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Here is the text we could read:

CHILD'S NAME:

CASE NUMBER:

JV-437

TWELVE-MONTH PERMANENCY ATTACHMENT: REUNIFICATION SERVICES CONTINUED
(Welf. & Inst. Code, § 366.21(f))

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.

The child's current placement is appropriate.

Placement

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'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-435, item 28, for a
report by the county agency on the progress made in locating an appropriate placement.

written

oral

Other (specify):

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

appropriate. The county agency

was not

has not

was

has

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

was

was not

appropriate.

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 25 U.S.C. § 1903; 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.

Form Approved for Optional Use
Judicial Council of California
JV-437 [Rev. January 1, 2023]

TWELVE-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES CONTINUED
(Welf. & Inst. Code, § 366.21(f))

Page 1 of 3

42 United States Code § 675;
Welfare and Institutions Code, §§ 366.21(f), 16501.1;
Cal. Rules of Court, rules 5.708 and 5.715

CHILD'S NAME:

CASE NUMBER:

JV-437

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

a.
b.

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-435, item 28, for a
report by the
county agency on the progress made toward

written

oral

(1)
(2)

(3)

Other (specify):

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.

Reunification services

10.

There is substantial probability that the child may be returned to the

mother
presumed father
Other (specify):

biological father
legal guardian

Indian custodian
Other (specify):

by the date set for the 18-month permanency hearing under Welf. & Inst. Code, § 366.22 because the person has

(1) made significant progress in resolving the problems that led to the removal;

(2) demonstrated the capacity and ability to complete the objectives of the treatment plan and to provide for the safety,

protection, physical and emotional health, and special needs of the child; and

(3) consistently and regularly contacted and visited the child.

Reasonable services have not been provided to the

mother
presumed father
Other (specify):

biological father
legal guardian

Indian custodian
Other (specify):

11. Reunification services are continued for the

biological father
legal guardian

Indian custodian
Other (specify):

mother
presumed father
Other (specify):

a.
b.

as previously ordered.
as modified

(1)
(2)

on the record.
in the case plan.

Important individuals
13.

Child 10 years of age or older

12.

The likely date by which the child may be returned to and safely maintained in the home or another permanent plan selected
is (date):

The county agency has made 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 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:

JV-437 [Rev. January 1, 2023]

Page 2 of 3

TWELVE-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES CONTINUED
(Welf. & Inst. Code, § 366.21(f))

CASE NUMBER:

JV-437

CHILD'S NAME:

Health

14.

The

Advisement

mother
presumed father
Other (specify):
unable

biological father
legal guardian

Indian custodian
Other (specify):

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

15. The court informed all parties present at the time of the hearing and further advises all parties that if the child is not returned to the
home at the 18-month permanency hearing set on a date within 18 months from the date the child was initially removed from their
home, the case may be referred to a selection and implementation hearing under Welf. & Inst. Code, § 366.26 that may result in
the termination of parental rights and adoption of the child and other members of the sibling group or, in the case of an
Indian child for whom tribal customary adoption under Welf. & Inst. Code, § 366.24 is selected as the permanent plan goal,
modification of parental rights and the adoption of the child and other members of the sibling group.

Eighteen-month permanency hearing date:

JV-437 [Rev. January 1, 2023]

Page 3 of 3

TWELVE-MONTH PERMANENCY ATTACHMENT:
REUNIFICATION SERVICES CONTINUED
(Welf. & Inst. Code, § 366.21(f))

Twelve-Month Permanency Attachment: Reunification Services Continued (Welf. & Inst. Code, § 366.21(f))

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): 3
Fields(s): 93
Average fields per page: 31
Reading Level: Grade 10
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.

