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Affidavit In Support Of Motion By Youth To Reenter Foster Care Form. This is a New York form and can be use in Family Court Statewide.
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Tags: Affidavit In Support Of Motion By Youth To Reenter Foster Care, PH-7b, New York Statewide, Family Court
F.C.A.§1091
Form PH-7b
(Affidavit in Support of Motion by
Youth to Return to Foster Care)
8/2010
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
.......................................................................................
In the Matter of
Docket No.
AFFIDAVIT IN SUPPORT OF
MOTION BY YOUTH TO
REENTER FOSTER CARE
CIN #
A Child under 21 Years
of Age Who Was Discharged From Foster Care
.......................................................................................
STATE OF NEW YORK
)
) ss.:
COUNTY OF NEW YORK )
I, [name]:
, swear the following to be true under the penalties
of perjury:
1. I am under the age of 21, having been born on [specify date of birth]:
and I am making this affidavit in support of my motion for an order to reenter foster care.
,
2. On [specify date]:
, I was discharged from foster care. At that time, I
was 18 years of age or older and did not consent to remain in foster care.
3. I have no reasonable alternative to foster care because [specify, including any relevant
facts and circumstances]:
4. [Check applicable box]:
□ If returned to foster care, I consent to enroll in and attend an appropriate educational
or vocational program. I would be interested in the following type of program [specify]:
and agree to cooperate with the department of social services and/or agency with which I am
placed with referrals they may make to assist me in enrolling in such a program.
OR
□ If returned to foster care, it would be unnecessary or inappropriate for me to attend an
educational or vocational program because [specify]:
5. It would be in my best interests to return to foster care because [specify]:
6. [Check applicable box]:
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□ The department of social services has consented to my return to foster care.
□ The department of social services refused to consent to my return to foster care, but I
believe this failure to consent was unreasonable because [specify]:
□ I do not know whether the department of social services will consent to my return to
foster care.
7. [Check applicable box]:
□ The department of social services tried to assist me in finding an alternative to my
returning to foster care as follows [specify]:
□ The department of social services did not assist me in finding an alternative to my
returning to foster care. [Note: If it would not have been possible for the department to do so,
specify reason]:
8. [Check box if applicable]: □ I am requesting that this Court enter an order immediately
returning me to foster care pending a decision on this motion because [specify reason(s)]:
9. No previous application has been made to any court or judge for the relief herein
requested [check box if applicable]: □ except [specify, including any prior motions to return to
foster care]:
WHEREFORE, I respectfully request that this Court grant my motion for return to
foster care and for such other and further relief as it may deem proper.
Dated
,
.
______________________________________
Signature of Youth
______________________________________
Print or Type Name
Sworn to before me this
day of
,
(Deputy) Clerk of the Court
Notary Public
_____________________________________
Signature of Attorney, if any
______________________________________
Attorney’s Name (print or type)
______________________________________
______________________________________
______________________________________
Attorney’s Address and Telephone Number
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