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Notice Temporary Removal Of Child And Right To Hearing Form. This is a New York form and can be use in Family Court Statewide.
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Tags: Notice Temporary Removal Of Child And Right To Hearing, 10-1a, New York Statewide, Family Court
F.C.A. §§1021, 1024
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
Form 10-1a
(Child Protective –Notice of Temporary
Removal of Child and Right to Hearing)
8/2010
.......................................................................................
In the Matter of
CIN #
(A child)(Children) under the Age of
Eighteen Years Alleged to be
Abused Neglected by
Docket No.
NOTICE
(Temporary Removal of
Child and Right to Hearing)
Respondent(s)
......................................................................................
NOTICE:
IF YOUR CHILD STAYS IN FOSTER CARE FOR 15 OF THE MOST RECENT 22
MONTHS, THE AGENCY MAY BE REQUIRED BY LAW TO FILE A PETITION
TO TERMINATE YOUR PARENTAL RIGHTS AND MAY FILE BEFORE THE
END OF THE 15-MONTH PERIOD. IF SEVERE OR REPEATED ABUSE IS
PROVEN BY CLEAR AND CONVINCING EVIDENCE, THIS FINDING MAY
CONSTITUTE THE BASIS TO TERMINATE YOUR PARENTAL RIGHTS. IF
THE PETITION IS GRANTED, YOU MAY LOSE YOUR RIGHTS TO YOUR
CHILD AND YOUR CHILD MAY BE ADOPTED WITHOUT YOUR CONSENT.
PLEASE TAKE NOTICE that the child(ren) named above (has)(have) been temporarily removed
from (his)(her)(their) home and taken into protective custody to avoid imminent danger to the child(ren)’s
life or health [check applicable box]:
G upon the written consent of a parent or other person legally responsible [Family Court Act §1021];
G on an emergency basis [Family Court Act §1024].
CONTACT INFORMATION [insert name, title, agency, address and telephone numbers]:
Your child(ren) was/were removed by [specify]:
You can find out the date, time and place for you to appear for a hearing on the return of your child(ren)
and for information on the filing of the petition in Family Court by calling [specify]:
Your child(ren) were or will be taken to the following child care agency [specify]:
To arrange visits with your child(ren), you can call [specify]:
You have a right to ask the Family Court for the return of your child(ren) and to have a hearing
within three court days [Family Court Act §1028]. To do so, you must file an application in the Family
Court,
County [specify address and telephone number of the Family Court]:
You have the right to be represented by a lawyer. If you cannot afford a private lawyer, you have
the right to ask the court to assign a lawyer.
Date:
Name,
Title/Agency:
Address, Telephone No.:
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