Form Dss-1839 - Nc Interstate Compact - Child Welfare Services Page 2
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4NC Interstate Compact
Order of Compliance
will not be approved, or that previous placement approval has been withdrawn by the
receiving state for reasons determined by the receiving state.
F. If any child noted above is sent, or allowed to go, to a provisional placement in a
receiving state, this court finds that any such placement must be in compliance with
Regulation 7 of the ICPC of which this court takes judicial notice, including its purpose
.
in defining and regulating a provisional placement under the Compact
AND THE COURT
having heard testimony and argument of counsel and any unrepresented
parties and reviewed documents as permitted by law and Regulation 7 of the ICPC, the
undersigned makes the following findings of fact by
( ) clear and convincing evidence
( ) a preponderance of the evidence
that paragraphs 5, 6, and 7 of Regulation 7 of the ICPC apply regarding each child noted above:
G. __________________________ (relative’s name) is the proposed placement resource
in the
receiving state of ________________ and is the
a. ____ Mother d. ____ Grandparent
b. _____Father e._____ Adult brother or sister
c. _____Stepparent
f. _____Adult uncle or aunt
g. _____Guardian
of __________________________(child noted above); and
H. Each child noted above is under the jurisdiction of the court as a result of action taken
by a child welfare agency.
I. The child __________ referenced in A. meet(s) one or more of the following
requirements pursuant to paragraph 5 of Regulation 7:
1. The court has the authority to determine custody and placement of each child
or has delegated said authority to the child welfare agency, and each child is
being considered for placement in another state with a parent, stepparent,
grandparent, adult brother or sister, or adult aunt or uncle, or guardian of the
child named in A, and the child in A above meets the following criteria:
a. ( ) unexpected dependency due to sudden or recent incarceration,
incapacitation or death of a parent or guardian; incapacitation means a
parent or guardian is unable to care for a child due to an unexpected
medical, mental or physical condition of a parent or guardian, or
b. ( ) at least one of the children sought to be placed is four years of age
or younger, including older siblings sought to be placed with the same
proposed placement resource; or
c. ( ) the court finds that ___________ (child’s name), is one of the
children in a sibling group sought to be placed and has a substantial
relationship with the proposed placement resource; substantial
relationship means the proposed placement has spent more than cursory
time with the child, is known to the child, and has established more than
a minimal bond with the child; or
DSS-1839 (Rev. 2/2012)
Child Welfare Services
ICPC Order of Compliance
Page 2 of 4
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