JV-215 Application to Review Decision by Social Worker Not to Commence Proceedings
JUDICIAL OFFICER
Father's name:
resides within this county.
was in this county at the time of the facts alleged below.
On (date of application): , applicant applied by affidavit to a social worker to commence proceedings
based on the allegations described above. (Attach a copy of the Application to Commence Proceedings, Form JV-210.)
6.
Date:
APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
NOT TO COMMENCE PROCEEDINGS
(Welf. & Inst. Code, § 331)
Welfare and Institutions Code, § 331
Form Approved for Optional Use
Judicial Council of California
JV–215 [New January 1, 2001]
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
JV–215
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number if attorney, and mailing address):
APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
NOT TO COMMENCE PROCEEDINGS
(Welf. & Inst. Code, § 331)
CASE NUMBER:
Applicant's name and address:1.
Applicant's relationship to child (specify):
2.
Applicant on information and belief alleges that the child below is at risk of abuse or neglect and should come within the jurisdiction
of the court (supply all information known):
3.
Child's name:a.
Age:
b.
Date of birth:
c.
Sex:
d.
Mother's name:
e.
Mother's address:f.
g.
Father's address:
h.
Other (state name, address, and relationship to child):
i.
The child described in item 3 above
4.
Facts in support (State supporting facts concisely; include all known and relevant dates, times, names, and addresses. Attach
5.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT)
THE COURT FINDS AND ORDERS
9. The court has reviewed the application and orders that
a.
the decision of the social worker not to commence proceedings is affirmed.
b.
the social worker is hereby ordered to commence proceedings by filing a petition pursuant to Welfare and Institutions Code
section 300 based on the allegations set forth in this application.
Applicant now requests the juvenile court review the decision of the social worker, and issue an order compelling the social worker
to commence juvenile court proceedings.
8.
It has been three weeks since the application to commence proceedings, and no petition to commence proceedings has been filed
by the social worker on behalf of this child.
7.
CHILD'S NAME:
a.
b.
separate pages as necessary.):
See attachment 5.
ATTORNEY FOR (Name):
TELEPHONE NO. (Optional): FAX NO. (Optional):
E–MAIL ADDRESS (Optional):
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Save This Form
Print This Form
Clear This Form
Page 1/1
Free Download
JV-215 Application to Review Decision by Social Worker Not to Commence Proceedings PDF
Favor this template? Just fancy it by voting!
(0 Votes)
0.0
Related Forms
2 Page(s) | 822 Views | 4 Downloads