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The motion is filed to request the court to take a child into custody due to concerns for their health, safety, and welfare.
A petition must be filed alleging that the child is dependent, indicating that they may be at risk if not taken into custody.
The motion requires reasonable grounds to believe that the child's health and safety are in imminent danger.
The motion must include specific facts that demonstrate the risk of harm to the child, which can be attached or detailed within the document.
The individual filing the motion must declare under penalty of perjury that the information provided is true and correct.
The form references Washington state laws (RCW 13.34.050, .070(6)) governing juvenile dependency proceedings.
The form must be signed by the individual making the motion, including their printed name and address for identification purposes.