Form WPF JU04.0110 "Hearing, Findings, and Order Regarding Termination of Parent-Child Relationship (Ortpcr, Ordsm)" - Washington

What Is Form WPF JU04.0110?

This is a legal form that was released by the Washington Juvenile 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 July 1, 2021;
  • The latest edition provided by the Washington Juvenile 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 WPF JU04.0110 by clicking the link below or browse more documents and templates provided by the Washington Juvenile Court.

ADVERTISEMENT
ADVERTISEMENT

Download Form WPF JU04.0110 "Hearing, Findings, and Order Regarding Termination of Parent-Child Relationship (Ortpcr, Ordsm)" - Washington

Download PDF

Fill PDF online

Rate (4.3 / 5) 6 votes
Page background image
Superior Court of Washington
County of _______________________
Juvenile Court
No:
Dependency of:
Hearing, Findings, and Order Regarding
Termination of Parent-Child Relationship
[ ] Granted (ORTPCR)
[ ] Dismissed (ORDSM)
D.O.B.:
Clerk’s Action Required: Paragraph 4.1
[ ]
The child is legally free. An attorney must be appointed for the child in dependency case
number ________________________ no later than six months from today’s date. (NCLF)
I. Hearing
1.1
The court held a hearing in this case on ____________________________________
[date] on a petition requesting termination of the parent-child relationship.
The following persons appeared:
1.2
[ ]
Child
[ ]
Child's Lawyer
[ ]
Mother
[ ]
Mother's Lawyer
[ ]
Father
[ ]
Father's Lawyer
[ ]
Guardian or Legal Custodian
[ ]
Guardian's or Legal Custodian's Lawyer
[ ]
Child's GAL
[ ]
GAL's Lawyer
[ ]
DCYF
[ ]
DCYF’s Lawyer
[ ]
Tribal Representative
[ ]
Tribal Lawyer
[ ]
Interpreter for [ ] mother [ ] father
[ ]
Other
[ ]
Other
The court heard testimony.
1.3
II. Findings
2.1
The following received adequate service:
[ ]
Mother
[ ]
Legal Guardian
[ ]
Father
[ ]
Other
A courtesy copy of the service packet was provided to:
[ ]
GAL
[ ]
Child’s Lawyer
RCW 13.34.190 - .210s
Hr., Fd., and Or. Re: Termination of
(07/2021)
Parent Child Relationship
WPF JU 04.0110
p. 1 of 4
Superior Court of Washington
County of _______________________
Juvenile Court
No:
Dependency of:
Hearing, Findings, and Order Regarding
Termination of Parent-Child Relationship
[ ] Granted (ORTPCR)
[ ] Dismissed (ORDSM)
D.O.B.:
Clerk’s Action Required: Paragraph 4.1
[ ]
The child is legally free. An attorney must be appointed for the child in dependency case
number ________________________ no later than six months from today’s date. (NCLF)
I. Hearing
1.1
The court held a hearing in this case on ____________________________________
[date] on a petition requesting termination of the parent-child relationship.
The following persons appeared:
1.2
[ ]
Child
[ ]
Child's Lawyer
[ ]
Mother
[ ]
Mother's Lawyer
[ ]
Father
[ ]
Father's Lawyer
[ ]
Guardian or Legal Custodian
[ ]
Guardian's or Legal Custodian's Lawyer
[ ]
Child's GAL
[ ]
GAL's Lawyer
[ ]
DCYF
[ ]
DCYF’s Lawyer
[ ]
Tribal Representative
[ ]
Tribal Lawyer
[ ]
Interpreter for [ ] mother [ ] father
[ ]
Other
[ ]
Other
The court heard testimony.
1.3
II. Findings
2.1
The following received adequate service:
[ ]
Mother
[ ]
Legal Guardian
[ ]
Father
[ ]
Other
A courtesy copy of the service packet was provided to:
[ ]
GAL
[ ]
Child’s Lawyer
RCW 13.34.190 - .210s
Hr., Fd., and Or. Re: Termination of
(07/2021)
Parent Child Relationship
WPF JU 04.0110
p. 1 of 4
2.2
Child’s Indian Status: The court asked each participant on the record in this proceeding
whether the participant knows or has reason to know the child is an Indian child.
The petitioner [ ] has [ ] has not made a good faith effort to determine whether the child
is an Indian Child.
[ ]
Based upon the following, there is not a reason to know the child is an Indian
child as defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), and the Federal
and Washington State Indian Child Welfare Acts do not apply to this proceeding:
[ ]
Based upon the following, there is reason to know the child is an Indian child as
defined in RCW 13.38.040 and 25 U.S.C. § 1903(4), and the Federal and
Washington State Indian Child Welfare Acts apply to this proceeding:
[ ]
Based on the following summary, the petitioner used due diligence to identify and
work with the tribes of which there is reason to know the child may be a member
or eligible for membership, to verify whether the child is in fact a member (or the
biological parent is a member and the child is eligible for membership).
.
[ ]
The petitioner [ ] has [ ] has not provided notice of this proceeding as required
by RCW 13.38.070 and 25 U.S.C. § 1912(a) to all tribes to which the petitioner or
court knows or has reason to know the child may be a member or eligible for
membership if the biological parent is also a member.
[The Washington Pattern Forms Committee believes that an order terminating a parent-child relationship
should receive individualized attention due to the seriousness of the proceeding. RCW 13.34.180
provides:
(1) A petition seeking termination of a parent and child relationship may be filed in juvenile court by
any party to the dependency proceedings concerning that child. Such petition shall conform to the
requirements of RCW 13.34.040 and shall allege:
