Dependency Motion For Transfer
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1
2FOR COURT USE ONLY
SACRAMENTO COUNTY DHHS
Telephone no: (916) 875-XXXX
Fax no:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO
ADDRESS
3341 Power Inn Road
STREET
:
MAILING ADDRESS:
Sacramento, California 95826
CITY AND ZIP CODE:
Sac. County Juvenile Court
BRANCH NAME:
CASE NUMBER:
CHILD’S NAME:
Date:
DEPENDENCY MOTION FOR TRANSFER
Time:
(Social Worker is to call the court department clerk and get a date/time for a
Dept:
hearing if transfer-out is being recommended in-between hearings)
1.
Disposition not yet ordered
Disposition ordered on:
Long term placement – The Department in the proposed transfer in county has agreed the transfer is in the best interest of
the child.
2.
Transfer in County:
County receiving transfer is a member of the local protocol.
3.
Reasons for transfer (including why this is in the best interest of the child):
.
4.
The parents’/legal guardian’s address was confirmed by
(name),
(title), in
County as:
Name:
Street Address:
City, State, Zip
Telephone:
5.
Last Sacramento school district:
Child has an IEP.
6.
The proposed transfer-in county can offer the following services (check all that apply):
Alcohol and Drug treatment program
Drug testing
Name
DEPENDENCY MOTION FOR TRANSFER
Court no.
JC\E-325
3/06
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