j_v_page_childsname_party_ft was JV-437[0].Page1[0].childsname1[0].Party1_ft[0] (0.47 conf)
j_v_page_case_number_ft__1 was JV-437[0].Page1[0].casenum1[0].CaseNumber_ft[0] (0.34 conf)
j_v_page_item_placement__1 was JV-437[0].Page1[0].item3[0].placement3_5[0] (0.35 conf)
j_v_page_item_area_text was JV-437[0].Page1[0].item4[0].#area[0].text14[0] (0.35 conf)
j_v_page_item_placement__2 was JV-437[0].Page1[0].item5[0].placement3_5[0] (0.35 conf)
j_v_page_item_cb__1 was JV-437[0].Page1[0].item5[0].item4a_cb[0] (0.35 conf)
j_v_page_item_r_b_choice__1 was JV-437[0].Page1[0].item5[0].RB2Choice2[0] (0.32 conf)
j_v_page_item_r_b_choice__2 was JV-437[0].Page1[0].item5[0].RB2Choice2[1] (0.32 conf)
j_v_page_item_b_cb__1 was JV-437[0].Page1[0].item5[0].item4b_cb[0] (0.35 conf)
j_v_page_item_specify_tf__1 was JV-437[0].Page1[0].item5[0].OtherSpecify_tf[0] (0.34 conf)
j_v_page_item_area_tx was JV-437[0].Page1[0].item6[0].#area[0].tx17[0] (0.35 conf)
j_v_page_item_area_waswasnot__1 was JV-437[0].Page1[0].item6[0].#area[1].waswasnot6[0] (0.35 conf)
j_v_page_item_area_waswasnot__2 was JV-437[0].Page1[0].item6[0].#area[2].waswasnot6[1] (0.35 conf)
j_v_page_item_area_hashasnot__1 was JV-437[0].Page1[0].item6[0].#area[3].hashasnot6[0] (0.35 conf)
j_v_page_item_area_hashasnot__2 was JV-437[0].Page1[0].item6[0].#area[4].hashasnot6[1] (0.35 conf)
j_v_page_item_area_cb__1 was JV-437[0].Page1[0].item7[0].#area[0].item19_cb[0] (0.35 conf)
j_v_page_item_area_waswasnot__3 was JV-437[0].Page1[0].item7[0].#area[1].waswasnot7[0] (0.35 conf)
j_v_page_item_area_waswasnot__4 was JV-437[0].Page1[0].item7[0].#area[2].waswasnot7[1] (0.35 conf)
j_v_page_item_cb__2 was JV-437[0].Page1[0].item8[0].item5_cb[0] (0.35 conf)
j_v_page_item_currentplacement__1 was JV-437[0].Page1[0].item8[0].currentplacement8[0] (0.35 conf)
j_v_page_item_currentplacement__2 was JV-437[0].Page1[0].item8[0].currentplacement8[1] (0.35 conf)
j_v_page_item_currentplacement__3 was JV-437[0].Page1[0].item8[0].currentplacement8[2] (0.35 conf)
j_v_page_item_currentplacement__4 was JV-437[0].Page1[0].item8[0].currentplacement8[3] (0.35 conf)
j_v_page_item_currentplacement__5 was JV-437[0].Page1[0].item8[0].currentplacement8[4] (0.35 conf)
j_v_page_item_currentplacement__6 was JV-437[0].Page1[0].item8[0].currentplacement8[5] (0.35 conf)
j_v_page_title_party_name_ft__1 was JV-437[0].Page2[0].TitlePartyName[0].Party1_ft[0] (0.31 conf)
j_v_page_case_number_ft__2 was JV-437[0].Page2[0].CaseNumber[0].CaseNumber_ft[0] (0.31 conf)
j_v_page_item_cb__3 was JV-437[0].Page2[0].item9[0].item6_cb[0] (0.35 conf)
j_v_page_item_outofstate__1 was JV-437[0].Page2[0].item9[0].outofstate9[0] (0.35 conf)
j_v_page_item_outofstate__2 was JV-437[0].Page2[0].item9[0].outofstate9[1] (0.35 conf)
