IDesILaytags"i109777081991092002ASDDSHS09_777ae-p5]zA"4ji4 sZXgBgh\hcD " &,28>DJPV\bhntz6fSubmit 6 y.cU-6y.c6$64*50469041744506000jH"@@X  ! @@@@@@ @@@@@2.`F".HThT`F"HTݲ!20/T0!/25 8T. l1T/|L  T RT/WT0/MT&S./T..A #  A( #.( (S.@@@  @@X  ThT @@@N68@/@P$  1&@XX .iXX .d'{W od"pr' 6 this  SignatureVersion4 , Data Vers, l$ Blue Keys*Graphics, 0Header󫈋 `6 FieldList l< Form Infol LayoutProps~ DesPathInfo!ԑ"" SignatureVersion4 , Data Vers, l$ Blue Keys*Graphics, 0Header󫈋 `6 FieldList l<B    4 HH N  HH N\ HH N\ HH N\ HH N HH N. HH N1 HH N4 HH NR HH N HH N HH N HH NX HH NL HH NL HH NI HH NL HH NI HH NF HH NF HH N= HH N@ HH N. HH N" HH NF HH NU HH N HH N HH N HH N HH N@ HH NC HH NR HH N HH N HH N HH N HH N HH N HH N HH N HH Nx HH Nx HH Nx HH Nx HH Nu HH N\ HH N\ HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nb HH Nh HH N^ HH Na HH Na HH N HH N HH N HH N HH N HH N HH N HH N HH N HH N HH N HH N HH Nj HH Nj HH Nj HH Nj HH N^ HH Nv HH N HH N HH N HH N HH Np HH Nj HH Nd HH Nm HH N HH N HH N HH N HH N HH N HH N ~HH N~ }~HH N}~z |}HH N|}z {|HH N{|z z{HH Nz{z yzHH Nyzk xyHH Nxy\ wxHH Nwx\ vwHH Nvw\ uvHH Nuv\ tuHH Ntu\ stHH Nst\ rsHH Nrs\ qrHH Nqr\ pqHH Npq\ opHH Nop\ noHH Nno\ mnHH Nmn\ lmHH Nlm\ klHH Nkl\ jkHH Njk\ ijHH Nijb hiHH Nhib ghHH Nghq fgHH Nfgq efHH Nefq deHH Ndee cdHH Ncd bcHH NbcX abHH Nab `aHH N`a _`HH N_` ^_HH N^_ ]^HH N]^ \]HH N\] [\HH N[\ Z[HH NZ[ YZHH NYZd XYHH NXY_ WXHH NWXe VWHH NVW\ UVHH NUV\ TUHH NTU STHH NSTw RSHH NRS QRHH NQR7 PQHH NPQ OPHH NOP NOHH NNO MNHH NMN LMHH NLM KLHH NKL JKHH NJKt IJHH NIJn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dm6n=oDpKqRrYs`tgunvuew|yz{|}~f ghij$k*l0Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell14Cell15Cell16Cell17Cell18Cell19Cell20Cell21Cell22Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37f Ci4ghij$k*l0Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell14Cell15Cell16Cell17Cell18Cell19Cell20Cell21Cell22Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37Kvi4K^@@-   @@l  @@@  @@X  2HNTZN"[IZZX'@@- p "SHELTER CARE PLACEMENT (continued)    p@&@  P 1Notify parents/Indian custodian and Tribe. 06.45   ^6 p SHELTER CARE BEYOND 72 HOURS    p `@'@  P ` LSeek order transferring jurisdiction to child's Tribe, if applicable. 06.46  v+9 +v9 9G v+9,Arial (6:Seek order transferring jurisdiction to child's Tribe, if (6applicable. 06.46 pp @(@   P  >If possible, present testimony of qualified Indian expert regarding continued foster care placement. 06.46 (B)(2) Expert must be present at 30 day hearing. 06.46(B)(4)     p @)@   P  2Set fact-finding as soon as possible. 06.46(B)(5)   6  @p  #DEPENDENCY FACT-FINDING/DISPOSITION    PpP@*@  `PP |File Dependency Petition (09-428) and Addendum to Petition (09-771) in Juvenile Court. Following 06.30 before filing. 06.51  00+9 0+9 v+9 +9,Arial (6;File Dependency Petition (09-428) and Addendum to Petition (6<(09-771) in Juvenile Court. Following 06.30 before filing. (606.51pp@+@  P r>Notify parents/custodian. Notice must be received at least fifteen (15) days prior to fact-finding. 06.51(C)(2).  +  M  p@,@  P fNotify Tribe(s). Notice must be received at least 15 days prior to fact-finding. If location or identity of Tribe(s) is unknown, send notice to BIA at least 35 days prior to fact-finding. 06.51(C)(2).  !  :    pP@-@  PP HNotify parents/Indian custodian and tribe of disposition hearing. 06.52  F+o9 +F9o +9 F+o9,Arial (X69Notify parents/Indian custodian and tribe of disposition (c6hearing. 