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Here is the text we could read:

CHILD'S NAME:

CASE NUMBER:

JV-416 

DISPOSITIONAL ATTACHMENT: DISMISSAL OF PETITION WITH OR WITHOUT INFORMAL SUPERVISION
(Welf. & Inst. Code, § 360(b))

1.

The child is a person described by Welf. & Inst. Code, § 300 (check all that apply):
300(e)
300(f)

300(c)
300(d)

300(g)
300(h)

300(a)
300(b)

300(i)
300(j)

2.  

  The county agency is ordered to immediately return the child to the   

mother
presumed father
other (specify):

biological father
Indian custodian

legal guardian

3.

Reasonable efforts

were

were not

made to prevent or eliminate the need for removal from the home.

Case plan development

a.
4.    

b.

c.

The county agency solicited and integrated into the case plan the input of the 

child

mother

father

representative of child's identified Indian tribe

other (specify):                                                                        

The county agency did not solicit and integrate into the case plan the input of the

child

mother

father

representative of child's identified Indian tribe

other (specify):                                                                       

and  the agency is ordered to do so and submit an updated case plan within 30 days of the date of this hearing. 

The county agency did not solicit and integrate into the case plan the input of the

child

mother

father

representative of child's identified Indian tribe

other (specify):   

and the county agency is not required to do so because these persons are unable, unavailable, or unwilling to participate. 

Custody of the child and services

5.

The

mother
presumed father
other (specify):

biological father
Indian custodian

legal guardian

retains custody of the child. The family is placed under the supervision of the county agency for a minimum of six months 
under the voluntary agreement for informal supervision and the provision by the county agency of services designed to 
keep the family together as specified in the family's case plan.  

6.

The

mother
presumed father
other (specify):

biological father
Indian custodian

legal guardian

retains custody of the child and is not in need of treatment or rehabilitation. The factual basis for the finding in this 
item 6 is stated on the record.

Form Approved for Optional Use 
Judicial Council of California 
JV-416 [Rev. July 1, 2011]

DISPOSITIONAL ATTACHMENT:  
DISMISSAL OF PETITION WITH OR WITHOUT INFORMAL SUPERVISION
(Welf. & Inst. Code, § 360(b)) 

Page 1 of 1

Welfare and Institutions Code, § 360(b);
Cal. Rules of Court, rule 5.695
www.courts.ca.gov

Dispositional Attachment: Dismissal of Petition With or Without Informal Supervision (Welf. & Inst. Code, § 360(b))

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): 55
Average fields per page: 55
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.

check_box__1 was CheckBox154 (0.55 conf)
check_box__2 was CheckBox152 (0.37 conf)
check_box__3 was CheckBox148 (0.37 conf)
check_box__4 was CheckBox151 (0.37 conf)
check_box__5 was CheckBox147 (0.37 conf)
check_box__6 was CheckBox153 (0.37 conf)
check_box__7 was CheckBox146 (0.37 conf)
check_box__8 was CheckBox150 (0.37 conf)
check_box__9 was CheckBox145 (0.37 conf)
check_box__10 was CheckBox149 (0.37 conf)
check_box__11 was CheckBox144 (0.37 conf)
child_name was ChildName (0.37 conf)
docket_number was CaseNumber (1.00 conf)
check_b was CheckB141 (0.37 conf)
chck_bx was ChckBx141 (0.35 conf)
chck_box was ChckBox141 (0.35 conf)
cck_box was CckBox141 (0.33 conf)
check_bx was CheckBx141 (0.37 conf)
check_box_father was CheckBox.04.a.father (0.37 conf)
check_box_mother__1 was CheckBox.04.a.mother (0.37 conf)
check_box_child was CheckBox.04.a.child (0.37 conf)
check_box_representative was CheckBox.04.a.representative (0.37 conf)
check_box__12 was CheckBox.04.a.other (0.37 conf)
check_box_b_child was CheckBox.04.b.child (0.37 conf)
check_box_b_mother was CheckBox.04.b.mother (0.37 conf)
check_box_b_father was CheckBox.04.b.father (0.37 conf)
check_box_b_representative was CheckBox.04.b.representative (0.37 conf)
check_box_b was CheckBox.04.b.other (0.37 conf)
check_box_c_child was CheckBox.04.c.child (0.37 conf)
check_box_c_mother was CheckBox.04.c.mother (0.37 conf)
check_box_c_father was CheckBox.04.c.father (0.37 conf)
check_box_c_representative was CheckBox.04.c.representative (0.37 conf)
check_box_c was CheckBox.04.c.other (0.37 conf)
check_box_biological_father__1 was CheckBox.05.biological.father (0.37 conf)
check_box_legal_guardian__1 was CheckBox.05.legal.guardian (0.37 conf)
check_box_presumed_father__1 was CheckBox.05.presumed.father (0.37 conf)
check_box_alleged_father__1 was CheckBox.05.alleged.father (0.37 conf)
check_box__13 was CheckBox.05.other (0.37 conf)
check_box_biological_father__2 was CheckBox.06.biological.father (0.37 conf)
check_box_presumed_father__2 was CheckBox.06.presumed.father (0.37 conf)
check_box_alleged_father__2 was CheckBox.06.alleged.father (0.37 conf)
check_box__14 was CheckBox.06.other (0.37 conf)
check_box_legal_guardian__2 was CheckBox.06.legal.guardian (0.37 conf)
check_box__15 was CheckBox142 (0.37 conf)
check_box__16 was CheckBox141 (0.37 conf)
check_box_mother__2 was CheckBox05.mother (0.37 conf)
check_box__17 was CheckBox05.0 (0.37 conf)
fill_text__1 was FillText.05.0 (0.38 conf)
fill_text__2 was FillText.06.0 (0.38 conf)
fill_text__3 was FillText.02.other (0.38 conf)
fill_text__4 was FillText.04.a (0.38 conf)
fill_text_c was FillText.04.c.other (0.38 conf)
fill_text_b was FillText.04.b.other (0.38 conf)
check_box__18 was CheckBox06.0 (0.37 conf)
check_box_mother__3 was CheckBox06.mother (0.37 conf)

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

Dispositional Attachment: Dismissal of Petition With or Without Informal Supervision (Welf. & Inst. Code, § 360(b))

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