Fillable Form 1: JV-466 Request to Return to Juvenile (Superior Court of California)

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Form 1: JV-466 Request to Return to Juvenile (Superior Court of California)

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The Form 1: JV-466 Request to Return to Juvenile (Superior Court of California) form is 4 pages long and contains:

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  • 30 check-boxes
  • 33 other fields

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JV-466, Page 1 of 4
Judicial Council of California, www.courts.ca.gov
Revised Jan. 1, 2016, Mandatory Form
Welfare and Institutions Code, §§ 224,1, 303, 388(e), 388.1;
Cal. Rules of Court, rule 5.906
Request to Return to Juvenile Court Jurisdiction
and Foster Care
JV-466
Request to Return to Juvenile
Court Jurisdiction and Foster Care
c.
b.
The location of the juvenile court that had authority over me when I was 18 years old or when my guardianship or
adoption was finalized:
d.
The name and court file number or case number of my case in juvenile court:
a.
Name of my case:
b.
Court file number or case number:
b.
The date the juvenile court closed my case:
I need help to keep or find an appropriate place to live.
Voluntary Reentry Agreement with child welfare services or the probation department to return to foster care:
I signed a Voluntary Reentry Agreement for a supervised placement on (date):
with
a.
This form can be used to ask the court to reopen your case because your
situation changed and you decide that you want to return to the court’s
jurisdiction and a foster care placement.
If you don’t want other people (for example, a parent or brother or sister who
was part of your case when you were a child) to know your contact 3 1
information, do not write it in . Write that information on form JV-468,
Confidential Information—Request to Return to Juvenile Court Jurisdiction and
Foster Care. Read form JV-464-INFO, How to Ask to Return to Juvenile Court
Jurisdiction and Foster Care, for information about filling out and filing the
forms.
If you do not know the information asked for on this form, leave the space
blank. Remember to get and keep copies of all court papers and other papers
you sign or receive from the child welfare services agency or the probation
department.
My information:
My city, state, zip code:
My area code and telephone number:
My date of birth:
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California, County of
Court fills in case number when form is filed.
Case Number:
Fill in child's name and date of birth:
1
Name:
1
2
City:
County:
3
4
5
I need a placement right now.
6
I agree to sign a Voluntary Reentry Agreement for a supervised placement.
Child welfare services.
Probation department.
a.
My address:
Revised Jan. 1, 2016
JV-466, Page 2 of 4
Request to Return to Juvenile Court Jurisdiction
and Foster Care
Your name:
Case Number:
a.
You must plan to meet at least one of the five conditions listed below.
Please check all that apply:
b.
d.
e.
c.
The judge will set a hearing about this request if the judge thinks that he or she has enough information to decide
whether you have met all the requirements.
Do you want your parents or former legal guardian to be told about the hearing, if the judge sets one?
7
I plan to attend a high school or a high school equivalency certificate (GED) program.
I plan to attend a college, a community college, or a vocational education program.
I plan to attend a program or take part in activities that will help train me to be employed or will help me
solve problems that prevented me from finding a job.
I plan to work at least 80 hours per month.
I cannot go to a high school, a high school equivalency certificate (GED) program, a college, a community
college, or a vocational education program; take part in a program or activities to help me find a job; or
work 80 hours per month because of a medical condition.
8
9
If you were in a guardianship on your 18th birthday or adopted from foster care, please check all that apply below.
If not, skip to 9.
a.
b.
d.
e.
c.
I was placed by the juvenile court in a guardianship.
I was adopted from foster care.
My guardian(s) or adoptive parent(s) were receiving payments for my support on or after my 18th birthday.
My guardian(s) or adoptive parent(s) died on or after my 18th birthday.
My guardian(s) or adoptive parent(s) are no longer supporting me.
f.
My guardian(s) or adoptive parent(s) no longer receive payments for my support.
10
The judge will give you a free lawyer to help before and during the hearing. If you want the lawyer who represented
you when you were a dependent, ward, or nonminor dependent, please write the lawyer’s name and telephone
number on the line below, and if that lawyer is available, the court will appoint him or her to help you before and
during the hearing.
Former legal guardian’s name and address:
Name and telephone number of the lawyer who used to represent me and who I want to represent me again:
NO. I do not want my parents or former legal guardian to be told about the hearing.
YES. I do want my parents or former legal guardian to be told about the hearing. Their names and addresses are:
Parent’s name and address:
Parent’s name and address:
Did the Indian Child Welfare Act apply to you when you were under juvenile court jurisdiction as a child?
Would you like to have the Indian Child Welfare Act apply to you as a nonminor dependent?
(1)
(2)
NO. I do not want the Indian Child Welfare Act to apply to me.
YES. I do want the Indian Child Welfare Act to apply to me. The name of my tribe and the name,
address, and telephone number of my tribal representative is:
(1)
(2)
(3)
Name of tribe(s) (name each):
I am or may be a member of, or eligible for membership in, a federally recognized Indian tribe.
Name of band (if applicable):
I may have Indian ancestry.
I have no Indian ancestry as far as I know.
Name of tribe(s) (name each):
Name of band (if applicable):
a.
b.
c.
Did you have a Court Appointed Special Advocate (CASA)?
Would you like the CASA to be told about the hearing if the judge schedules a hearing?
11
NO. I did not have a CASA.
YES. I did have a CASA.
NO. I do not want the CASA to be told about the hearing.
YES. I want the CASA to be told about the hearing. The name of the person who was my CASA is:
12
NO. The Indian Child Welfare Act did not apply to me.
YES. The Indian Child Welfare Act did apply to me.
I DO NOT KNOW if the Indian Child Welfare Act applied to me.
13
Your verification:
I declare under penalty of perjury under the laws of the State of California that the information on this form, all
attachments, and form JV-468, Confidential Information—Request to Return to Juvenile Court Jurisdiction and
Foster Care, if filed, is true and correct to my knowledge. I understand that this means I am guilty of a crime if I lie
on this form, any of the attachments, or any other form I file.
Date:
Type or print your name
Sign your name
Your name:
Case Number:
Revised Jan. 1, 2016
JV-466, Page 3 of 4
Request to Return to Juvenile Court Jurisdiction
and Foster Care
14
Verification by nonminor’s representative:
The nonminor is unable to provide verification due to a medical condition. I declare under penalty of perjury under
the laws of the State of California that the information on this form, all attachments, and form JV-468,
Confidential Information—Request to Return to Juvenile Court Jurisdiction and Foster Care, if filed, is true and
correct to my knowledge. I understand that this means I am guilty of a crime if I lie on this form, any of the
attachments, or any other form I file.
Date:
Type or print your name
Sign your name
Your name:
Case Number:
Revised Jan. 1, 2016
JV-466, Page 4 of 4
Request to Return to Juvenile Court Jurisdiction
and Foster Care
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Form 1: JV-466 Request to Return to Juvenile (Superior Court of California)

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Completed 20 November 2020

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