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Here is the text we could read:

CHILD'S NAME:

CASE NUMBER:

JV-457

TWENTY-FOUR-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.25)

1. By a preponderance of the evidence, the return of the child to their parent or legal guardian would create a substantial risk of

detriment to the safety, protection, or physical or emotional well-being of the child. The factual basis for this conclusion is stated on
the record.

2. The child's out-of-home placement is necessary.

3. Reunification services are terminated.

The child is an Indian child or there is reason to know that the child is an Indian child, and as set out in detail in the record,

a. affirmative, active, thorough, and timely efforts

have not
rehabilitative programs designed to prevent the breakup of the Indian family;

have

been made to provide remedial services and

these efforts
and with accessing or developing the resources necessary to satisfy the case plan;

did not

did

include assisting the parent(s) or Indian custodian through the steps of the case plan

to the maximum extent possible, the efforts
social and cultural conditions and way of life of the child's tribe

were

were not

provided in a manner consistent with the prevailing

these efforts and the case plan
in partnership with the Indian child, the parents, extended family members, Indian custodians, and the tribe and utilized the
available resources of the Indian child's extended family, tribe, tribal and other Indian social service agencies, and individual
Indian caregiver service providers; and

been conducted and developed to the maximum extent possible

have not

have

the active efforts have proved

successful.

unsuccessful.

The child is an Indian child or

there is reason to know that the child is an Indian child, and

qualified expert witness testimony was provided by (name):

; and

evidence regarding the prevailing social and cultural practices of the child's tribe was provided; and

there is clear and convincing evidence that continued physical custody by the following person is likely to cause serious
emotional or physical damage to the child:

mother
Presumed father
Other (specify):

Biological father
Indian custodian

Legal guardian

Other (specify):

There has been a change in the child's placement, and the child is an Indian child or there is reason to know that the child is
an Indian child. Currently (choose one),

the child is placed with a member of the child's extended family as defined by section 1903 of the title 25 of the United
States Code; or

a diligent search was made for a placement with a member of the child's extended family, the efforts are documented in
detail in the record, and the child is placed in a foster home licensed, approved, or specified by the Indian child's tribe; or

a diligent search was made for a placement with a member of the child's extended family or in a foster home licensed,
approved, or specified by the Indian child's tribe; the efforts are documented in detail in the record; and the child is placed
in an Indian foster home licensed or approved by an authorized non-Indian licensing authority; or

a diligent search was made for a placement with a member of the child's extended family, in a foster home licensed,
approved, or specified by the Indian child's tribe, or in an Indian foster home licensed or approved by an authorized non-
Indian licensing authority; the efforts are documented in detail in the record; and the child is placed in an institution for
children approved by an Indian tribe or operated by an Indian organization that has a program suitable to meet the Indian
child's needs; or

the child is placed in accordance with the preferences established by the tribe; or

the court finds by clear and convincing evidence that there is good cause to depart from the placement preferences
based on the reasons set out in the record.

The child's current placement is appropriate.

Form Approved for Optional Use
Judicial Council of California
JV-457 [Rev. January 1, 2023]

TWENTY-FOUR-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.25)

Page 1 of 4

Welfare and Institutions Code, §§ 366.25, 16501.1;
Cal. Rules of Court, rules 5.708 and 5.722

a.
b.

CHILD'S NAME:

CASE NUMBER:

JV-457

For a child placed in a short-term residential therapeutic program or community treatment facility, the court has considered
the evidence and documentation submitted under Welf. & Inst. Code, § 366.1(l) when determining the continuing necessity
for and appropriateness of the placement.

The child has left their placement, and their whereabouts are unknown. Out-of-home placement continues to be necessary.
The placement
reasonable efforts to locate the child.

appropriate. The county agency

has not made

was not

was

has

10.

The child is currently detained in juvenile hall. Out-of-home placement continues to be necessary. The placement

was

was not

appropriate.

11.

The child's current placement is not appropriate. The county agency must locate an appropriate placement for the child.

The matter is continued to the date and time indicated in form JV-455, item 28, for a
report by the county agency on the progress made in locating an appropriate placement.
Other (specify):

written

oral

12.

The child is placed outside the state of California, and that out-of-state placement

continues to be the most appropriate placement for the child and is in the best interest of the child.
is no longer the most appropriate placement for the child and is not in the best interest of the child. The matter is
continued to the date and time indicated in form JV-455, item 28 for a
agency on the progress made toward

written

oral

report by the county

(1)
(2)

(3)

returning the child to California and locating an appropriate placement within California.
locating an out-of-state placement that is the most appropriate placement for the child and in the best
interest of the child.
Other (specify):

Selection of permanent plan

13. The county agency

has

has not

could be placed. Each relative whose name has been submitted to the agency

exercised due diligence to locate an appropriate relative with whom the child
has

been evaluated.

has not

14.

By clear and convincing evidence, there is a compelling reason for determining that a hearing under Welf. & Inst.
Code, § 366.26 is not in the best interest of the child because the child is not a proper subject for adoption at this time and
a potential legal guardian has not been identified.

The child's permanent plan is permanent placement with (name):
The likely date by which the child's permanent plan will be achieved is (date):

The child is ordered to remain in foster care with a permanent plan of

a fit and willing relative.

(1)
(2)
(3)
(4)
(5)

return home.
adoption.
tribal customary adoption.
legal guardianship.
placement with a fit and willing relative.

The child is 16 years of age or older, there is a compelling reason that no other preferred permanent plan is in the
child's best interest, and the child is ordered placed in another planned permanent living arrangement with ongoing
and intensive efforts to:

return home.
place for adoption.
Other(specify):

establish legal guardianship.
place with a relative.

The likely date by which the child's permanent plan will be achieved is (date):

The court finds that the barriers to achieving the child's permanent plans are (describe):

JV-457 [Rev. January 1, 2023]

Page 2 of 4

TWENTY-FOUR-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.25)

CHILD'S NAME:

CASE NUMBER:

JV-457

15.

For a child 16 years of age or older placed in another planned permanent living arrangement:

a. The court asked the child where the child wants to live, and the child provided the following information (describe):

b. The court has considered the evidence before it and finds that another planned permanent living arrangement is the best

permanent plan because (describe):

c. The compelling reasons why the other permanent plan options are not in the child's best interest are (describe):

16.

a. The matter is ordered set for hearing under Welf. & Inst. Code, § 366.26 to select the most appropriate

permanent plan for the child.

guardian, or Indian custodian.

b. By clear and convincing evidence, reasonable services have been provided or offered to the child's parents, legal

c. The county agency and the licensed county adoption agency or the California Department of Social Services, acting as
an adoption agency, will prepare and serve an assessment report as described in Welf. & Inst. Code, § 366.25(b).

d. The court advised all parties present in court that to preserve any right to review on appeal of this order, a party must

seek an extraordinary writ by filing a notice of intent to file a writ petition and a request for the record, which may be
submitted on Notice of Intent to File Writ Petition and Request for Record to Review Order Setting a Hearing Under
Welfare and Institutions Code Section 366.26 (California Rules of Court, Rule 8.450) (form JV-820), and a petition for
extraordinary writ, which may be submitted on Petition for Extraordinary Writ (form JV-825). A copy of each form is
available in the courtroom. The court advised all parties present in court that, as to them, a notice of intent to file a writ
petition and request for record must be filed with the juvenile court clerk within seven days of the date of this hearing.
The clerk of the court must provide written notice as stated in rule 5.590(b)(2) of the California Rules of Court to any
party not present.

e. The court advised each parent present in court of the date, time, and place of the hearing set under Welf. & Inst. Code,

§ 366.26; their right to counsel; the nature of the proceedings; and the requirement that at the proceedings the court must
select and implement a plan of adoption, guardianship, placement with a fit and willing relative, or another planned
permanent living arrangement, or, in the case of an Indian child, in consultation with the child's tribe, tribal customary
adoption for the child. The court ordered each parent present in court to appear for the hearing set under Welf. & Inst.
Code, § 366.26 and directed that each parent be notified hereafter by first-class mail to their usual place of residence or
business only.

The court orders that no notice of the hearing set under Welf. & Inst. Code, § 366.26 be provided to the person
named below, who is a mother, a presumed father, or an alleged father and who has relinquished the child for
adoption where the relinquishment has been accepted and filed with notice under Family Code, § 8700, or an
alleged father who has denied paternity and has executed section 2 of Statement Regarding Parentage (form
JV-505).

(1)

(name):

(2)

(name):

(3)

(name):

(4)

(name):

g. The likely date by which the child may be placed for adoption, tribal customary adoption, legal guardianship, or with a fit

and willing relative is (date):

JV-457 [Rev. January 1, 2023]

Page 3 of 4

TWENTY-FOUR-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.25)

CHILD'S NAME:

CASE NUMBER:

JV-457

Important individuals

17.

Child is 10 years of age or older

The county agency has made reasonable efforts to identify individuals who are important to the child and to
maintain the child's relationships with those individuals, consistent with the child's best interest.

The county agency has not made reasonable efforts to identify individuals who are important to the child and to
maintain the child's relationships with those individuals, consistent with the child's best interest.

To identify individuals who are important to the child and to maintain the child's relationships with those
individuals, the county agency must provide the services

(1)
(2)

as stated on the record.
as follows:

Health

18.

The

mother
presumed father
Other (specify):

biological father
legal guardian

Indian custodian
Other (specify):

unable

is
surgical, dental, or other remedial care, and the right to make these decisions is suspended under Welf. & Inst. Code, § 369
and vested with the county agency.

to make decisions regarding the child's needs for medical,

unavailable

unwilling

JV-457 [Rev. January 1, 2023]

Page 4 of 4

TWENTY-FOUR-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES TERMINATED
(Welf. & Inst. Code, § 366.25)

