       IDesILaytags  R  S 109537081991ac102002ASDDSHS09_537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          z  |                    [      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     p         4   j   R      ~            V   V   ~   L            p   :       T                                                                                                &    ,    2    8    >    D    J    P    V    \    b    h    n    t    z                            6     x                                  6       Z y    !!         6          ?   !!         6    $     x   0!! p        6  4  *        40980670010765030           j  N   "                 @@                 X       	    
          
A8  	        @@                         @@                      @@              @@                       @    @@          @A    A: @  @ < T < @   A   `A  4AAP  < @       < @       @  	AP @APAP    A8 <             <       @   A LA        #       A              #     ٘A  A    A8        @@             j         @@ @                                        
                               @@                  X       	    
        b 
A:  	          @@ @     *<  > x >  8            N    6  8                                                             0P/@@/                                  0$                                       1&@  XX     jdV      XX        d                       ʴ D ?           d      (  N p         
        &  y     d      n    6 o    = p    D q    K r    R t    Y u    ` v    g e     w    n x    u f     g     h     i     j    $ k    * l    0   |Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell11Cell12Cell13Cell14Cell15Cell17Cell18Cell19Cell20Cell21? ?  <  >  >  > ?    ~    ~      | W  ? ?  <   > !>   >    >    ?      | W  ? ?  <   > !        V    B   3     Submit               ta Versr            6    f         Submit              V        l  L  H  kk    V`          `  V        
  
    V` 
         4    V`  
9  V`  9  V`9  V`9  V`                                                               
  9`    9`  9`  9`                                                               
  `    `  `  `  #        #        $        $        %       %    ?   #   ?   #      $      ? #       "     ?   "    ?    ! ?   ?       ?         
     ?     ?                               
  `    `  `  `  O  ?           ? 	  8  ? Q ? ?                8x  ? Q ?                   xx  ? Q                    xx  ~ P                   xx   P            ?       |  O           ?           P          ~     ?   ?  R               ?  ? Q        ?    ?        O        ?         ? O        ?          H       ?           *           &          '          $   ?       $   ?      $         % ?        % ?        %        &       &       %        #       $         $         &           
  `    `  `  `  R         ?  & ?   ?      ? < T            &    ?      ?  < V             &     ?        < U              &            ~  < U                       ?      R              ?       ?  ?    R              ?     >      P             ?     >      P             ?     |      N            ?     |     O           ?     |      N         ?  0  ?        N ?        ?  x           O ? ?         x          ? Q  ?          x       ~ ? Q                   P                   O               ?     O         ?       ?      P          ?        >   R                     Q                      P             x        P              x        P              p ?      ? L             0   >   ? I              >   ? J              <   ? N             | ?  0  ?    
  `    `  `  `  p               ? 
          |   ?      s              ?                   ?      s            ?  ?               8    ?      t                4               <   ?      t                  -  <          8   ?      t ?                 ? 1  <          x   ?      t ?                @ ? 1  <          x   ?      t        ?            |     !       ?      v       ? '  ?    ?       ~   ?  ??     u       ?       
     ??   ? t   ?           
   ?  ??   ? t   ?               ??!    ? _                   
    W <                 1               0                 ,                *               *               )             )             2                4             I ?                Q ?              Q            ?  P  ?             S  ?     ?     ?      S        ?  &  ??      ? |    
  `    `  `  `  n ?          ?                 ?      n         ?         > x         
?      m                     | 8         
?      m                     0      p   
?      n                           `    ?   `   m             	?             ?      m            ?               ?      l           ?  
      
     ??  ?      k            
      
     >?  ?      j            ? 
      