06.52p@.@  P HNotify child's extended family if child to be placed out of home. 07.20  _+9 +_9 F+o9 _+9,Arial (q6Notify parent/custodian and Tribe of review hearing at least 20 days prior to hearing. 06.54  5  D  pp @3@  P  SFollow 06.53 in preparing Individual Service and Safety Plan (ISSP) (15-209) 06.54  +9 +9 8 +9,Arial (6=Follow 06.53 in preparing Individual Service and Safety Plan ( 6(ISSP) (15-209) 06.54!p"`@4@  !P"` VWhen dependency dismissed, notify parent/custodian, Tribe, and any other party. 06.56  +09 +90 +9 +09,Arial (6;When dependency dismissed, notify parent/custodian, Tribe, ($6and any other party. 06.56@ -$$0p%@5@  $@P% KDetermine tribal jurisdiction prior to filing ARP petition. 06.60(A) & (B)  :+c9 +:9c +09 :+c9,Arial (L6=Determine tribal jurisdiction prior to filing ARP petition. (W606.60(A) & (B)%p'@6@  %P' Involve qualified Indian expert approved by child's Tribe or an Indian interpreter to assist in communicating with the family. 06.60(C)  >>Q+9 >+Q9 :+c9 Q+9,Arial (c6@Involve qualified Indian expert approved by child's Tribe or an (n6@Indian interpreter to assist in communicating with the family. (y606.60(C)'p(@7@  'P( 0File ARP petition with Juvenile Court. 06.60(D)   6 (p)@8@  (P) #Notify Tribe immediately. 06.60(F)   6 )p+P@9@  )P+P ]Follow placement preferences unless child's Tribe has waived or changed preference. 06.60(G)  +9 +9 Q+9 +9,Arial (6=Follow placement preferences unless child's Tribe has waived (6 or changed preference. 06.60(G)P@# 0GUARDIANSHIP/INVOLUNTARY TERMINATION (continued)    ,p-@:@  ,P- /Follow 06.30 before filing. 06.70(A); 06.80(A)   6 P#@;   0# ^Staff case with tribal designee or LICWAC, if tribal designee unavailable. 06.70(B); 06.80(B)  29[G 92G[ +9 29[G,Arial (DD>Staff case with tribal designee or LICWAC, if tribal designee (OD unavailable. 06.70(B); 06.80(B)@P#@<   P0# vFile Guardianship Petition (DSHS 09-453) and Addendum to Petition (DSHS 09-771) in Juvenile Court. 06.70(C); 06.80(C)  K9uG 9KGu 29[G K9uG,Arial (]D9File Guardianship Petition (DSHS 09-453) and Addendum to (hD=Petition (DSHS 09-771) in Juvenile Court. 06.70(C); 06.80(C)P0#@=   00# SSee section above regarding notice procedures for fact-finding. 06.70(D); 06.80(D)  d9G 9dG K9uG d9G,Arial (vD2See section above regarding notice procedures for (D!fact-finding. 06.70(D); 06.80(D)P @# 1VOLUNTARY RELINQUISHMENT/TERMINATION, OR ADOPTION  +G +G d9G +G,Arial (K)VOLUNTARY RELINQUISHMENT/TERMINATION, OR (ADOPTION P p#@>    0 p# ,Determine jurisdiction before filing. 06.91   #D  P #@?    0 # Inform birth parents/prospective adoptive parents of special requirements regarding relinquishment/ adoption of Indian child. 06.93  889G 89G +G 9G,Arial (D=Inform birth parents/prospective adoptive parents of special (D:requirements regarding relinquishment/ adoption of Indian (D child. 06.93 P#@@    0# BSee above section regarding procedures for consent to foster care.  9G 9G 9G 9G,Arial (D=See above section regarding procedures for consent to foster (Dcare. P@#@A   00@# The parent(s) of an Indian may withdraw consent to relinquishment/termination or adoption at any time before entry of the adoption decree. 06.98  FF9G F9G 8 9G,Arial (D3The parent(s) of an Indian may withdraw consent to (D:relinquishment/termination or adoption at any time before (D$entry of the adoption decree. 