New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Person in Need of Supervision (Family Court Act Article 7) › Form 7-9 - Petition (termination of placement)

Current through Register Vol. 46, No. 28, July
					 10, 2024
F.C.A. § 764
Form 7-9 (Persons in Need of Supervision)
									 8/2002
FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF
									 __
In the Matter of
A Person Alleged to be a Person in Need of
									 Supervision,
..Respondent.................................................
Docket No. __ PETITION (Termination of
									 Placement)
TO THE FAMILY COURT:
The undersigned Petitioner respectfully
						alleges upon information and belief that:
1. Petitioner, ________, is the parent
						guardian next friend of the above-named Respondent, and resides at
						[specify]:
OR
Petitioner, ________, is a duly authorized
						agency that has its principal office at [specify]:
2. Under an Order of Fact-finding and
						Disposition of this Court,
dated ________, the Respondent was
						adjudicated to be a person in need of supervision within the meaning of Article
						7 of the Family Court Act and placed in the custody of ________ for a period of
						________ months, terminating on ________.
3. Respondent is now in the custody of
						[specify]: ________ and the placement should be terminated for the following
						reasons:
4. No previous application has been made
						to any court or judge for this relief (except [specify]: ________.)
5. The Petitioner has made application to
						the agency with which the child has been placed for the release of Respondent,
						which application was [check applicable box]: denied not granted within thirty
						days from the day application was made).
WHEREFORE, Petitioner requests this Court
						to issue an Order terminating the placement of Respondent and directing
						release.
Dated: ________.
______________
Petitioner
By:
______________
Name
______________
Title
______________
Signature of Attorney, if any
______________
Attorney's Address and Telephone
						Number
Form 7-9 Page 2
VERIFICATION (Individual)
STATE OF NEW YORK)
) ss.:
COUNTY OF)
________, being duly sworn, deposes and
						says:
That (s)he is the ________ in the
						above-entitled proceeding and is acquainted with the facts and circumstances
						therein; that (s)he has read the foregoing and knows the contents thereof; that
						the same is true to (his)(her) own knowledge, except as to matters therein
						stated to be alleged on information and belief and as to those matters (s)he
						believes it to be true.
________
Sworn to before me this
________ day of ________, ________.
______________
(Deputy) (Clerk of the Court)
(Notary Public)
VERIFICATION (Agency)
STATE OF NEW YORK)
) ss.:
COUNTY OF)
________, being duly sworn, deposes and
						says:
That (s)he is the ________ of ________, an
						agency authorized to originate the above-entitled proceeding, and is acquainted
						with the facts and circumstances therein; that (s)he has read the foregoing and
						knows the contents thereof; that the same is true to (his)(her) own knowledge,
						except as to matters therein stated to be alleged on information and belief and
						as to those matters (s)he believes it to be true.
______________
Name
______________
Title
Sworn to before me this
________ day of ________
______________
Notary Public