Free JV-324.v5.101007.mc.ofm - California

Clerk stamps date here when form is filed.

JV-324

Notice of Emergency Removal

This notice must be served with a blank copy of form JV-321, Request for Prospective Adoptive Parent Designation, and a blank copy of form JV-325, Objection to Removal. 1

To:
a. Court: b. Designated prospective adoptive parent or caregiver who may fit the definition of "prospective adoptive parent" (name each):
Fill in court name and street address:

Superior Court of California, County of

c. Child's attorney (name): d. Child, if 10 years of age or older (name): e. Child's identified Indian tribe, if any (name): f. Child's Indian custodian, if any (name): g. Child's Court Appointed Special Advocate (CASA) program, if any (name of person notified):
Fill in child's name and date of birth:

Child's Name: Date of Birth:
Fill in case number:

Case Number:

2

Name of adoption agency: Address: The adoption agency has removed (name of child): because of an immediate risk of harm (explain):

Phone number: from his or her current home

3

If you do not agree with the removal, you may request a court hearing by filling out form JV-325, Objection to Removal, and filing it with the court within five court days or seven calendar days, whichever is longer, from the date you received this notice. If the court has not designated the caregiver as a prospective adoptive parent, you must complete form JV-321, Request for Prospective Adoptive Parent Designation, and file it with this form.

Judicial Council of California, www.courtinfo.ca.gov Revised January 1, 2008, Mandatory Form Welfare and Institutions Code, § 366.26(n) Cal. Rules of Court, rule 5.728

Notice of Emergency Removal

JV-324, Page 1 of 1
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