Twenty-four-Month Permanency Attachment: Reunification Services Terminated (Welf. & Inst. Code, § 366.25)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 4
Fields(s): 121
Average fields per page: 30
Reading Level: Grade 11
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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j_v_page_pg_case_number was JV-457[0].Page1[0].headerPg1[0].casenum[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_item_cb__1 was JV-457[0].Page1[0].item4[0].item4_cb[0] (0.35 conf)
j_v_page_item_cb__2 was JV-457[0].Page1[0].item4[0].item4a[0].have_cb[0] (0.35 conf)
j_v_page_item_cb__3 was JV-457[0].Page1[0].item4[0].item4a[0].have_cb[1] (0.35 conf)
j_v_page_item_b_cb__1 was JV-457[0].Page1[0].item4[0].item4b[0].did_cb[0] (0.35 conf)
j_v_page_item_b_cb__2 was JV-457[0].Page1[0].item4[0].item4b[0].did_cb[1] (0.35 conf)
j_v_page_item_c_cb__1 was JV-457[0].Page1[0].item4[0].item4c[0].were_cb[0] (0.35 conf)
j_v_page_item_c_cb__2 was JV-457[0].Page1[0].item4[0].item4c[0].were_cb[1] (0.35 conf)
j_v_page_item_cb__4 was JV-457[0].Page1[0].item4[0].item4d[0].have_cb1[0] (0.35 conf)
j_v_page_item_cb__5 was JV-457[0].Page1[0].item4[0].item4d[0].have_cb1[1] (0.35 conf)
j_v_page_item_e_ch__1 was JV-457[0].Page1[0].item4[0].item4e[0].Ch1[0] (0.32 conf)
j_v_page_item_e_ch__2 was JV-457[0].Page1[0].item4[0].item4e[0].Ch1[1] (0.32 conf)
j_v_page_item_indian_child__1 was JV-457[0].Page1[0].item5[0].IndianChild5[0] (0.33 conf)
j_v_page_item_indian_child__2 was JV-457[0].Page1[0].item5[0].IndianChild5[1] (0.33 conf)
j_v_page_item_cb__6 was JV-457[0].Page1[0].item5[0].item5a[0].item5a_cb[0] (0.35 conf)
j_v_page_item_name_tf was JV-457[0].Page1[0].item5[0].item5a[0].name_tf[0] (0.35 conf)
j_v_page_item_b_cb__3 was JV-457[0].Page1[0].item5[0].item5b[0].item5b_cb[0] (0.35 conf)
j_v_page_item_c_cb__3 was JV-457[0].Page1[0].item5[0].item5c[0].item5c_cb[0] (0.35 conf)
j_v_item_c_choices_mother was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].Mother_cb[0] (0.31 conf)
j_v_item_c_choices__1 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].biologicalfather_cb[0] (0.35 conf)
j_v_page_item_c_choices was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].legalguardian_cb[0] (0.35 conf)
j_v_item_c_choices__2 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].presumedfather_cb[0] (0.35 conf)
j_v_item_c_choices__3 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].indiancustodian_cb[0] (0.35 conf)
j_v_item_c_choices_area__1 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].#area[0].otherspecify_cb1[0] (0.35 conf)
j_v_item_c_choices_area__2 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].#area[0].otherspecify_tf1[0] (0.35 conf)
j_v_item_c_choices_area__3 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].#area[1].otherspecify_cb[0] (0.35 conf)
j_v_item_c_choices_area__4 was JV-457[0].Page1[0].item5[0].item5c[0].choices[0].#area[1].otherspecify_tf[0] (0.35 conf)
j_v_page_item_cb__7 was JV-457[0].Page1[0].item6[0].item6_cb[0] (0.35 conf)
j_v_page_item_cb__8 was JV-457[0].Page1[0].item6[0].item6a[0].item6a_cb[0] (0.35 conf)
j_v_page_item_b_cb__4 was JV-457[0].Page1[0].item6[0].item6b[0].item6a_cb[0] (0.35 conf)
j_v_page_item_c_cb__4 was JV-457[0].Page1[0].item6[0].item6c[0].item6a_cb[0] (0.35 conf)
