Motion To Terminate Placement
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Motion To Terminate Placement Form. This is a New York form and can be use in Family Court Statewide.
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Tags: Motion To Terminate Placement, 10-11a, New York Statewide, Family Court
F.C.A.§1062
Form 10-11a
(Child Protective- Motion
To Terminate Placement)
(9/2006)
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
.......................................................................................
In the Matter of
CIN #
A Child under Eighteen Years of
Age alleged to be
Abused Neglected by
Docket No.
MOTION TO
TERMINATE PLACEMENT
Respondent(s)
.......................................................................................
TO:
PLEASE TAKE NOTICE that upon the annexed affidavit of [specify]:
sworn to on the
day of
and upon all the proceedings heretofore had herein, a motion will be made at this Court at [specify
address]:
on [specify date]:
, or as soon thereafter as the parties and counsel can be heard
for an Order terminating the placement of the following child [specify]:
with [specify]:
and for such other and further relief as to the Court may seem just and proper.
Dated:
Yours, etc.
Movant: GParent GAttorney GOther [specify relationship to child]:
__________________________________________________
Print or type name
Address and Telephone No.
Signature of Attorney, if any
Print or Type Name
Address and Telephone No. of Attorney, if any
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