06.98P # CLEGAL PROCEDURES (RELINQUISHMENT/VOLUNTARY TERMINATION OR ADOPTION)  +<G +G< 9G +<G,Arial (#B+LEGAL PROCEDURES (RELINQUISHMENT/VOLUNTARY (.xTERMINATION OR ADOPTION)P`#@B   0`# 8File petition in Superior/Juvenile Court. 06.97 - 06.99   #:D pP#@C   0# >Notify the parent(s) (if rights not previously terminated) and the Tribe. Notice must be provided at least 20 working days prior to the hearing on the petition. 06.97 - 06.99  c  {  @@0 8pp  vCOURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11) (Continued) ::L9 :9L +<G L9,Arial (-.6COURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO (6/5CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11) (? (Continued)#p# !ALTERNATIVE RESIDENTIAL PLACEMENT    +p, $GUARDIANSHIP/INVOLUNTARY TERMINATION     $8@P# xPLACEMENT ACTIVITIES - CHAPTER 07 (SEE CHAPTER 11 FOR PROCEDURES REGARDING CANADIAN FIRST NATIONS/OTHER INDIAN CHILDREN) >>j+G >+jG L9 j+G,Arial (z?6PLACEMENT ACTIVITIES - CHAPTER 07 (SEE CHAPTER 11 FOR (>2PROCEDURES REGARDING CANADIAN FIRST NATIONS/OTHER (INDIAN CHILDREN)PP@#@_   `0@# 8Placement in compliance with preferences. 07.05 - 07.15   #D `P#@`   p0# CNotify extended family (see 07.25) of out-of-home placement. 07.20  9G 9G j+G 9G,Arial (D>Notify extended family (see 07.25) of out-of-home placement. (D07.20P0#@a   00# WReview placement decision with child's Tribe or LICWAC, if Tribe is unavailable. 07.30  9G 9G 9G 9G,Arial (D;Review placement decision with child's Tribe or LICWAC, if (DTribe is unavailable. 07.30PP0#@b   `00# (Document placement determination. 07.45   #D `P#@c   p0# =Provide Tribe a copy of services record documentation. 07.45   #D P!@#@d   0!@# ENotify parent/custodian and Tribes of any change in placement. 07.50  9G 9G 9G 9G,Arial (D4Notify parent/custodian and Tribes of any change in (Dplacement. 07.50!pP"#@e   !0"# nInvolve Tribe or qualified expert in preparation of Individual Service And Safety Plan (ISSP) (15-209). 07.55  98G 9G8 9G 98G,Arial ( D?Involve Tribe or qualified expert in preparation of Individual (+D/Service And Safety Plan (ISSP) (15-209). 07.55#P%#@f   # 0%# Provide copies of Individual Service And Safety Plan (ISSP) and updates to child's Tribe, as well as notices as required in 06.53 & 54 07.55.  BB(9[G B9(G[ 98G (9[G,Arial (:Dplacement or entry of final adoption decree. Notify tribe of (65LICWAC, if tribe unavailable. 08.65 services. 08.75p@N@   P Post-placement services. 08.80   0p@O@  @P Invite tribal designee and, when possible, a qualified expert to participate in preparation of pre and post-placement reports. Provide copy of reports to Tribe (obtain release or court order if needed). 08.85  *+i9 +*9i +)9 *+i9,Arial (<6AInvite tribal designee and, when possible, a qualified expert to (G6?participate in preparation of pre and post-placement reports. (R6@Provide copy of reports to Tribe (obtain release or court order (]6if needed). 08.85 p@P@  0P KInvolve Tribe in deliberations regarding agency consent to adoption. 08.90  Y+9 +Y9 *+i9 Y+9,Arial (k6;Involve Tribe in deliberations regarding agency consent to (v6adoption. 08.90p@Q@  P 9Request court to send adoption information to BIA. 08.95   pP@R@  PP mRelease birth record and adoption information to the Tribe (obtain release or court order if needed). 08.100  +9 +9  +9,Arial (6;Release birth record and adoption information to the Tribe (62(obtain release or court order if needed). 08.100@ $p "PETITION TO VACATE ADOPTION DECREE   !  pP@S@  PP DConsult with Tribe and seek concurrence about consent. 