j_v_page_item_cb__9 was JV-457[0].Page1[0].item6[0].item6d[0].item6a_cb[0] (0.35 conf)
j_v_page_item_e_cb was JV-457[0].Page1[0].item6[0].item6e[0].item6a_cb[0] (0.35 conf)
j_v_page_item_f_cb__1 was JV-457[0].Page1[0].item6[0].item6f[0].item6a_cb[0] (0.35 conf)
j_v_page_item_cb__10 was JV-457[0].Page1[0].item7[0].item7_cb[0] (0.35 conf)
j_v_page_party_ft__1 was JV-457[0].Page2[0].headerpg2[0].childsname[0].Party1_ft[0] (0.32 conf)
j_v_page_case_number_ft__1 was JV-457[0].Page2[0].headerpg2[0].casenum[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_item_cb__11 was JV-457[0].Page2[0].item8[0].item19_cb[0] (0.35 conf)
j_v_page_item_cb__12 was JV-457[0].Page2[0].item9[0].item19_cb[0] (0.35 conf)
j_v_page_item_waswasnot__1 was JV-457[0].Page2[0].item9[0].waswasnot[0] (0.35 conf)
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j_v_page_item_waswasnot__4 was JV-457[0].Page2[0].item10[0].waswasnot2[1] (0.35 conf)
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j_v_page_item_cb__15 was JV-457[0].Page2[0].item11[0].item11a[0].item8a_cb[0] (0.35 conf)
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j_v_page_item_oral was JV-457[0].Page2[0].item11[0].item11a[0].oral11[0] (0.35 conf)
j_v_page_item_b_cb__5 was JV-457[0].Page2[0].item11[0].item11b[0].item8b_cb[0] (0.35 conf)
j_v_page_item_b_specify_tf__1 was JV-457[0].Page2[0].item11[0].item11b[0].OtherSpecify_tf[0] (0.34 conf)
j_v_page_item_cb__16 was JV-457[0].Page2[0].item12[0].item9_cb[0] (0.35 conf)
j_v_page_item_cb__17 was JV-457[0].Page2[0].item12[0].item12a[0].item9a_cb[0] (0.35 conf)
j_v_page_item_b_cb__6 was JV-457[0].Page2[0].item12[0].item12b[0].item9a_cb[0] (0.35 conf)
j_v_page_item_b_written_cb was JV-457[0].Page2[0].item12[0].item12b[0].written_cb12[0] (0.35 conf)
j_v_page_item_b_oral was JV-457[0].Page2[0].item12[0].item12b[0].oral12[0] (0.35 conf)
j_v_page_item_b_cb__7 was JV-457[0].Page2[0].item12[0].item12b[0].item12b1[0].item9b1_cb[0] (0.35 conf)
j_v_page_item_b_cb__8 was JV-457[0].Page2[0].item12[0].item12b[0].item12b2[0].item9b2_cb[0] (0.35 conf)
j_v_page_item_b_cb__9 was JV-457[0].Page2[0].item12[0].item12b[0].item12b3[0].item9b3_cb[0] (0.35 conf)
j_v_page_item_b_specify_tf__2 was JV-457[0].Page2[0].item12[0].item12b[0].item12b3[0].OtherSpecify_tf[0] (0.34 conf)
j_v_page_item_cb__18 was JV-457[0].Page2[0].item13[0].has_cb2[0] (0.35 conf)
j_v_page_item_cb__19 was JV-457[0].Page2[0].item13[0].has_cb2[1] (0.35 conf)
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j_v_page_item_cb__21 was JV-457[0].Page2[0].item13[0].has_cb3[1] (0.35 conf)
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j_v_page_item_b_cb__10 was JV-457[0].Page2[0].item14[0].item14b[0].item11b1_cb[0] (0.35 conf)
j_v_page_item_b_cb__11 was JV-457[0].Page2[0].item14[0].item14b[0].item11b1_cb[1] (0.35 conf)
j_v_page_item_b_cb__12 was JV-457[0].Page2[0].item14[0].item14b[0].item11b1_cb[2] (0.35 conf)
j_v_page_item_b_cb__13 was JV-457[0].Page2[0].item14[0].item14b[0].item11b1_cb[3] (0.35 conf)
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j_v_page_item_c_cb__6 was JV-457[0].Page2[0].item14[0].item14c[0].returnhome_cb[1] (0.35 conf)
j_v_page_item_c_cb__7 was JV-457[0].Page2[0].item14[0].item14c[0].returnhome_cb[2] (0.35 conf)
