NT and Summons by Pub (Dep)(SMPB) - Page 1 of 1 WPF JU 03.0230 (07/2018) 226 13.34.080 Superior Court of Washington County of Juvenile Court Dependency of: D.O.B.: N o : Notice and Summons by Publication (Dependency) (SMPB) (Optional Use) To: , Father A Dependency Petition was filed on (Date); A Fact Finding hearing will be held on this matter on: at a.m./p.m. at . You should be present at this hearing. The hearing will determine if your child is dependent as defined in RCW 13.34.030(6). This begins a judicial process which could result in permanent loss of your parental rights. If you do not appear at the hearing, the court may enter a dependency order in your absence. To request a copy of the Notice, Summons, and Dependency Petition, call DCYF at . To view information about your rights, including right to a lawyer, go to www.atg.wa.gov/DPY.aspx . Dated: , by , County Clerk. American LegalNet, Inc. www.FormsWorkFlow.com