08.130(A)(1)  +9 +9 +9 +9,Arial (68Consult with Tribe and seek concurrence about consent. (6 08.130(A)(1)pp@T@  P KNotify Tribe of all hearings and send copy of petition to Tribe. 08.130(A)  +9 +9 +9 +9,Arial (6BNotify Tribe of all hearings and send copy of petition to Tribe. (6 08.130(A)p P@U@  P P [If child returned to parent, provide services in cooperation with child's Tribe. 08.130(B)  +9 +9 +9 +9,Arial (6=If child returned to parent, provide services in cooperation (6with child's Tribe. 08.130(B)Pp# TERMINATION OF ADOPTION   ! ~ P@#@V   0@# cNotify Tribe and parent/custodian of termination within five (5) days of entry of order. 08.135(A)  T9~G 9TG~ +9 T9~G,Arial (fDANotify Tribe and parent/custodian of termination within five (5) (qD"days of entry of order. 08.135(A)`P #@W   p0 # Complete investigation within ninety (90) days of termination. Involve Tribe or LICWAC if Tribe unavailable, and a qualified Indian expert. Develop service plan. 08.135  ``m9G `9mG T9~G m9G,Arial (D@Complete investigation within ninety (90) days of termination. (D>Involve Tribe or LICWAC if Tribe unavailable, and a qualified (D-Indian expert. Develop service plan. 08.135 p $8 P # DLOCAL INDIAN CHILD WELFARE ADVISORY COMMITTEE (LICWAC) - CHAPTER 10  +G +G m9G +G,Arial (59LOCAL INDIAN CHILD WELFARE ADVISORY COMMITTEE (LICWAC) - ( CHAPTER 10  P#@X    0# <Case meets criteria for LICWAC involvement. 10.02 and 10.35  9G 9G +G 9G,Arial (D7Case meets criteria for LICWAC involvement. 10.02 and (D10.35 pP # STAFFING PROTOCOL, LICWAC   !  P#@Y   0# Complete Individual Service and Safety Plan (ISSP) (15-209), obtain supervisor's signature and present to liaison 5 days in advance of staffing (make at least 3 copies) 10.55(B) and (C)  ll9G l9G 9G 9G,Arial (D=Complete Individual Service and Safety Plan (ISSP) (15-209), (D?obtain supervisor's signature and present to liaison 5 days in (D=advance of staffing (make at least 3 copies) 10.55(B) and (C)0P#@Z   @0# WReview LICWAC recommendations. Implement recommendations or discuss any disagreements.   94G 9 G4 9G  94G,Arial (D*Review LICWAC recommendations. Implement ('D-recommendations or discuss any disagreements.`Pp# _SEE ICW MANUAL FOR IMPASSE PROCEDURES WHEN SOCIAL WORKER AND LICWAC CANNOT MEDIATE DISAGREEMENT  $$,+aG $+,Ga  94G ,+aG,Arial (=B+SEE ICW MANUAL FOR IMPASSE PROCEDURES WHEN (HL(SOCIAL WORKER AND LICWAC CANNOT MEDIATE (S DISAGREEMENT `$8 P@# =CANADIAN FIRST NATIONS AND OTHER INDIAN CHILDREN - CHAPTER 11 X+~G +XG~  X+~G,Arial (hE3CANADIAN FIRST NATIONS AND OTHER INDIAN CHILDREN - (q CHAPTER 11P #@[   0 # bIdentify child's Indian status. 11.102 See above section regarding verification of Indian status.  r9G 9rG X+~G r9G,Arial (D:Identify child's Indian status. 11.102 See above section (D(regarding verification of Indian status.P# 1SERVICES FOR INDIAN FAMILIES AND COURT ACTIVITIES   !  P#@l   0# 'Notify Tribe/band of court involvement.   P#@m   0# ;Consult with Tribe/band regarding case planning activities.   P#@n    0# /Staff case with LICWAC if Tribe isG! s +!G,Arial (5+LEGAL PROCEDURES (RELINQUISHMENT/VOLUNTARY (pTERMINATION OR ADOPTION)!P"#@E   !0"# 8File petition in Superior/Juvenile Court. 06.97 - 06.99    "@%#@F  # %# >Notify the parent(s) (if rights not previously terminated) and the Tribe. Notice must be provided at least 20 working days prior to the hearing on the petition. 