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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER:

FOR COURT USE ONLY

JV-362

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

YOUTH'S NAME:

DATE OF BIRTH:

REVIEW HEARING FOR YOUTH APPROACHING 18 YEARS OF AGE—
INFORMATION, DOCUMENTS, AND SERVICES

CASE NUMBER:

Directions for the social worker or probation officer: Check the appropriate boxes in items 1 through 18, complete items 19 and
20, attach or submit to the court documents as required, and sign and date the form.

Directions for the youth (if the youth is available): Review the boxes checked by the social worker or probation officer in items 1
through 18. Sign your initials on the lines after items 1 through 18 only if you received the information, documents, or services
described in those items. Then sign and date the form. You should give the form to the judge on the day of the hearing if you didn't
give it to your social worker, probation officer, or attorney before the hearing.

An attached report or report submitted to the court verifies that the youth has received the following information, documents, and
services (check all that apply):

Social security card ________

Certified copy of the youth's birth certificate ________

California identification card or driver's license ________

Medi-Cal Benefits Identification Card ________

A letter prepared by the county welfare department that includes the youth's name and date of birth, the dates within which
the youth was within the jurisdiction of the juvenile court, and a statement that the youth was a foster youth in compliance
with state and federal financial aid documentation requirements ________

The death certificate of the youth's parent or parents, if applicable ________

Proof of citizenship or legal residence, if applicable ________

An advance health care directive form ________

A copy of each of the following: How to Ask to Return to Juvenile Court Jurisdiction and Foster Care (form JV-464-INFO), a
blank Request to Return to Juvenile Court Jurisdiction and Foster Care (form JV-466), and a blank Confidential Information—
Request to Return to Juvenile Court Jurisdiction and Foster Care (form JV-468) ________

Assistance in obtaining employment ________

Assistance in applying for, or preparing to apply for, admission to college or a vocational training program or other educational
institution, and in obtaining financial aid ________

Written information notifying the youth that state agencies, when hiring for internships and student assistant positions, must
give preference to qualified applicants up to 26 years of age who are or have been dependent children in foster care,
homeless youth, or formerly incarcerated youth ________

Written notice informing the youth that youth exiting foster care at 18 years of age or older are eligible for Medi-Cal until they
reach 26 years of age, regardless of income, and are not required to apply ________

Form Adopted for Mandatory Use
Judicial Council of California
JV-362 [Rev. January 1, 2023]

REVIEW HEARING FOR YOUTH APPROACHING 18 YEARS
OF AGE—INFORMATION, DOCUMENTS, AND SERVICES

Page 1 of 2

Welfare & Institutions Code, §§ 391;
Government Code, § 18220;
Cal. Rules of Court, rules 5.740, 5.810

10.

11.

12.

13.

YOUTH'S NAME:

CASE NUMBER:

JV-362

14.

15.

16.

17.

18.

Written notice informing the youth of any financial literacy programs or other available resources provided through the county
or other community organizations to help the youth obtain financial literacy skills, including but not limited to banking, credit
card debt, student loan debt, credit scores, credit history, and personal savings ________

Help maintaining relationships with individuals important to the youth, consistent with their best interests (required only if the
youth has been in an out-of-home placement for six months or longer) ________

The whereabouts of any siblings under the jurisdiction of the juvenile court, unless the court determines that sibling contact
would jeopardize the safety or welfare of either sibling ________

Written notice informing the youth that they may be eligible to receive CalFresh food benefits and where the youth can apply
for CalFresh benefits ________

Referrals to transitional housing, if available, or assistance in securing other housing ________

a. Have the referrals or assistance in item 18 resulted in housing being secured for the youth?

Yes (specify duration of housing)

Start date of housing:

; end date of housing:

Duration of housing unknown

19. Housing

(1)

(2)

(a)

(b)

No. The different or additional referrals or assistance that the department has provided to help secure housing
are (describe):

b. Has the youth been given additional referrals, assistance, or services provided by county departments or agencies other than
the child welfare or probation department that are intended to prevent the youth from becoming homeless if juvenile court
jurisdiction is terminated? Additional county departments or agencies may include, but are not limited to, the county social
services agency, public social services agency, state and county public assistance programs, mental health agency, regional
center, office of community and economic development, homeless services agency, the youth's tribe and the Bureau of Indian
Affairs (if the Indian Child Welfare Act applies), and other relevant government agencies and community-based service
providers.

(1)

Yes. (describe in detail including specific referrals):

(2)

No.

20. Number of pages attached:

Date:

I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct.

(TYPE OR PRINT NAME)

(SIGNATURE OF SOCIAL WORKER OR PROBATION OFFICER)

I certify that I have received the information, documents, and services that I initialed above.

