SDCL tit. 26, ch. 7A, APPENDIX OF FORMS, form 3

Current through the 2024 Legislative Session
Form 3 - PETITION [Alleged Abused or Neglected Child(ren)]

(SDCL 26-7A-43 )

STATE OF SOUTH DAKOTA IN CIRCUIT COURT

SS.

COUNTY OF __________ ________ JUDICIAL CIRCUIT

THE PEOPLE OF THE STATE OF SOUTH (Case No. JUV. ________)

DAKOTA, EX REL. SOUTH DAKOTA

DEPARTMENT OF SOCIAL SERVICES,

IN THE INTERESTS OF PETITION

_____________________________________ [Alleged Abused Or

MINOR CHILD(REN), AND CONCERNING Neglected Child(ren)]

____________________________________

RESPONDENTS.

TO: Judge of the Circuit Court, _____ Judicial Circuit, State of South Dakota, in and for _____ County, South Dakota.

Petitioner alleges as follows:

1. The above-named child(ren) is (are) located or residing in _____ County, South Dakota, and is (are) alleged to be an abused or neglected child(ren) as defined by SDCL 26-7A and SDCL 26-8A.
2. This action is brought by the State on behalf of the South Dakota Department of Social Services.
3. The name(s), date(s) of birth and residence of the child(ren) are as follows:

Name Date of Birth Residence

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

4. The names and residences of the parents, guardian or custodian of the child(ren) are as follows:

Name Residence

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

5. The facts which bring the child(ren) within the Court's jurisdiction are as follows: _____. Affidavits of _____, dated _____ attached hereto, is (are) incorporated by reference as part of this Petition.
6. It is in the best interests of the child(ren) and the State that the child(ren) be adjudicated to be abused or neglected child(ren).
7. It appears the Indian Child Welfare Act (is not) (is) applicable for the following reasons: _____

WHEREFORE, Petitioner requests the Court to issue Summons requiring the appropriate parties to appear and answer to the Petition, to schedule hearing on this Petition and to conduct adjudication and dispositional proceedings according to law.

SDCL tit. 26, ch. 7A, APPENDIX OF FORMS, form 3

SL 1991, ch 217, § 177.