FCA§§ 430, 454, 455, 550, 740, 780, 828, 846-a, l027, l072 General Form 25 (Order Suspending Commitment) 8/2010 At a term of the Family Court of the State of New York held in and for the County of , at , New York, on , . PRESENT : Hon. Judge _________________________________ In the Matter of a Proceeding Under Article of the Family Court Act Petitioner, -againstRespondent. ___________________________________ DOCKET NO. ORDER SUSPENDING COMMITMENT An Order dated above-named Respondent to (months) for , , having been made herein committing the for a period of (days) ; and Application having been made to this Court to suspend said commitment on the grounds that: and good cause therefore having been shown; it is ORDERED that said commitment be and the same hereby is suspended and the Respondent is hereby discharged from the custody of the said (upon the conditions specified in the appendix annexed to this order and made part hereof;) (and it is further) (ORDERED that said Respondent is hereby placed on probation under the supervision of the Probation Department of the County of for a period of (weeks) (months) upon the terms and conditions of probation specified in the appendix American LegalNet, Inc. www.FormsWorkFlow.com Form 25 Page 2 annexed to this order and made part hereof). PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. ENTER _______________________________ Judge of the Family Court. Dated: , . Check applicable box: 9 Order mailed on [specify date(s) and to whom mailed]:____________________ 9 Order received in court on [specify date(s) and to whom given]:_____________ American LegalNet, Inc. www.FormsWorkFlow.com