Form 10-522B NMRA
Form 10-522B. Adjudicatory judgment and dispositional order.
(Contested/Non-ICWA Version)
STATE OF NEW MEXICO
COUNTY OF _______________
__________________ JUDICIAL DISTRICT
IN THE CHILDREN’S COURT
STATE OF NEW MEXICO ex rel.
CHILDREN, YOUTH AND FAMILIES DEPARTMENT
No. __________
In the Matter of
_______________________________, (a) Child(ren), and Concerning
_______________________________, Respondent(s).
ADJUDICATORY JUDGMENT AND DISPOSITIONAL ORDER
AS TO ____________________
This matter came before the [Honorable ________] [Special Master _________], on
_______ (date) for adjudicatory hearing. The New Mexico Children, Youth and Families
Department (CYFD) was represented by _____________, children’s court attorney.
_______________ (name(s) of child(ren)) was/were [not] present [and] [but] was/were
represented by __________________, (guardian ad litem/attorney). (Expand as
necessary) Respondent(s) _________________ was/were [not] present [by telephone]
[and] [but] was/were represented by attorney ________________. (Expand-modify as
necessary) The CASA was [not] present. (If applicable) A court certified interpreter did
[not] provide interpretation services for the hearing.
The Court has heard the [evidence] [stipulation of the parties], reviewed the
pleadings, is fully advised in the matter, and FINDS:
1. The Court has jurisdiction over the subject matter of this cause and the parties in
this cause, except _________________, who has/have not yet been served and
has/have not otherwise made a voluntary appearance or waived service of summons.1
2. [________________ (name(s) of child(ren)) is/are not subject to the Indian Child
Welfare Act.] [It is undetermined if ICWA applies, so at the present time,
_________________ (name(s) of child(ren)) is/are not subject to ICWA.2]
3. CYFD has proven by clear and convincing evidence that as to Respondent
___________________________, ____________________ (name(s) of child(ren))
is/are a/an [abused] [and] [neglected] child(ren) as follows: (Select the appropriate
finding(s) and delete those not applicable)
a.
_________________ (name(s) of child(ren)) has/have suffered or is/are at
risk of suffering serious harm because of the action or inaction of the child(ren)’s parent,
guardian, or custodian, pursuant to Section 32A-4-2(B)(1) NMSA 1978.
b.
_________________ (name(s) of child(ren)) has/have suffered physical
abuse, emotional abuse, or psychological abuse inflicted or caused by the child(ren)’s
parent, guardian, or custodian, pursuant to Section 32A-4-2(B)(2) NMSA 1978.
c.
_________________ (name(s) of child(ren)) has/have suffered sexual
abuse or sexual exploitation inflicted by the child(ren)’s parent, guardian, or custodian,
pursuant to Section 32A-4-2(B)(3) NMSA 1978.
d.
_________________’s (name(s) of child(ren)) parent, guardian, or
custodian has knowingly, intentionally, or negligently placed the child(ren) in a situation
that may endanger the child(ren)’s life or health, pursuant to Section 32A-4-2(B)(4)
NMSA 1978.
e.
_________________’s (name(s) of child(ren)) parent, guardian, or
custodian has knowingly or intentionally tortured, cruelly confined, or cruelly punished
the child(ren), pursuant to Section 32A-4-2(B)(5) NMSA 1978.
f.
_________________ (name(s) of child(ren)) has/have been abandoned
by his/her/their parent, pursuant to Section 32A-4-2(E)(1) NMSA 1978.
g.
_________________ (name(s) of child(ren)) is/are without proper parental
care and control or subsistence, education, medical, or other care or control necessary
for the child(ren)’s well-being because of the faults or habits of the child(ren)’s parent,
guardian, or custodian, or the neglect or refusal of the child(ren)’s parent, guardian, or
custodian, when able to do so, to provide them, pursuant to Section 32A-4-2(E)(2)
NMSA 1978.
h.
_________________ (name(s) of child(ren)) has/have been physically or
sexually abused, when the child(ren)’s parent, guardian, or custodian, knew or should
have known of the abuse and failed to take reasonable steps to protect the child(ren)
from further harm, pursuant to Section 32A-4-2(E)(3) NMSA 1978.
i.
The child(ren)’s parent, guardian, or custodian is unable to discharge
(his/her) parental responsibilities to and for _________________ (name(s) of child(ren))
because of incarceration, hospitalization, or other physical or mental disorder or
incapacity, pursuant to Section 32A-4-2(E)(4) NMSA 1978.
j.
_________________ (name(s) of child(ren)) has/have been placed for
care or adoption in violation of the law by the child(ren)’s parent, guardian, or custodian,
pursuant to Section 32A-4-2(E)(5) NMSA 1978.
4. (If applicable) CYFD has proven by clear and convincing evidence the following
aggravated circumstances as to Respondent _______________: (Select the
appropriate circumstances(s) and delete those not applicable)
a.
_________________’s (name(s) of child(ren)) parent, guardian, or
custodian has attempted, conspired to cause, or caused great bodily harm to the
child(ren) or great bodily harm or death to the child(ren)’s sibling, pursuant to Section
32A-4-2(C)(1) NMSA 1978.
b.
_________________’s (name(s) of child(ren)) parent, guardian, or
custodian has attempted, conspired to cause, or caused great bodily harm or death to
another parent, guardian, or custodian of the child(ren), pursuant to Section 32A-4-
2(C)(2) NMSA 1978.
c.
