Form JU03.0460 "Order on Motion for Court Approval of Placement in Qualified Residential Treatment Program" - Washington

What Is Form JU03.0460?

This is a legal form that was released by the Washington Superior Court - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the Washington Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form JU03.0460 by clicking the link below or browse more documents and templates provided by the Washington Superior Court.

ADVERTISEMENT
ADVERTISEMENT

Download Form JU03.0460 "Order on Motion for Court Approval of Placement in Qualified Residential Treatment Program" - Washington

Download PDF

Fill PDF online

Rate (4.8 / 5) 23 votes
Superior Court of Washington
County of _______________________
In re:
No
:
Order on Motion for Court
Approval of Placement in
Qualified Residential Treatment
D.O.B.:
Program
[ ] Approved (OAPQRT)
[ ] Does not approve (ORDQRT)
I. Basis
The court considered DCYF’s social study and the included assessment, determination, and
documentation completed by a qualified individual.
II. Findings
The court finds:
2.1 The child was placed in a qualified residential treatment program on ____________________ (date).
2.2 Placement of the child in a qualified residential treatment program [ ] meets [ ] does not meet the
child’s needs in the least restrictive environment.
III. Order
It is ordered that:
The Court [ ] approves [ ] does not approve the child’s placement in _____________________________
______________________________________________ as a qualified residential treatment program.
Dated:
Judge/Commissioner
Presented by:
________________________________________
Signature
________________________________________
Print Name/Title
WSBA No.
Order on Motion for Court Approval of QRTP - Page 1 of 2
JU 03.0460 (10/1/2019) RCW 13.34.065, .0130, Laws of 2019, ch. 172 § 14.
Superior Court of Washington
County of _______________________
In re:
No
:
Order on Motion for Court
Approval of Placement in
Qualified Residential Treatment
D.O.B.:
Program
[ ] Approved (OAPQRT)
[ ] Does not approve (ORDQRT)
I. Basis
The court considered DCYF’s social study and the included assessment, determination, and
documentation completed by a qualified individual.
II. Findings
The court finds:
2.1 The child was placed in a qualified residential treatment program on ____________________ (date).
2.2 Placement of the child in a qualified residential treatment program [ ] meets [ ] does not meet the
child’s needs in the least restrictive environment.
III. Order
It is ordered that:
The Court [ ] approves [ ] does not approve the child’s placement in _____________________________
______________________________________________ as a qualified residential treatment program.
Dated:
Judge/Commissioner
Presented by:
________________________________________
Signature
________________________________________
Print Name/Title
WSBA No.
Order on Motion for Court Approval of QRTP - Page 1 of 2
JU 03.0460 (10/1/2019) RCW 13.34.065, .0130, Laws of 2019, ch. 172 § 14.
Copy Received; Approved for Entry; Notice of Presentation Waived:
[ ] Signature of Child’s Lawyer
Signature of Child
Print Name
WSBA No.
[ ] Signature of Mother’s Lawyer
[ ] Signature of Mother
[ ] Pro Se, Advised of Right to Counsel
Print Name
WSBA No.
[ ] Signature of Father’s Lawyer
[ ] Signature of Father
[ ] Pro Se, Advised of Right to Counsel
Print Name
WSBA No.
[ ] Signature of Guardian or Legal Custodian’s Lawyer
[ ] Signature of Guardian or Legal Custodian
[ ] Pro Se, Advised of Right to Counsel
Print Name
WSBA No.
[ ] Signature of Child’s GAL
[ ] Signature of Lawyer for the Child’s GAL
Print Name
Print Name
WSBA No.
[ ] Signature of DCYF Representative’s Lawyer
[ ] Signature of DCYF Representative
Print Name
Print Name
WSBA No.
[ ] Signature of Tribal Representative
[ ] Signature
Print Name
Print Name
WSBA No.
Lawyer for
Order on Motion for Court Approval of QRTP - Page 2 of 2
JU 03.0460 (10/1/2019) RCW 13.34.065, .0130, Laws of 2019, ch. 172 § 14.
Page of 2