Order Authorizing Secure Placement For Violation Of Valid Court Order To Remain In Placement Form - Kansas Court Page 2

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5/1/13
3. The child named above was adjudicated herein on __(date)___________ pursuant to
subsection □(d)(6) □(d)(7) □(d)(8) □(d)(9) □(d)(10) □(d)(12) of K.S.A. 38-2202;
4. □a. Upon a preliminary hearing, there is clear and convincing evidence that the child has been
provided with the rights set out in K.S.A. 38-2260(d)(2); probable cause to believe that the
child named above has violated the order to remain in placement without good cause and
placement in a secure facility is necessary for the protection of the child or to assure the
presence of the child at the evidentiary hearing, which is scheduled for
(Date and time,
within 72 hours) ;
or
□b. Upon evidentiary hearing, there is clear and convincing evidence that the child has been
provided with the rights set out in K.S.A. 38-2260 (e)(3), and that the child has violated the
order to remain in placement without good cause, as follows : ________________________
__________________________________________________________________________;
or
□c. Upon hearing of the request for extension of authorization, the child was previously found
to have violated the order to remain in placement and has already been placed in a secure
facility for □ sixty days or □ 120 days;
5. Based on a written report submitted to the Court, all other placement options have been
exhausted or are inappropriate to the needs of the child.
☐ THE COURT THEREFORE ORDERS:
(If this is the first order removing a child from parental custody, complete and attach Form 107.)
The above named child ☐ shall be ☐ shall continue to be placed in the custody of:
☐ a parent or other legal custodian.
☐ an unlicensed person other than a parent or legal custodian.
☐ a youth residential facilty.
the Secretary.
IT IS FURTHER ORDERED that the legal custodian of the child is authorized to place the
child in a secure facility. Any order issued upon finding paragraph 4B or 4C shall expire sixty days
from today’s date. It is further ordered that a copy of this order shall be given to the child named
above, the guardian ad litem, the child’s parents, and the child’s legal custodian.
IT IS SO ORDERED.
_______________________
Judge of the District Court
-2-

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