IDesILaytags31 09543032003DSHS ASDState of Washington 09-543.itp=)LT?a  A-4j nlB=>E??@=l &,28>DJPV\bhntz6`Submit 6 Z;md1)PQTEXTtt6d|riptsddxts and fills1)6$Ό April 2000criptsddxts a64*40980670010765030gust 19jB"X  p ,f @@@@@@ @@@@@ (fppfppffp˨ffppgc fϬffpfp cfpи pHf\pbfHffp:<fpf@@@@@  @@X  b f @@@1)PQTEXTttxt December 1997ptsddxts aN68- `!@1&@XXjj2VXXd' '>$ od pH 6dX February 1998ptsddxts and fills1)PQTEXTttxtԜ February 1999ptsddxts and fills1)PQTEXTttxt February 2000ptsddxts and fills1)PQTEXTttxt$ January 19960ptsddxts and fills1)PQTEXTttxth January 19970ptsddxts and fills1)PQTEXTttxtլ January 19980ptsddxts and fills1)PQTEXTttxt January 19990ptsddxts and fills1)PQTEXTttxt4V 3Submit ta VersTGraphics 0Header   6 FieldList<L0_@@X   @@@@@@ @@@@@d8v!dHThT8v!HT`r!^0`/|T0!`/G5T1T`/TRT`/WT`/MT&S`/(T@/DA#TAL #L(S@@@  @@X  D @@@  @@X  ( @@@   @@X   BHNT99ptsddxH"r 2000ptsddxts and fills1>)PQTEXTttxt October 19960ptsddxts and fills1@)PQTEXTttxt` October 19970ptsddxts and fills1@)PQTEXTttxtݤ October 19980ptsddxts and fills1D)PQTEXTttxt October 19990ptsddxts and fills1D)PQTEXTttxt, October 20000ptsddxts and fills1F)PQTEXTttxtpSeptember 1996tsddxts and fills1H)PQTEXTttxt޴September 1997tsddxts and fills1J)PQTEXTttxtSeptember 1998tsddxts and fills1J)PQTEXTttxt<September 1999tsddxts and fills1N)PQTEXTttxtSeptember 2000tsddxts and fills1N)PQTEXTttxt Calendar.atg00tsddxts and fillsF~)OTEXTttxtCassette labels.atgts and fills=r)OTEXT????LCassette liner.atggts and fills=r)OTEXT???? CD liner.atger.atggts"nN/p -*LEGAL NO. NOTICE TO PARENT/INDIAN CUSTODIAN   ` I. NOTICE OF HEARING   o p  1.1  =b =b  =b,Arial (G1.1,`- DSHS 09-543 (REV. 03/2003) T+ ,P VDISTRIBUTION: Indian child's parents, Service file, Court File, Indian child's Tribe    =b ,Arial (VDISTRIBUTION: Indian child's parents, Service file, Court File, Indian child's Tribe ,-0!  Page 1 of 3  1  Name: Address:   rU Ur  rU,Arial (_Name: (_ Address:  TO:   p! aYOU ARE GIVEN NOTICE THAT THE FOLLOWING LEGAL ACTION IS PENDING FOR THE ABOVE NAMED INDIAN CHILD:  U% U%  U%,Arial (_TYOU ARE GIVEN NOTICE THAT THE FOLLOWING LEGAL ACTION IS PENDING FOR THE ABOVE NAMED (_ INDIAN CHILD:#0# INFORMATION ABOUT HEARING:   # p#1.2    $$ pType of hearing:  A ,P`, !NOTICE TO PARENT/INDIAN CUSTODIANv` IN THE MATTER OF:  ` `"`  Xh!``!` P CHILD'S FULL NAMEDP  BIRTHDATE(` TRIBE(S)/BAND(S)< p    &SUPERIOR COURT OF WASHINGTON COUNTY OF  @  @   @ ,Arial (JSUPERIOR COURT OF WASHINGTON (J COUNTY OF  JUVENILE COURT  V @  d AValidation of parental consent to foster care (Chapter 13.34 RCW)  ~V$ @   e Dependency (Chapter 13.34 RCW)  ~V @   f  Guardianship (Chapter 13.34 RCW)  ~V   @   g   >Involuntary termination of parental rights (Chapter 13.34 RCW)  ~V !`"P@   h!p"P Other:  ~V !`"@!H # iTitle  $%@  j$% .Validation of consent to foster care placement  ~V %'@!@  k%'@! wFact finding on the petition. A copy of the petition is attached. A written response to the petition is not required.  Sc~$ cS$~  Sc~$,Arial (fngFact finding on the petition. A copy of the petition is attached. A written response to the petition (rnis not required.'P(@@  l'`(@ Shelter care hearing  Z (P)@@  m(`)@ Dependency review  W )`*P@  n)p*P Dependency disposition hearing   *`+P@  o*p+P "Permanency planning review hearing   H# pTitle  Pp0H# Title  pH# Title  `p@H# Title  !@# Title  `!H# Title   !H# Title  Title       CHILD'S FULL NAME4GD  `  BIRTHDATE4G*  TRIBE(S)/BAND(S)4G>@ Type of hearing:  4GE /0`/ !NOTICE TO PARENT/INDIAN CUSTODIAN4Gw   PP`1.2       lXXjj2VXXd' '>$ odI=)=N=Z3Submit =f 09543032003cfp1pDSHS ASDfs|hxfState of Washingtonp 09-543.itp f`>El,, g(,,(d'h 6?r?@ @ @  ;Zh,;Zh,;Z;Z;Z;Z propalisZ propalis` propalisl propalisrDUP@ll#lm7U d7R6?~this@ Signature@ Version p  Data Vers$ Blue Keys *Graphics 0Header   6 FieldList< Form Info f LayoutProps x DesPathInfo ~(A-T! nTHIS IS A SERIOUS MATTER SO PLEASE COME TO THE HEARING. THE HEARING MAY RESULT IN ENTRY OF A COURT ORDER FOR:  T% T%  T%,Arial (^STHIS IS A SERIOUS MATTER SO PLEASE COME TO THE HEARING. THE HEARING MAY RESULT IN ( ^ENTRY OF A COURT ORDER FOR:0P"P ZIF YOU FAIL TO ATTEND THE HEARING, THE COURT MAY ENTER THE ABOVE ORDER(S) IN YOUR ABSENCE.    `0p1.3     @ kDate: Location of Court: Mailing address of Court: Telephone number of Court: Name of Judge (if known):  bbcU bUc T% cU,Arial (t_Date: (_Location of Court: (_Mailing address of Court: (_Telephone number of Court: (_Name of Judge (if known):p Time:   P@ BCopies of any scheduling orders entered by the Court are attached.   !H# rTitle  @  s Other:  ~ ,-  DSHS 09-543 (REV. 03/2003) R+ , p VDISTRIBUTION: Indian child's parents, Service file, Court File, Indian child's Tribe     ,Arial (VDISTRIBUTION: Indian child's parents, Service file, Court File, Indian child's Tribe ,-@"  Page 2 of 3  1 ,P, P!NOTICE TO PARENT/INDIAN CUSTODIANvPpH# tTitle  P`!H# uTitle   P!H# vTitle   P 0!H# wTitle   !H# xTitle   !H# yTitle  0 p@  z@ `  Dependency  "8 !@  {! Out-of-home care. If the child is placed in out-of-home care, you remain financially responsible for the costs of the child's care.  && dJ& &d &J   dJ&,Arial (3obOut-of-home care. If the child is placed in out-of-home care, you remain financially responsible (?o"for the costs of the child's care.@0 @  |P0  Guardianship  "; p`@  }` !PERMANENT LOSS OF PARENTAL RIGHTS   @   ~ Other:   !H!# Title  0 II. ADVICE OF RIGHTS   Ui `*! >You have the right to talk to a lawyer. If you cannot afford to pay for a lawyer, you have the right to ask the Court to appoint a lawyer to represent you for free. The Court will grant your request if the pending legal action is dependency, guardianship, or termination of parental rights proceeding, and if you qualify for free legal representation. You do not have a right to a Court appointed lawyer if the pending proceeding is for validation of parental consent to foster care. A lawyer can look at the social and legal files in your case, talk to the social worker, tell you about the law, help you understand your rights and help you at the hearing. You have the right to examine all reports or other documents filed with this Court upon which any decision regarding the child may be based. Upon request, the petitioning agency will furnish case record material, reports or other documents that formed the basis for the decision to petition the Court, as well as all reports and other documents that this agency intends to provide the Court in support of this petition. You have the right to request that the case be transferred to the Court of the Tribe of which your child is a member or eligible to be a member. You also have the right to object to a transfer of jurisdiction to Tribal Court. If the proceeding involves dependency, guardianship, or termination of parental rights, you have the right to request and be granted an additional twenty (20) days to prepare for participation in the proceedings. If you wish to request the additional time, you may fill out the attached form and return it as soon as possible to the Superior Court at the mailing address listed on page one (1) of this notice.      `p+ *2.1 2.2 2.3 2.4 2.5 2.6   =c =c  =c,Arial (G2.1 (G2.2 (G2.3 (1G2.4 (]G2.5 (G2.6 (]G2.5 (G2.6  as provided under Washington law and the Indian Child Welfare Act.(,\It may be possible for you to acknowledge or establish paternity under tribal law or custom.(,If you fail to acknowledge or establish paternity, you may not have any right to participate in this proceeding. You also may permanently( ,%lose all rights concerning the child.0P Pp 3.1 3.2 3.3 3.4   1 1 "W  1, Helvetica (3.1(3.2(3.3(3.4#P$0 Date:  4G #$ $$ +n+r$+p+p$+, %AGENCY FAX NUMBER (include area code)4G,-P#0 |Attach Request for Continuance, DSHS 09-544, and copies of the petition (include any attachments) and any scheduling orders.  '= '=  '=, Helvetica (1|Attach Request for Continuance, DSHS 09-544, and copies of the petition (include any attachments) and any scheduling orders./0`/ !NOTICE TO PARENT/INDIAN CUSTODIAN4Gw (1|Attach Request for Continuance, DSHS 09-544, and copies of the petition (include any attachments) and any scheduling orders.ers.   4G nBaK @(@ @ "(h,h,  propalisZ propalis` propalisl propalisr porpsila porpsila<Ell#lm7U d7Rj  III. RIGHTS OF ALLEGED FATHERS    + + KDISTRIBUTION: Court file, Service file, Parents, Indian Tribe/Other party ,-@"0  Page 3 of 3  1 ,p- DSHS 09-543 (REV. 03/2003) T! %To acknowledge paternity, you must file a written statement with the state Office of Vital Statistics. The statement must be signed under oath and state that you are the child's father. You can obtain a form for this purpose from you county prosecutor's office. If you wish to legally establish paternity, you must get a Court order declaring you to be the father of the child. Such an order will give you all of the legal rights and responsibilities of a parent as provided under Washington law and the Indian Child Welfare Act. It may be possible for you to acknowledge or establish paternity under tribal law or custom. If you fail to acknowledge or establish paternity, you may not have any right to participate in this proceeding. You also may permanently lose all rights concerning the child.  ddT' dT' =c T',Arial (^lTo acknowledge paternity, you must file a written statement with the state Office of Vital Statistics. The (^ostatement must be signed under oath and state that you are the child's father. You can obtain a form for this (^-purpose from you county prosecutor's office. (^uIf you wish to legally establish paternity, you must get a Court order declaring you to be the father of the child. (^rSuch an order will give you all of the legal rights and responsibilities of a parent as provided under Washington (^&law and the Indian Child Welfare Act. (^]It may be possible for you to acknowledge or establish paternity under tribal law or custom. (^rIf you fail to acknowledge or establish paternity, you may not have any right to participate in this proceeding. ( ^>You also may permanently lose all rights concerning the child.p  3.1 3.2 3.3 3.4  = c =c  T' = c,Arial (G3.1 (G3.2 (G3.3 (G3.4` Date:   ) p*! |Attach Request for Continuance, DSHS 09-544, and copies of the petition (include any attachments) and any scheduling orders.  =% =% = c =%,Arial (GjAttach Request for Continuance, DSHS 09-544, and copies of the petition (include any attachments) and any (Gscheduling orders.,Pp, !NOTICE TO PARENT/INDIAN CUSTODIANvp@ 2.7    ! At any proceeding you have the right to introduce evidence, testify in your own behalf, question witnesses, and receive a decision from an unbiased judge based solely on the information presented at the hearing.  tt?Vi% tV?%i  ?Vi%,Arial (P`pAt any proceeding you have the right to introduce evidence, testify in your own behalf, question witnesses, and ([`creceive a decision from an unbiased judge based solely on the information presented at the hearing. H"# Title   !H## Title   p!H$# Title  P @!H%# Title  0 H'# Title  0 !H(# Title    !H)# Title   !H*# Title   0P NAME OF AGENCY SOCIAL WORKER~0 TITLE@@ uCITY STATE ZIP CODE00 +AGENCY TELEPHONE NUMBER (include area code)  %AGENCY FAX NUMBER (include area code)0  H&# Title  `0 AGENCY ADDRESS T`0 AGENCY ADDRESS pTl<{*Pdm6n=oDpKrRsYt`ugvnewux|yz{|}~f ghij$k*l0Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell15Cell16Cell17Cell18Cell19Cell20Cell21Cell22Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37Cell38Cell39Cell40Cell41Cell42Cell43jwghij$k*l0Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell14Cell15Cell16Cell17Cell18Cell19Cell20Cell21Cell22Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37[ax @4@ @ " 4)h,)h,))))`)  propalisZ propalis` propalisl propalisr porpsila porpsila<E@Data*ponmlkjihgfed~}|{zyxwvutsrArialTimes New Romanb (=b,\(+&