Form JV-212 Application to Review Decision by Social Worker Not to Commence Proceedings - California

Form JV-212 or the "Application To Review Decision By Social Worker Not To Commence Proceedings" is a form issued by the California Courts.

The form was last revised in September 1, 2018 and is available for digital filing. Download an up-to-date Form JV-212 in PDF-format down below or look it up on the California Courts Forms website.

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JV-212
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CHILD'S NAME:
APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
CASE NUMBER:
NOT TO COMMENCE PROCEEDINGS
(Welf. & Inst. Code, § 331)
1.
Applicant's name and address:
2.
Applicant's relationship to child (specify):
3.
Applicant on information and belief alleges that the child below is at risk of abuse or neglect and should come within the jurisdiction
of the court (supply all information known):
a.
Child's name:
b. Age:
c. Date of birth:
d. Sex:
e. Mother's name:
f.
Mother's address:
g. Father's name:
h. Father's address:
i.
Other (state name, address, and relationship to child):
4. The child described in item 3 above
a.
resides within this county.
b.
was in this county at the time of the facts alleged below.
5. Facts in support (State supporting facts concisely; include all known and relevant dates, times, names, and addresses. Attach
separate pages as necessary.):
See attachment 5.
6.
On (date of application):
, applicant applied by affidavit to a social worker to commence proceedings
based on the allegations described above. (Attach a copy of the Application to Commence Proceedings, form JV-210.)
7. It has been three weeks since the application to commence proceedings, and no petition to commence proceedings has been filed
by the social worker on behalf of this child.
8. Applicant now requests the juvenile court review the decision of the social worker, and issue an order compelling the social worker
to commence juvenile court proceedings.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF APPLICANT)
THE COURT FINDS AND ORDERS
9. The court has reviewed the application and orders that
a.
the decision of the social worker not to commence proceedings is affirmed.
b.
the social worker is hereby ordered to commence proceedings by filing a petition pursuant to Welfare and Institutions
Code section 300 based on the allegations set forth in the application.
Date:
JUDICIAL OFFICER
Form Approved for Optional Use
Welfare and Institutions Code, § 331
APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
Judicial Council of California
NOT TO COMMENCE PROCEEDINGS
JV-212 [Rev. September 1, 2018]
(Welf. & Inst. Code, § 331)
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JV-212
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
CHILD'S NAME:
APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
CASE NUMBER:
NOT TO COMMENCE PROCEEDINGS
(Welf. & Inst. Code, § 331)
1.
Applicant's name and address:
2.
Applicant's relationship to child (specify):
3.
Applicant on information and belief alleges that the child below is at risk of abuse or neglect and should come within the jurisdiction
of the court (supply all information known):
a.
Child's name:
b. Age:
c. Date of birth:
d. Sex:
e. Mother's name:
f.
Mother's address:
g. Father's name:
h. Father's address:
i.
Other (state name, address, and relationship to child):
4. The child described in item 3 above
a.
resides within this county.
b.
was in this county at the time of the facts alleged below.
5. Facts in support (State supporting facts concisely; include all known and relevant dates, times, names, and addresses. Attach
separate pages as necessary.):
See attachment 5.
6.
On (date of application):
, applicant applied by affidavit to a social worker to commence proceedings
based on the allegations described above. (Attach a copy of the Application to Commence Proceedings, form JV-210.)
7. It has been three weeks since the application to commence proceedings, and no petition to commence proceedings has been filed
by the social worker on behalf of this child.
8. Applicant now requests the juvenile court review the decision of the social worker, and issue an order compelling the social worker
to commence juvenile court proceedings.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF APPLICANT)
THE COURT FINDS AND ORDERS
9. The court has reviewed the application and orders that
a.
the decision of the social worker not to commence proceedings is affirmed.
b.
the social worker is hereby ordered to commence proceedings by filing a petition pursuant to Welfare and Institutions
Code section 300 based on the allegations set forth in the application.
Date:
JUDICIAL OFFICER
Form Approved for Optional Use
Welfare and Institutions Code, § 331
APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
Judicial Council of California
NOT TO COMMENCE PROCEEDINGS
JV-212 [Rev. September 1, 2018]
(Welf. & Inst. Code, § 331)
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form

Download Form JV-212 Application to Review Decision by Social Worker Not to Commence Proceedings - California

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