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Report After Order For Pre-Petition Access To Child(ren) And-Or Home Form. This is a New York form and can be use in Family Court Statewide.
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Tags: Report After Order For Pre-Petition Access To Child(ren) And-Or Home, 10-29b, New York Statewide, Family Court
F.C.A. §1034(2)
[Required within 3 business days of
Form10-29b
(Child Protective- Report After Court Order]
Order for Pre-petition Access to
Child(ren) and/or Home)
(9/2006)
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
In the Matter of
Docket No.
A Child(ren) Under the Age of Eighteen
Alleged to be Abused or Neglected by
REPORT AFTER ORDER FOR
PRE-PETITION ACCESS TO
CHILD(REN) AND/OR HOME
Respondent(s)
TO THE FAMILY COURT:
I am [ specify job title, agency and county]:
and respectfully allege that:
1. On [specify date]:
, this Court issued an order [check box]:
requiring the parent or other person legally responsible to immediately bring the following child or
children [specify names]:
for observation and interviews outside the presence of the parent or other person legally responsible:
to the following Child Advocacy Center [specify name and address]:
to the following person for an interview and observation [specify name and address of
interview/observation location]:
to the Petitioner/Applicant for an interview and observation as follows [specify, including
address of interview/observation]:
OR
requiring the parent or other person legally responsible to permit me to enter the home to:
determine whether an abused or neglected child or children is/are present;
conduct a home study to evaluate the home environment of the child or children.
2. Pursuant to the Court’s order, I took the following actions and made the following findings
and regarding the child(ren) named in the report of suspected child abuse or maltreatment [check
applicable boxes]:
a. The following child(ren)[specify]:
were observed and interviewed on [specify date]:
by [specify]:
The following findings were made [specify]:
The following child(ren)[specify]:
have not yet been observed and interviewed, because [specify]:
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b. I entered the home on [specify date]:
and found the following:
The following child(ren) were present [specify]:
The following child(ren) appeared to be abused neglected [specify]:
I have been unable to locate the following child(ren) [specify]:
I was unable to determine whether any children were abused or neglected.
I conducted an evaluation of the home and found the following [specify]:
I have not entered the home, because [specify]:
c. The report of suspected abuse or maltreatment:
has been found to be indicated unfounded
is still under investigation.
d. The following actions have been taken with respect to this matter:
i. The following child(ren) have been removed from the home
by Family Court order [specify child(ren)]:
on consent of the parent or person legally responsible [specify child(ren)]:
on an emergency basis [specify child(ren)]:
ii. The following preventive services have been provided to the family [specify]:
iii. A petition [Docket #________ ] was filed on [specify date]:
A petition is anticipated to be filed on [specify date]:
iv. Other [specify any other actions taken]:
Dated:
Name and Title
Agency and County
Office Address and Telephone
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