Application Child Protection And Status Review Page 4
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7Form 8B:
Application (Child Protection
(page 4)
Court file number
and Status Review)
the child(ren) suffer(s) from a mental, emotional or developmental condition that, if not remedied, could seriously impair the
child(ren)’s development and the child(ren)’s parent or the person having charge of the child(ren) does not provide, or
refuses or is unavailable or unable to consent to, treatment to remedy or alleviate the condition [clause 37(2)(h)].
the child(ren) has/have been abandoned [clause 37(2)(i)].
the child(ren)’s parent has died or is unavailable to exercise his or her custodial rights over the child(ren) and has not
made adequate provision for the child(ren)’s care and custody [clause 37(2)(i)].
the child(ren) is/are in a residential placement and the child(ren)’s parent refuses or is unable or unwilling to resume the
care and custody of the child(ren) [clause 37(2)(i)].
the child(ren) is/are less than twelve years old and has/have killed or seriously injured another person or caused serious
damage to another person’s property; services or treatment are necessary to prevent a recurrence; and the child(ren)’s
parent or the person having charge of the child(ren) does not provide, or refuses or is unavailable or unable to consent to,
those services or treatment [clause 37(2)(j)].
the child(ren) is/are less than twelve years old and has/have, on more than one occasion, injured another person or
caused loss or damage to another person’s property, with the encouragement of the person having charge of the child(ren)
or because of that person’s failure or inability to supervise the child(ren) adequately [clause 37(2)(k)].
the child(ren)’s parent is unable to care for the child(ren) and the child(ren) is/are brought before the court with the parent’s
consent and, where the child(ren) is/are twelve years of age or older, with the child(ren)’s consent, to be dealt with under
Part III of the Child and Family Services Act [clause 37(2)(l)].
2.
asks for an order,
(name)
that the child(ren) be placed with
(name of custodian)
subject to the supervision of
(full legal name of supervising society)
for a period of
months, on the terms and conditions set out in the Appendix on page 7 of this Application form.
that the child(ren) be made (a) ward(s) of
(full legal name of society)
for a period of
months
that the child(ren) be made (a) ward(s) of
(full legal name of society)
for a period of
months and then returned to
(name of custodian)
subject to the supervision of
(full legal name of supervising society)
for a period of
months, on the terms and conditions set out in the Appendix on page 7 of this Application form.
that the child(ren) be made (a) ward(s) of the Crown and placed in the care of
(full legal name of caretaker society)
that
(name of homemaker)
be authorized to remain on the premises at
(address of premises where homemaker is placed)
until
(date)
or until the person who is entitled to custody of the child(ren) returns to care for the child(ren), whichever is sooner.
relating to access, the details of which are as follows:
FLR-8B-E (2006/10)
Page 4 of 7
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