Form JV-235 "Placing Agency's Request for Review of Placement in Short-Term Residential Therapeutic Program" - California

What Is Form JV-235?

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

Form Details:

  • Released on October 1, 2021;
  • The latest edition provided by the California 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 fillable version of Form JV-235 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form JV-235 "Placing Agency's Request for Review of Placement in Short-Term Residential Therapeutic Program" - California

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Placing Agency's Request for
Clerk stamps date here when form is filed.
JV-235
Review of Placement in Short-Term
Residential Therapeutic Program
The request for review must be served on all parties together with a blank copy
of Input on Placement in Short-Term Residential Therapeutic Program (form
JV-236).
1
Agency requesting review:
Name and title of person filing the form:
Address:
Fill in court name and street address:
Phone:
Superior Court of California, County of
The child or nonminor dependent was placed at the following short-term
2
residential therapeutic program
(name):
,
on (date):
.
Fill in child's/nonminor's name and date of birth:
Child's/Nonminor's name:
The agency listed in
requests that the court set a hearing under
1
3
Welfare and Institutions Code section 361.22 or 727.12 to review the
Child's/Nonminor's date of birth:
placement of the child or nonminor dependent in the short-term
residential therapeutic program.
Court fills in case number when form is filed.
The agency listed in
will request that the placement be approved
1
4
Case Number:
without a hearing after meeting the requirements of rule 5.618(f) of
the California Rules of Court.
To the parent, guardian, child or nonminor dependent, and the child's Indian tribe or Indian custodian in
5
the case of an Indian child: If you do not agree with the placement of the youth in the short-term residential
therapeutic program, you may inform the court of your objection. To do so, you must use form JV-236, Input
on Placement in Short-Term Residential Therapeutic Program and file it with the court. The court will set a
hearing and will inform you when the hearing will occur. Before the hearing, you will receive a report from the
social worker or probation officer that will explain why the placement was made and how it serves the needs of the
child or nonminor dependent. The report is described in Welfare and Institutions Code section 361.22(c)
(dependency), or 727.12(c) (delinquency).
If the agency indicates in
4
that they will request approval of the replacement without a hearing, your objection
must be filed with the court within five court days of when you receive the report for the hearing. If no objections
are received, the court may approve the placement without a hearing.
Date:
Type or print your name
Sign your name
Judicial Council of California,
www.courts.ca.gov
JV-235,
Placing Agency's Request for Review of Placement
Page 1 of 1
New October 1, 2021, Mandatory Form
Welfare and Institutions Code, §§ 361.22, 727.12
in Short-Term Residential Therapeutic Program
California Rules of Court, rule 5.618
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
Placing Agency's Request for
Clerk stamps date here when form is filed.
JV-235
Review of Placement in Short-Term
Residential Therapeutic Program
The request for review must be served on all parties together with a blank copy
of Input on Placement in Short-Term Residential Therapeutic Program (form
JV-236).
1
Agency requesting review:
Name and title of person filing the form:
Address:
Fill in court name and street address:
Phone:
Superior Court of California, County of
The child or nonminor dependent was placed at the following short-term
2
residential therapeutic program
(name):
,
on (date):
.
Fill in child's/nonminor's name and date of birth:
Child's/Nonminor's name:
The agency listed in
requests that the court set a hearing under
1
3
Welfare and Institutions Code section 361.22 or 727.12 to review the
Child's/Nonminor's date of birth:
placement of the child or nonminor dependent in the short-term
residential therapeutic program.
Court fills in case number when form is filed.
The agency listed in
will request that the placement be approved
1
4
Case Number:
without a hearing after meeting the requirements of rule 5.618(f) of
the California Rules of Court.
To the parent, guardian, child or nonminor dependent, and the child's Indian tribe or Indian custodian in
5
the case of an Indian child: If you do not agree with the placement of the youth in the short-term residential
therapeutic program, you may inform the court of your objection. To do so, you must use form JV-236, Input
on Placement in Short-Term Residential Therapeutic Program and file it with the court. The court will set a
hearing and will inform you when the hearing will occur. Before the hearing, you will receive a report from the
social worker or probation officer that will explain why the placement was made and how it serves the needs of the
child or nonminor dependent. The report is described in Welfare and Institutions Code section 361.22(c)
(dependency), or 727.12(c) (delinquency).
If the agency indicates in
4
that they will request approval of the replacement without a hearing, your objection
must be filed with the court within five court days of when you receive the report for the hearing. If no objections
are received, the court may approve the placement without a hearing.
Date:
Type or print your name
Sign your name
Judicial Council of California,
www.courts.ca.gov
JV-235,
Placing Agency's Request for Review of Placement
Page 1 of 1
New October 1, 2021, Mandatory Form
Welfare and Institutions Code, §§ 361.22, 727.12
in Short-Term Residential Therapeutic Program
California Rules of Court, rule 5.618
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