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CONTACT INFORMATION

Judicial Council
Kansas Judicial Center
301 S.W. 10th Avenue, Suite 140
Topeka Kansas 66612-1507
Telephone: 785.296.2498
Fax: 785.296.1035
Email:
judicial.council@ksjc.state.ks.us

Child in Need of Care Forms

The following Child in Need of Care forms were prepared by former judge Kathryn Carter of Jamestown and reviewed by the Judicial Council Juvenile Offender/Child in Need of Care Advisory Committee. These forms which are dated August 1, 2007, are the final version.

The Committee is aware that, despite its best efforts, no set of forms is perfect for every situation and wishes to emphasize that forms are not a substitute for thinking by court and counsel. It is always necessary to consider the law, the evidence and the issues in each case, and adjust the forms accordingly.

Note: To view and print some of these documents you need special software, available for free at www.adobe.com.

TABLE OF CINC FORMS

PRELIMINARY MATTERS:

Form #	Title
101	Information for Parents; Your Rights and Responsibilities in a Child in Need of Care Case PDF \| WP \| RTF
102	Information for Grandparents; Your Rights and Responsibilities in a Child in Need of Care Case PDF \| WP \| RTF
103	Information for Interested Parties; Your Rights and Responsibilities in a Child in Need of Care Case PDF \| WP \| RTF
104	Application for Care by Law Enforcement Officer PDF \| WP \| RTF
105	Application for Ex Parte Order of Protective Custody PDF \| WP \| RTF
*106	Ex Parte Order of Protective Custody PDF \| WP \| RTF

COMMENCEMENT OF CINC ACTION

Form #	Title
110	Petition PDF \| WP \| RTF
111	Juvenile Information Sheet PDF \| WP \| RTF
	Appointments
112	Order Appointing Guardian Ad Litem PDF \| WP \| RTF
113	Order Appointing Attorney for Child PDF \| WP \| RTF
114	Order Appointing Attorney for Parent PDF \| WP \| RTF
115	Order Appointing Attorney for Interested Party PDF \| WP \| RTF
116	Order Appointing Multi-Disciplinary Team PDF \| WP \| RTF
	CASA
117	Oath of Court Appointed Special Advocate PDF \| WP \| RTF
118	Order Appointing Special Advocate PDF \| WP \| RTF
119	Order Discharging Court Appointed Special Advocate PDF \| WP \| RTF
	Citizen Review Board
120	Oath of Citizen Review Board Volunteer PDF \| WP \| RTF
121	Citizen Review Board Referral Order PDF \| WP \| RTF
122	Summons PDF \| WP \| RTF
123	Notice of Hearing PDF \| WP \| RTF
124	Application for Disclosure of Information PDF \| WP \| RTF
125	Subpoena PDF \| WP \| RTF
126	Motion for Interested Party Status PDF \| WP \| RTF
127	Order Determining Interested Party Status PDF \| WP \| RTF
128	Notice of Hearing on Interested Party Status PDF \| WP \| RTF
129	Petition for Review of Denial or Termination of Interested Party Status PDF \| WP \| RTF
130	Notice of Temporary Custody Hearing PDF \| WP \| RTF
131	Certificate of Oral Notice of Temporary Custody Hearing PDF \| WP \| RTF
*132a	Order of Temporary Custody PDF \| WP \| RTF
*132b	Combined Journal Entry and Order for Temporary Custody PDF \| WP \| RTF
133	Order for Continuance and Informal Supervision PDF \| WP \| RTF
134	Restraining Order PDF \| WP \| RTF
135	Motion for Discovery PDF \| WP \| RTF
136	Order Allowing Discovery PDF \| WP \| RTF

ADJUDICATORY PROCEDURE

Form #	Title
	Adjudication
*140a	Order of Adjudication PDF \| WP \| RTF
*140b	Combined Journal Entry and Order of Adjudication PDF \| WP \| RTF
*141a	Orders of Adjudication and Disposition PDF \| WP \| RTF
*141b	Combined Journal Entry and Orders of Adjudication and Disposition PDF \| WP \| RTF
142	Stipulation or No Contest Statement PDF \| WP \| RTF

DISPOSITIONAL PROCEDURE

Form #	Title
150	Notice of Dispositional Hearing PDF \| WP \| RTF
*151a	Order of Disposition PDF \| WP \| RTF
*151b	Combined Journal Entry and Order of Disposition PDF \| WP \| RTF