(TYPE OR PRINT NAME)

(SIGNATURE OF YOUTH)

JV-362 [Rev. January 1, 2023]

Page 2 of 2

REVIEW HEARING FOR YOUTH APPROACHING 18 YEARS
OF AGE—INFORMATION, DOCUMENTS, AND SERVICES

Review Hearing for Youth Approaching 18 Years of Age—Information, Documents, and Services

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): 72
Average fields per page: 36
Reading Level: Grade 9
LIST Grouping(s): GO-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_v_page_party_bar was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].AttyBarNo[0] (0.52 conf)
j_v_page_pg_contentarea_subform_atty_party_info_name was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].Name[0] (0.38 conf)
j_v_page_pg_contentarea_subform_atty_party_info_firm was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].AttyFirm[0] (0.41 conf)
j_v_page_pg_contentarea_subform_atty_party_info_street was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].Street[0] (0.38 conf)
j_v_page_pg_contentarea_subform_atty_party_info_city was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].City[0] (0.38 conf)
j_v_page_pg_contentarea_subform_atty_party_info_state was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].State[0] (0.38 conf)
j_v_page_pg_party was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].Zip[0] (0.38 conf)
j_v_page_party_phone was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].Phone[0] (0.38 conf)
j_v_page_pg_contentarea_subform_atty_party_info_fax was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].Fax[0] (0.38 conf)
j_v_page_party_email was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].Email[0] (0.38 conf)
j_v_page_pg_contentarea_subform_atty_party_info was JV-362[0].Page1[0].pg1contentarea[0].#subform[0].AttyPartyInfo[0].AttyFor[0] (0.41 conf)
j_v_page_court_county was JV-362[0].Page1[0].pg1contentarea[0].#subform[2].CourtInfo[0].CrtCounty[0] (0.41 conf)
j_v_page_court_street was JV-362[0].Page1[0].pg1contentarea[0].#subform[2].CourtInfo[0].CrtStreet[0] (0.41 conf)
j_v_page_pg_contentarea_subform_court_info_crt_mailing_add was JV-362[0].Page1[0].pg1contentarea[0].#subform[2].CourtInfo[0].CrtMailingAdd[0] (0.40 conf)
j_v_page_pg_contentarea_subform_court_info_crt_city_zip was JV-362[0].Page1[0].pg1contentarea[0].#subform[2].CourtInfo[0].CrtCityZip[0] (0.41 conf)
j_v_page_court_branch was JV-362[0].Page1[0].pg1contentarea[0].#subform[2].CourtInfo[0].CrtBranch[0] (0.41 conf)
j_page_title_party_name__1 was JV-362[0].Page1[0].pg1contentarea[0].#subform[4].TitlePartyName[0].Party1[0] (0.31 conf)
j_page_title_party_name__2 was JV-362[0].Page1[0].pg1contentarea[0].#subform[4].TitlePartyName[0].Party2[0] (0.31 conf)
j_v_pg_case_number was JV-362[0].Page1[0].pg1contentarea[0].#subform[10].CaseNumber[0].CaseNumber_tf[0] (0.31 conf)
j_v_page_group_item__1 was JV-362[0].Page1[0].group1[0].item1_2[0] (0.35 conf)
j_v_page_group_item__2 was JV-362[0].Page1[0].group1[0].item1_4[0] (0.35 conf)
j_v_page_group_item__3 was JV-362[0].Page1[0].group1[0].item2_2[0] (0.35 conf)
j_v_page_group_item__4 was JV-362[0].Page1[0].group1[0].item2_4[0] (0.35 conf)
j_v_page_group_item__5 was JV-362[0].Page1[0].group1[0].item3_2[0] (0.35 conf)
j_v_page_group_item__6 was JV-362[0].Page1[0].group1[0].item3_4[0] (0.35 conf)
j_v_page_group_item__7 was JV-362[0].Page1[0].group1[0].item4_2[0] (0.35 conf)
j_v_page_group_item__8 was JV-362[0].Page1[0].group1[0].item4_4[0] (0.35 conf)
j_v_page_group_itme was JV-362[0].Page1[0].group1[0].itme5_2[0] (0.35 conf)
j_v_page_group_item__9 was JV-362[0].Page1[0].group1[0].item5_5[0] (0.35 conf)
