 7.The child(ren)222s date of birth is: American LegalNet, Inc. www.FormsWorkFlow.com 8. The child(ren)222s legal removal date from the parental home is: . The child(ren) have been inout-of-home placement for months. 9. Party Admits Pleads no contest Denies To petition as amended on: a. Mother b. Father: c. Father: d. Other: 10.There is a factual basis for the admission. 11.By preponderance of the evidence, the allegations set forth are true: a. b. as stated in the petition as originally filedas stated in the petition as amended on :1.by agreement of the parties2.by the court to conform to proof The allegations (specify) as stated in the petition as amended on are not proven and are ordered stricken. The allegations of the petition are not sustained. On motion of the petitioner, the following allegations are stricken: 12.The children are children within the meaning of N.R.S. 247 43-247 3(a): 13.CHILD(REN) NOT DETAINEDa.Services that would prevent the need for further detention are available.b.The child(ren) is returned to the custody of: mother father: other (specify): c.The child(ren) and mother father: other (specify): are placed under the supervision of NDHHS for a minimum 6 six months pursuant to their voluntary agreement to informal supervision and the provision of services as set forth in the case plan. CHILD(REN) DETAINED a.The child(ren) remain or shall be placed in the protective custody of NDHHS.b.The child(ren) remain or shall be placed in: The assessed home of a relative An emergency shelter Other suitable licensed place c. Services, including those set forth in 15, are to be provided to the family as soon as possible to reunify thechild(ren) with the family.d.Reasonable efforts were made to prevent or eliminate the need for removal from the home, including:1. 2. As in Exhibit 3. As in Case Plan Court Report: 4. Other: but out-of-home placement is necessary at this time. Reasonable efforts were not made to prevent or eliminate the need for removal from the home. Reasonable efforts to prevent or eliminate the need for removal are not required because: 1. The parent has subjected the child to aggravated circumstances in accordance with 247 43-283.01, Subd. 4(a).2. The parent of the child has committed or attempted to commit murder or voluntary manslaughter orcommitted felony assault, in accordance with 247 43-283.01, Subd. 4(b).3. The parental rights of the parent to a sibling of the child have be involuntarily terminated. American LegalNet, Inc. www.FormsWorkFlow.com e.Relative Placement There is a relative who is able, assessed and willing to care for the child. A relative who is able, assessed, and willing to care for the child is not available. There is a relative who is willing to care for the child, and NDHHS shall assess the relative as a placement option. NDHHS shall actively search for a relative who is willing and able to care for the child. 14. The following services have been offered to the parent(s) by NDHHS: . 15.The following services will be offered and provided pending further proceedings:ServiceMother Father: Other: a. Alcohol Drug testing b.Substance abuse treatment c. Parenting education d.Parenting assessment: e.Psychological assessment: f. (specify) g.(specify) 16. The mother father: other: shall be granted reasonable rights of unsupervised supervised visitation with the child(ren) as arranged by NDHHS. 17.Other: 18.Notice and the right to be heard has been provided to the foster/preadoptive parents/relative caregiver by theCourt as required by N.R.S. 247 43-1314. 19.The next hearing is scheduled as follows: Hearing Date: Time: Court Room: a.Disposition Hearingb.Review Hearingc.Permanency Hearingd.Other: The permanency planning hearing is scheduled as follows: Hearing Date: Time: Court Room: 20. The petition is dismissed. Jurisdiction of the court is terminated. All appointed counsel are relieved of the duty toprovide further representation. 21.All prior orders not in conflict with this order remain in full force and effect. IT IS THEREFORE ORDERED, ADJUDGED, AND DECREED AS HEREIN ABOVE SET. DATED: BY THE COURT: , JUDGE REGARDING ALLEGATIONS OF ABUSE OR NEGLECT NOTICE: PLACEMENT OF YOUR CHILD IN FOSTER CARE MAY RESULT IN YOUR LOSS OF YOUR RIGHTS TO YOUR CHILD. IF YOUR CHILD STAYS IN FOSTER CARE FOR 15 OF THE MOST RECENT 22 MONTHS, THE COUNTY ATTORNEY OR GUARDIAN AD LITEM MAY BE REQUIRED BY LAW TO FILE A PETITION TO TERMINATE YOUR PARENTAL RIGHTS AND UNDER CERTAIN CIRCUMSTANCES MAY FILE BEFORE THE END OF THE 15-MONTH PERIOD. American LegalNet, Inc. www.FormsWorkFlow.com