Jv 365 2017

JV-365 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NO FOR COURT USE ONLY NAME FIRM NAME STREET ADDRESS CITY STATE TELEPHONE NO. The nonminor has been provided with the following documents check all that apply A certified copy of his or her birth certificate His or her social security card His or her California identification card or driver s license Proof of his or her citizenship or lawful permanent resident status A copy of the death certificate of his or her parent or parents His or her Health and Education Passport Form Adopted for Mandatory Use Judicial Council of California JV-365 Rev. January 1 2017 Page 1 of 2 Welfare Institutions Code 391 607. ZIP CODE FAX NO. E-MAIL ADDRESS ATTORNEY FOR name SUPERIOR COURT OF CALIFORNIA COUNTY OF CITY AND ZIP CODE BRANCH NAME NONMINOR S NAME NONMINOR S DATE OF BIRTH HEARING DATE AND TIME CASE NUMBER TERMINATION OF JUVENILE COURT JURISDICTION NONMINOR Directions for the social worker or probation officer Check the appropriate boxes in items 1 through 7 complete item 8 attach documents as required and sign and date item 9. items 1 through 7. If the box checked in item 1 is wrong check the correct box and sign your initials next to the box. Sign your initials on the lines after items 2a h 3a j 4 5a b 6 and 7a h only if you received the information document or service described in that item* Then sign and date item 10. You may give the form to the judge on the day of the hearing if you didn t give it to your social worker probation officer or attorney before the hearing. 1. a* b. c* The nonminor wants to attend the termination hearing in person by telephone. The nonminor does not want to attend the termination hearing. The petitioner has attached verification that the nonminor has been informed of the potential consequences of failure to attend the termination hearing. The nonminor is unavailable or has refused to sign this form* Documentation of reasonable efforts to locate the nonminor and to obtain his or her signature is attached* 2. An attached report verifies that the nonminor has received written information about his or her juvenile court case including check all that apply a* d. e. f* g. h. The nonminor s family history Any photographs of the nonminor or his or her family in the possession of the county welfare department or probation department other than forensic photographs Contact information for all siblings under juvenile court jurisdiction except for any siblings whose safety or welfare would be jeopardized by contact with the nonminor as determined by the court Instructions on how the nonminor may exercise his or her right to inspect receive and copy his or her juvenile case file including how to access sealed records see Welf* Inst* Code 389 a 781 a 4 786 f 1 F 826. 6 827 Cal* Rules of Court rule 5. 552 The date on which the jurisdiction of the court would be terminated 3. 2 607. 3 www. courts. ca*gov A blank advance health care directive form 3. g. A letter prepared by the county welfare department that includes the nonminor s name and date of birth the dates during which he or she was within the jurisdiction of the juvenile court and a statement that the nonminor was a foster child in compliance with state and federal financial aid documentation requirements i.