PETITION FOR FOSTER CARE REVIEW HEARING Commonwealth of Virginia Court Case No. ............................................ Va. Code §§ 16.1-282, 16.1-282.1 A2, 16.1-282.2 Agency Case No. .............................................................................................................. In re: ......................................... Juvenile and Domestic Relations District Court .......................................................................................................................................................................... NAME OF CHILD [ ] Male [ ] Female ................................................................. ............................................................................. AGE (YEARS/MONTHS) [ ] [ ] DATE OF BIRTH has been placed through an agreement with the local board of social services OR is in legal custody of [ ] the local board of social services or [ ] a child welfare agency. Transfer of custody or placement occurred on .............................. to .................................................................................. DATE PUBLIC OR PRIVATE CHILD-PLACING AGENCY I, the undersigned Petitioner, state under oath to the best of my knowledge and belief that the following are true: 1. [ ] The above-named child is the subject of a foster care review hearing pursuant to Virginia Code § 16.1-282 because a foster care plan was filed in this court pursuant to Virginia Code § 16.1-281 and, since the dispositional hearing held on .................................................................. at which the foster care plan was reviewed, the child has been: DATE [ ] placed through an agreement with the board where legal custody remains with the parents or guardian and such agreement has not been dissolved by court order; or [ ] in the legal custody of the board or child welfare agency and the child has not had a petition to terminate parental rights granted, filed or ordered to be filed on his or her behalf; has not been placed in permanent foster care; or is age 16 or over and the plan for the child is not independent living. OR [ ] The above-named child is the subject of a semi-annual foster care review hearing pursuant to Virginia Code § 16.1-282.1 A2 because a hearing was held on ................................................................... and placement of the child in DATE another planned permanent living arrangement was approved as the plan for the child for a maximum of 6 months. OR [ ] The above-named child is the subject of an annual foster care review hearing pursuant to Virginia Code § 16.1-282.2 because a hearing was held on ........................................................................... and the child: DATE [ ] has had a petition to terminate parental rights granted, filed or ordered to be filed on his or her behalf; or [ ] is placed in permanent foster care; or [ ] is age 16 or over and the plan for the child is independent living. 2. The following documents are attached and incorporated herein: [ ] foster care plan with the goal of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (review) [ ] and Adoption Progress Report or FOSTER CARE PLAN GOAL [ ] new foster care plan with the goal of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (change in goal). FOSTER CARE PLAN GOAL Wherefore, Petitioner requests that the Court grant the following relief and such other relief as the child’s best interest requires: 1. Docket the case for review to be held within 30 days if a hearing was not previously scheduled pursuant to Virginia Code § 16.1-281 E, § 16.1-282 E, § 16.1-282.1 A2 or § 16.1-282.2 A. 2. Provide notice of hearing and a copy of the petition, pursuant to Virginia Code § 16.1-282 C, to the following at addresses provided on the attached transmittal form: • Child, if he/she is twelve years of age or older; • Guardian ad litem for the child; • Child’s parents and any person standing in loco parentis at the time agency assumed custody; • Foster parents or other care providers of child; • Petitioning board, public agency or other child welfare agency; and • Such other persons as the Court may direct, including but not limited to pre-adoptive parents, if any. FORM DC-554 (MASTER, PAGE ONE OF TWO) 07/08 American LegalNet, Inc. www.FormsWorkflow.com 3. Court Case No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enter a finding that: [ ] reasonable efforts have been made by the agency to reunite child with his or her parents, guardian or other person standing in loco parentis; or [ ] reasonable efforts have not been made by agency to reunite child with his or her parents, guardian or other person standing in loco parentis; and/or [ ] reasonable efforts to reunite child with parents are not required pursuant to Virginia Code § 16.1-281 B. [ ] reasonable efforts have been made to place the child in a timely manner in accordance with the foster care plan and to monitor the child’s status in another planned permanent living arrangement. [ ] reasonable efforts have been made to place the child in a timely manner in accordance with the foster care plan and to complete the steps necessary to finalize the permanent placement of the child. 4. Enter an order of disposition consistent with the dispositional alternatives available to the court at the original hearing, specifically, approving and adopting the attached foster care plan as being in the best interest of the child. 5. [ ] As the child is before the court for a foster care review hearing pursuant to Virginia Code § 16.1-282: [ ] Schedule a date for a permanency planning hearing to be held pursuant to Virginia Code § 16.1-282.1 within 5 months of this requested foster care review hearing; or [ ] Schedule a date for an annual foster care review hearing to be held pursuant to Virginia Code § 16.1-282.2 within 12 months of this requested foster care review hearing for a child who remains in the legal custody of a board or child welfare agency and: on whose behalf a petition to terminate parental rights has been granted, filed or ordered to be filed; who is placed in permanent foster care; or who is age 16 or over and for whom the plan is independent living. OR [ ] As the child is before the court for a foster care review hearing pursuant to Virginia Code § 16.1-282.1 A2, schedule a date in 6 months for review of the child’s placement in another planned permanent living arrangement. OR [ ] As the child is before the court for an annual foster care review hearing pursuant to Virginia Code § 16.1-282.2: [ ] Schedule a date in 6 months for filing the next Adoption Progress Report; and/or [ ] Schedule a date for an annual foster care review hearing to be held pursuant to Virginia Code § 16.1-282.2 within 12 months of this requested foster care review hearing for a child who remains in the legal custody of the board or child welfare agency and: on whose behalf a petition to terminate parental rights has been granted, filed or ordered to be filed; who is placed in permanent foster care; or who is age 16 or over and for whom the plan is independent living. 6. [ ] Other: ............................................................................................................................................................ ................................................................................... PUBLIC OR PRIVATE CHILD-PLACING AGENCY ............................................... _________________________________________________ DATE PETITIONER Subscribed and sworn to before me this ................................................................. DATE _________________________________________________ [ ] INTAKE OFFICER [ ] CLERK FOR NOTARY PUBLIC’S USE ONLY: State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] City [ ] County of Acknowledged, subscribed and sworn to before me this ............................................................... NOTARY REGISTRATION NUMBER FORM DC-554 (MASTER, PAGE TWO OF TWO) 07/08 .............. day of ............................................................. .................................................... , 20 . . . . . . . . . . . . . . . . . . _____________________________________________________________ NOTARY PUBLIC (My commission expires: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ) American LegalNet, Inc. www.FormsWorkflow.com