IN THE DISTRICT COURT OF ____________________________ COUNTY STATE OF OKLAHOMA JUVENILE DIVISION IN THE MATTER OF: DOB: _______________ DOB: _______________ DOB: _______________ DOB: _______________ DOB: _______________ DOB: _______________ ) ) JD- ___________________________ ) ) Date: ________________________ ) Judge: _______________________ ) ) Alleged Deprived Child(ren). ORDER TERMINATING COURT'S JURISDICTION OVER CHILD(REN) NOW on this ______ day of ____________________, 20____, the following appearances were made and proceedings held: APPEARANCES: State Mother Mother Father Father Father Father Legal Guardian Child Child Child Child Child Child Tribal Representative GAL/CASA Foster Parent or Placement Interpreter for Mother Father Other Court Reporter Other DHS Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Attorney Other Attorney Interpreter for Mother Father Other Other Other Order Terminating Court's Jurisdiction Over Child(ren) OK-J-UO-0009 Version 1.1.16.2 Page 1 of 4 Docket Code: ODISM + Closure Code American LegalNet, Inc. www.FormsWorkFlow.com FINDINGS AND ORDERS OF THE COURT The Court has reviewed the evidence, oral and written, submitted by the parties on this date including the testimony of witnesses, exhibits admitted into evidence, statements and arguments of counsel, reports and/or treatment plans of DHS, reports of service providers, reports of CASA or GAL, if appointed, and any previous orders of this Court, to determine the safety of the child(ren), the continuing necessity and appropriateness of the placement(s), the extent of compliance by the participants with previous orders and treatment plans adopted by the court and the extent of progress toward achieving permanency for the child(ren) and HEREBY FINDS, ORDERS AND DECREES: A. The Mother and/or the Father and/or the Legal Guardian has/have successfully corrected the conditions that led to the adjudication of the child(ren) as deprived and the child(ren) has/have resided in the home since _____________________, 20_____ . B. C. D. E. F. G. H. OR All named child(ren)/or these specified child(ren) ________________________________________ has/have attained the age of majority on the _____ day of ____________________, 20 _____. All named child(ren)/or has/have been adopted. these specified child(ren) ________________________________________ A Permanent Guardianship has been established pursuant to 10A O.S. �1-4-710 and the one (1) year review has been held. A Guardian of all named child(ren)/or these specified child(ren) __________________ _________________________________ has been established pursuant to 30 O.S. �2-101 et seq. The above-entitled cause of action has been transferred to _________________________ County, Oklahoma. The above-entitled cause of action has been transferred to the ______________________ Tribal Court pursuant to the provisions of Federal and State Indian Child Welfare Acts. The parties and/or participants are in agreement with the Court's determination of the custody and placement of all named child(ren)/or these specified child(ren) ________________________________________________. The parties and/or participants are NOT in agreement with the Court's determination of the custody and placement of all named child(ren)/or these specified child(ren) __________________________________; and, the parties' and/or participants' recommendations as to custody and placement are as follows: ____________________________________________________________ _______________________________________________________________________________________________; OR The Court has been advised that the State and/or the attorney for all named child(ren)/or these specified child(ren) ________________________________________ believes releasing the child(ren) from State custody creates a serious risk of danger and intends to seek review of the Court's order. The Court therefore stays its order for a period not to exceed three (3) judicial days pending filing of an application for review, said stay to continue Page 2 of 4 Docket Code: ODISM + Closure Code American LegalNet, Inc. www.FormsWorkFlow.com Order Terminating Court's Jurisdiction Over Child(ren) OK-J-UO-0009 Version 1.1.16.2 until completion of review if a written application for review is filed. In the event no application is filed, or written notice is given to the trial court withdrawing the objection, the stay shall be lifted and the child(ren) released in accordance with the Court's order. AND Custody of the child(ren) have been established by this Court and the custody order provides the child(ren) with a permanent and safe home. Custody has been ordered with and custody is as follows: __________________________________________________________________________________. Pursuant to 10A O.S. 1-4-707, an exit order may be filed in an existing District Court or administrative action or as the basis of opening an administrative or District Court action. OR Custody of the child(ren) has been established by another Court after jurisdiction was deferred and the custody order provides the children with a permanent and safe home. Custody has been ordered with ___________________________________________________. IT IS THEREFORE ORDERED AND DECREED by the Court that it is in the best interest of the child(ren) the Court's jurisdiction over the above-named Child(ren) shall be terminated and the Child(ren) shall be released from any custody or supervision by the Department of Human Services. IT IS FURTHER ORDERED AND DECREED by the Court that: _________________________________________________________ JUDGE OF THE DISTRICT COURT Order Terminating Court's Jurisdiction Over Child(ren) OK-J-UO-0009 Version 1.1.16.2 Page 3 of 4 Docket Code: ODISM + Closure Code American LegalNet, Inc. www.FormsWorkFlow.com The undersigned does hereby certify that on the day of , 20 , true and correct copies of the above and foregoing order were placed in the U.S. Mails with proper postage prepaid thereon to the address of court record: Attorney: Attorney: Attorney: Attorney: Attorney: Attorney: Mother Mother Father Father Father Father State Tribe(s) Legal Guardian for for for for for for Child: Child: Child: Child: Child: Child: Attorney: Attorney: Attorney: Attorney: Attorney: Attorney: DHS GAL/CASA Other Judge of the District Court Court Clerk of BY: Court Clerk/ Deputy /Bailiff County CERTIFICATE OF DELIVERY/ MA