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Click ‘Get Form’ to open the JV-221 in the editor.
Begin by filling in the court name and street address at the top of the form. This is essential for proper identification.
In section one, list the names and relationships of parents or legal guardians notified about the physician’s request. Specify how they were notified (in person, by phone, or mail) and include dates.
Complete sections two through four regarding parental rights and reasons for any notifications not made. Be clear and concise in your explanations.
Fill in details about the child, including their name and date of birth, ensuring accuracy as this information is crucial for court records.
In section five, document caregiver notifications similarly to previous steps, noting how they were informed.
Finally, review all entries for accuracy before signing at the bottom of the form. Ensure you declare under penalty of perjury that your information is correct.
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Application to Commence Juvenile Court Proceedings and Decision of Social Worker (Welfare Institutioins Code, 329) (JV-210) Asks a social worker to investigate if a child is at risk of harm and if a dependency case should be started for that child. Get form JV-210.
What is a JV-210?
Relative Information (JV-285) A childs relative can use this to give information to the court about a child who has been removed from the home. Get form JV-285.
What is a JV 220?
Juvenile Dependency Petition (Version One) (JV-100) The social worker uses this to start a case in juvenile dependency court. Get form JV-100.
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JV-221 Proof of Notice of Application - California Courts
JV-221, Page 1 of 4. JV-221. Proof of Notice of Application. Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court
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