j_v_page_item_r_b_choice__3 was JV-437[0].Page2[0].item9[0].RB2Choice2_9a[0] (0.32 conf)
j_v_page_item_r_b_choice__4 was JV-437[0].Page2[0].item9[0].RB2Choice2_9a[1] (0.32 conf)
j_v_page_item_b_cb__2 was JV-437[0].Page2[0].item9[0].item6b1_cb[0] (0.35 conf)
j_v_page_item_b_cb__3 was JV-437[0].Page2[0].item9[0].item6b2_cb[0] (0.35 conf)
j_v_page_item_b_cb__4 was JV-437[0].Page2[0].item9[0].item6b3_cb[0] (0.35 conf)
j_v_page_item_specify_tf__2 was JV-437[0].Page2[0].item9[0].OtherSpecify_tf[0] (0.34 conf)
j_v_page_item_cb__4 was JV-437[0].Page2[0].item10[0].item10a[0].item7a_cb[0] (0.35 conf)
j_v_page_item_mother_cb__1 was JV-437[0].Page2[0].item10[0].item10a[0].Mother_cb10a[0] (0.31 conf)
j_v_page_item_cb__5 was JV-437[0].Page2[0].item10[0].item10a[0].biologicalfather_cb[0] (0.35 conf)
j_v_page_item_cb__6 was JV-437[0].Page2[0].item10[0].item10a[0].indiancustodian_cb[0] (0.35 conf)
j_v_page_item_cb__7 was JV-437[0].Page2[0].item10[0].item10a[0].presumedfather_cb[0] (0.35 conf)
j_v_page_item_legalguardian_cb__1 was JV-437[0].Page2[0].item10[0].item10a[0].legalguardian_cb[0] (0.35 conf)
j_v_page_item_area_cb__2 was JV-437[0].Page2[0].item10[0].item10a[0].#area[0].otherspecify_cb10[0] (0.35 conf)
j_v_page_item_area_otherspecify_tf__1 was JV-437[0].Page2[0].item10[0].item10a[0].#area[0].otherspecify_tf10[0] (0.35 conf)
j_v_page_item_area_cb__3 was JV-437[0].Page2[0].item10[0].item10a[0].#area[1].otherspecify_cb[0] (0.35 conf)
j_v_page_item_area_otherspecify_tf__2 was JV-437[0].Page2[0].item10[0].item10a[0].#area[1].otherspecify_tf[0] (0.35 conf)
j_v_page_item_b_cb__5 was JV-437[0].Page2[0].item10[0].item10b[0].item7b_cb[0] (0.35 conf)
j_v_page_item_b_mother_cb was JV-437[0].Page2[0].item10[0].item10b[0].Mother_cb10[0] (0.31 conf)
j_v_page_item_b_cb__6 was JV-437[0].Page2[0].item10[0].item10b[0].biologicalfather_cb10[0] (0.35 conf)
j_v_page_item_b_indn_custdn_cb was JV-437[0].Page2[0].item10[0].item10b[0].Indn_custdn_cb[0] (0.32 conf)
j_v_page_item_b_father_cb was JV-437[0].Page2[0].item10[0].item10b[0].PrsmdFather_cb[0] (0.28 conf)
j_v_page_item_b_legal_cb was JV-437[0].Page2[0].item10[0].item10b[0].LegalGrdn_cb[0] (0.38 conf)
j_v_page_item_b_area_cb__1 was JV-437[0].Page2[0].item10[0].item10b[0].#area[0].OtherSpfy_cb10[0] (0.33 conf)
j_v_page_item_b_area_field__1 was JV-437[0].Page2[0].item10[0].item10b[0].#area[0].TextField10[0] (0.31 conf)
j_v_page_item_b_area_cb__2 was JV-437[0].Page2[0].item10[0].item10b[0].#area[1].OtherSpfy_cb[0] (0.33 conf)
j_v_page_item_b_area_field__2 was JV-437[0].Page2[0].item10[0].item10b[0].#area[1].TextField2[0] (0.31 conf)
j_v_page_item_mother_cb__2 was JV-437[0].Page2[0].item11[0].Mother_cb[0] (0.31 conf)
j_v_page_item_bio_father_cb was JV-437[0].Page2[0].item11[0].BioFather_cb[0] (0.28 conf)
