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JV-238

Notice of Hearing on Placement in 
Short-Term Residential Therapeutic 
Program or Community Treatment 
Facility

The court received the request for review as defined in Welf. & Inst. 
Code, § 361.22(b) or § 727.12(b), filed on
(date):

Notice requirements were met. The request for hearing and Input on 
Placement in Short-Term Residential Therapeutic Program or 
Community Treatment Facility (form JV-236) have been served, 
consistent with Welf. & Inst. Code, § 361.22(b)(2) or § 727.12(b)(2) 
and rule 5.618(b) of the California Rules of Court.

Notice requirements were not met. The social worker or probation 
officer is ordered to serve the request for hearing and Input on 
Placement in Short-Term Residential Therapeutic Program or 
Community Treatment Facility (form JV-236) as required in Welf. & 
Inst. Code, § 361.22(b)(2) or § 727.12(b)(2) and rule 5.618(b) of the 
California Rules of Court.

3 Notice of Hearing

The court will hold a hearing on the request for review of the child or 
nonminor’s placement in the short-term residential therapeutic program 
or community treatment facility. (The hearing must be set or be held at 
a regularly scheduled hearing within 45 days of the start of the 
placement.)

Clerk stamps date here when form is filed.

Fill in court name and street address:

Superior Court of California, County of

Fill in child's/nonminor's name and date of birth:

Child's/Nonminor's name:

Child's/Nonminor's date of birth:

Court fills in case number when form is filed.

Case Number:

Hearing 
Date

Date:
Dept.:

Time:
Room:

Name and address of court:

Date:

Judicial Officer

JV-238, Page 1 of 1

Notice of Hearing on Placement in Short-Term 
Residential Therapeutic Program or Community 
Treatment Facility 

Welfare and Institutions Code, §§ 361.22, 727.12 
California Rules of Court, rule 5.618

Judicial Council of California, 

ev. January 1, 2023, Optional Form 

  R