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2017-01-02T11:25:55-06:00
Canon
2017-01-02T11:26-06:00
2017-01-02T11:26-06:00
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ADJUDTCATION/DISPOSITION REPORTING FORMSTATE OF ARKANSASCIRCUIT COURT: JUVENILE DEPENDENCY & DEPENDENCY-NEGLECTSupplemental iuvenile information
use if the outcome wos different as to different children. Use on odditionol poge if necessary.
Juvenile 1
Juvenile 2
Last name
Last name
First name
First name
MI
MI
Suffix
Suffix
Trialtype
n (B) Bench Trialr (N) Non-Trialn (P) Stioulation
Trialtype
D
(B) Bench Trial(N) Non-Trial(P) Stipulation
tr
tr
Manner ofDisposition(choose L)
n (MDCO) Consolidated into case lD:
n (MDDM)DismissedI (MDFE) Found Dependentn (MDFN) Found Dependent-Neglectedn (MDTR) Transferred
Manner ofDisposition(choose 1)
n (MDCO) Consolidated into case lD:
I {MDDM) Dismissedn (MDFE) Found Dependentr (MDFN) Found Dependent-Neglectedr (MDTR) Transferred
Placementoutcome(JVDN)(choose 1)
o Custody remains with/returned tocustodial parento Custody to non-custodial parenttr custody to DHSo Out of home residential placement(licensed)o Custody to a relativeo Custodv to another adult
Placementoutcome(JVDN)(choose 1-)
o Custody remains with/returned tocustodial parenttr Custody to non-custodial parento Custody to DHSo Out of home residential placement(licensed)o Custody to a relativetr Custodv to another adult
Juvenile 3
Juvenile 4
Last name
Last name
First name
First name
MI
MI
Suffix
Suffix
Trialtype
o (B) Bench Trialn (N) Non-Trialn (P)Stipulation
Trialtype
trDtr
B) Bench TrialN) Non-TrialP) Stipulation
Manner ofDisposition(choose 1)
o (MDCO) Consolidated into case lD:
r (MDDM)Dismissedu (MDFE) Found DePendentn (MDFN) Found Dependent-Neglectedo (MDTR) Transferred
Manner ofDisposition(choose 1)
u (MDCO) Consolidated into case lD:
r (MDDM)Dismissedn (MDFE) Found Dependentn (MDFN) Found Dependent-Neglectedn (MDTR) Transferred
Placementoutcome(JVDN)(choose 1)
D Custody remains with/returned tocustodial parento Custody to non-custodial Parento Custody to DHSu Out of home residential placement(licensed)o Custody to a relativeo Custody to another adult
Placementoutcome(JVDN)(choose 1)
o Custody remains with/returned tocustodial parento Custody to non-custodial parento Custody to DHSo Out of home residential placement(licensed)o Custody to a relativeD Custodv to another adult
7lt/2077
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