j_v_page_item_tx__1 was JV-437[0].Page2[0].item11[0].tx20[0] (0.35 conf)
j_v_page_item_tx__2 was JV-437[0].Page2[0].item11[0].tx18[0] (0.35 conf)
j_v_page_item_tx__3 was JV-437[0].Page2[0].item11[0].tx19[0] (0.35 conf)
j_v_page_item_area_cb__4 was JV-437[0].Page2[0].item11[0].#area[0].otherspecify_cb11[0] (0.35 conf)
j_v_page_item_area_otherspecify_tf__3 was JV-437[0].Page2[0].item11[0].#area[0].otherspecify_tf11[0] (0.35 conf)
j_v_page_item_area_spfy_cb__1 was JV-437[0].Page2[0].item11[0].#area[1].OtherSpfy_cb[0] (0.33 conf)
j_v_page_item_area_field__1 was JV-437[0].Page2[0].item11[0].#area[1].TextField2[0] (0.31 conf)
j_v_page_item_cb__8 was JV-437[0].Page2[0].item11[0].item8a_cb[0] (0.35 conf)
j_v_page_item_b_cb__7 was JV-437[0].Page2[0].item11[0].item8b_cb[0] (0.35 conf)
j_v_page_item_b_cb__8 was JV-437[0].Page2[0].item11[0].item8b1_cb[0] (0.35 conf)
j_v_page_item_b_cb__9 was JV-437[0].Page2[0].item11[0].item8b2_cb[0] (0.35 conf)
j_v_page_item_cb__9 was JV-437[0].Page2[0].item12[0].item9_cb[0] (0.35 conf)
j_v_page_item_date_field was JV-437[0].Page2[0].item12[0].DateField1[0] (0.31 conf)
j_v_page_item_cb__10 was JV-437[0].Page2[0].item13[0].item10_cb[0] (0.35 conf)
j_v_page_item_importind__1 was JV-437[0].Page2[0].item13[0].importind13[0] (0.35 conf)
j_v_page_item_importind__2 was JV-437[0].Page2[0].item13[0].importind13[1] (0.35 conf)
j_v_page_item_c_cb__1 was JV-437[0].Page2[0].item13[0].item10c_cb[0] (0.35 conf)
j_v_page_item_c_cb__2 was JV-437[0].Page2[0].item13[0].item10c1_cb[0] (0.35 conf)
j_v_page_item_c_cb__3 was JV-437[0].Page2[0].item13[0].item10c2_cb[0] (0.35 conf)
j_v_page_item_follows_tf was JV-437[0].Page2[0].item13[0].AsFollows_tf[0] (0.36 conf)
j_v_page_title_party_name_ft__2 was JV-437[0].Page3[0].TitlePartyName[0].Party1_ft[0] (0.31 conf)
j_v_page_case_number_ft__3 was JV-437[0].Page3[0].CaseNumber[0].CaseNumber_ft[0] (0.31 conf)
j_v_page_item_cb__11 was JV-437[0].Page3[0].item14[0].item11_cb[0] (0.35 conf)
j_v_page_item_mother_cb__3 was JV-437[0].Page3[0].item14[0].Mother_cb[0] (0.31 conf)
j_v_page_item_cb__12 was JV-437[0].Page3[0].item14[0].biologicalfather_cb[0] (0.35 conf)
j_v_page_item_cb__13 was JV-437[0].Page3[0].item14[0].indiancustodian_cb[0] (0.35 conf)
j_v_page_item_cb__14 was JV-437[0].Page3[0].item14[0].presumedfather_cb[0] (0.35 conf)
j_v_page_item_legalguardian_cb__2 was JV-437[0].Page3[0].item14[0].legalguardian_cb[0] (0.35 conf)
j_v_page_item_area_cb__5 was JV-437[0].Page3[0].item14[0].#area[0].otherspecify_cb[0] (0.35 conf)
j_v_page_item_area_otherspecify_tf__4 was JV-437[0].Page3[0].item14[0].#area[0].otherspecify_tf[0] (0.35 conf)
j_v_page_item_area_spfy_cb__2 was JV-437[0].Page3[0].item14[0].#area[1].OtherSpfy_cb[0] (0.33 conf)