j_v_page_item_c_cb__8 was JV-457[0].Page2[0].item14[0].item14c[0].returnhome_cb[3] (0.35 conf)
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j_v_page_case_number_ft__2 was JV-457[0].Page3[0].headerpg3[0].casenum[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_item_cb__23 was JV-457[0].Page3[0].item15[0].item12_cb[0] (0.35 conf)
j_v_page_item_textfield_tf__2 was JV-457[0].Page3[0].item15[0].A[0].textfield_tf[0] (0.32 conf)
j_v_page_item_b_textfield_tf was JV-457[0].Page3[0].item15[0].B[0].textfield_tf[0] (0.32 conf)
j_v_page_item_c_textfield_tf was JV-457[0].Page3[0].item15[0].C[0].textfield_tf[0] (0.32 conf)
j_v_page_item_checkbox was JV-457[0].Page3[0].item16[0].A[0].Checkbox16[0] (0.30 conf)
j_v_page_item_f_cb__2 was JV-457[0].Page3[0].item16[0].F[0].item13f_cb[0] (0.32 conf)
j_v_page_item_f_name__1 was JV-457[0].Page3[0].item16[0].F[0].name1[0] (0.32 conf)
j_v_page_item_f_name__2 was JV-457[0].Page3[0].item16[0].F[0].name2[0] (0.32 conf)
j_v_page_item_f_name__3 was JV-457[0].Page3[0].item16[0].F[0].name3[0] (0.32 conf)
j_v_page_item_f_name__4 was JV-457[0].Page3[0].item16[0].F[0].name4[0] (0.32 conf)
j_v_page_item_g_date was JV-457[0].Page3[0].item16[0].G[0].date[0] (0.32 conf)
j_v_page_party_ft__3 was JV-457[0].Page4[0].headerpg4[0].childsname[0].Party1_ft[0] (0.32 conf)
j_v_page_case_number_ft__3 was JV-457[0].Page4[0].headerpg4[0].casenum[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_item_cb__24 was JV-457[0].Page4[0].item17[0].item14_cb[0] (0.35 conf)
j_v_page_item_importantindiv was JV-457[0].Page4[0].item17[0].A[0].importantindiv17[0] (0.32 conf)
j_v_page_item_b_importantindiv was JV-457[0].Page4[0].item17[0].B[0].importantindiv17[0] (0.32 conf)
j_v_page_item_c_identify was JV-457[0].Page4[0].item17[0].C[0].identify[0] (0.32 conf)
j_v_page_item_c_asstated was JV-457[0].Page4[0].item17[0].C[0].asstated[0] (0.32 conf)
j_v_page_item_c_asfollows was JV-457[0].Page4[0].item17[0].C[0].asfollows[0] (0.32 conf)
j_v_page_item_c_specify_tf was JV-457[0].Page4[0].item17[0].C[0].OtherSpecify_tf[0] (0.31 conf)
j_v_page_item was JV-457[0].Page4[0].item18[0].the[0] (0.35 conf)
j_v_page_item_mother_cb was JV-457[0].Page4[0].item18[0].mother_cb[0] (0.35 conf)
j_v_page_item_cb__25 was JV-457[0].Page4[0].item18[0].biologicalfather_cb[0] (0.35 conf)
j_v_page_item_cb__26 was JV-457[0].Page4[0].item18[0].indiancustodian_cb[0] (0.35 conf)
j_v_page_item_cb__27 was JV-457[0].Page4[0].item18[0].presumedfather_cb[0] (0.35 conf)
j_v_page_item_legalguardian_cb was JV-457[0].Page4[0].item18[0].legalguardian_cb[0] (0.35 conf)
j_v_page_item_otherspecify_cb__1 was JV-457[0].Page4[0].item18[0].otherspecify_cb1[0] (0.35 conf)
j_v_page_item_otherspecify_tf__1 was JV-457[0].Page4[0].item18[0].otherspecify_tf1[0] (0.35 conf)
j_v_page_item_otherspecify_cb__2 was JV-457[0].Page4[0].item18[0].otherspecify_cb[0] (0.35 conf)
j_v_page_item_otherspecify_tf__2 was JV-457[0].Page4[0].item18[0].otherspecify_tf[0] (0.35 conf)
j_v_page_item_unable_cb was JV-457[0].Page4[0].item18[0].unable_cb[0] (0.35 conf)
j_v_page_item_unwilling_cb was JV-457[0].Page4[0].item18[0].unwilling_cb[0] (0.35 conf)
j_v_page_item_unavailable_cb was JV-457[0].Page4[0].item18[0].unavailable_cb[0] (0.35 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