     <  ?      l           ? 
            |  ?      l           ? 
            x  ?      n              
              ? 	     m              
               ? 	     l             
       |       ?     k             
            ?     k ?           
   ?     	    ?     l ?       ?    
  > ?    	    ?     n ?       ?    
  >    O 	    ? 	     n        ?    
  |           ? 	     n            
  |   ?           ?      m          ?  
   ?  ~           ?      l  ?                        ?      n   ?                        ?      q   ?         ?     	         ?      q                 	        ?      p               
    	       >  ? ?      p               
          >  ? ?      p               ? 
          |   ?        
n  `  n  `n  `n  `  m                     ?   	   ? 	|  ?      m                      ?   	   ? 	|  ?       l                       ?      ? |         m                      ? ?    ?  ? |     ?    l                      ? ?    ?  ? |         l       ?               ?      ? |         l       ?               ?      ? |        l   ?    ?         >      ? ?    ?  |       m   ?    ?    .     ~     ? ?     ?  ~      j              ?              ? l                  ?   ?   ? j             ?          e                      O          
   p  F  < @  &          $  ?        $          )    X        *            %         % ?        % ?         )            [                ?      ? h         ?    ?          ? n                   ?      ? n      ?                     o       ?     ??  ? ?               n ?     ?        ?           ?       
Q  n`  Q  n`Q  n`Q  n`  j             >   ~     
  ?    l             x    #?             
      r             ?   x    #?            p 
      l  ?             8    #?            p 
?      i               8    ? #? ?     ?      p ?    g           0   ? #? ?     ?      p     e             ? ? ?  	   ? 	         e              ? ?  	   ? 	       h              } ? ?  	   ? 	~       i               ? ?  	   ? 	|      l               ? ?  	   ? 	|       l                ?      ? @ |?     ?  m   ?       ?     ?      > ?  |     ?  m   ?       ?   ?  ?     > ?  <     ?  m      ?    ?   ?  ?    | ? <     ?  l       ?    ?   ?  ?    | ? <     ? l          ??    ?   ?  ? <    ? l            ?   ?   ?  ? <     ? m            ?    ?    ? |     ? o             ?    ?   ? |     ? ? n            ?     ?   ? | ?    ?  l           ?      ?   ? |     ?  q  t          ?   ?   ?    ? |     ?  c          ?   ?  ?    ? |     ?  c                ?    ?  |     ?  a                 ?    ?  |     ? `                 ??   	  ? 	|       e                  ?   	  ? 	|        m                     ?   	   ? 	|           
4  Q`  4  Q`4  Q`4  Q`  _     :    x         ^      :   ? ?        \      9     ?        ]  ?    (     >   ?     ]             >        ? e      _     p  ?  ~  8          = ?        0 < ?   ?  0 ?         ~ .            0  ?           -             /             ? /         ?    -        ?    +           ,           -  ?         - ?          ,           ,           ~ *          )           -      ?  ?  p 4 ?     ?    ?  f         
      0 x?  ?  h         ?    ?    ?  i         ?          h               ?  	 i         ?         
       
  4`    4`  4`  4`  H        ?           M                 ~   Y                    ~  
~     a       ,    `    ~       
~  ?  d         * >       ?   
   V       * < ?       
  V       8 <?? ?      V       8 8> ??   ?? V       8  x| p|     ?? V       8  x| poc> ?  ? >  ~ m           @ ?(  ~ p   ~ ?>  > >   ~ _       (       | 8 ? ~ ~ ~ ?  a     ?   ( <           | ~ ~ ?  `     ?   ( < ? ?    ?     | | ~ ~ `     ?   ( x ?> ?  ?      ~ ~ ^     ?  ( x ?> ?  ?      | ~ ^     ?  ?(  ~ ~ ?       \     ?  '  ~ ~ ??      [     ?  '  |    ? ~   Z     ? '  ǀ    ? ? 
~   Z     ? '        ?  ? 
~  Z     ? '    ~  ~  ?  > 
~ ]     ? '      ?   ?  ~   ~ _     ? '       ?    >  ~ 8   ^     ? '    ?    ~ ~ 8  ? ^     ? ?'    > ?    | ~ 8   ^     ??'   = ~ ?  ?   |  8 1 `     ??'   A ~ ?  >     |  0 _     :    ~    ~    0  ~      
   `     `   `   `  "                       !                 ?                                      ?       '           "      ?                             %           *            /           ?      	    ? ?  <  ? ?     	   ? ?  |  ? ?     ?	   ? ?  ~  C      ?	 ?      ? ?   F      	         ~    J      	      |      K  ?    	      x      G      	     ?   ?  F      	  ?    ?   ?  F      	  ?    ?   ?  E      	      ?   ?  H              ?       
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             2          [  T   "                : AM     PM                                   
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        $     , .    Yes    No          /        ,             ,                   : AM     PM                                 
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        $     , .    Yes    No          /        ,             ,                   : AM     PM                                 
   	     	   $     , .    Yes    No          /        ,             ,                   : AM     PM                                                                                                                                                                                                                                                                                                                                                                                                                                                        V         ` `            ` `         d        '  @L          |$        
  o  d             V      LTH SERVICESD        z  T      d   	@      $   @     @            "        $첉a첉a췝췝췝췝   	                               propalis  `   propalis  f   propalis  r   propalis  x   porpsila  B   porpsila       < E            o8      .         
   Arial                                                                   N    `   3     Submit                              ~  l    09537081991ac102002    &1  ASD       A@ADSHS A( 0 09_537AH@        A                                r       ,,    	y	g(   ,,    (    d       '              h                                                          6       this                                      :         
	Signature*m@  Version-sP-r  	Data Versr      $	Blue Keys        *Graphics
     0Header-u-r  6	FieldLists       <	Form Info        lLayoutProps&-`  ~DesPathInfo&.         2  p  Z  ,      @	@             B   DIVISION OF CHILDREN AND FAMILY SERVICESOLYMPIA, WASHINGTON 98504           	             D              D        
                        
