Form AOC-DNA-5 "Order Disposition Hearing" - Kentucky

What Is Form AOC-DNA-5?

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

Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Kentucky Court of Justice;
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AOC-DNA-5
Case No. _____________________
Rev. 1-21
Page 1 of 3
Court
 District
 Family
l e x
Commonwealth of Kentucky
e t
j u s t i t i a
County _______________________
Court of Justice
www.kycourts.gov
KRS 610.010, .050, .070, .080, .110
Division ______________________
KRS 610.160, .170
ORDER
KRS 620.023, .027, .100, .140, .220
DISPOSITION HEARING
Hearing Type: Disposition (D)
FCRPP 21; 27(a) & (b); 42 U.S.C. § 675(5)(G)
IN THE INTEREST OF: ____________________________________________________________________, A CHILD
DOB
Sex
Race
SSN
The following persons were present at today’s hearing:
 Mother
 Father  Child
 County Attorney  CHFS Worker _____________________________________
 Other Person Exercising Custodial Control or Supervision (PECCS) _______________________________________
 Counsel for Child _______________________________  Counsel for Mother _____________________________
 Counsel for Father ______________________________  Counsel for PECCS ___________________________
 CASA ________________________________________  Stepparent(s) _________________________________
 Foster Parent(s) _______________________________________________________________________________
 Person(s)/Agency providing care __________________________________________________________________
 Other ________________________________________________________________________________________
FINDINGS OF FACT/CONCLUSIONS OF LAW
NOTE: If additional space is needed for fi ndings, attach as an addendum.
The Court having considered the sworn testimony and evidence, and being otherwise suffi ciently advised, hereby fi nds
and concludes:
1.  The facts do not support removal or continued removal of the child, or there are less restrictive alternatives to
removal that are adequate to reasonably protect the child.
OR
 The facts do support removal or continued removal of the child, or there are no less restrictive alternatives to
removal that are adequate to reasonably protect the child. The specifi c fi ndings are as follows:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2. The child’s best interests  require  do not require the Court to order a change of custody of the child.
3. Continuation in the home of removal  is  is not contrary to the welfare of the child.
4. REASONABLE EFFORTS:
 Reasonable eff orts were made to prevent the child’s removal from the home.
 Reasonable eff orts to preserve or reunify the child with his/her family are not required pursuant to KRS 610.127.
 Reasonable eff orts were not made to prevent the child's removal or continued removal from the home.
 ICWA Cases Only. Active eff orts have been made to provide services to the family to prevent removal of the
American Indian child from his/her parent(s) or American Indian custodian(s) and to reunify the American Indian
child with his/her parent(s) or American Indian custodian(s) (if removed).
AOC-DNA-5
Case No. _____________________
Rev. 1-21
Page 1 of 3
Court
 District
 Family
l e x
Commonwealth of Kentucky
e t
j u s t i t i a
County _______________________
Court of Justice
www.kycourts.gov
KRS 610.010, .050, .070, .080, .110
Division ______________________
KRS 610.160, .170
ORDER
KRS 620.023, .027, .100, .140, .220
DISPOSITION HEARING
Hearing Type: Disposition (D)
FCRPP 21; 27(a) & (b); 42 U.S.C. § 675(5)(G)
IN THE INTEREST OF: ____________________________________________________________________, A CHILD
DOB
Sex
Race
SSN
The following persons were present at today’s hearing:
 Mother
 Father  Child
 County Attorney  CHFS Worker _____________________________________
 Other Person Exercising Custodial Control or Supervision (PECCS) _______________________________________
 Counsel for Child _______________________________  Counsel for Mother _____________________________
 Counsel for Father ______________________________  Counsel for PECCS ___________________________
 CASA ________________________________________  Stepparent(s) _________________________________
 Foster Parent(s) _______________________________________________________________________________
 Person(s)/Agency providing care __________________________________________________________________
 Other ________________________________________________________________________________________
FINDINGS OF FACT/CONCLUSIONS OF LAW
NOTE: If additional space is needed for fi ndings, attach as an addendum.
The Court having considered the sworn testimony and evidence, and being otherwise suffi ciently advised, hereby fi nds
and concludes:
1.  The facts do not support removal or continued removal of the child, or there are less restrictive alternatives to
removal that are adequate to reasonably protect the child.
OR
 The facts do support removal or continued removal of the child, or there are no less restrictive alternatives to
removal that are adequate to reasonably protect the child. The specifi c fi ndings are as follows:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
2. The child’s best interests  require  do not require the Court to order a change of custody of the child.
3. Continuation in the home of removal  is  is not contrary to the welfare of the child.
