Approved: 12.08 C-10.04 Revised: 1.10

STATE OF INDIANA ______COURT

In The Matter Of ______CASE NO. ______A Child in Need of Services

ORDER TO RECONSIDER

The Indiana Department of Child Services appears by ______, Attorney and its Family Case Manager, ______. The child, ______, (appears in person) (is excluded for good cause shown upon the record). The parent(s) ______appear in person [and by counsel]. The (guardian ad litem) (CASA) ______appears in person. The foster parent(s) or other caretaker ______(does) (does not) appear. Others: ______.

Required notice of this hearing has been provided by DCS to parties and foster parent(s) or other caretaker(s).

The CHINS petition comes on for a Dispositional Hearing.

The child having been found to be a CHINS, and the Court, after reviewing the Predispositional Report(s) and hearing statements and evidence presented to the Court regarding the disposition of this cause, finds: The needs of the child for care, treatment, or rehabilitation are: ______;

Participation by the parent, guardian or custodian in the plan of care for the child is necessary to: ______;

[ ] (If Court desires placement reconsideration) DCS has placed the child in ( ) foster care ( ) kinship care with ______( ) ______institution located in ______County, ______(state).

The Predispositional Report recommends ( ) continuation of the existing placement ( ) change of placement to ______.

The Court proposes to change the child’s current placement to ______for the following reasons: ______Approved: 12.08 C-10.04 Revised: 1.10

[ ] (If Court desires program or service reconsideration) The Court proposes the following additional or alternative program or service to be (initiated) (continued) (terminated) for ______(recipient of program or service) for the following reasons: ______.

DCS shall review the Court’s proposed placement, program or service for the child as stated above; and submit a supplemental Predispositional Report to the court stating whether DCS approves or disapproves the proposed placement, program or service as stated herein, and if DCS disapproves the proposed placement, program or service, the reasons for disapproval.

This case is set for a hearing on Reconsideration of Dispositional Alternatives on the ______day of ______,20___ at ______.M. (not more than 7 days beyond service of this order to DCS by the Court)

[ ] The child is placed with______.This placement is an emergency and is required to protect the health and welfare of the child for the following reasons: ______. The Court finds responsibility for the placement and care of the child is ordered or continues to be ordered to the DCS. This disposition is the least restrictive and in the child’s best interest.

Those present are notified of the modification procedures under I. C. 31-34-23.

This case is set for a Six Month Periodic Case Review Hearing in this Court on the ______day of ______, 20_____ at ______.M.

This case is set for a Twelve Month Permanency Hearing in this Court on the ______day of ______, 20____ at ______.M.

SO ORDERED this ______day of ______, 20____.

______Judge

Distribution: