IN THE DISTRICT COURT OF ___________________________ COUNTY STATE OF OKLAHOMA IN THE MATTER OF: (initials only) YOB: YOB: YOB: YOB: YOB: YOB: ) ) ) ) ) ) JD Date: Judge: _____________ ___________ ____ ______ New Case No. FINAL PERMANENCY ORDER (EXIT ORDER) NOW on this day of proceedings held: APPEARANCES: State Mother Mother Father Father Father Father Legal Guardian Child (initials only) Child "" Child "" Child "" Child "" Child "" Tribal Representative GAL/CASA Foster Parent or Placement Interpreter for Mother Father Other Court Reporter Other , 20 , the following appearances were made and DHS Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Other Attorney Interpreter for Mother Father Other Other Other Final Permanency Order OK-J-UO- 0006 Version 1.1.16.2 Page 1 of 7 Docket Code: OFP American LegalNet, Inc. www.FormsWorkFlow.com The Court, upon review of the record and documentary evidence submitted and upon hearing of the statements of counsel and others present as well as the testimony offered, and being otherwise fully advised in the premises, FINDS and ORDERS as follows: I. JURISDICTION: (a) This Court has jurisdiction over the parties and subject matter of this action pursuant to the applicable provisions of the Oklahoma Children's Code, 10A O.S. � 1-1-101 et seq., the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA), the Parental Kidnapping Prevention Act (PKPA), and the Uniform Interstate Family Support Act (UIFSA). (b) The federal and state Indian Child Welfare Acts do do not apply to these proceedings. (c) Venue is proper per 10A O.S. � 1-4-101 (B) (d) THIS ORDER SUPERSEDES ANY OTHER ORDER. II. PRIOR EXISTING CASE: An order concerning legal custody and/or child support of the child(ren) named below was previously entered in another administrative or district County, Oklahoma and the case is styled as court proceeding in follows: EVIDENCE: The following documentary evidence was submitted: (a) A report from Department of Human Services (DHS) recommending dismissal other (b) A report from CASA or the Guardian Ad Litem recommending dismissal other (c) The stated preference and recommendation of the child(ren) provided to the Court this date reflecting the following: recommending dismissal other (d) The State of Oklahoma's recommendation as announced in open court by, _______________________________, Assistant District Attorney, to-wit: recommending dismissal other ____. . III. . . . IV. LEGAL CUSTODY AND VISITATION: The parents' names are: Mother (name): Father (name): _ Final Permanency Order OK-J-UO- 0006 Version 1.1.16.2 Page 2 of 7 Docket Code: OFP American LegalNet, Inc. www.FormsWorkFlow.com A. Custody of the minor child(ren) is/are ordered as follows: Child's Initials Year of Birth Legal Custody To ____ ____ ____ ____ ____ ____ Physical Custody To ____ ____ ____ ____ ____ ____ This order reflects a change in the legal and physical custody of the child(ren) to the custody of a formerly non-custodial parent for the following reasons: 1. this parent has maintained a close and positive relationship with the child(ren); 2. this parent has demonstrated the ability to provide for the health, safety or welfare of the child(ren), and; 3. this custody change is in the long-term best interest(s) of the child(ren). 4. parent completed, if any, all requirements of ISP. B. Mother's visitation rights. The mother may visit the minor child(ren) as follows: All children listed The following child(ren) (initials of each): As arranged by the parents. Standard Visitation Schedule, Attachment A Supervised by ___________________________ No visitation for the following reasons: __ Final Permanency Order OK-J-UO- 0006 Version 1.1.16.2 Page 3 of 7 Docket Code: OFP American LegalNet, Inc. www.FormsWorkFlow.com C. Father's visitation rights. The father may visit the minor child(ren) as follows: All children listed The following child(ren) (initials of each): As arranged by the parents. Standard Visitation Schedule, Attachment A Supervised by ___________________________ No visitation for the following reasons: _ __ D. Removal of Child(ren) from Oklahoma: Neither the Father nor the Mother may permanently remove the minor child(ren) from the State of Oklahoma without sixty (60) days prior written notice to the other parent and full compliance with the provisions of 43 O.S. �112.3. E. Child Support: Mother Father is determined to be the Obligor and is ordered to pay child support of $ per month beginning , or __ pursuant to CSEU order on or before the same day of each month thereafter until further order of this court or until the minor child(ren) reaches the age of eighteen (18) years, or until the age of twenty (20) years, so long as the child(ren) is/are regularly enrolled in and attending high school. Obligor shall pay a percentage of the reasonable and necessary medical, dental, orthodontic, optometric, psychological, or any other physical or mental health expenses for the minor child(ren) not covered by insurance as indicated in the attached guidelines as additional child support. The child support guidelines were followed. A copy of the child support computation sheet is attached as `Attachment B'. Child support is deferred to CSEU, DHS to provide this order to CSEU. The child support guidelines were not followed, for the following reasons: _______________ This Court adopts the existing child support order against Obligor in Case No. ____________ ______________________ County, State of . The previous child support order of $ per month shall remain in force and effect and payment shall be made in the same manner as set forth in the pre-existing child support order attached hereto as `Attachment C'. Final Permanency Order OK-J-UO- 0006 Version 1.1.16.2 Page 4 of 7 Docket Code: OFP American LegalNet, Inc. www.FormsWorkFlow.com An immediate income assignment is Ordered. A portion of Obligor's monthly or other periodic income shall be assigned to the Custodian in an amount sufficient to ensure payment of the monthly support obligation, including any arrearage and judgment payments. The assignment is effective immediately; provided however, that obligor remains responsible for making payments directly to the Department of Human Services in any month when an income assignment is not in effect or does not pay the full amount due under this Order. All child support payments shall be made by employer's