CASE NAME:
CASE NUMBER:
8. UNDER THE INDIAN CHILD WELFARE ACT:
1. The biological or adoptive parents, any Indian custodian, and the child's tribe have the right to be present at all hearings.
2. The biological or adoptive parents, any Indian custodian, and the child's tribe have the right to intervene in the proceedings.
3. If the parents or custodians have a right to be represented by a lawyer and if they cannot afford to hire one, a lawyer will be appointed for
them.
4. If the child's tribe, any parent, or any Indian custodian requests it, the court will permit the hearing to be held up to 20 days after receipt of
this notice.
5. The date, time, and place of the hearing are on the first page of this form.
6. If the tribe has a tribal court, the tribe, any parent, or any Indian custodian of the child may request a transfer of the case to the child’s tribal
court. They also have the right to refuse to have the case transferred to the tribal court.
7. The proceedings could lead to the removal of the child from the custody of the parent or Indian custodian and possible adoption of the child.
8. Juvenile Court proceedings are confidential. Information concerning the juvenile court proceedings should be kept confidential.
INFORMATION ON CHILD WHO IS THE SUBJECT OF AN INVOLUNTARY CUSTODY PROCEEDING
(Indicate if any of the information requested below is unknown or nonapplicable.)
Attach any information that might be of assistance in determining the child’s Indian status, including names and addresses of
extended family members who may have Indian heritage.
Mother
Father
Mother
Father
NAME (including maiden, married, and former or aliases):
NAME (including maiden, married, and former or aliases):
ADDRESS (current and former)
ADDRESS (current and former)
BIRTHDATE AND PLACE:
BIRTHDATE AND PLACE:
TRIBE, BAND, AND LOCATION:
TRIBE, BAND, AND LOCATION:
IF AVAILABLE, ENROLLMENT NUMBER OR BIA/TRIBAL AGENCY NAME:
IF AVAILABLE, ENROLLMENT NUMBER OR BIA/TRIBAL AGENCY NAME:
IF DECEASED, DATE AND PLACE OF DEATH:
IF DECEASED, DATE AND PLACE OF DEATH:
ADDITIONAL INFORMATION:
ADDITIONAL INFORMATION:
NOTICE OF INVOLUNTARY CHILD CUSTODY PROCEEDINGS FOR AN INDIAN CHILD
25 U.S.C. § 1901 et. seq.
(Juvenile Court)
SOC 820 (10/04)
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