Fresno — PJV-42 FDTC - Acknowledgement and Agreement - Other Parent Participant

Source: https://www.fresno.courts.ca.gov/_pdfs/forms/PJV-42 Family Dependency Treatment Court Acknowledgments and Agreement for Other Parent Participation.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO

Family Dependency Treatment Court
Acknowledgements and Agreements
Other Parent Participating

Minor’s Name:

Parent:

1. I have discussed Family Dependency Treatment Court (FDTC) with my attorney.
2. I understand that another parent who is a party in the case is eligible to participate or is participating in
FDTC.
3. I have discussed the other parent’s participation in FDTC with my attorney.
4. 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.
5. I understand that during the other parent’s FDTC review hearings, the judge may deliver to that parent
encouragement and incentive items to assist and motivate that parent in completing his or her case plan.
6. I understand that at the other parent’s FDTC staffing meetings and FDTC review hearings there may be
some limited discussion of me, and my participation and progress in any court-ordered treatment programs.
7. I understand that no court orders will be made or changed at the other parent’s FDTC staffing meetings or
FDTC review hearings.
8. I understand that the FDTC judge will not discuss what occurs at FDTC staffing meetings and FDTC review
hearings with any judge handling a non-FDTC legal hearing in the case.
9. I understand and agree that FDTC staffing meetings and FDTC review hearings for the other parent will not
be recorded by a court reporter and no transcripts of these meetings and hearings will be prepared.
10. I agree that I do not need to be personally notified of the other parent’s FDTC staffing meetings and FDTC
review hearings.
11. I understand that my attorney may attend the other parent’s FDTC staffing meetings and FDTC review
hearings.
12. I agree not to be personally present at the other parent’s FDTC review hearings.
13. I understand that other FDTC participants who are not parties to the case may be present during FDTC
reviews.
14. 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:
(SIGNATURE OF ATTORNEY)

PJV-42 E11-13 F.D.T.C. Acknowledgments and Agreement for Other Parent MANDATORY