4. REASONABLE EFFORTS:
 Reasonable eff orts were made to prevent the child’s removal from the home.
 Reasonable eff orts to preserve or reunify the child with his/her family are not required pursuant to KRS 610.127.
 Reasonable eff orts were not made to prevent the child's removal or continued removal from the home.
 ICWA Cases Only. Active eff orts have been made to provide services to the family to prevent removal of the
American Indian child from his/her parent(s) or American Indian custodian(s) and to reunify the American Indian
child with his/her parent(s) or American Indian custodian(s) (if removed).
AOC-DNA-5
Rev. 1-21
Case No. ___________________________
Page 2 of 3
5. The Court  has  has not received from the Cabinet for Health and Family Services (CHFS) an AOC-DNA-12,
Dependency/Neglect or Abuse Dispositional Report, concerning disposition of the child.
6. Pursuant to KRS 610.170, the parent(s) or other person(s) exercising custodial control or supervision of the child
 is  is not able to contribute to the support, maintenance or education of the child. If able to contribute, child support
may be ordered using an AOC-152, Uniform Child Support Order And/Or Wage/Income Withholding Order.
ORDER
WHEREAS, the above-named child has been brought before this Court pursuant to KRS 610.010, the Court fi nds
its jurisdiction has been properly sought and based upon the fi ndings of fact and conclusions of law, IT IS HEREBY
ORDERED THIS CHILD SHALL:
Doc. Code:
1. ODCOM  Be committed, or remain committed, to CHFS.
ODTCR
 Be placed/Remain out of the home of removal with relative(s) or other appropriate person(s) or agency
named below.
ODRR
 Be returned/released to home of removal.
ODREM
 Remain in the home.
NOTE: An Order of Temporary Custody to CHFS IS NOT a permissible dispositional alternative. (KRS 620.140(2))
Name, address and relationship of person(s) with whom custody is granted if other than commitment to CHFS:
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
______________________________________________________________________________________
Relationship: ____________________________________
2.  The parent(s), guardian(s) or other person(s) exercising custodial control or supervision shall cooperate with CHFS and
actively participate in any treatment or social service program. (KRS 610.160)
3.  The AOC-DNA-12, Dependency/Neglect or Abuse Dispositional Report, with the recommendations of CHFS has
been received, accepted and is incorporated herein as ORDERS of this Court.
OR
 The AOC-DNA-12, Dependency/Neglect or Abuse Dispositional Report, with the recommendations of CHFS has
been received, accepted and is incorporated herein as ORDERS of this Court WITH THE EXCEPTION OF THE
FOLLOWING:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________.
OR
 The Court  has  has not received an AOC-DNA-12, Dependency/Neglect or Abuse Dispositional Report.
However, in lieu of any recommendations included in the AOC-DNA-12, the Court makes the following ORDERS:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________.
AOC-DNA-5
Rev. 1-21
Case No. ___________________________
Page 3 of 3
4. APPOINTMENT OF COUNSEL: Counsel as provided for in KRS 620.100(1) has been/will be appointed by
separate order, AOC-DNA-10, Order Appointing Counsel.
5.  Pursuant to KRS 610.080, the child and the parent(s) have waived their right to two (2) distinct hearings being held
on separate days after consultation with the child’s attorney; and, further waive the right to a formal predisposition
investigation report and move that an adjudication and a disposition hearing be held the same day. Further:
 If the disposition is to be commitment, DCBS/DJJ has also consented to the waiver.
6. For commitment under KRS 620.140: Child needs  protection  extraordinary services (KRS 600.050).
7. OTHER ORDERS:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________.
NEXT HEARING WILL BE HELD ______________________, 2_____, at _______  a.m.  p.m. at the following location:
____________________________________________________________________________________________
____________________________________________________________________________________________
Hearing Type:
 Review (REV)  6 Month Permanency Progress Review (PPR)
 Independent Living Review (ILR)
 Annual Permanency Hearing (APR)
 Other (OH) ___________________________________
The following persons shall be present:
ALL PARTIES AND COUNSEL OF RECORD Except: __________________________________________________
AND:
 CASA _______________________________________________________________________________________
 Stepparent(s) _________________________________________________________________________________
 Foster Parent(s) _______________________________________________________________________________
 Person(s)/Agency providing care __________________________________________________________________
 Other _______________________________________________________________________________________
_____________________________, 2______
____________________________________________
Date
Judge's Signature
Distribution:
 Court File
 Certifi ed copy to Cabinet for Health and Family Services or facility or agency where the child is committed or placed
 All counsel of record and/or parent(s)/custodian(s) if the child not represented by counsel
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