Or on Review Hrg re PT Reinst. (ORRVH/ORDSM) - Page 1 of 3 WPF JU 04.0810 (07/2018) - RCW 13.34.215 Superior Court of Washington County of Juvenile Court In Re: D.O.B.: No: Order on Review Hearing re Petition for Reinstatement of Terminated Parental Rights Order on Review Hearing (ORRVH) Dismiss (ORDSM) Clerk222s Action Required : Paragraphs 3.1, 3.2, 3.3 I. Basis 1.1 The court held a review hearing in this matter on [date]. 1.2 The following persons were present: Child Child's Lawyer Child's Guardian ad Litem Guardian ad Litem's Lawyer Mother Mother's Lawyer Father Father's Lawyer DCYF DCYF222s Lawyer Tribal Representative Current Caregiver Interpreter for mother father Other other II. Findings 2.1 The court granted, conditionally, a petition for reinstatement of terminated parental rights, and temporarily reinstated the parent222s rights. On [date], the court signed an order placing the child with his or her parent(s) for a six month period. 2.2 DCYF did did not develop a permanency plan for reunification of the child with his or her parent(s). 2.3 DCYF did did not provide court-ordered transitional services to the family. 2.4 The child222s placement with his or her parent(s) for the conditional six month period was was not successful. American LegalNet, Inc. www.FormsWorkFlow.com Or on Review Hrg re PT Reinst. (ORRVH/ORDSM) - Page 2 of 3 WPF JU 04.0810 (07/2018) - RCW 13.34.215 2.5 Other III. Order 3.1 The court grants the petition by separate order. 3.2 The petition for reinstatement of terminated parental rights is dismissed. 3.3 Other: Dated: Judge/Commissioner Presented by: Signature Print Name WSBA No. Copy Received; Approved for Entry; Notice of Presentation Waived: Signature of Child Signature of Child222s Lawyer Print Name WSBA No. Signature of Child222s Guardian ad Litem Signature of Lawyer for the Guardian ad Litem Print Name Print Name WSBA No. Signature of Mother Signature of Mother222s Lawyer Print Name WSBA No. Signature of Father Signature of Father222s Lawyer Print Name WSBA No. American LegalNet, Inc. www.FormsWorkFlow.com Or on Review Hrg re PT Reinst. (ORRVH/ORDSM) - Page 3 of 3 WPF JU 04.0810 (07/2018) - RCW 13.34.215 Signature of DCYF Representative Signature of DCYF Representative222s Lawyer Print Name Print Name WSBA No. Signature of Tribal Representative Signature Print Name Print Name WSBA No. Lawyer for American LegalNet, Inc. www.FormsWorkFlow.com