pjc-family-2024-lib

PJC 218.1

T ERMINATION OF P ARENT -C HILD R ELATIONSHIP

1. failed to support CHILD A in accordance with PARENT A’s ability during the period between DATE and DATE ? Answer “Yes” or “No.” Answer: _______________ 2. knowingly placed or knowingly allowed CHILD A to remain in con ditions or surroundings which endangered the physical or emotional well being of CHILD A ? Answer “Yes” or “No.” Answer: _______________ If you answered “Yes” to any part of Question 1, then answer Question 2. Otherwise, do not answer Question 2. QUESTION 2 Do you find by clear and convincing evidence that termination of the parent child relationship between PARENT A and CHILD A would be in the best inter est of CHILD A ? Answer “Yes” or “No.” Answer: _______________ QUESTION 3 Do you find by clear and convincing evidence that PARENT A — [Substitute each appropriate ground concerning PARENT A and CHILD B.] 1. failed to support CHILD B in accordance with PARENT A’s ability during the period between DATE and DATE ? Answer “Yes” or “No.” Answer: _______________ 2. knowingly placed or knowingly allowed CHILD B to remain in con ditions or surroundings which endangered the physical or emotional well being of CHILD B ? Answer “Yes” or “No.” Answer: _______________

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