5. Appellant is the
f.a.
g.
b.
h.
c.
i.
d.
7. The order appealed from was made under Welfare and Institutions Code (check all that apply):
b.
Dates of hearing (specify):
c.
e.
f.
g.
h.
JV-800 [Rev. Jan 1, 2016]
d.
Page 2 of 2
6. This notice of appeal pertains to the following child or children (specify number of children included):
a.
b.
c.
d.
NOTICE OF APPEAL—JUVENILE
Name of child:
Child's date of birth:
Name of child:
Child's date of birth:
Name of child:
Child's date of birth:
Name of child:
Child's date of birth:
Other appealable orders relating to dependency (specify):
Other appealable orders relating to wardship (specify):
JV-800
CASE NUMBER:
CHILD'S NAME:
child
mother
father
guardian
e.
de facto parent
county welfare department
district attorney
child's tribe
other (state relationship to child or interest in the case):
Continued in Attachment 5.
Section 360 (declaration of dependency)
Removal of custody from parent or guardian
Other orders
with review of section 300 jurisdictional findings
a.
Section 305.5 (transfer to tribal court)
Granting transfer to tribal court
Section 366.26 (selection and implementation of permanent plan in which a petition for extraordinary writ review that
substantively addressed the specific issues to be challenged was timely filed and summarily denied or otherwise not
decided on the merits)
Termination of parental rights
Appointment of guardian
Planned permanent living arrangement
Dates of hearing (specify):
Section 366.28 (order designating a specific placement after termination of parental rights in which a petition for
extraordinary writ review that substantively addressed the specific issues to be challenged was timely filed and summarily
denied or otherwise not decided on the merits)
Dates of hearing (specify):
Dates of hearing (specify):
Section 725 (declaration of wardship and other orders)
with review of section 601 jurisdictional findings
with review of section 602 jurisdictional findings
Dates of hearing (specify):
Dates of hearing (specify):
Other (specify):
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