Form 10-565. Advance notice of change of placement.

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). ADVANCE NOTICE OF CHANGE OF PLACEMENT1 TO: Judge Guardian(s) ad Litem Youth Attorney(s) Attorneys for Respondent(s) Planning Worker/Supervisor Court-Appointed Special Advocate Foster Parent(s) [Indian child(ren)’s tribe]2 Pursuant to Section 32A-4-14 NMSA 1978, you are notified that the placement of __________________________ (name of child(ren)) will be changed from ____________________________________ (type of current placement)3 to __________________________________________ (type of future placement)3 on or after ___________________________ (date) for the following reasons: _____________________________________________________. You are further notified that the educational setting of _________________________ (name of child(ren)) will be changed from ________________________________________ (current educational setting) to ________________________________________ (future educational setting) on or after _______________ (date) for the following reasons: _____________________________________________________. ______________________________ Children’s Court Attorney CERTIFICATE OF MAILING I certify that a true copy of the foregoing was mailed/faxed/delivered to all persons listed above (except the Indian child(ren)’s tribe) this ____ day of __________, 20____. ______________________________ CYFD Legal Staff (I certify that a true copy of the foregoing was mailed by certified mail with return receipt requested to the Indian child(ren)’s tribe this ____ day of __________, 20____. ______________________________ CYFD Legal Staff)4