THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: JUVENILE ABUSE/NEGLECT ORDER ON EXTRAORDINARY CIRCUMSTANCES FOR USE WHEN: If a child is in an out-of-home placement and if the adjudicatory hearing cannot be held and completed within 30 calendar days of the filing of the petition, the court shall issue written findings of extraordinary circumstances, pursuant to RSA 169-C:15,III(d). In all cases, the adjudicatory hearing must be held, completed, and orders issued within 60 calendar days of the filing of the petition. A motion was filed on (date) by extraordinary circumstances and a new date for the adjudicatory hearing. The motion was assented to by all parties. The motion was not assented to by: requesting a finding of Pursuant to RSA 169-C:15,III(d), this court finds extraordinary circumstances as follows: This court does not find extraordinary circumstances. The adjudicatory hearing is scheduled for Date Time Location Recommended: Date Signature of Marital Master Printed Name of Marital Master So Ordered: I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal standard to the facts determined by the marital master/judicial referee/hearing officer. Date Signature of Judge Printed Name of Judge C: Mother Father DCYF Attorney(s) of Record Guardian ad Litem School District (Sending) School District (Receiving) Other: American LegalNet, Inc. www.FormsWorkFlow.com NHJB-2439-DF (08/17/2011)