   D ,  Arial         	 ( + )DIVISION OF CHILDREN AND FAMILY SERVICES                  ( 6 OLYMPIA, WASHINGTON 98504             `#` @                             @       
                  e       P`#P              +   Canadian First Nations Indian Tribe or Band           
          
   *        ` #P @                             @       
                  f       pP #@              -   Non-federally recognized Indian Tribe or Band           
          
   *        0  @                                       
                    g        @                 TO: (Tribe or Band)      	                  * F        $  @                                       
                   h        #                 FILE NUMBER:      	                  * 8       0
  @                                	        
                    i       @	!                 STREET ADDRESS OR BOX NUMBER:      	                  *        
0 @                                
       
                    k       
 @
                 CITY:      	                  *        0  @                                        
                    q       @!                 NAME OF CHILD:      	                  * A       0,$                   @&#P                *This letter is for purposes of notification only.  As a Canadian Indian tribe or Band or a non-federally recognized Tribe or Band, you do not have the automatic right to intervene in a judicial proceeding involving the child nor to request that the case be transferred to the jurisdiction of your Tribe or Band.  You may file a motion to intervene pursuant to Superior Court Civil Rule 24.  This agency will not oppose your motion.  If the court determines that you have a sufficient legal interest in the proceeding, you may be allowed to intervene as a party.Please contact me if you want more information about the situation and/or if you have services that you would like to offer to the child or family.  I will look forward to hearing from you.PLEASE KEEP THIS INFORMATION CONFIDENTIAL.           
             
              .@/p                  NOTICE TO CANADIAN FIRST NATIONS TRIBE OR BAND OR TO NON-FEDERALLY RECOGNIZED US INDIAN TRIBE OR BANDDSHS 09-537 (08/1991) (AC 10/2002)                  &&     &               
                 
  ,  Arial         ( $fNOTICE TO CANADIAN FIRST NATIONS TRIBE OR BAND OR TO NON-FEDERALLY RECOGNIZED US INDIAN TRIBE OR BAND         ( $"DSHS 09-537 (08/1991) (AC 10/2002)              -@-@              +   DISTRIBUTION:  TRIBE OR BAND,  SERVICE FILE                                0P                V` 8`  H        &0(p @                              '       
                    t       ' @'                 SOCIAL WORKER:                        * =       &(p$  @                              '       
                   u       ' '#                 DATE:                        *        +p0,@ @     "                         ,(       
                    w       +@,)0                 TELEPHONE NUMBER                        * J       +p@,$  @     #                         ,(       
                    x       +P,)#                  FAX NUMBER                        * /        
$  @     	                           	        
                   j       	!#                 COURT CAUSE NUMBER:      	                  * b       
 $  @     
                           
       
                   l       
 
#                 COUNTY:      	                  * $       
0 @                                
       
                  n       
 
                 STATE      	                  *        
0  @                                
       
                  o       
 @
             	   ZIP CODE:      	                  * (        $  @                                        
                   r       !#                 DATE OF BIRTH:      	                  * @                     
   NOTICE TO:           
         
     9      pP             b   This letter is to advise you that a court hearing regarding the above named child will take place:           
         
          @#P  H                              `      
                   y       PQ                Type of hearing:            
          
   * K        @  H                              0      
                   z       0P!                Date:           
          
   *            H                                    
                   {       0                Time:           
          
   *         #@  H                                    
                   |       0                Location:   Location:            
           $d     $     d          
                 
 $d ,  Arial         
 (/Location:               (/
Location:                @#0  H                              p      
                   }       Pa             %   Mailing address of Court:  Location:            
          
   *        @#0  H                                    
                   ~       P                Telephone number of Court: :           
          
   *        0p
                 This hearing may result in:           
         
     u        @                             @       
                         0P               +   Foster care or other out of home placement            
          
   *         p @                             0       
                         0@              !   Permanent loss of parental rights           
          
   *          @                             @       
                         0P                 Other (specify):            
          
   * G         #   H                               `       
                                            Title          
               p#`  H                              `      
                          Q             \   There is reason to believe that this child is a member of or eligible for membership in the            
          
   *       Pp#`  H                              @      
                          `1             -   Indian Tribe or Band.  The mother's name is:            
          
   *        p#`  H                              @      
                          1                Mother's address is:             
                                 
                 
   ,  Arial         
 ( )Mother's address is:                 Pp#`  H                              @      
                          `1                The father's name: is:            
                                 
                   
   ,  Arial         
 ( )The father's name:            ( )is:                p#`  H                              @      
                          1                Father's address is: is:            
                                 
