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JU 02.0150Mandatory

Declaration of Shelter Care Placement Notification (DCLR)

Washington · Washington State Courts · Effective August 1, 2023

This form is a declaration used to notify someone that a child has been placed in shelter care. It asks the person filling it out to state that they informed the parents or guardian about the child's placement and the reasons for it.

Open the official PDFfrom Washington State Courts

Where this fits in a case

Hearing

Stage: Hearing

This form is used in juvenile court proceedings when a child has been taken into custody and a formal notification of shelter care placement needs to be documented.

Either party may file.

Common questions

What is this form for?
This form is a Declaration of Shelter Care Placement Notification that documents when and how parents or guardians were told about a child being placed in shelter care.
Who fills out this form?
The form requires a signature from the server, who is an employee of an agency.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect August 1, 2023.

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