Fill in your name: JV-468, Page of 1Judicial Council of California, www.courts.ca.gov Revised July 1, 2012, Mandatory Form Welfare and Institutions Code, §§ 224,1, 303, 388(e); Cal. Rules of Court, rule 5.906 Confidential Information—Request to Return to Juvenile Court Jurisdiction and Foster Care Clerk stamps date here when form is filed.

Fill in court name and street address: Superior Court of California, County of Case Number: Fill in case number, if known: JV-468 Confidential Information— Request to Return to Juvenile Court Jurisdiction and Foster Care Your information: This information about the nonminor provided by him or her must be kept under seal in the court file. The court, the nonminor, the nonminor’s attorney, the county agency designated to provide supervision of the nonminor,and the attorney for the designated county agency may look at this information.

Name: To the nonminor: Complete this form and bring it and Form JV-466, Request to Return to Juvenile Court Jurisdiction and Foster Care, to the clerk of the juvenile court for filing. a. Your address: c. Your telephone number: b. Your city, state, zip code: 1