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Order Authorizing Continued Shelter Care Form. This is a Washington form and can be use in Juvenile Court Statewide.
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Tags: Order Authorizing Continued Shelter Care, JU 02.0220, Washington Statewide, Juvenile Court
SUPERIOR COURT OF WASHINGTON
COUNTY OF _______________________
JUVENILE COURT
Dependency of:
No:
ORDER AUTHORIZING CONTINUED
SHELTER CARE
(OACSC)
D.O.B.:
I. Basis
1.1
1.2
A Dependency Petition has been filed.
The child was taken into custody by a law enforcement officer pursuant to RCW 26.44.050.
The child was taken into custody pursuant to RCW 13.34.050.
A shelter care order was entered on _______________________ [date] and a new shelter care
order is needed pursuant to RCW 13.34.065(7)(a).
II. Findings
The court FINDS that there is reasonable cause to believe that the requirements of RCW 13.34.065 have
been satisfied and that the child should remain in shelter care pending the shelter care hearing scheduled
for _______________________ [date] or a shelter care hearing held upon the request of any party or by
the court.
III. Order
IT IS ORDERED that:
3.1
The child shall remain in shelter care under the supervision of ____________________________
[DSHS/Supervising Agency] which may authorize evaluations of the child’s physical or emotional
condition, routine medical and dental examination and care, and all necessary emergency care.
3.2
All previous orders shall remain in effect insofar as they are consistent with this order.
ORDER AUTH CONTINUED SHELTER CARE (OACSC) - Page 1 of 2
WPF JU 02.0220 (7/2007) - JuCR 2.1, 2.2, 2.5; RCW 13.34. 065
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3.3
Other:
Dated:
_______________________________________
JUDGE/COMMISSIONER
Presented by:
Signature
Print Name/Title
WSBA No.
Copy Received. Approved for entry, notice of presentation waived.
Signature of Child
Signature of Child’s Lawyer
Print Name
Signature of Mother
Pro Se, Advised of Right to Counsel
WSBA No.
Signature of Mother’s Lawyer
Print Name
Signature of Father
Pro Se, Advised of Right to Counsel
WSBA No.
Signature of Father’s Lawyer
Print Name
Signature of Guardian or Legal Custodian
Pro Se, Advised of Right to Counsel
WSBA No.
Signature of Guardian or Legal Custodian’s Lawyer
Print Name
WSBA No.
Signature of Child’s GAL
Signature of Lawyer for the Child’s GAL
Print Name
Print Name
WSBA No.
ORDER AUTH CONTINUED SHELTER CARE (OACSC) - Page 2 of 2
WPF JU 02.0220 (7/2007) - JuCR 2.1, 2.2, 2.5; RCW 13.34. 065
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Signature of Agency Representative
Signature of Agency Representative’s Lawyer
Print Name
Print Name
Signature of Tribal Representative
Signature
Print Name
Print Name
WSBA No.
Lawyer for _______________________
WSBA No.
ORDER AUTH CONTINUED SHELTER CARE (OACSC) - Page 3 of 2
WPF JU 02.0220 (7/2007) - JuCR 2.1, 2.2, 2.5; RCW 13.34. 065
American LegalNet, Inc.
www.FormsWorkflow.com
