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5113 -1- 173 IN THE DISTRICT COURT OF COUNTY KANSAS IN bb - kansasjudicialcouncil

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The document is an application for secure placement of a child in a facility, filed in the District Court of Kansas. It outlines the reasons for the request, including a violation of a previous court order by the child. The application must be verified and includes specific facts supporting the request, with provisions for a hearing and notification to the child and guardian ad litem.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the name of the child and their year of birth in the designated fields. Select the gender by checking the appropriate box.
Fill in the case number at the top of the form to ensure proper identification.
In the 'APPLICATION FOR SECURE PLACEMENT' section, provide your name and title as the applicant, followed by a detailed account of why secure placement is necessary, addressing each point listed.
Complete the verification section by stating your name and signing under oath, confirming that all information provided is accurate.
Finally, ensure that you include your contact information and have it notarized if required before submission.

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