Order Authorizing Secure Placement For Violation Of Valid Court Order To Remain In Placement Form - Kansas Court

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5/1/13
174.2
IN THE DISTRICT COURT OF ________________ COUNTY, KANSAS
IN THE INTEREST OF:
Name ____________________________________
Case No. ____________________
Year of Birth ____________ A □ male □ female
ORDER AUTHORIZING SECURE PLACEMENT FOR
VIOLATION OF VALID COURT ORDER TO REMAIN IN PLACEMENT
Pursuant to K.S.A. 38-2260
NOW on this ____ day of _______________, _____, the Court considers the application for
authorization of secure placement,.
□ The petitioner appears by __________________________ □ County/District Attorney or
designee □ other ___________________.
□ The child appears □ in person and □ not in person, but by the child’s guardian ad litem,
___________________________.
, the mother, □ appears in person pro se □ appears in person,
Name of Mother
and through her attorney, ________________________ □ appears not in person, but by
and through her attorney ___________________________ □ does not appear.
, the □ father □ putative father of
, □
Name of Father
Name of child
appears in person pro se □ appears in person, and through his attorney,
_____________________ □ appears not in person, but by and through his attorney,
__________________________ □ does not appear.
□ (Other parent appearances) ____________________________________________________
___________________________________________________________________________
___________________________________________________________________________
□ Interested parties appearing are: _________________________________________________
___________________________________________________________________________
□ The Secretary is present through ________________________________________________
___________________________________________________________________________
□ Also present is/are: ___________________________________________________________
___________________________________________________________________________
THE COURT FINDS:
1. A valid court order to remain in placement was issued in the captioned matter on ________;
2. The child named above and the guardian ad litem were present on that date and informed orally
of the order and the consequences of a violation of the order to remain in placement. A copy of
the order was provided to the child and guardian ad litem;
-1-

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