The following forms comply with provisions of Ind. Code ยง 31-34-5-3, which requires that court orders include "language approved and recommended by the judicial conference of Indiana in relation to removal or detention." Failure to adopt language from these forms, most significantly the federal IV-E language, may result in your county being liable for the costs of placement of a child.
The forms below are available in Microsoft Word format. To view and print Word documents, you must have Microsoft Word installed on your computer.
Forms last updated or newly approved: June 28, 2024
Informal Adjustment and Voluntary Placement
- Order of Denial of Program of Informal Adjustment (12/8/2008)
- Order of Approval and Participation in Program of Informal Adjustment (12/8/2008)
- Order to Extend Program of Informal Adjustment (12/8/2008)
Detention and Custody Decisions
- Emergency Custody Order (08/25/2023)
CHINS Petition and Initial Hearing
- Order Authorizing Filing of CHINS Petition (12/8/2008)
- Order Authorizing Taking Child Into Custody (12/8/2008)
- Order Setting Hearing on Petition and for Issuance of Summons (12/8/2008)
- Summons (Short) (2/28/2020)
- Summons (12/8/2008)
- Order on Initial/Detention Hearing (1/28/2022)
- Supplemental Order on Consideration of Placement Program or Services (2/3/2010)
- Petition for Additional Detention Hearing (10/1/2009)
- Order of Appointment of CASA (10/1/2009)
Fact-Finding
- Order on Fact-Finding Hearing on CHINS Petition Order Finding Child is a Child in Need of Services (1/28/2022)
- Order on Fact-Finding Hearing on CHINS Petition Order Finding Child is Not a Child in Need of Services (12/8/2008)
Disposition
- Dispositional Order (08/25/2023)
- Order to Reconsider (2/3/2010)
- Dispositional Reconsideration Order (2/3/2010)
- Financial Obligation Order (10/27/2023)
- Reasonable Efforts Not Required Finding and Order (06/28/2024)
Post-Disposition
- Motion to Modify Dispositional Decree (12/8/2008)
- Order for Hearing on Motion to Modify Including Temporary Emergency Order (12/8/2008)
- Order Granting Modification (08/25/2023)
- Supplemental Order (2/3/2010)
- Order on Periodic Case Review (5/2/2024)
- Order on Periodic Case Review-APPLA (1/28/2022)
- Order Approving Permanency Plan (5/2/2024)
- Order Approving Permanency Plan – APPLA (1/28/2022)
- Judgment for Reimbursement (12/8/2008)
- Emancipation Order (3/10/2016)
- Notice of Exclusion for Jurisdiction Notice & Case Closure (10/23/2020)
- Notice of CHINS Jurisdiction (2/28/2020)
- Notice of Case Closure (2/28/2020)
Qualified Residential Treatment Program (QRTP)
- Motion for Residential Placement and Motion to Set Hearing (1/28/2022)
- Order for Placement Pending Assessment & Order Setting 60 Day Review Hearing (6/11/2021)
- Order on 60 Day Review of Placement in QRTP (6/11/2021)
- Order on Subsequent Review of Placement in QRTP (6/11/2021)
Dual Status
- Dual Status Screening Tool Report (3/10/2016)
- Referral to Dual Status Assessment Team (3/10/2016)
- Recommendation of Dual Status Assessment Team (3/10/2016)
- Order on Recommendation of Dual Status Assessment Team (3/10/2016)
Indian Child Welfare Act
- Initial Hearing Order (ICWA) (2/5/2021)
Records, Confidentiality, and Expungement
- Expungement of CHINS Records (previously Expungement Form) (8/25/2017)
- Order on Expungement of CHINS Records (previously Expungement Order) (8/25/2017)
- Order on Expungement of DCS Records (3/25/2022)
CHINS Resources
- Foster Parent Reporting Form (7/28/2022)