06.97 - 06.99  c  {  @@ 8pp jCOURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11) C9 9C +!G C9,Arial (-.6COURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO (6/4CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11)As5s<F0dm6n=oDpKqRrYs`tgunvuew|yz{|}~f g$+29@GhNU\cjqxij$k*l0Cell1Cell2Cell3Cell4Cell5Cell6Cell7Cell8Cell9Cell10Cell11Cell12Cell13Cell14Cell15Cell16Cell17Cell18Cell19Cell20Cell21Cell22Cell23Cell24Cell25Cell26Cell27Cell28Cell29Cell30Cell31Cell32Cell33Cell34Cell35Cell36Cell37Cell38Cell39Cell40Cell41Cell42Cell43Cell44Cell45Cell46Cell47Cell48Cell49Cell50Cell51Cell52Cell53Cell54Cell55Cell56Cell57Cell58Cell59Cell60Cell61Cell62Cell63Cell64Cell65Cell66Cell67Cell68Cell69Cell70f4zTa@@@@@DBp "INDIAN CHILD: COMPLIANCE CHECKLIST  2Ob O2b 8 2Ob,Arial (FINDIAN CHILD: (TdCOMPLIANCE CHECKLIST@ $@  dP0#  CHILD'S NAME *8 $@  e0#  CASE NUMBER *;@P 8pP *VERIFICATION OF INDIAN STATUS - CHAPTER 03  @ 8p kACTIVITIES PRIOR TO COURT ACTION - CHAPTER 5 (DOES NOT APPLY TO CANADIAN INDIAN/UNENROLLED INDIAN CHILDREN) 9 9 2Ob 9,Arial (/7ACTIVITIES PRIOR TO COURT ACTION - CHAPTER 5 (DOES NOT (/4APPLY TO CANADIAN INDIAN/UNENROLLED INDIAN CHILDREN) p$8Pp# vCOURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11) (continued) ::R+G :+RG 9 R+G,Arial (b<6COURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO (k=5CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11) (t (continued)P`@   f0`p Yes  * @`0@  g ` No  *  `  ?Is the child of Indian Ancestry? If yes, proceed. 03.20(B)(1)  `\9 \`9 R+G `\9,Arial (rf*Is the child of Indian Ancestry? If yes, (~fproceed. 03.20(B)(1)P@- P@   h0p Yes  * @0@  i  No  *   `  6Is the child a ward of any Tribal Court? 03.20 (B)(2)  x\2 \x2 `\9 x\2,Arial (f0Is the child a ward of any Tribal Court? 03.20 (f(B)(2) p P You must, at a minimum, include written documentation of the name, address and telephone number of persons providing information. Also, you must follow-up with a written request and confirming letter(s).  9 9 8 9,Arial ('=You must, at a minimum, include written documentation of the ('8name, address and telephone number of persons providing ('Binformation. Also, you must follow-up with a written request and ('confirming letter(s). pp@ @@  j P@ Contact Tribe or Bureau of Indian Affairs (BIA) (if tribe unknown) by phone and request written verification of Indian status. If more than one Tribe, contact each. Send written inquiry to tribes(s)/BIA. 03.25  +; +; 9 +;,Arial (6:Contact Tribe or Bureau of Indian Affairs (BIA) (if tribe (6=unknown) by phone and request written verification of Indian (6=status. If more than one Tribe, contact each. Send written (6inquiry to tribes(s)/BIA. 03.25`p @@  kpP If no response received within 15 days after written request for verification, re-contact by phone and send second request. 03.35(B)(2)  <<+"; <+;" +; +";,Arial (6AIf no response received within 15 days after written request for ( 6Indian as defined in the federal ICWA. See 03.05(A) Proceed.  sB8 Bs8 5+t8 sB8,Arial (M6Indian as defined in the federal ICWA. See 03.05(A) (MProceed.0@   p@ NCanadian Indian or unenrolled Indian. 03.05(B) & (C). Proceed to Chapter 11.  B8 B8 sB8 B8,Arial (M8Canadian Indian or unenrolled Indian. 03.05(B) & (C). (MProceed to Chapter 11.@  q $Non-Indian. 03.35. Do not proceed.  * ``!@0  rp@! ?Notify and involve federally recognized Washington State Tribe(s) if applicable. 05.05 Provide all case record materials, reports, family social histories, or other documents related to the alleged abuse and/or neglect to the tribal designee or tribally designated organization. See 05.20 for important restrictions.  ..*"8 .*8" B8 *"8,Arial (59Notify and involve federally recognized Washington State (58Tribe(s) if applicable. 05.05 Provide all case record (5@materials, reports, family social histories, or other documents (5:related to the alleged abuse and/or neglect to the tribal ( 5=designee or tribally designated organization. See 05.20 for (5important restrictions.!`#@0  s!@# wNotify a Washington Sate Tribe of Child Protective Services (CPS) referrals as quickly as possible. 05.05(A) & (B) (1)  *;8 *8; *"8 *;8,Arial (#5Contact Tribe regarding domicile or residence and ward-ship. (D 06.12 Document inquiries. 06.14 P #@   ~ 0 # QDetermine if Tribe has exclusive or concurrent jurisdiction. See 06.10 and 06.11  9G 9G 9G 9G,Arial (D>Determine if Tribe has exclusive or concurrent jurisdiction. (DSee 06.10 and 06.11 P @    00 p Yes  *  @ 0@   0  No  *   @  !Will the Tribe take jurisdiction?  { `P# -CONCURRENT JURISDICTION, SPECIAL REQUIREMENTS    pP0#@   00# Notify child's Tribe of intent to file a state court action and the date the action will be filed. Notice must be provided at least five (5) business days prior to filing (except in emergency cases.) 06.13  9-F 9F- 9G 9-F,Arial (DDNotify child's Tribe of intent to file a state court action and the ( DAdate the action will be filed. Notice must be provided at least (DEncourage parent/Indian custodian to contact child's Tribe or (D;an Indian interpreter. Document this action. 06.23; 06.24`P#@!   p0# Fully explain consent form to place form to parent/Indian custodian prior to obtaining signature. Forms must be either read by or to parent/Indian custodian. 06.25(A) and (B)  ff}9F f9}F e9F }9F,Arial (D:Fully explain consent form to place form to parent/Indian (D>custodian prior to obtaining signature. Forms must be either (D8read by or to parent/Indian custodian. 06.25(A) and (B)Pp#@"   0p# Parent/custodian must sign form acknowledging reading and understanding form and wish to place. MUST ALSO SIGN CONSENT IN COURT IN ORDER FOR IT TO BE VALID. 06.25(C) & (D)  vv9F v9F 8 9F,Arial (D:Parent/custodian must sign form acknowledging reading and (D6understanding form and wish to place. MUST ALSO SIGN (D/CONSENT IN COURT IN ORDER FOR IT TO BE VALID. (D06.25(C) & (D)P# #VALIDATION PROCEDURES (FOSTER CARE)    P!#@#   0!# Immediately provide copies of signed forms to child's Tribe, non-consenting parent(s), and child's Indian custodian. Notify Washington Tribe five (5) days prior to commencing process if possible. 06.26 (A) & (B)  9#F 9F# 9F 9#F,Arial (D=Immediately provide copies of signed forms to child's Tribe, (D9non-consenting parent(s), and child's Indian custodian. ( D:Notify Washington Tribe five (5) days prior to commencing (D%process if possible. 06.26 (A) & (B)!P"#@$   !0"# ?File petition for court validation in juvenile court. 06.26(C)  * "P$ #@%   "0$ # zNotify parents and Tribe of time, date, and place of the validation hearing. File Declaration of Notification. 06.25 (D)  "9LF 9"FL 9#F "9LF,Arial (4D9Notify parents and Tribe of time, date, and place of the (?DAvalidation hearing. File Declaration of Notification. 