NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
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See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
[Caption. The suit must be styled “ex parte” and be in the name of the child.]
Order for Renewal of Temporary Authorization for Care of Child
On [date] the Court considered the Motion for Renewal of Temporary Authorization for Care of Child of [name[s] of movant[s]], Movants.
[The making of a record of testimony was waived by the parties with the consent of the Court./The record of testimony was duly reported by [[name, address]/the court reporter for the [designation] Court].]
The Court finds that the following child is the subject of this suit:
Name:
Sex:
Birth date:
Current physical address:
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Include the following paragraph if the motion is denied. |
[Include as applicable: The Court finds that an objection was made to the Motion for Renewal of Temporary Authorization for Care of Child by the child’s parent, conservator, or guardian./The Court finds that there is no continuing need for the temporary authorization for care of child.] The Court finds that the motion should be denied. IT IS ORDERED that all relief requested in the Motion for Renewal of Temporary Authorization for Care of Child is DENIED.
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Include the following paragraphs if the motion is granted. |
The Court finds that the child the subject of this suit does not have a parent, conservator, guardian, or other legal representative available to give the necessary consent and that no objection to this motion was made by the child’s parent, conservator, or guardian.
The Court finds that the material allegations in the Motion for Renewal of Temporary Authorization for Care of Child are true, that the requested renewal of temporary authorization is necessary to the child’s welfare and in the best interest of the child, that there is a continuing need for the temporary authorization for care of child, and that the motion should be granted.
IT IS ORDERED that the Motion for Renewal of Temporary Authorization for Care of Child is [GRANTED/GRANTED IN PART AND DENIED IN PART].
Temporary authorization for care of the child is granted for the following Movant[s]:
Name:
Date of birth:
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Repeat for other movant if applicable. |
IT IS ORDERED that Movant[s] [is/are] specifically authorized to do the following:
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Select as applicable. |
1.Consent to medical, dental, psychological, and surgical treatment and immunization of the child.
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And/Or |
2.Execute any consent or authorization for the release of information as required by law relating to medical, dental, psychological, and surgical treatment and immunization of the child.
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And/Or |
3.Obtain and maintain any public benefit for the child.
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And/Or |
4.Enroll the child in a day-care program, preschool, or public or private primary or secondary school.
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And/Or |
5.Authorize the child to participate in age-appropriate extracurricular, civic, social, or recreational activities, including athletic activities.
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And/Or |
6.Authorize or consent to any other care for the child essential to the child’s welfare.
This temporary authorization order expires [one year from the date this order is signed by the Court/on [date]] unless otherwise renewed or terminated by further order of the Court.
This temporary authorization order does not supersede any rights of a parent, conservator, or guardian as provided by court order.
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Continue with the following. |
IT IS ORDERED that all relief requested in this motion and not expressly granted is denied.
SIGNED on ________________________________.
JUDGE PRESIDING