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Here is the text we could read:

CHILD'S NAME:

CASE NUMBER:

JV-418

1.

2.

3.   a.

b.

b.

c.

DISPOSITIONAL ATTACHMENT: APPOINTMENT OF GUARDIAN 
(Welf. & Inst. Code, § 360(a))

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

300(a)

300(b)

300(c)

300(d)

300(e)

300(f)

300(g)

300(h)

300(i)

300(j)

The child 

is

is not

adjudged a dependent of the court.

were

Reasonable efforts 
or
The child is an Indian child, and active efforts, as detailed in the record,
provide remedial services and rehabilitative programs designed to prevent the breakup of the Indian family.  
If active efforts were made, those efforts have proved  

unsuccessful.

successful

were not

were not

were

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

made to

4. a.

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 

father
representative of child's identified Indian tribe                                                                                                               ,

other (specify):

mother

child

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 

father
representative of child's identified Indian tribe                                                                                                               ,
and the county agency is not required to do so because these persons are unable, unavailable, or unwilling to participate.

other (specify):

mother

child

5. The court advised the
mother
presumed father

biological father
Indian custodian

legal guardian
other (specify):

that no reunification services will be provided as a result of the guardianship of the child established in this matter.

6. The 

mother
presumed father

biological father
Indian custodian

legal guardian
other (specify):

signed a Guardianship (Juvenile)—Consent and Waiver of Rights (form JV-419), agreeing to the guardianship of the child, the  
waiver of his or her rights to family maintenance services and family reunification services, and, in the case of an Indian child, the  
waiver of his or her rights under the Indian Child Welfare Act. A signed form JV-419 for each individual indicated above was filed  
with the court.

7. a.  

b.   

The child signed a Guardianship (Juvenile)—Child's Consent and Waiver of Rights (form JV-419A), agreeing to the  
establishment of the guardianship and the waiver of his or her rights to family maintenance services and family  
reunification services. The child's signed form JV-419A was filed with the court.
The child is prevented from providing a meaningful response to the request for guardianship and a waiver of his or her  
rights to family maintenance services and family reunification services because of the child's

(1)
(2)
(3)
(4)

age.
physical condition.
emotional condition.
mental condition.

8.

9.

The child is an Indian child, and an authorized representative of the child's tribe signed form JV-419 confirming the tribe's  
agreement to the establishment of guardianship of the child, the waiver of the tribe's interests in family maintenance services 
and family reunification services, and the waiver of the tribe's rights under the Indian Child Welfare Act.

The court has read and considered the assessment specified in section 361.5(g). Based on that assessment and all other 
relevant evidence before the court, the court finds that the establishment of a guardianship and the appointment of the person 
named in item 10 are in the child's best interest.

10. The court appoints (name):

to be the guardian of the child's person 
guardian has signed the required oath or affirmation. This appointment is not effective until letters have issued.

and estate     and orders the clerk to issue letters of guardianship once the

11.

The county agency is ordered to release the child to the person named in item 10.

Form Approved for Optional Use  
Judicial Council of California  
JV-418 [Rev. January 1, 2021]

DISPOSITIONAL ATTACHMENT: APPOINTMENT OF GUARDIAN 
(Welf. & Inst. Code, § 360(a)) 

Page 1 of 1

Welfare and Institutions Code, § 360(a); 
Cal. Rules of Court, rule 5.695

Dispositional Attachment: Appointment of Guardian (Welf. & Inst. Code, § 360(a))

