JV-466, Page 1 of 4Judicial Council of California, www.courts.ca.gov

Cal. Form JV-466

California Superior Local Rules

I need help to keep or find an appropriate place to live. Voluntary Reentry Agreement with child welfare services or the probation department to return to foster care: I signed a Voluntary Reentry Agreement for a supervised placement on (date): with a. This form can be used to ask the court to reopen your case because your situation changed and you decide that you want to return to the court’s jurisdiction and a foster care placement.

If you don’t want other people (for example, a parent or brother or sister who was part of your case when you were a child) to know your contact 3 1 information, do not write it in . Write that information on form JV-468, Confidential Information—Request to Return to Juvenile Court Jurisdiction and Foster Care. Read form JV-464-INFO, How to Ask to Return to Juvenile Court Jurisdiction and Foster Care, for information about filling out and filing the forms. If you do not know the information asked for on this form, leave the space blank.

Remember to get and keep copies of all court papers and other papers you sign or receive from the child welfare services agency or the probation department. My information: My city, state, zip code: My area code and telephone number: My date of birth: Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Court fills in case number when form is filed. Case Number: Fill in child's name and date of birth: 1 Name:1 2 City: County: 3 4 5 I need a placement right now. 6 I agree to sign a Voluntary Reentry Agreement for a supervised placement.

Child welfare services. Probation department. a. My address: The date the juvenile court closed my case: b. a. My arrest was expunged and my adjudication vacated based on Penal Code

section 236.14.

Revised Jan. 1, 2019 JV-466, Page 2 of 4Request to Return to Juvenile Court Jurisdiction and Foster Care a. You must plan to meet at least one of the five conditions listed below. Please check all that apply: b. d. e. c. The judge will set a hearing about this request if the judge thinks that he or she has enough information to decide whether you have met all the requirements. Do you want your parents or former legal guardian to be told about the hearing, if the judge sets one? YES. I do want my parents or former legal guardian to be told about the hearing. Their names and addresses are: NO.

I do not want my parents or former legal guardian to be told about the hearing. Your name: Case Number: 7 I plan to attend a high school or a high school equivalency certificate (GED) program. I plan to attend a college, a community college, or a vocational education program. I plan to attend a program or take

part in activities that will help train me to be employed or will help me solve problems that prevented me from finding a job. I cannot go to a high school, a high school equivalency certificate (GED) program, a college, a community college, or a vocational education program; take

part in a program or activities to help me find a job; or work 80 hours per month because of a medical condition. I plan to work at least 80 hours per month. 8 9 If you were in a guardianship on your 18th birthday or adopted from foster care, please check all that apply below. If not, skip to 9. a. b. d. e. c. I was placed by the juvenile court in a guardianship. I was adopted from foster care. My guardian(

s) or adoptive parent(

s) were receiving payments for my support on or after my 18th birthday. My guardian(

s) or adoptive parent(

s) died on or after my 18th birthday. My guardian(

s) or adoptive parent(

s) are no longer supporting me. f. My guardian(

s) or adoptive parent(

s) no longer receive payments for my support. 10 The judge will give you a free lawyer to help before and during the hearing. If you want the lawyer who represented you when you were a dependent, ward, or nonminor dependent, please write the lawyer’s name and telephone number on the line below, and if that lawyer is available, the court will appoint him or her to help you before and during the hearing. Former legal guardian’s name and address: Name and telephone number of the lawyer who used to represent me and who I want to represent me again: Parent’s name and address: Parent’s name and address:

Revised Jan. 1, 2019 JV-466, Page 3 of 4Request to Return to Juvenile Court Jurisdiction and Foster Care Did the Indian Child Welfare Act apply to you when you were under juvenile court jurisdiction as a child? Would you like to have the Indian Child Welfare Act apply to you as a nonminor dependent? (1) (2) a. b. (3) c. (1)

(2) Name of tribe(s) (name each): Your name: Case Number: Did you have a Court Appointed Special Advocate (CASA)? Would you like the CASA to be told about the hearing if the judge schedules a hearing? 11 NO. I did not have a CASA. YES. I did have a CASA. NO. I do not want the CASA to be told about the hearing. YES. I want the CASA to be told about the hearing. The name of the person who was my CASA is: 12 NO. The Indian Child Welfare Act did not apply to me. YES. The Indian Child Welfare Act did apply to me. NO. I do not want the Indian Child Welfare Act to apply to me. YES.

I do want the Indian Child Welfare Act to apply to me. The name of my tribe and the name, address, and telephone number of my tribal representative is: I DO NOT KNOW if the Indian Child Welfare Act applied to me. I am or may be a member of, or eligible for membership in, a federally recognized Indian tribe. Name of band (if applicable): I may have Indian ancestry. I have no Indian ancestry as far as I know.

Name of tribe(s) (name each): Name of band (if applicable): 13 Your verification: I declare under penalty of perjury under the laws of the State of California that the information on this form, all attachments, and form JV-468, Confidential Information—Request to Return to Juvenile Court Jurisdiction and Foster Care, if filed, is true and correct to my knowledge. I understand that this means I am guilty of a crime if I lie on this form, any of the attachments, or any other form I file. Date: Type or print your name Sign your name

Your name: Case Number: Revised Jan. 1, 2019 JV-466, Page 4 of 4Request to Return to Juvenile Court Jurisdiction and Foster Care 14 Verification by nonminor’s representative: The nonminor is unable to provide verification due to a medical condition. I declare under penalty of perjury under the laws of the State of California that the information on this form, all attachments, and form JV-468, Confidential Information—Request to Return to Juvenile Court Jurisdiction and Foster Care, if filed, is true and correct to my knowledge.

I understand that this means I am guilty of a crime if I lie on this form, any of the attachments, or any other form I file. Date: Type or print your name Sign your name

Document details

Collection	California Superior Local Rules
Citation	Cal. Form JV-466
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	1c2e49fea100f977b3d044f9a3016638a22ba042

Source file is stored in the law ingest library (pdf).