(a) That the child has been found to be a dependent child;
(b) That the court has entered a dispositional order pursuant to RCW 13.34.130;
(c) That the child has been removed or will, at the time of the hearing, have been removed from
the custody of the parent for a period of at least six months pursuant to a finding of dependency;
(d) That the services ordered under RCW 13.34.136 have been expressly and understandably
offered or provided and all necessary services, reasonably available, capable of correcting the
parental deficiencies within the foreseeable future have been expressly and understandably
offered or provided;
(e) That there is little likelihood that conditions will be remedied so that the child can be returned
to the parent in the near future; and
RCW 13.34.190 - .210s
Hr., Fd., and Or. Re: Termination of
(07/2021)
Parent Child Relationship
WPF JU 04.0110
p. 2 of 4
(f) That continuation of the parent and child relationship clearly diminishes the child's prospects
for early integration into a stable and permanent home.
(2) In lieu of the allegations in subsections (1) through (6), the petition may allege that the child was
found under such circumstances that the whereabouts of the child's parent are unknown and no
person has acknowledged paternity or maternity and requested custody of the child within two
months after the child was found.
(3) In lieu of the allegations in subsections (2) through (6), the petition may allege that the parent
has been convicted of:
(a) murder in the first degree, murder in the second degree, or homicide by abuse as defined in
Chapter 9A.32 RCW against another child of the parent;
(b) manslaughter in the first degree or manslaughter in the second degree, as defined in Chapter
9A.32 RCW against another child of the parent;
(c) attempting, conspiring, or soliciting another to commit one or more of the crimes listed in (a)
or (b); or
(d) assault in the first or second degree, as defined in Chapter 9A.36 RCW, against the surviving
child or another child of the parent.
RCW 13.34.190 provides:
“(1) Except as provided in subsection (2) of this section, after a hearing pursuant to RCW 13.34.110
or 13.34.130, the court may enter an order terminating all parental rights to a child only if the court
finds that:
(a)(i) The allegations contained in the petition as provided in RCW 13.34.180(1) are established
by clear, cogent, and convincing evidence; or
(ii) The provisions of RCW 13.34.180(1) (a), (b), (e), and (f) are established beyond a reasonable
doubt and if so, then RCW 13.34.180(1) (c) and (d) may be waived. When an infant has been
abandoned, as defined in RCW 13.34.030, and the abandonment has been proved beyond a
reasonable doubt, then RCW 13.34.180(1) (c) and (d) may be waived; or
(iii) The allegation under RCW 13.34.180(2) is established beyond a reasonable doubt. In
determining whether RCW 13.34.180(1) (e) and (f) are established beyond a reasonable doubt,
the court shall consider whether one or more of the aggravated circumstances listed in
RCW 13.34.132 exist; or
(iv) The allegation under RCW 13.34.180(3) is established beyond a reasonable doubt; and
(b) Such an order is in the best interests of the child.
(2) In any proceeding under this chapter for termination of the parent-child relationship of an Indian
child as defined in 25 U.S.C. Sec. 1903, no termination of parental rights may be ordered in such
proceeding in the absence of a determination, supported by evidence beyond a reasonable doubt,
including testimony of qualified expert witnesses, that the continued custody of the child by the
parent or Indian custodian is likely to result in serious emotional or physical damage to the child.]
RCW 13.34.200(3) provides:
An order terminating the parent-child relationship shall include a statement addressing the status
of the child's sibling relationships and the nature and extent of sibling placement, contact, or
visits.
III. Conclusions of Law
[Individualized Conclusions of Law.]
RCW 13.34.190 - .210s
Hr., Fd., and Or. Re: Termination of
(07/2021)
Parent Child Relationship
WPF JU 04.0110
p. 3 of 4
IV. Order
4.1
[ ]
The petition is denied and the termination action is dismissed [ ] with [ ] without
prejudice.
4.2
[ ]
The petition is granted.
4.2.1
All rights, powers, privileges, immunities, duties and obligations, including any
rights to custody, control, visitation or support existing between (parent's name)
and (child’s name)
are severed and terminated and the
parent shall have no standing to appear at any further legal proceedings
concerning the child.
4.2.2
Any support obligation existing prior to the effective date of this order remains in
full force and effect.
4.2.3
This order does not affect the rights of a parent not named above.
4.2.4
The child is committed to the custody of:
[ ]
the Department of Children, Youth, and Families (DCYF). DCYF has the
power and authority granted by RCW 13.34.210.
[ ]
other:
4.3
Other:
Dated:
Judge/Commissioner
Presented by:
_______________________________________
Signature
_______________________________________
Type or Print Name
WSBA No.
RCW 13.34.190 - .210s
Hr., Fd., and Or. Re: Termination of
(07/2021)
Parent Child Relationship
WPF JU 04.0110
p. 4 of 4
Page of 4