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): 70
Average fields per page: 70
Reading Level: Grade 11
LIST Grouping(s): FA-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_caption_title_party_name was JV-418[0].Page1[0].PxCaption_sf[0].TitlePartyName[0].ChildsName_ft[0] (0.53 conf)
j_v_page_sf_number_ft was JV-418[0].Page1[0].PxCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.33 conf)
j_v_page_list_li_item_cb__1 was JV-418[0].Page1[0].List3[0].Li1[0].item3a_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__1 was JV-418[0].Page1[0].List3[0].Li1[0].#area[0].item3were_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__2 was JV-418[0].Page1[0].List3[0].Li1[0].#area[1].item3were_cb[1] (0.30 conf)
j_v_list_li_item_b_cb__1 was JV-418[0].Page1[0].List3[0].Li2[0].item3b_cb[0] (0.30 conf)
j_v_page_list_li_area_item_bwere_cb__1 was JV-418[0].Page1[0].List3[0].Li2[0].#area[0].item3bwere_cb[0] (0.30 conf)
j_v_page_list_li_area_item_bwere_cb__2 was JV-418[0].Page1[0].List3[0].Li2[0].#area[1].item3bwere_cb[1] (0.30 conf)
j_v_page_list_li_area_item_bsuc_cb__1 was JV-418[0].Page1[0].List3[0].Li2[0].#area[2].item3bsuc_cb[0] (0.30 conf)
j_v_page_list_li_area_item_bsuc_cb__2 was JV-418[0].Page1[0].List3[0].Li2[0].#area[3].item3bsuc_cb[1] (0.30 conf)
j_v_page_list_li_item_cb__2 was JV-418[0].Page1[0].List7[0].Li1[0].item7a_cb[0] (0.30 conf)
j_v_list_li_item_b_cb__2 was JV-418[0].Page1[0].List7[0].Li2[0].item7b_cb[0] (0.30 conf)
j_v_list_area_item_b_cb__1 was JV-418[0].Page1[0].List7[0].Li2[0].List1[0].Li1[0].#area[0].item7b1_cb[0] (0.32 conf)
j_v_list_area_item_b_cb__2 was JV-418[0].Page1[0].List7[0].Li2[0].List1[0].Li2[0].#area[0].item7b2_cb[0] (0.32 conf)
j_v_list_area_item_b_cb__3 was JV-418[0].Page1[0].List7[0].Li2[0].List1[0].Li3[0].#area[0].item7b3_cb[0] (0.32 conf)
j_v_list_area_item_b_cb__4 was JV-418[0].Page1[0].List7[0].Li2[0].List1[0].Li4[0].#area[0].item7b4_cb[0] (0.32 conf)
j_v_page_list_li_item_cb__3 was JV-418[0].Page1[0].List1[0].Li1[0].item1_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__3 was JV-418[0].Page1[0].List1[0].Li1[0].#area[0].item300a_cb[0] (0.30 conf)
j_v_list_area_item_b_cb__5 was JV-418[0].Page1[0].List1[0].Li1[0].#area[1].item300b_cb[0] (0.30 conf)
j_v_list_area_item_c_cb was JV-418[0].Page1[0].List1[0].Li1[0].#area[2].item300c_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__4 was JV-418[0].Page1[0].List1[0].Li1[0].#area[3].item300d_cb[0] (0.30 conf)
j_v_list_area_item_e_cb was JV-418[0].Page1[0].List1[0].Li1[0].#area[4].item300e_cb[0] (0.30 conf)
j_v_list_area_item_f_cb was JV-418[0].Page1[0].List1[0].Li1[0].#area[5].item300f_cb[0] (0.30 conf)
j_v_list_area_item_g_cb was JV-418[0].Page1[0].List1[0].Li1[0].#area[6].item300g_cb[0] (0.33 conf)
j_v_page_list_li_area_item_h_cb was JV-418[0].Page1[0].List1[0].Li1[0].#area[7].item300h_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__5 was JV-418[0].Page1[0].List1[0].Li1[0].#area[8].item300i_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__6 was JV-418[0].Page1[0].List1[0].Li1[0].#area[9].item300j_cb[0] (0.30 conf)
j_v_page_list_li_item_cb__4 was JV-418[0].Page1[0].List2[0].Li1[0].item2_cb[0] (0.30 conf)
j_v_page_list_li_isisnot_cb__1 was JV-418[0].Page1[0].List2[0].Li1[0].isisnot_cb[0] (0.30 conf)
j_v_page_list_li_isisnot_cb__2 was JV-418[0].Page1[0].List2[0].Li1[0].isisnot_cb[1] (0.30 conf)
j_v_page_list_li_area_item_mother_cb__1 was JV-418[0].Page1[0].List5[0].Li1[0].#area[0].item5mother_cb[0] (0.30 conf)
j_v_page_list_li_area_item_biofather_cb__1 was JV-418[0].Page1[0].List5[0].Li1[0].#area[1].item5biofather_cb[0] (0.30 conf)
j_v_page_list_li_area_item_legguard_cb__1 was JV-418[0].Page1[0].List5[0].Li1[0].#area[2].item5legguard_cb[0] (0.30 conf)
j_v_page_list_li_area_item_prefather_cb__1 was JV-418[0].Page1[0].List5[0].Li1[0].#area[3].item5prefather_cb[0] (0.30 conf)
