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Here is the text we could read:

Clerk stamps date here when form is filed.

JV-240

Notice of Request for Approval of
Short-Term Residential Therapeutic
Program or Community Treatment
Facility Without a Hearing

Important: The agency listed in 1 has asked the judge to approve a
placement for a child or nonminor dependent. If you do not agree to the
placement listed in 2 , you must file form JV-236, Input on Placement
in Short-Term Residential Therapeutic Program or Community Treatment
Facility. If you have a lawyer, talk to your lawyer right away if you do not
agree with the placement.

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:

1 Agency requesting review:

Name of person filing the form:

Title of person filing the form:

Address:

Phone:

Name of placement:

b. This is a (check one):

c. Date of placement:

2 Placement of child or nonminor dependent

This notice is for (check all that apply):

short-term residential therapeutic program.

community treatment facility.

Signature of agency representative

Date:

short-term residential therapeutic program.

community treatment facility.

Court fills in case number when form is filed.

Case Number:

The agency listed in 1 has asked the judge to approve the placement without a court hearing. If you do not agree
to the placement listed in 2 , you must file form JV-236. If you do not file form JV-236, the court hearing
currently scheduled for (date of court hearing):

may be canceled.

Name of agency representative

Signature of agency representative

Judicial Council of California,
New January 1, 2023, Mandatory Form
Welfare and Institutions Code, §§ 361.22, 727.12
California Rules of Court, rule 5.618

Notice of Request for Approval of Short-Term
Residential Therapeutic Program or
Community Treatment Facility Without a
Hearing

JV-240, Page 1 of 1

JV-240 Notice of Request for Approval of Short-Term Residential Therapeutic Program or Community Treatment Facility Without a Hearing

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): 1
Fields(s): 18
Average fields per page: 18
Reading Level: Grade 7
LIST Grouping(s): HO-00-00-00-00.

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_page_right_caption_court_info was JV-240[0].Page1[0].RightCaption[0].CourtInfo[0] (0.55 conf)
j_right_caption_name was JV-240[0].Page1[0].RightCaption[0].fillinchildsinfo[0].ChildsName[0] (0.32 conf)
j_v_page_right_child was JV-240[0].Page1[0].RightCaption[0].fillinchildsinfo[0].child_dt[0] (0.31 conf)
page_right_case_number was JV-240[0].Page1[0].RightCaption[0].fillinchildsinfo[0].CaseNumber[0] (0.35 conf)
j_v_page_item_agency was JV-240[0].Page1[0].Item1[0].Agency[0] (0.30 conf)
j_v_page_item__1 was JV-240[0].Page1[0].Item1[0].nameofpersonfiling[0] (0.32 conf)
j_v_page_item_titleofperson was JV-240[0].Page1[0].Item1[0].titleofperson[0] (0.32 conf)
j_v_page_item_address was JV-240[0].Page1[0].Item1[0].address[0] (0.32 conf)
j_v_page_item_phone was JV-240[0].Page1[0].Item1[0].phone[0] (0.32 conf)
j_v_page_item_nameofplacement was JV-240[0].Page1[0].Item2[0].nameofplacement[0] (0.32 conf)
j_v_page_item_shortterm__1 was JV-240[0].Page1[0].Item2[0].shortterm[0] (0.32 conf)
j_v_page_item_shortterm__2 was JV-240[0].Page1[0].Item2[0].shortterm[1] (0.32 conf)
j_v_page_item_dateofplacement was JV-240[0].Page1[0].Item2[0].dateofplacement[0] (0.32 conf)
j_v_page_item_shorttem__1 was JV-240[0].Page1[0].item3[0].shorttem3[0] (0.35 conf)
j_v_page_item_shorttem__2 was JV-240[0].Page1[0].item3[0].shorttem3[1] (0.35 conf)
j_v_page_item__2 was JV-240[0].Page1[0].item3[0].dateofcourthearing[0] (0.35 conf)
j_v_page_sig_date_name was JV-240[0].Page1[0].SigDate[0].SigName[0] (0.33 conf)
j_v_page_sig_date_ft was JV-240[0].Page1[0].SigDate[0].SigDate_ft[0] (0.35 conf)

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

JV-240 Notice of Request for Approval of Short-Term Residential Therapeutic Program or Community Treatment Facility Without a Hearing

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

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