j_v_page_item_area_field__2 was JV-437[0].Page3[0].item14[0].#area[1].TextField2[0] (0.31 conf)
j_v_page_item_tx__4 was JV-437[0].Page3[0].item14[0].tx61[0] (0.35 conf)
j_v_page_item_tx__5 was JV-437[0].Page3[0].item14[0].tx62[0] (0.35 conf)
j_v_page_item_r_b_choice__5 was JV-437[0].Page3[0].item14[0].RB2Choice2[0] (0.32 conf)
j_v_page_item_area_hearingdate was JV-437[0].Page3[0].item15[0].#area[0].hearingdate_df[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_childsname_party_ft
j_v_page_case_number_ft__1
j_v_page_item_placement__1
j_v_page_item_area_text
j_v_page_item_placement__2
j_v_page_item_cb__1
j_v_page_item_r_b_choice__1
j_v_page_item_r_b_choice__2
j_v_page_item_b_cb__1
j_v_page_item_specify_tf__1
j_v_page_item_area_tx
j_v_page_item_area_waswasnot__1
j_v_page_item_area_waswasnot__2
j_v_page_item_area_hashasnot__1
j_v_page_item_area_hashasnot__2
j_v_page_item_area_cb__1
j_v_page_item_area_waswasnot__3
j_v_page_item_area_waswasnot__4
j_v_page_item_cb__2
j_v_page_item_currentplacement__1
j_v_page_item_currentplacement__2
j_v_page_item_currentplacement__3
j_v_page_item_currentplacement__4
j_v_page_item_currentplacement__5
j_v_page_item_currentplacement__6
j_v_page_title_party_name_ft__1
j_v_page_case_number_ft__2
j_v_page_item_cb__3
j_v_page_item_outofstate__1
j_v_page_item_outofstate__2
j_v_page_item_r_b_choice__3
j_v_page_item_r_b_choice__4
j_v_page_item_b_cb__2
j_v_page_item_b_cb__3
j_v_page_item_b_cb__4
j_v_page_item_specify_tf__2
j_v_page_item_cb__4
j_v_page_item_mother_cb__1
j_v_page_item_cb__5
j_v_page_item_cb__6
j_v_page_item_cb__7
j_v_page_item_legalguardian_cb__1
j_v_page_item_area_cb__2
j_v_page_item_area_otherspecify_tf__1
j_v_page_item_area_cb__3
j_v_page_item_area_otherspecify_tf__2
j_v_page_item_b_cb__5
j_v_page_item_b_mother_cb
j_v_page_item_b_cb__6
j_v_page_item_b_indn_custdn_cb
j_v_page_item_b_father_cb
j_v_page_item_b_legal_cb
j_v_page_item_b_area_cb__1
j_v_page_item_b_area_field__1
j_v_page_item_b_area_cb__2
j_v_page_item_b_area_field__2
j_v_page_item_mother_cb__2
j_v_page_item_bio_father_cb
j_v_page_item_tx__1
j_v_page_item_tx__2
j_v_page_item_tx__3
j_v_page_item_area_cb__4
j_v_page_item_area_otherspecify_tf__3
j_v_page_item_area_spfy_cb__1
j_v_page_item_area_field__1
j_v_page_item_cb__8
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_cb__9
j_v_page_item_date_field
j_v_page_item_cb__10
j_v_page_item_importind__1
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j_v_page_item_mother_cb__3
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j_v_page_item_legalguardian_cb__2
j_v_page_item_area_cb__5
j_v_page_item_area_otherspecify_tf__4
j_v_page_item_area_spfy_cb__2
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j_v_page_item_tx__5
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