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Here is the text we could read:

JV-215

Order After Hearing on Waiver of
Presumptive Transfer

Clerk stamps date here when form is filed.

Time:
Room:

Present

Fill in court name and street address:

Superior Court of California, County of

Fill in child's name and date of birth:

Child's/Nonminor's Name:

Date of Birth:

Case Number:

Court fills in case number when form is filed.

a. Hearing date:

Dept.:

b. Judicial officer:

Party (name):
(1) Child:

Attorney:

(2) Mother:

Attorney:

(3) Father-presumed:

Attorney:

(4) Father-biological:

Attorney:
(5) Father-alleged:
Attorney:
(6) Legal guardian:
Attorney:
Indian custodian:
Attorney:
(8) De facto parent:
Attorney:

(7)

(9) County agency social worker:

Attorney:

(10) Tribal representative:

Attorney:
(11) Other (specify):
Attorney:

The Court Finds and Orders

The social worker / probation officer provided a report no later than two days after a hearing was granted. The
report included the information as required by rule 5.647(d) of the California Rules of Court.

The court has read and considered the report.

The child or nonminor:

Is being placed in a county outside the county of original jurisdiction on (date): .

Was placed in a county outside the county of original jurisdiction on (date): .

A request for a waiver to presumptive transfer was made to the placing agency by: .

Judicial Council of California, www.courts.ca.gov
New September 1, 2018, Mandatory Form
Welfare and Institutions Code, § 14717.1

Order After Hearing on
Waiver of Presumptive Transfer

JV-215, Page 1 of 2

Child's/Nonminor's Name:

Case Number:

The placing agency has determined an exception to the presumptive transfer of the responsibility to provide
for and arrange for the child’s or nonminor’s specialty mental health services:

(1)

(2)

(3)

(4)

The transfer would disrupt continuity of care or delay access to services provided to the child or
nonminor.

The transfer would interfere with family reunification efforts documented in the individual case plan.

The child’s or nonminor’s placement in a county other than the county of original jurisdiction is
expected to last less than six months.

The child’s or nonminor’s residence is within 30 minutes of travel time to his or her established
specialty mental health care provider in the county of original jurisdiction.

The placing agency has determined that no exception applies to the presumptive transfer.

The placing agency consulted the child and family team and others who serve the child or nonminor as
appropriate regarding the waiver determination.

The placing agency’s decision on the request for waiver of presumptive transfer was communicated by the
placing agency to the child and family team on (date): .

Notice of the placing agency’s determination on the request to waive presumptive transfer of specialty mental
health services was provided to the individual who requested waiver of presumptive transfer, and to all parties
to the case.

After having considered the basis for the request for a hearing, the report provided for the hearing, and any
other evidence presented at the hearing, the court finds that
is in the child’s or nonminor’s best interests.

waiver of presumptive transfer

presumptive transfer

If waiver applies, the mental health plan in the county of original jurisdiction has an existing contract with a
specialty mental health care provider, or has demonstrated the ability to enter into a contract within 30 days
of the waiver decision and to deliver timely specialty mental health services directly to the child or
nonminor.

Date:

Judge (or Judicial Officer)

New September 1, 2018, Mandatory Form

JV-215, Page 2 of 2

Order After Hearing on
Waiver of Presumptive Transfer

Order After Hearing on Waiver of Presumptive Transfer

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): 2
Fields(s): 78
Average fields per page: 39
Reading Level: Grade 9
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.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Order After Hearing on Waiver of Presumptive Transfer

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02