GN-4340: Notice of Transfer of Protective Placement-2026

1. Click ‘Get Form’ to open the GN-4340 in the editor.
2. Begin by entering the ward's name and date of birth at the top of the form. This information is crucial for identifying the individual involved in the transfer.
3. In section 1, specify who is transferring the placement by selecting from options such as guardian, county department, or protective placement facility.
4. For section 2, indicate whether this transfer is between protective placement units or facilities. Ensure you check the appropriate box based on your situation.
5. Complete section 3 if this is a non-emergency transfer. Provide details about written consent from both the guardian and county department if applicable.
6. If this is an emergency transfer, fill out section 4 with relevant details and ensure to note that prior notice was not possible.
7. In section 5, enter the time and date of the transfer. Clearly state where the transfer is occurring from and to by filling in both placement unit names and contact information.
8. Finally, ensure all necessary parties are listed under distribution before saving your completed form.

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