Fresno — PJV-41 FDTC - Acknowledgement and Agreement- Parent Participant

Source: https://www.fresno.courts.ca.gov/_pdfs/forms/PJV-41 Family Dependency Treatment Court Acknowledgments and Agreement for Parent Participation.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO

Family Dependency Treatment Court
Acknowledgements and Agreements
Parent Participation

Minor’s Name:

Case Number(s):

Parent:

1. I have discussed Family Dependency Treatment Court (FDTC) with my attorney and I
agree to participate in FDTC.
2. I understand that during FDTC staffing meetings and FDTC review hearings, the judge
may receive information about the child or children, and will receive information about
me, and my participation and progress in court-ordered treatment programs.
3. I understand that no court orders will be made or changed at FDTC staffing meetings or
FDTC review hearings.
4. I understand and agree that FDTC staffing meetings and FDTC review hearings will not
be recorded by a court reporter and no transcripts of these meetings and hearings will
be prepared.
5. I understand that the FDTC judge will not discuss what occurs at FDTC staffing meetings
and FDTC review hearings with any FDTC judge handling a non-FDTC legal hearing in
the case.
6. I understand that other FDTC participants who are not parties to the case may be
present during FDTC reviews but that I may request that no other FDTC participant be
present at my FDTC review hearing.
7. I understand that I can revoke these agreements at any time.

After consulting with my attorney about Family Dependency Treatment Court, I am making
the above acknowledgements and agreements freely and voluntarily.

DATED: By:
(SIGNATURE OF PARENT)

(PRINT NAME)
Declaration of Parent’s Attorney

I, , spoke with my client regarding
Acknowledgements and Agreements. I thoroughly reviewed them with my client. My
client appeared to understand them and agreed to all of their terms. I am signing this form
on her/his behalf until the client can sign it personally.

I declare under penalty of perjury, under the laws of California, that the
foregoing is true and correct.

DATED: By:
(ATTORNEY FOR PARENT)

PJV-41 E11-13 F.D.T.C. Acknowledgements and Agreements Parent Participation MANDATORY