j_v_page_pg_party_ft
j_v_page_pg_case_number
j_v_page_item_cb__1
j_v_page_item_cb__2
j_v_page_item_cb__3
j_v_page_item_b_cb__1
j_v_page_item_b_cb__2
j_v_page_item_c_cb__1
j_v_page_item_c_cb__2
j_v_page_item_cb__4
j_v_page_item_cb__5
j_v_page_item_e_ch__1
j_v_page_item_e_ch__2
j_v_page_item_indian_child__1
j_v_page_item_indian_child__2
j_v_page_item_cb__6
j_v_page_item_name_tf
j_v_page_item_b_cb__3
j_v_page_item_c_cb__3
j_v_item_c_choices_mother
j_v_item_c_choices__1
j_v_page_item_c_choices
j_v_item_c_choices__2
j_v_item_c_choices__3
j_v_item_c_choices_area__1
j_v_item_c_choices_area__2
j_v_item_c_choices_area__3
j_v_item_c_choices_area__4
j_v_page_item_cb__7
j_v_page_item_cb__8
j_v_page_item_b_cb__4
j_v_page_item_c_cb__4
j_v_page_item_cb__9
j_v_page_item_e_cb
j_v_page_item_f_cb__1
j_v_page_item_cb__10
j_v_page_party_ft__1
j_v_page_case_number_ft__1
j_v_page_item_cb__11
j_v_page_item_cb__12
j_v_page_item_waswasnot__1
j_v_page_item_waswasnot__2
j_v_page_item_hashasnot__1
j_v_page_item_hashasnot__2
j_v_page_item_cb__13
j_v_page_item_waswasnot__3
j_v_page_item_waswasnot__4
j_v_page_item_cb__14
j_v_page_item_cb__15
j_v_page_item_written_cb
j_v_page_item_oral
j_v_page_item_b_cb__5
j_v_page_item_b_specify_tf__1
j_v_page_item_cb__16
j_v_page_item_cb__17
j_v_page_item_b_cb__6
j_v_page_item_b_written_cb
j_v_page_item_b_oral
j_v_page_item_b_cb__7
j_v_page_item_b_cb__8
j_v_page_item_b_cb__9
j_v_page_item_b_specify_tf__2
j_v_page_item_cb__18
j_v_page_item_cb__19
j_v_page_item_cb__20
j_v_page_item_cb__21
j_v_page_item_cb__22
j_v_page_item_placement
j_v_page_item_name
j_v_page_item_date
j_v_page_item_b_placement
j_v_page_item_b_cb__10
j_v_page_item_b_cb__11
j_v_page_item_b_cb__12
j_v_page_item_b_cb__13
j_v_page_item_b_cb__14
j_v_page_item_c_placement
j_v_page_item_c_cb__5
j_v_page_item_c_cb__6
j_v_page_item_c_cb__7
j_v_page_item_c_cb__8
j_v_item_c_area_cb
j_v_page_item_c_area
j_v_page_item_c_date_field
j_v_page_item_c_cb__9
j_v_page_item_textfield_tf__1
j_v_page_party_ft__2
j_v_page_case_number_ft__2
j_v_page_item_cb__23
j_v_page_item_textfield_tf__2
j_v_page_item_b_textfield_tf
j_v_page_item_c_textfield_tf
j_v_page_item_checkbox
j_v_page_item_f_cb__2
j_v_page_item_f_name__1
j_v_page_item_f_name__2
j_v_page_item_f_name__3
j_v_page_item_f_name__4
j_v_page_item_g_date
j_v_page_party_ft__3
j_v_page_case_number_ft__3
j_v_page_item_cb__24
j_v_page_item_importantindiv
j_v_page_item_b_importantindiv
j_v_page_item_c_identify
j_v_page_item_c_asstated
j_v_page_item_c_asfollows
j_v_page_item_c_specify_tf
j_v_page_item
j_v_page_item_mother_cb
j_v_page_item_cb__25
j_v_page_item_cb__26
j_v_page_item_cb__27
j_v_page_item_legalguardian_cb
j_v_page_item_otherspecify_cb__1
j_v_page_item_otherspecify_tf__1
j_v_page_item_otherspecify_cb__2
j_v_page_item_otherspecify_tf__2
j_v_page_item_unable_cb
j_v_page_item_unwilling_cb
j_v_page_item_unavailable_cb

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