POST DISPOSITIONAL PROCEDURES

Form #	Title
160	Motion for Rehearing of Disposition PDF \| WP \| RTF
161	Order for Rehearing PDF \| WP \| RTF
162	Combined Journal Entry and Order of Rehearing of Disposition PDF \| WP \| RTF
163	Request for Hearing on Change in Placement PDF \| WP \| RTF
164	Journal Entry of Hearing on Change in Placement PDF \| WP \| RTF
165	Consent to Placement in Parents' Home PDF \| WP \| RTF
166	Emergency Change of Placement Order PDF \| WP \| RTF
167	Journal Entry of Review Hearing PDF \| WP \| RTF
168	Report From Foster Parents PDF \| WP \| RTF
169	Permanency Plan PDF \| WP \| RTF
*170a	Permanency Hearing Order for Child in Need of Care PDF \| WP \| RTF
*170b	Combined Permanency Hearing Journal Entry and Order PDF \| WP \| RTF
171	Notice of Permanency Hearing PDF \| WP \| RTF
172	Order to Remain in Placement PDF \| WP \| RTF
173	Order to Detain for Violation of Valid Court Order PDF \| WP \| RTF
174	Order Authorizing Secure Placement for Violation of Valid Court Order to Remain in Placement PDF \| WP \| RTF

TERMINATION OF PARENTAL RIGHTS

Form #	Title
180	Motion for Finding of Unfitness and Termination of Paternal Rights or Appointment of Permanent Guardian PDF \| WP \| RTF
181	Notice of Hearing PDF \| WP \| RTF
182	Order Appointing Attorney for Absent or Unknown Parent PDF \| WP \| RTF
183	Relinquishment of Minor Child to Agency PDF \| WP \| RTF
184	Consent to Appointment of Permanent Custodian PDF \| WP \| RTF
185	Finding of Unfitness and Order Terminating Parental Rights or Appointing Permanent Custodian PDF \| WP \| RTF
186	Order Appointing Permanent Custodian PDF \| WP \| RTF
187	Annual Report to the Court of Permanent Custodian PDF \| WP \| RTF
*188a	Permanency Hearing Order for Child in Need of Care Post-Termination PDF \| WP \| RTF
*188b	Journal Entry of Permanency Hearing for Child in Need of Care Post-Termination PDF \| WP \| RTF
189	Notice of Post-Termination Permanency Hearing PDF \| WP \| RTF
190	Order Terminating Jurisdiction PDF \| WP \| RTF

APPEALS

Form #	Title
200	Notice of Appeal PDF \| WP \| RTF
201	Temporary Orders Pending Appeal PDF \| WP \| RTF

MISCELLANEOUS FORMS

Form #	Title
210	Notice of Hearing (generic) PDF \| WP \| RTF
211	Certificate of Service (generic) PDF \| WP \| RTF
212	Motion for Change of Venue PDF \| WP \| RTF
213	Order Transferring Venue PDF \| WP \| RTF
214	Motion to Continue PDF \| WP \| RTF
215	Order of Continuance PDF \| WP \| RTF
216	Custody Order for Non-Parental Residency PDF \| WP \| RTF
217	Order for Closed Proceedings PDF \| WP \| RTF
218	Child in Need of Care Information Form PDF \| WP \| RTF

INDIAN CHILD WELFARE ACT FORMS

Form #	Title
220	Indian Child Welfare Act Notice PDF \| WP \| RTF
221	Indian Child Welfare Act Motion to Intervene PDF \| WP \| RTF
222	Indian Child Welfare Act Order Granting Motion to Intervene PDF \| WP \| RTF
223	Indian Child Welfare Act Petition for Transfer of Jurisdiction PDF \| WP \| RTF
224	Indian Child Welfare Act Order Transferring Jurisdiction, Releasing Child From SRS Custody, and Terminating Court Jurisdiction PDF \| WP \| RTF
*225a	Indian Child Welfare Act Order of Adjudication PDF \| WP \| RTF
*225b	Indian Child Welfare Act Combined Journal Entry and Order of Adjudication PDF \| WP \| RTF
*226a	Indian Child Welfare Act Orders of Adjudication and Disposition PDF \| WP \| RTF
*226b	Indian Child Welfare Act Combined Journal Entry and Orders of Adjudication and Disposition PDF \| WP \| RTF
*227a	Indian Child Welfare Act Order of Disposition PDF \| WP \| RTF
*227b	Indian Child Welfare Act Combined Journal Entry and Order of Disposition PDF \| WP \| RTF
228	Indian Child Welfare Act Combined Journal Entry and Order of Rehearing of Disposition PDF \| WP \| RTF
*229a	Indian Child Welfare Act Permanency Hearing Order for Child in Need of Care PDF \| WP \| RTF
*229b	Indian Child Welfare Act Combined Permanency Hearing Journal Entry and Order PDF \| WP \| RTF
230	Indian Child Welfare Act Finding of Unfitness and Order Terminating Parental Rights or Appointing Permanent Custodian PDF \| WP \| RTF
*231a	Indian Child Welfare Act Permanency Hearing Order for Child in Need of Care Post-Termination PDF \| WP \| RTF
*231b	Indian Child Welfare Act Journal Entry of Permanency Hearing for Child in Need of Care Post-Termination PDF \| WP \| RTF
* These forms contain findings required by the Adoption and Safe Families Act (ASFA, 42 USC 671 et seq.) and have been approved by the Judicial Administrator pursuant to Supreme Court Administrative Order No. 155, first entered September 22, 2000. It is mandatory that either these forms or the original forms approved pursuant to Supreme Court Administrative Order No. 155 be used.