                 
   ,  Arial         
 ( )Father's address is:            ( )is:                (p0)$                    (0)$  @                              )      
                           (@)#                 ADDRESS      	                  * '       * 0+` @                              *      
                           *@*                 CITY      	                  *        * +`` @                               *      
                         **P                STATE      	                  *        * p+`$  @     !                         *      
                         **#                ZIP CODE      	                  * &       )0+p$                                  **#                ZIP CODE      	                  * #       )0+p$                                         CITY      	                            * +`` @                               *      
                           **P                 STATE      	                            * p+`$  @     !                         *      
                           **#                 ZIP CODE      	                     %       )0+p$                            requirement, or agreement issued or made pursuant to the statute or executive order, the officer or agency upon timely application may be permitted to intervene in the action.  In exercising its discretion the court shall consider whether the intervention will unduly delay or prejudice the adjudication of the rights of the original parties.           
          I C     I     C           
                 
  I C ,  Arial         
 (  S<When a statute confers a conditional right to intervene: Or                   (  SkWhen an applicant's claim or defense and the main action have a question of la       0  V  ~     @      4   @     @            "                     4,na,na,n,n,n,n,n3ؼ,n,n,n                                      propalis  `   propalis  f   propalis  r   propalis  x   porpsila  B   porpsila       < E           Data  # e    f    g    h    i    j    k    l    n    o    q    r    t    u    w    x    y    z    {    |    }    ~                                                                                           Arial                                                           Times New Roman                                                     p            
        
  p    
    ./          p            NOTICE TO CANADIAN FIRST NATIONS TRIBE OR BAND OR TO NON-FEDERALLY RECOGNIZED US INDIAN TRIBE OR BANDDSHS 09-537 (00/0000) PROPOSED REVISIONS TONI BENHAM  902-8342  45805                  FF     F               
  I C                 
  ,  Arial         ( fNOTICE TO CANADIAN FIRST NATIONS TRIBE OR BAND OR TO NON-FEDERALLY RECOGNIZED US INDIAN TRIBE OR BAND         ( EDSHS 09-537 (00/0000) PROPOSED REVISIONS TONI BENHAM  902-8342  45805                 @$                *Procedure.  A person desiring to intervene shall serve a motion to intervene upon all the parties provided in rule 5.  The motion shall state the grounds therefor and shall be accompanied by a pleading setting forth the claim or defense for which intervention is sought.          
         
      
                              (a)           
        w 
           0                (b)           
        w 
                           (c)           
        w 
            #             [   fIntervention of Right.  Upon timely application anyone shall be permitted to intervene in an action: (1) when a statute confers an unconditional right to intervene; or (2) when the applicant claims an interest relating to the property or transaction which is the subject of the action and he is so situated that the disposition of the action may as a practical matter impair or impede his ability to protect that interest, unless the applicant's interest is adequately represented by exiting parties.Permissive Intervention.  Upon timely application, anyone may be permitted to intervene in an action:           
              
               
             
              
              	P
                (1)           
        w 
           
                (2)            
        w 
                    in an action:           
              
               
             
              
        hh " 0 D   0   "  D           
                
 " 0 D ,  Arial       
 ( 4 :I          ( 4 =ntervention of Right.           ( 4 Y  Upon timely application anyone shall be permitted to intervene in an action: (1) when a           ( @ :qstatute confers an unconditional right to intervene; or (2) when the applicant claims an interest relating to the           ( L :wproperty or transaction which is the subject of the action and he is so situated that the disposition of the action may           ( X :zas a practical matter impair or impede his ability to protect that interest, unless the applicant's interest is adequately            ( d :represented by exiting parties.          ( | :Permissive Intervention.            ( | M  Upon timely application, anyone may be permitted to intervene in an action:            	P
                  (1)           
          
           
                 (2)            
          
         .4671 393.0588 393.2992 391.4452 C395.2975 391.443 L395.2949 391      r        =   	@      $   @     @            "        $؅a؅a؅؅؅؅؅   	                               propalis  `   propalis  f   propalis  r   propalis  x   porpsila  B   porpsila       < E            Arialtica ..       @o8      .         
   Arial                                    0    3o                   (    )      -           (###) ###-####   (000) 000-0000         ,          @@                 X           
          
 j           @@                        @@                      @@              @@                       @    @@            Z* ZXX  @T    *  @T    *   Z Z* ZX    Z  ZYXhI  ZX       Z        Z  ZiI                 \I           ZZ   Z      RxI iI  ZxI ZwI     j nZ{I     D dD    j D Z     ɫD ֫D      t j j q  r               bD     .ҨOR     BN       @@ @                                       
                                 @@                 X           
          
 D.            @@ @                                          
                                 @@                X           
          
 D.                @@ @                                        
                                @@                X           
          
 D.            @@             R bD     .ҨOR                 @@                 X       
               D.  
                      N    T   Z                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       