Form 10-567. Abuse and neglect party dismissal sheet.

Abuse and Neglect Cases – Party Dismissal Sheet Type or print responses. Required in all abuse and neglect cases anytime a party is being dismissed from the case. This form should accompany an order. ________________________________________________________________________________ THIS SECTION FOR OFFICIAL USE ONLY NOTE TO COURT CLERK: DOCKET EVENT CODE 9500, CRT: Abuse and Neglect Party Dismissal Sheet. Scan document, but will not become part of the official record. _______________________________________________________________________________ Children’s Court Attorney’s Name: _________________________________________________ Person Completing Form: ________________________________________________________ Phone Number: _______________________ E-mail: __________________________ Case number: ______________ Does This Action Close the Case? ________ Enter as much of the following information as possible for each party being dismissed: Minor Child 1 Name (F, M, L) Reason for dismissal* Date of dismissal Minor Child 2 Name (F, M, L) Reason for dismissal* Date of dismissal Minor Child 3 Name (F, M, L) Reason for dismissal* Date of dismissal Add information for additional children as necessary. * Type of placement: Kinship Guardianship; Non-relative Guardianship; Adoption; Reunification; PPLA / Aging out of care. Respondent 1 Name (F, M, L) Reason for Dismissal** Address at Dismissal Respondent 2 Name (F, M, L) Reason for Dismissal** Address at Dismissal Add information for additional Respondents as necessary. **Reasons for Dismissal: Relinquishment, Termination of Parental Rights, Dismissed by Judge Post Adjudication, Dismissed Prior to Adjudication.