j_v_page_list_li_area_item_indiancus_cb__1 was JV-418[0].Page1[0].List5[0].Li1[0].#area[4].item5indiancus_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__7 was JV-418[0].Page1[0].List5[0].Li1[0].#area[5].item5other_cb[0] (0.30 conf)
j_v_page_list_area_text_field__1 was JV-418[0].Page1[0].List5[0].Li1[0].#area[5].TextField2[0] (0.30 conf)
j_v_page_list_li_area_item_mother_cb__2 was JV-418[0].Page1[0].List6[0].Li1[0].#area[0].item6mother_cb[0] (0.30 conf)
j_v_page_list_li_area_item_biofather_cb__2 was JV-418[0].Page1[0].List6[0].Li1[0].#area[1].item6biofather_cb[0] (0.30 conf)
j_v_page_list_li_area_item_legguard_cb__2 was JV-418[0].Page1[0].List6[0].Li1[0].#area[2].item6legguard_cb[0] (0.30 conf)
j_v_page_list_li_area_item_prefather_cb__2 was JV-418[0].Page1[0].List6[0].Li1[0].#area[3].item6prefather_cb[0] (0.30 conf)
j_v_page_list_li_area_item_indiancus_cb__2 was JV-418[0].Page1[0].List6[0].Li1[0].#area[4].item6indiancus_cb[0] (0.30 conf)
j_v_page_list_li_area_item_cb__8 was JV-418[0].Page1[0].List6[0].Li1[0].#area[5].item6other_cb[0] (0.30 conf)
j_v_page_list_area_text_field__2 was JV-418[0].Page1[0].List6[0].Li1[0].#area[5].TextField2[0] (0.30 conf)
j_v_page_list_li_item_cb__5 was JV-418[0].Page1[0].List8[0].Li1[0].item8_cb[0] (0.30 conf)
j_v_page_list_li_item_cb__6 was JV-418[0].Page1[0].List9[0].Li1[0].item9_cb[0] (0.30 conf)
j_v_page_list_li_item_cb__7 was JV-418[0].Page1[0].List11[0].Li1[0].item10_cb[0] (0.30 conf)
j_v_page_list_li_item_ff was JV-418[0].Page1[0].List10[0].Li1[0].item11_ff[0] (0.30 conf)
j_v_page_list_li_area_checkbx_cb was JV-418[0].Page1[0].List10[0].Li1[0].#area[0].checkbx_cb[0] (0.30 conf)
j_v_page_list_li_item_cb__8 was JV-418[0].Page1[0].List4[0].Li1[0].item4a_cb[0] (0.30 conf)
j_list_area_check_box_caption__1 was JV-418[0].Page1[0].List4[0].Li1[0].#area[0].CheckBoxCaption1[0] (0.37 conf)
j_list_area_check_box_caption__2 was JV-418[0].Page1[0].List4[0].Li1[0].#area[1].CheckBoxCaption2[0] (0.37 conf)
j_list_area_check_box_caption__3 was JV-418[0].Page1[0].List4[0].Li1[0].#area[2].CheckBoxCaption3[0] (0.37 conf)
j_page_list_check_box_caption__1 was JV-418[0].Page1[0].List4[0].Li1[0].CheckBoxCaption4[0] (0.37 conf)
j_v_page_list_r_b_choices__1 was JV-418[0].Page1[0].List4[0].Li1[0].RB2Choices[0] (0.38 conf)
j_v_page_list_li_fill_text__1 was JV-418[0].Page1[0].List4[0].Li1[0].FillText109[0] (0.32 conf)
j_v_list_li_item_b_cb__3 was JV-418[0].Page1[0].List4[0].Li2[0].item4b_cb[0] (0.30 conf)
j_list_area_check_box_caption__4 was JV-418[0].Page1[0].List4[0].Li2[0].#area[0].CheckBoxCaption1[0] (0.37 conf)
j_list_area_check_box_caption__5 was JV-418[0].Page1[0].List4[0].Li2[0].#area[1].CheckBoxCaption2[0] (0.37 conf)
j_list_area_check_box_caption__6 was JV-418[0].Page1[0].List4[0].Li2[0].#area[2].CheckBoxCaption3[0] (0.37 conf)
j_page_list_check_box_caption__2 was JV-418[0].Page1[0].List4[0].Li2[0].CheckBoxCaption4[0] (0.37 conf)
j_v_page_list_r_b_choices__2 was JV-418[0].Page1[0].List4[0].Li2[0].RB2Choices[0] (0.38 conf)
j_v_page_list_li_fill_text__2 was JV-418[0].Page1[0].List4[0].Li2[0].FillText109[0] (0.32 conf)
j_v_list_li_item_c_cb was JV-418[0].Page1[0].List4[0].Li3[0].item4c_cb[0] (0.30 conf)
j_list_area_check_box_caption__7 was JV-418[0].Page1[0].List4[0].Li3[0].#area[0].CheckBoxCaption1[0] (0.37 conf)
j_list_area_check_box_caption__8 was JV-418[0].Page1[0].List4[0].Li3[0].#area[1].CheckBoxCaption2[0] (0.37 conf)
j_list_area_check_box_caption__9 was JV-418[0].Page1[0].List4[0].Li3[0].#area[2].CheckBoxCaption3[0] (0.37 conf)
j_page_list_check_box_caption__3 was JV-418[0].Page1[0].List4[0].Li3[0].CheckBoxCaption4[0] (0.37 conf)
j_v_page_list_r_b_choices__3 was JV-418[0].Page1[0].List4[0].Li3[0].RB2Choices[0] (0.38 conf)
j_v_page_list_li_fill_text__3 was JV-418[0].Page1[0].List4[0].Li3[0].FillText109[0] (0.32 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

