Dependency Petition 226 Extended Foster Care (DPP) 226 Page 1 of 3 WPF JU 03.1300 (06/2018) 226 RCW 13.34.267, .268 Superior Court of Washington County of Juvenile Court Dependency of: D.O.B.: No : Dependency Petition 226 Extended Foster Care (DPP) I. Basis I represent to the court the following: 1.1 Youth alleged to be a dependent: male female Name Date of Birth Home Address 1.2 The dependency proceeding under cause number in the Juvenile court of county, was dismissed on (date). 1.3 Indian status: The youth was previously found dependent in a prior proceeding. The youth is 18 years old or older. The state and federal Indian Child Welfare Acts do not apply to this proceeding. Other: . 1.4 The youth requested extended foster care services while under 21 years of age. 1.5 The youth222s eligibility: The youth requested extended foster care services. The youth and DSHS/DCYF entered into a voluntary placement agreement on (date). The youth was placed in foster care under the agreement on (date). The youth agreed to entry of an Order of Dependency within 180 days of the placement in foster care. The youth requested extended foster care services from DSHS/DCYF on (date). DSHS/DCYF declined to enter into a voluntary placement agreement with the youth on (date). American LegalNet, Inc. www.FormsWorkFlow.com Dependency Petition 226 Extended Foster Care (DPP) 226 Page 2 of 3 WPF JU 03.1300 (06/2018) 226 RCW 13.34.267, .268 DSHS/DCYF did did not provide the youth with written documents required by RCW 13.34.268(1)(a), including the reasons DSHS/DCYF declined to enter into a voluntary placement with the youth and information about the youth222s right to ask for a dependency and the right for a lawyer to help make that request. 1.6 The youth must be appointed counsel under RCW 13.34.268, or has already been appointed counsel, and that appointment should continue. 1.7 Dependency: The youth should be declared a dependent according to RCW13.34.030(6). II. Allegations 2.1 The youth is eligible for extended foster care services because the youth is: not able to engage in any of the activities described below due to a documented medical condition. enrolled in a secondary education program (or its equivalency): . enrolled and participating in a postsecondary academic or vocational education program or has applied for and demonstrated that he or she intends to timely enroll in a postsecondary academic or vocational program: . participating in a program or activity designed to promote employment or remove barriers to employment: . employed for 80 hours or more per month: . 2.2 Foster care is in the youth222s best interests. III. Relief Requested I request that the court inquire into this matter and: 3.1 schedule a hearing to determine if the youth is eligible for extended foster care services; find the youth to be a dependent under RCW 13.34.030(6); and enter an Order of Dependency 226 Extended Foster Care. 3.2 appoint an attorney for the youth. Dated: Petitioner Type or Print Name/Title WSBA No. American LegalNet, Inc. www.FormsWorkFlow.com Dependency Petition 226 Extended Foster Care (DPP) 226 Page 3 of 3 WPF JU 03.1300 (06/2018) 226 RCW 13.34.267, .268 IV. Certification I declare under penalty of perjury under the laws of the State of Washington that the foregoing representations are true and correct. Signed at (city), Washington on (date). Signature Print Name American LegalNet, Inc. www.FormsWorkFlow.com