Form JV-236 "Input on Placement in Short-Term Residential Therapeutic Program" - California

What Is Form JV-236?

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-236 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form JV-236 "Input on Placement in Short-Term Residential Therapeutic Program" - California

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Clerk stamps date here when form is filed.
Input on Placement in Short-Term
JV-236
Residential Therapeutic Program
If you do not agree with the placement of the child or nonminor dependent in a
short-term residential therapeutic program, or if you would like to provide
input on the placement without objecting to the placement, you may inform the
court of your objection or input by using this form. Only a party to the case can
object to the placement, while anyone with an interest in the child or nonminor
dependent can use the form to provide their input. If you are a party to the case
and you receive the report described in Welfare and Institutions Code section
361.22(c) or 727.12(c) 10 court days before the hearing, or earlier, the court
Fill in court name and street address:
may consider approving the placement without a hearing. In that case, any
Superior Court of California, County of
objections must be filed with the court on this form within 5 court days of
receiving the report.
1
My contact information (if confidential, use form JV-287):
a. Name:
Fill in child's/nonminor's name and date of birth:
b. Address:
Child's/Nonminor's name:
c. City/State/Zip:
d. Phone:
Child's/Nonminor's date of birth:
e. E-mail:
Relationship to the child or nonminor dependent :
2
Court fills in case number when form is filed.
a.
Self
Case Number:
b.
Parent or legal guardian
c.
Indian custodian
d.
Attorney for parent, legal guardian, or Indian custodian
e.
Attorney for child or nonminor dependent
f.
The child’s or nonminor's Indian tribe
g.
Other :
The child or nonminor dependent was placed in a short-term residential therapeutic program on
3
(date):
.
4
I received the report from the social worker or probation officer addressing the child’s or nonminor dependent’s
placement in the short-term residential therapeutic program on (date):
.
5
I object to the child's/nonminor dependent's placement in the short-term residential therapeutic program.
(If no objections are received from any of the parties to the case, the court may approve the placement without
holding a hearing).
6
I oppose the placement because:
Judicial Council of California,
www.courts.ca.gov
Input on Placement in
JV-236,
Page 1 of 2
New October 1, 2021, Mandatory Form
Short-Term Residential Therapeutic Program
Welfare and Institutions Code, §§ 361.22, 727.12
California Rules of Court, rule 5.618
Clerk stamps date here when form is filed.
Input on Placement in Short-Term
JV-236
Residential Therapeutic Program
If you do not agree with the placement of the child or nonminor dependent in a
short-term residential therapeutic program, or if you would like to provide
input on the placement without objecting to the placement, you may inform the
court of your objection or input by using this form. Only a party to the case can
object to the placement, while anyone with an interest in the child or nonminor
dependent can use the form to provide their input. If you are a party to the case
and you receive the report described in Welfare and Institutions Code section
361.22(c) or 727.12(c) 10 court days before the hearing, or earlier, the court
Fill in court name and street address:
may consider approving the placement without a hearing. In that case, any
Superior Court of California, County of
objections must be filed with the court on this form within 5 court days of
receiving the report.
1
My contact information (if confidential, use form JV-287):
a. Name:
Fill in child's/nonminor's name and date of birth:
b. Address:
Child's/Nonminor's name:
c. City/State/Zip:
d. Phone:
Child's/Nonminor's date of birth:
e. E-mail:
Relationship to the child or nonminor dependent :
2
Court fills in case number when form is filed.
a.
Self
Case Number:
b.
Parent or legal guardian
c.
Indian custodian
d.
Attorney for parent, legal guardian, or Indian custodian
e.
Attorney for child or nonminor dependent
f.
The child’s or nonminor's Indian tribe
g.
Other :
The child or nonminor dependent was placed in a short-term residential therapeutic program on
3
(date):
.
4
I received the report from the social worker or probation officer addressing the child’s or nonminor dependent’s
placement in the short-term residential therapeutic program on (date):
.
5
I object to the child's/nonminor dependent's placement in the short-term residential therapeutic program.
(If no objections are received from any of the parties to the case, the court may approve the placement without
holding a hearing).
6
I oppose the placement because:
Judicial Council of California,
www.courts.ca.gov
Input on Placement in
JV-236,
Page 1 of 2
New October 1, 2021, Mandatory Form
Short-Term Residential Therapeutic Program
Welfare and Institutions Code, §§ 361.22, 727.12
California Rules of Court, rule 5.618
Case Number:
I do not oppose the placement, but I want to tell the court the following:
7
8
Check here if you need space for any of the items. Write the item number and the additional information here. If
you need more space, attach a sheet or sheets of paper.
Date:
Type or print your name
Sign your name
Input on Placement in
New October 1, 2021
JV-236,
Page 2 of 2
Short-Term Residential Therapeutic Program
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