_________________’s (name(s) of child(ren)) parent, guardian, or
custodian has attempted, conspired to subject, or has subjected the child(ren) to torture,
chronic abuse, or sexual abuse, pursuant to Section 32A-4-2(C)(3) NMSA 1978.
d.
_________________’s (name(s) of child(ren)) parent, guardian, or
custodian had parental rights over a sibling of the child(ren) terminated involuntarily,
pursuant to Section 32A-4-2(C)(4) NMSA 1978. (Redo paragraphs 4 and 5 above for
each Respondent covered by this pleading and adjust paragraph numbering as
necessary.)
5. The Court makes the following findings and conclusions: (At this point, make
appropriate provision for inclusion of findings of fact and conclusions of law.)
DISPOSITIONAL FINDINGS3
6. The substitute care provider was notified of the dispositional hearing, [was] [was
not] present, and was given an opportunity to be heard.
7. The treatment plan contained within the Family Treatment Plan and
Predispositional Study, attached to this order as Exhibit A, is reasonable and should be
ordered by the Court.
8. Pursuant to Section 32A-4-22(A) NMSA 1978, the Court makes the dispositional
findings of fact attached as Exhibit B and incorporated by reference into this order.
9. (Select appropriate option and delete the rest)
a.
CYFD has made reasonable efforts to place siblings in custody together
and they have been placed together.
b.
The siblings have not been placed together because
_________________________, and the siblings have been provided reasonable
visitation or other interaction, as follows: _________________________________.
c.
The siblings have not been provided reasonable visitation or other
ongoing interaction because such visitation or other interaction would be contrary to the
safety or well-being of any of the siblings because
____________________________________.
10. _________________ (name(s) of child(ren)) has/have [not] been placed with a
relative. CYFD has [not] made reasonable efforts to identify and locate all grandparents
and other relatives and reasonable efforts to conduct home studies on any relatives
expressing an interest in providing permanency for the child(ren).4
11. It is in the best interest of _________________ (name(s) of child(ren)) that
he/she/they be in the legal custody of CYFD.
12. Visitation should be as set forth in the treatment plan adopted by the court.
13. Respondent(s) should [not] sign the following releases as requested by CYFD.5
(List the requested releases)
14. Youth of the age of fourteen (14) and older should [not] sign the following
releases as requested by CYFD.5 (List the requested releases)
15. Respondent(s) should [not] attend all school meetings regarding education for
_________________ (name of child(ren)).
16. The appointment(s) of ________________ as _________________’s (name(s)
of child(ren)) educational decision maker and _______________ as
_________________’s (name(s) of child(ren)) parent for the purposes of the Family
Educational Rights and Privacy Act (FERPA) has/have been reviewed, and should [not]
continue.6 (If not, identify who should make educational decisions and who should be
considered a parent for purposes of FERPA. Repeat or modify as necessary.)
THEREFORE, IT IS ORDERED, ADJUDGED, AND DECREED:
1. As to Respondent _________________, _________________ (name(s) of
child(ren)) is/are a/an [abused] [and] [neglected] child(ren) as defined in the Children’s
Code, as found above.
(Repeat paragraph 1 above as necessary for each Respondent and adjust paragraph
numbering as necessary.)
2. (Select appropriate custody option and delete the rest)
a.
Legal custody of _________________ (name(s) of child(ren)) shall be with
CYFD for a period of up to two (2) years from the date of this order, subject to judicial
review.
b.
Legal custody of _________________ (name(s) of child(ren)) shall be with
Respondent(s) _________________ with protective supervision in CYFD.
c.
Legal custody of _________________ (name(s) of child(ren)) shall be with
_________________ (formerly non-custodial parent) [with] [without] CYFD retaining
protective supervision of the child(ren).
3. CYFD shall make reasonable efforts to implement the treatment plan adopted by
the court.
4. Respondent(s) ________________ shall make reasonable efforts to comply with
the treatment plan adopted by the Court and achieve the desired outcomes set forth in
the treatment plan. (Or, if futility of efforts or aggravated circumstances found for both
Respondents, the Court will schedule a permanency hearing within thirty (30) days.)
5. Visitation shall be as set forth in the treatment plan adopted by the court.
6. CYFD and attorneys of record shall have, during the pendency of this case,
access to all records and reports relating to investigation, treatment, and/or education.
Further disclosure of records, reports, writings, or related information to third parties or
persons is prohibited except as provided by Section 32A-4-33 NMSA 1978.
7. This matter shall be referred to the Child Support Enforcement Division of the
New Mexico Human Services Department (CSED) for determination of ongoing child
support as to Respondent(s) _________________. As required by federal and state
law, Respondent(s) shall pay the reasonable costs of support and maintenance of the
child that the parent(s) are financially able to pay as provided by Section 32A-4-26
NMSA 1978, and CYFD shall refer this matter to CSED for determination of ongoing
support obligations.
8. Respondent(s) shall maintain regular communication with his/her/their attorney(s)
and CYFD worker to inform him/her/themselves about the dates and times of any court
hearings or meetings requiring his/her/their attendance.
9. (If applicable) A separate order shall issue [appointing] [changing]
_________________’s (name(s) of child(ren)) educational decision maker and parent
for the purposes of FERPA.6
________________________________
District Court Judge
______________________________________
(Add signature lines for all attorneys in the case)