06.25 (D)$P%p# 0SEE REMAINDER OF 6.25 FOR IMPORTANT INSTRUCTIONS    .P/` EINDIAN CHILD: COMPLIANCE CHECKLIST DSHS 09-777 (08/1991) (AC 09/2002)& & "9LF &,Arial (%#INDIAN CHILD: COMPLIANCE CHECKLIST (%"DSHS 09-777 (08/1991) (AC 09/2002))@* 8)p* jCOURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11) 9 9 & 9,Arial (.6COURT RELATED ACTIVITIES CHAPTER 6 (DOES NOT APPLY TO (/4CANADIAN/UNENROLLED INDIAN CHILDREN, SEE CHAPTER 11)+p+  JURISDICTION   ? P P# !DOCUMENT ALL CONTACTS WITH TRIBES    & P'# +CHANGING VOLUNTARY TO INVOLUNTARY PLACEMENT  X+G +XG 9 X+G,Arial (i["CHANGING VOLUNTARY TO INVOLUNTARY (t PLACEMENT'P)#@\   '0)# }Notify parents/custodian and Tribe at least fifteen (15) days before dependency is filed (except in emergency cases). 06.28.  22s9G 29sG X+G s9G,Arial (D>Notify parents/custodian and Tribe at least fifteen (15) days (D9before dependency is filed (except in emergency cases). (D06.28.)P*# SHELTER CARE PLACEMENT   ~ *P+#@]   *0+# BDetermine jurisdiction prior to placing child, if possible. 06.41  * +P-#@^   +0-# File Dependency Petition (DSHS 09-428) and Addendum to Petition (DSHS 09-771) in Juvenile Court, unless child returned home within 72 hours. 06.43  FF9G F9G s9G 9G,Arial (D7File Dependency Petition (DSHS 09-428) and Addendum to (D7Petition (DSHS 09-771) in Juvenile Court, unless child (D%returned home within 72 hours. 06.43.@." jTHIS FORM IS TO BE USED AS A GUIDELINE ONLY. REFER TO THE MANUAL FOR DETAILED PROCEDURES AND REQUIREMENTS  G E@@  @@ 8p lADOPTION - CHAPTER 08 (SEE CHAPTER 11 FOR PROCEDURES INVOLVING CANADIAN FIRST NATIONS/OTHER INDIAN CHILDREN) D9 9D ' D9,Arial (..5ADOPTION - CHAPTER 08 (SEE CHAPTER 11 FOR PROCEDURES (7*7INVOLVING CANADIAN FIRST NATIONS/OTHER INDIAN CHILDREN)p@D@  P Determine jurisdiction. 08.15   A6u p`@E@  P` aConsult with child's Tribe or LICWAC, if Tribe unavailable, regarding placement resources. 08.35  G+p9 +G9p D9 G+p9,Arial (Y6placement or entry of final adoption decree. Notify tribe of (65LICWAC, if tribe unavailable. 08.65 services. 08.75p@N@   P Post-placement services. 08.80   #6 0p@O@  @P Invite tribal designee and, when possible, a qualified expert to participate in preparation of pre and post-placement reports. Provide copy of reports to Tribe (obtain release or court order if needed). 08.85  *+i9 +*9i +)9 *+i9,Arial (<6AInvite tribal designee and, when possible, a qualified expert to (G6?participate in preparation of pre and post-placement reports. (R6@Provide copy of reports to Tribe (obtain release or court order (]6if needed). 08.85 p@P@  0P KInvolve Tribe in deliberations regarding agency consent to adoption. 08.90  Y+9 +Y9 *+i9 Y+9,Arial (k6;Involve Tribe in deliberations regarding agency consent to (v6adoption. 08.90p@Q@  P 9Request court to send adoption information to BIA. 08.95   ~6 pP@R@  PP mRelease birth record and adoption information to the Tribe (obtain release or court order if needed). 08.100  +9 +9 8 +9,Arial (6;Release birth record and adoption information to the Tribe (62(obtain release or court order if needed). 08.100@ $p "PETITION TO VACATE ADOPTION DECREE    pP@S@  PP DConsult with Tribe and seek concurrence about consent. 08.130(A)(1)  +9 +9 +9 +9,Arial (68Consult with Tribe and seek concurrence about consent. (6 08.130(A)(1)pp@T@  P KNotify Tribe of all hearings and send copy of petition to Tribe. 08.130(A)  +9 +9 +9 +9,Arial (6BNotify Tribe of all hearings and send copy of petition to Tribe. (6 08.130(A)p P@U@  P P [If child returned to parent, provide services in cooperation with child's Tribe. 08.130(B)  +9 +9 +9 +9,Arial (6=If child returned to parent, provide services in cooperation (6with child's Tribe. 