Form AOC-DNA-3 "Order Temporary Removal Hearing" - Kentucky

What Is Form AOC-DNA-3?

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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Download Form AOC-DNA-3 "Order Temporary Removal Hearing" - Kentucky

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AOC-DNA-3
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
Court of Justice
www.kycourts.gov
County _______________________
KRS 610.010, .050, .070, .160, .170
Division ______________________
KRS 620.023, .027, .080, .090, .100,
ORDER
KRS 620.130, .220
Hearing Type: Temp Removal (TRH)
TEMPORARY REMOVAL HEARING
FCRPP 20; 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(s) 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. If this hearing is continued, please complete #9.
The Court having considered the sworn testimony and evidence, and being otherwise suffi ciently advised, hereby fi nds
and concludes:
1. The parent(s) or other person(s) exercising custodial control or supervision has/have stipulated to  dependency
OR  neglect and abuse.
2. The Commonwealth  has  has not proved by a preponderance of the evidence that there are reasonable grounds
to believe that the child would be dependent, neglected or abused if returned to or left in the custody of his/her parent(s)
or other person(s) exercising custodial control or supervision.
3.  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:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
4. The child’s best interests  require  do not require the Court to order a change of temporary custody of the child.
5. Continuation in the home of removal  is  is not contrary to the welfare of the child.
AOC-DNA-3
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
Court of Justice
www.kycourts.gov
County _______________________
KRS 610.010, .050, .070, .160, .170
Division ______________________
KRS 620.023, .027, .080, .090, .100,
ORDER
KRS 620.130, .220
Hearing Type: Temp Removal (TRH)
TEMPORARY REMOVAL HEARING
FCRPP 20; 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(s) 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. If this hearing is continued, please complete #9.
The Court having considered the sworn testimony and evidence, and being otherwise suffi ciently advised, hereby fi nds
and concludes:
1. The parent(s) or other person(s) exercising custodial control or supervision has/have stipulated to  dependency
OR  neglect and abuse.
2. The Commonwealth  has  has not proved by a preponderance of the evidence that there are reasonable grounds
to believe that the child would be dependent, neglected or abused if returned to or left in the custody of his/her parent(s)
or other person(s) exercising custodial control or supervision.
3.  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:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
4. The child’s best interests  require  do not require the Court to order a change of temporary custody of the child.
5. Continuation in the home of removal  is  is not contrary to the welfare of the child.
AOC-DNA-3
Case No. ___________________________
Rev. 1-21
Page 2 of 3
6. Reasonable Eff orts:
 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 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).
7. 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.
8. 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.
9.  This hearing is continued to the date specifi ed at the end of this Order, and any Emergency Custody Order entered
herein shall be extended to that date.
10. If adjudication and/or disposition is/are scheduled beyond forty-fi ve (45) days:  It is in the best interest of the
child to extend the time for the adjudication and/or disposition beyond forty-fi ve (45) days of the removal of the child as
authorized by KRS 620.090(5) AND the following written fi ndings establish the need for the extension:
___________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
11.  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.
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 THAT THIS CHILD SHALL:
Doc. Code:
1. OTHTC  Be placed in temporary custody of the Cabinet for Health and Family Services (CHFS). Advisory
recommendations for placement, if any, are:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
OTHCR  Be placed in temporary custody of relative(s) or other appropriate person(s) or agency named below.
OTHRR  Be returned/released to home of removal.
OTHRM  Remain in the home.
Name, address and relationship of person(s) with whom the child is placed if other than CHFS:
Name:_______________________________________________________________________________
Address: ____________________________________________________________________________
____________________________________________________________________________
Relationship to the child: ____________________________________
AOC-DNA-3
Case No. ___________________________
Rev. 1-21
Page 3 of 3
2.  The parent(s), guardian(s) or person(s) exercising custodial control or supervision of the child shall cooperate with
CHFS and actively participate in treatment or a social service program. (KRS 610.160)
3. OTHER ORDERS:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
NEXT HEARING WILL BE HELD ______________________, 2_____, at _______  a.m.  p.m. at the following location:
____________________________________________________________________________________________
____________________________________________________________________________________________
Hearing Type:  Pretrial Conference (PC)  Adjudication (AH)  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 fi le
 Cabinet for Health and Family Services or facility or agency where child is placed
 All counsel of record and/or parent(s)/custodian(s) if the child not represented by counsel
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