IDesILaytagsJz\109759081991102002ASDDSHS09_759"T7$Wo#4j  n% b !|"l#Jz &,28>DJPV\bhntz6ZSubmit 6  Y6^6$64*50469041744506000jB"X  " @@@@@@ @@@@@|Zg ZSS S"|0/4S0"/|5 dgSZ S/x   @@@@@@ @@@@@4p*qXUX*UX*4p*q4pqhIq4p4piI-\I-4p4pzp.RxIiIZxI4pwI>up{IDdD>uDzp.ɫD֫Dt>u>u!"7abDѨORZK@@@  @@X  D @@@  @@X  D @@@   @@X  D @@aRbDѨOR@@X D LBHN~H"nrU , "  ,,y,y,y,y,y,y,x˼,x,x,y  porpsilaT porpsilaZ<E porpsilaf porpsilalDatadefgijklmpqrsvwxyz{|}~ArialTimes New RomanjlkjljjkljljkljkljlkjljkolTimes New Roman@   @ ,Arial (JSUPERIOR COURT OF WASHINGTON (J COUNTY OFl0`! TITLE GOES HERE.  lpp LEGAL NO:  7"T&lArial (+6#NOTICE OF INTERVENTION AND REQUEST (66FOR CONTINlBEpp LEGAL NO:  D7(lNT3Submit  b`09759081991102002SS" 1S"|ZASD$SZDSHS )09_759 S/h f````d'@L%g$ od6!|l7"    "  _Y_Y_Y_Y_Y_Y_E_Y porpsilaT porpsilaZ<E porpsilaf porpsilalDpsilaf porpsilal6"Txthis# SignatureVersion  Data Vers $ Blue Keys*Graphics $ 0Header$  6 FieldList$ < Form Info` LayoutProps" r DesPathInfo" xW#6   "  ffffff_pf porpsilaT porpsilaZ<E porpsilaf porpsilalArial$|$N` #VOLUNTARY FOSTER CARE PLACEMENT OF:    @"@  (8!00!0 P An Indian Child/ p    &SUPERIOR COURT OF WASHINGTON COUNTY OF  @  @   @ ,Arial (JSUPERIOR COURT OF WASHINGTON (J COUNTY OF`! sMOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD  00,T' 0,'T @  ,T',Arial (&6&MOTION, DECLARATION OF CHILD'S RETURN (16FROM VOLUNTARY FOSTER CARE (<6&PLACEMENT, AND ORDER OF DISMISSAL FOR (G6 INDIAN CHILDpp LEGAL NO:   5 P MOTION   ( 0! The undersigned person represents to the court the facts listed below and moves the court for an order dismissing the above entitled cause.  ,,a>$ ,>a$ ,T' a>$,Arial (sHgThe undersigned person represents to the court the facts listed below and moves the court for an order (H$dismissing the above entitled cause.p0  DECLARATION   G 0 I,    " , hereby declare that:   ] H dTitle    1.1 I am a service worker for:    !@  e ! DThe Washington State Department of Social and Health Services (DSHS)  *D 00@  f@0 %Other child placing agency (specify):  *   JUVENILE DIVISION   ^ H gTitle  H iTitle   P!H jTitle  p 0! 1.2 The above named Indian child was temporarily placed in the custody, care, and control of this agency for purposes of foster care placement at the request of the child's:  VV= $ V=$   = $,Arial (Gc1.2 The above named Indian child was temporarily placed in the custody, care, and control of this (GR agency for purposes of foster care placement at the request of the child's: !@  k ! Mother  *  ! @    l ! Father  *  !@    m ! Indian custodian  *H "" ` Date of Placement:   U ! #H  pTitle  #P$0 #1.3 The child was returned to the:    $`%`@   q$p%` Mother  * $`%` @    r$p %` Father  * $` %`@   s$p %` Indian custodian  *H && ` Date of Return:   D 'P( J1.4 The name and address of the person to whom the child was returned is:   P % &H vTitle  '*!H wTitle  ,P- MOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD DSHS 09-759 (REV. 08/1991) (AC 10/2002) <<S <S  S,Arial (]tMOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD (]*DSHS 09-759 (REV. 08/1991) (AC 10/2002) , 0-" Page 1 +` +@ RDISTRIBUTION: Court File, Service file, Parent(s)/Indian custodian, Indian tribe. pp!@ Title   vTitle  'p*!H wTitle  ,P- MOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD DSHS 09-759 (REV. 00/0000) Proposed new revision. Toni BenhamPPS PS  S,Arial (]tMOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD (]@DSHS 09-759 (REV. 00/0000) Proposed new revision. Toni Benham, 0-" Page 1 +0 +@ RDISTRIBUTION: Court File, Service file, Parent(s)/Indian custodian, Indian tribe. %~p! 1.5 I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.    ?=k$  =?$k S ?=k$,Arial (QGm1.5 I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true (]G and correct.Pp  SIGNED at   1 @ , Washington, on   K @H xTitle  @!H yTitle   ` CITY   DATE 0 0!H zTitle    `  DECLARANT 1  ` ORDER   $  ! The undersigned has read and considered the above recited motion and declaration of facts in support thereof, NOW, THEREFORE IT IS HEREBY ORDERED that the above entitled caused is DISMISSED.  rrR& rR&  R&,Arial (\]The undersigned has read and considered the above recited motion and declaration of facts in (\Wsupport thereof, NOW, THEREFORE IT IS HEREBY ORDERED that the above entitled caused is (\ DISMISSED.P P  DATED this   4 P ` Day of    P0 , 20    * +@ RDISTRIBUTION: Court File, Service file, Parent(s)/Indian custodian, Indian tribe. ,p 0-" Page 2  @ H {Title  `@H |Title  p@ H }Title   @`!H ~Title  @Pp JUDGE/COMMISSIONER ],`-  MOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD DSHS 09-759 (REV. 08/1991) (AC 10/2002) <<? <?  ?,Arial (ItMOTION, DECLARATION OF CHILD'S RETURN FROM VOLUNTARY FOSTER CARE PLACEMENT, AND ORDER OF DISMISSAL FOR INDIAN CHILD (I*DSHS 09-759 (REV. 08/1991) (AC 10/2002) p JUDGE/COMMISSIONER ]