08.130(B)Pp# TERMINATION OF ADOPTION   ~ P@#@V   0@# cNotify Tribe and parent/custodian of termination within five (5) days of entry of order. 08.135(A)  T9~G 9TG~ +9 T9~G,Arial (fDANotify Tribe and parent/custodian of termination within five (5) (qD"days of entry of order. 08.135(A)`P #@W   p0 # Complete investigation within ninety (90) days of termination. Involve Tribe or LICWAC if Tribe unavailable, and a qualified Indian expert. Develop service plan. 08.135  ``m9G `9mG T9~G m9G,Arial (D@Complete investigation within ninety (90) days of termination. (D>Involve Tribe or LICWAC if Tribe unavailable, and a qualified (D-Indian expert. Develop service plan. 08.135 p $8 P # DLOCAL INDIAN CHILD WELFARE ADVISORY COMMITTEE (LICWAC) - CHAPTER 10  +G +G m9G +G,Arial (59LOCAL INDIAN CHILD WELFARE ADVISORY COMMITTEE (LICWAC) - ( CHAPTER 10  P#@X    0# <Case meets criteria for LICWAC involvement. 10.02 and 10.35  9G 9G +G 9G,Arial (D7Case meets criteria for LICWAC involvement. 10.02 and (D10.35 pP # STAFFING PROTOCOL, LICWAC    P#@Y   0# Complete Individual Service and Safety Plan (ISSP) (15-209), obtain supervisor's signature and present to liaison 5 days in advance of staffing (make at least 3 copies) 10.55(B) and (C)  ll9G l9G 9G 9G,Arial (D=Complete Individual Service and Safety Plan (ISSP) (15-209), (D?obtain supervisor's signature and present to liaison 5 days in (D=advance of staffing (make at least 3 copies) 10.55(B) and (C)0P#@Z   @0# WReview LICWAC recommendations. Implement recommendations or discuss any disagreements.   94G 9 G4 9G  94G,Arial (D*Review LICWAC recommendations. Implement ('D-recommendations or discuss any disagreements.`Pp# _SEE ICW MANUAL FOR IMPASSE PROCEDURES WHEN SOCIAL WORKER AND LICWAC CANNOT MEDIATE DISAGREEMENT  $$,+aG $+,Ga  94G ,+aG,Arial (=B+SEE ICW MANUAL FOR IMPASSE PROCEDURES WHEN (HL(SOCIAL WORKER AND LICWAC CANNOT MEDIATE (S DISAGREEMENT `$8 P@# =CANADIAN FIRST NATIONS AND OTHER INDIAN CHILDREN - CHAPTER 11 X+~G +XG~ ,+aG X+~G,Arial (hE3CANADIAN FIRST NATIONS AND OTHER INDIAN CHILDREN - (q CHAPTER 11P #@[   0 # bIdentify child's Indian status. 11.102 See above section regarding verification of Indian status.  r9G 9rG 8 r9G,Arial (D:Identify child's Indian status. 11.102 See above section (D(regarding verification of Indian status.P# 1SERVICES FOR INDIAN FAMILIES AND COURT ACTIVITIES    P#@l   0# 'Notify Tribe/band of court involvement.   #D P#@m   0# ;Consult with Tribe/band regarding case planning activities.   #D P#@n    0# /Staff case with LICWAC if Tribe is unavailable.   #D 0P #@o   @0 # Follow placement preferences.   #D{ PP @#@p   `0 @# +Notify extended family prior to placement.    #D @ 0$8P0# xADOPTION - CHAPTER 08 (SEE CHAPTER 11 FOR PROCEDURES INVOLVING CANADIAN FIRST NATIONS/OTHER INDIAN CHILDREN) (continued) DD+MG D+GM r9G +MG,Arial (.<5ADOPTION - CHAPTER 08 (SEE CHAPTER 11 FOR PROCEDURES (788INVOLVING CANADIAN FIRST NATIONS/OTHER INDIAN CHILDREN) (@ (continued) @!$8! !P  SIGNATURES   A !@#`@q"  !P" WORKER'S SIGNATURE p &]!#`$@r"  !"# DATE # #`@$@s$  #pP$ WORKER'S SIGNATURE p8&]#`$$@t$  #p$# DATE #8$@&`@u%  $P% WORKER'S SIGNATURE pP&]$&`$@v%  $%# DATE #P'0'# jTHIS FORM IS TO BE USED AS A GUIDELINE ONLY. REFER TO THE MANUAL FOR DETAILED PROCEDURES AND REQUIREMENTS  .`/P EINDIAN CHILD: COMPLIANCE CHECKLIST DSHS 09-777 (08/1991) (AC 09/2002)' ' 8 ',Arial (&#INDIAN CHILD: COMPLIANCE CHECKLIST (&"DSHS 09-777 (08/1991) (AC 09/2002)