j_v_page_group_item__10 was JV-362[0].Page1[0].group1[0].item6_2[0] (0.35 conf)
j_v_page_group_item__11 was JV-362[0].Page1[0].group1[0].item6_4[0] (0.35 conf)
j_v_page_group_item__12 was JV-362[0].Page1[0].group1[0].item7_2[0] (0.35 conf)
j_v_page_group_item__13 was JV-362[0].Page1[0].group1[0].item7_4[0] (0.35 conf)
j_v_page_group_item__14 was JV-362[0].Page1[0].group1[0].item8_2[0] (0.35 conf)
j_v_page_group_item__15 was JV-362[0].Page1[0].group1[0].item8_4[0] (0.35 conf)
j_v_page_group_item__16 was JV-362[0].Page1[0].group1[0].item9_2[0] (0.35 conf)
j_v_page_group_item__17 was JV-362[0].Page1[0].group1[0].item9_5[0] (0.35 conf)
j_v_page_group_item__18 was JV-362[0].Page1[0].group1[0].item10_2[0] (0.35 conf)
j_v_page_group_item__19 was JV-362[0].Page1[0].group1[0].item10_4[0] (0.35 conf)
j_v_page_group_item__20 was JV-362[0].Page1[0].group1[0].item11_2[0] (0.35 conf)
j_v_page_group_item__21 was JV-362[0].Page1[0].group1[0].item11_5[0] (0.35 conf)
j_v_page_group_item__22 was JV-362[0].Page1[0].group1[0].item12_2[0] (0.35 conf)
j_v_page_group_item__23 was JV-362[0].Page1[0].group1[0].item12_5[0] (0.35 conf)
j_v_page_group_item__24 was JV-362[0].Page1[0].group1[0].item13_2[0] (0.35 conf)
j_v_page_group_item__25 was JV-362[0].Page1[0].group1[0].item13_5[0] (0.35 conf)
j_page_caption_title_party_name was JV-362[0].Page2[0].pxCaption[0].#subform[0].TitlePartyName[0].Party1[0] (0.31 conf)
j_v_page_px_caption_subform_case_number_tf was JV-362[0].Page2[0].pxCaption[0].#subform[2].CaseNumber[0].CaseNumber_tf[0] (0.31 conf)
j_v_page_group_item__26 was JV-362[0].Page2[0].Group14[0].item14_2[0] (0.32 conf)
j_v_page_group_item__27 was JV-362[0].Page2[0].Group14[0].item14_5[0] (0.32 conf)
j_v_page_group__1 was JV-362[0].Page2[0].Group15[0].i15_2[0] (0.32 conf)
j_v_page_group__2 was JV-362[0].Page2[0].Group15[0].i15_6[0] (0.32 conf)
j_v_page_group__3 was JV-362[0].Page2[0].Group16[0].i16_2[0] (0.32 conf)
j_v_page_group__4 was JV-362[0].Page2[0].Group16[0].i16_5[0] (0.32 conf)
j_v_page_group__5 was JV-362[0].Page2[0].Group17[0].i17_2[0] (0.32 conf)
j_v_page_group__6 was JV-362[0].Page2[0].Group17[0].i17_3[0] (0.32 conf)
j_v_page_group__7 was JV-362[0].Page2[0].Group18[0].i18_2[0] (0.32 conf)
j_v_page_group__8 was JV-362[0].Page2[0].Group18[0].i18_4[0] (0.32 conf)
j_v_page_group__9 was JV-362[0].Page2[0].Group19[0].i19_26[0] (0.32 conf)
j_v_page_group__10 was JV-362[0].Page2[0].Group19[0].i19_29[0] (0.32 conf)
j_v_page_group__11 was JV-362[0].Page2[0].Group19[0].i19_31[0] (0.32 conf)
j_v_page_group__12 was JV-362[0].Page2[0].Group19[0].i19_7[0] (0.32 conf)
j_v_page_group__13 was JV-362[0].Page2[0].Group19[0].i19_10[0] (0.32 conf)
j_v_page_group__14 was JV-362[0].Page2[0].Group19[0].i19_11[0] (0.32 conf)
j_v_page_group__15 was JV-362[0].Page2[0].Group19[0].i19_12[0] (0.32 conf)
j_v_page_group__16 was JV-362[0].Page2[0].Group19[0].i19_15[0] (0.32 conf)
j_v_page_group__17 was JV-362[0].Page2[0].Group19[0].i19_18[0] (0.32 conf)
j_v_page_group__18 was JV-362[0].Page2[0].Group19[0].i19_20[0] (0.32 conf)
j_v_page_group__19 was JV-362[0].Page2[0].Group19[0].I19_25[0] (0.30 conf)
j_v_page_sigdate__1 was JV-362[0].Page2[0].sigdate1[0] (0.35 conf)
j_v_page_typeorprintname was JV-362[0].Page2[0].typeorprintname[0] (0.35 conf)
j_v_page_sigdate__2 was JV-362[0].Page2[0].sigdate2[0] (0.35 conf)
j_v_page_typeorprint was JV-362[0].Page2[0].typeorprint2[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

Review Hearing for Youth Approaching 18 Years of Age—Information, Documents, and Services

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