Twelve-Month Permanency Attachment: Child Reunified (Welf. & Inst. Code, § 366.21(f))
California · Judicial Council of California · Effective July 1, 2011
This form records the court's decisions made at a review hearing when a child is allowed to live back with a parent. It states that the child returning home does not face a major risk to their safety or well-being.
The court describes it as: States more of the court’s decisions (orders) made at a review hearing where the court lets the child live in the home of a parent.
Where this fits in a case
HearingStage: Hearing
This form is used when a court reviews a case and decides that a child can return to a parent or legal guardian's home.
Prepared by the court or clerk.
Official instructions
How-to guides published by the court for this form.
Common questions
- What is this form for?
- This form records the court's decisions after a review hearing where the child is allowed to live with a parent. It confirms that the child returning home does not face a major risk to their safety or well-being.
- Who fills out this form?
- The form is used to record the court's decisions, meaning the court or judge is responsible for completing it.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2011.
Related forms
- JV-200
Custody Order—Juvenile—Final Judgment
This form is a final court order that states the judge's decisions about where a child will live and what visiting rules will be after a juvenile case ends. It records custody and visitation arrangements.
MandatoryFillable PDF1 translationJudgment
Eff. Jan 1, 2016
- JV-205
Visitation Order—Juvenile
This form is a court document that records the judge's official decision about the schedule and rules for parents to visit with children after a dependency case ends. It details specific visitation times, exchange locations, and who is responsible for transportation.
MandatoryFillable PDF1 translationJudgment
Eff. Jan 1, 2016
- JV-132
Financial Declaration—Juvenile Dependency
This form is a detailed financial report used to show a court how much money a person earns and how much money they spend. It helps a financial evaluator decide if a parent can afford to pay for legal services.
OptionalFillable PDF4 translationsHearing
Eff. Mar 1, 2026
- JV-175
Review of Voluntary Admission of Child to Psychiatric Residential Treatment Facility
This form is used by the court to review whether a child's voluntary admission to a psychiatric residential treatment facility should continue. It asks the court to make orders regarding the child's stay and future care.
MandatoryFillable PDFHearing
Eff. Jan 1, 2024
- JV-176
Review of Voluntary Admission of Nonminor or Nonminor Dependent to Psychiatric Residential Treatment Facility
This form is used by the court to review if a young person or dependent who voluntarily admitted themselves to a psychiatric residential treatment facility still needs to be there. It asks the court to make findings and issue orders about the person's continued stay or discharge.
MandatoryFillable PDFHearing
Eff. Jan 1, 2024
- JV-190
Waiver of Rights—Juvenile Dependency
This form is used when a parent is giving up certain rights related to a child's dependency case. It asks the parent to confirm understanding of the case details and to agree to waive specific rights, such as the right to a trial or an attorney.
MandatoryFillable PDF1 translationHearing
Eff. Jan 1, 2007
- JV-214
Request for Hearing on Waiver of Presumptive Transfer
This form is used to ask the court to review a decision about where the responsibility for specialty mental health services should be located. It is used when a child or nonminor is placed in a county different from where they originally lived.
MandatoryFillable PDFHearing
Eff. Sep 1, 2018
- JV-214-INFO
Instructions for Requesting a Hearing to Review Waiver of Presumptive Transfer of Specialty Mental Health Services
This form provides instructions for asking the court to hold a hearing to review if the county where a child lived before being placed in foster care should keep responsibility for the child's mental health services, instead of the county where the child is now living.
OptionalFillable PDF2 translationsHearing
Eff. Sep 1, 2018