j_page_caption_title_party_name
j_v_page_sf_number_ft
j_v_page_list_li_item_cb__1
j_v_page_list_li_area_item_cb__1
j_v_page_list_li_area_item_cb__2
j_v_list_li_item_b_cb__1
j_v_page_list_li_area_item_bwere_cb__1
j_v_page_list_li_area_item_bwere_cb__2
j_v_page_list_li_area_item_bsuc_cb__1
j_v_page_list_li_area_item_bsuc_cb__2
j_v_page_list_li_item_cb__2
j_v_list_li_item_b_cb__2
j_v_list_area_item_b_cb__1
j_v_list_area_item_b_cb__2
j_v_list_area_item_b_cb__3
j_v_list_area_item_b_cb__4
j_v_page_list_li_item_cb__3
j_v_page_list_li_area_item_cb__3
j_v_list_area_item_b_cb__5
j_v_list_area_item_c_cb
j_v_page_list_li_area_item_cb__4
j_v_list_area_item_e_cb
j_v_list_area_item_f_cb
j_v_list_area_item_g_cb
j_v_page_list_li_area_item_h_cb
j_v_page_list_li_area_item_cb__5
j_v_page_list_li_area_item_cb__6
j_v_page_list_li_item_cb__4
j_v_page_list_li_isisnot_cb__1
j_v_page_list_li_isisnot_cb__2
j_v_page_list_li_area_item_mother_cb__1
j_v_page_list_li_area_item_biofather_cb__1
j_v_page_list_li_area_item_legguard_cb__1
j_v_page_list_li_area_item_prefather_cb__1
j_v_page_list_li_area_item_indiancus_cb__1
j_v_page_list_li_area_item_cb__7
j_v_page_list_area_text_field__1
j_v_page_list_li_area_item_mother_cb__2
j_v_page_list_li_area_item_biofather_cb__2
j_v_page_list_li_area_item_legguard_cb__2
j_v_page_list_li_area_item_prefather_cb__2
j_v_page_list_li_area_item_indiancus_cb__2
j_v_page_list_li_area_item_cb__8
j_v_page_list_area_text_field__2
j_v_page_list_li_item_cb__5
j_v_page_list_li_item_cb__6
j_v_page_list_li_item_cb__7
j_v_page_list_li_item_ff
j_v_page_list_li_area_checkbx_cb
j_v_page_list_li_item_cb__8
j_list_area_check_box_caption__1
j_list_area_check_box_caption__2
j_list_area_check_box_caption__3
j_page_list_check_box_caption__1
j_v_page_list_r_b_choices__1
j_v_page_list_li_fill_text__1
j_v_list_li_item_b_cb__3
j_list_area_check_box_caption__4
j_list_area_check_box_caption__5
j_list_area_check_box_caption__6
j_page_list_check_box_caption__2
j_v_page_list_r_b_choices__2
j_v_page_list_li_fill_text__2
j_v_list_li_item_c_cb
j_list_area_check_box_caption__7
j_list_area_check_box_caption__8
j_list_area_check_box_caption__9
j_page_list_check_box_caption__3
j_v_page_list_r_b_choices__3
j_v_page_list_li_fill_text__3

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

Dispositional Attachment: Appointment of Guardian (Welf. & Inst. Code, § 360(a))

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