Order Dismissing Dependency - Page 1 of 2 WPF JU 03.0650 (07/2018) 226 RCW 13.34.237. 13.34.267 Superior Court of Washington County of Juvenile Court Dependency of: D.O.B. No : Order Dismissing Dependency Clerk222s Action Required: See section III. for the docket code, and the box below. Additional Clerk222s Action Required: Enter the code(s) that apply. About today222s hearing: Was adequate and timely notice given to the child222s caregiver? Yes (CGATN) No (CGNATN) Did the court receive a caregiver report? Yes (CGRR) / No The caregiver appeared. Did the court give the caregiver an opportunity to be heard? Yes / No I. Basis This matter came before the court on (name) or DCYF222s motion for order to dismiss the dependency. II. Findings The court reviewed the motion, declarations, if any, and relevant court records and finds that dismissal is appropriate. III. Order ORDNE - The dependency has not been established and the petition is dismissed. The dependency in this cause number is dismissed because: ORDFE - The youth is 18 to 21 years of age and is not or is no longer eligible for extended foster care. ORDAO - The youth is 18 years of age and has not requested extended foster care. ORDYD - The youth is in extended foster care and he or she requests dismissal. ORDRH - The permanent plan of return home to the mother father has been achieved and court supervision is no longer needed. ORDPP - A parenting plan/residential schedule signed by the court has been entered in cause number . ORDTP - The permanency plan of third party custody was achieved and court supervision is no longer needed. American LegalNet, Inc. www.FormsWorkFlow.com Order Dismissing Dependency - Page 2 of 2 WPF JU 03.0650 (07/2018) 226 RCW 13.34.237. 13.34.267 ORDAD - The child was adopted. ORDFG - A Title 13 RCW guardianship was established as to the child. ORDOT - The child is deceased. ORDOTH - Other: . The review hearing set for (date) is stricken. Dated: Judge/Commissioner Presented by: Signature Print Name WSBA No. American LegalNet, Inc. www.FormsWorkFlow.com