Legal Face Sheet And History
ADVERTISEMENT
1LEGAL FACE SHEET AND HISTORY
Case Name: ______________________________________
Child’s Attorney: ___________________________________
Court Number: ___________________________________
Address: __________________________________________
Attorney General: _________________________________
GAL: ____________________________________________
Telephone #: _____________________________________
Address & Tel. #: __________________________________
Child’s Tribal Affiliation (A): _______________________________ Date tribe intervened: ______________ Not yet: ______
Enrollment Number: _______________________________
Designated Tribal Agent to Receive Legal Notice: ______________________________________________________________
Child’s Tribal Affiliation (B): _______________________________ Date tribe intervened : ______________ Not yet: ______
Designated Tribal Agent to Receive Legal Notice: ______________________________________________________________
Child’s Tribe: ___________________________________________________________________________________________
Biological Mother: ___________________________________ Attorney: _________________________________________
Address & Tel. #: _________________________________
Biological Mother’s Tribe: _________________________
Address & Tel. #: __________________________________
Biological Father: _____________________________________ Attorney: ________________________________________
Address & Tel #: _________________________________
Biological Father’s Tribe: __________________________
Address & Tel. #: __________________________________
Indian Custodian: ________________________________
Attorney: _________________________________________
Other parties: ____________________________________
Attorney: _________________________________________
_____________________________________
Attorney: _________________________________________
Custody End Date: ________________________________
Next Review: ____________________________________
Comments section: _______________________________________________________________________________________
_______________________________________________________________________________________________________
= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
Legal Actions and Internal Case Reviews: (attach additional sheet if more space needed)
Function (petition
Custody
Date
filed, hearing,
End
internal review, etc.)
Date
Notice Provided by Worker
Emergency Custody
Child’s Tribal Affiliation (A)
Designated Tribal Agent
GAL
Child’s Tribal Affiliation (B)
Designated Tribal Agent
Foster Parents
Mother
Father
Indian Custodian
Shelter Care or
Child’s Tribal Affiliation (A)
Designated Tribal Agent
GAL
Removal Hearing
Child’s Tribal Affiliation (B)
Designated Tribal Agent
Foster Parents
Mother
Father
Indian Custodian
Permanency Hearing
Child’s Tribal Affiliation (A)
Designated Tribal Agent
GAL
Child’s Tribal Affiliation (B)
Designated Tribal Agent
Foster Parents
Mother
Father
Indian Custodian
Comments
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal