Skip to content
LitigationForms
JV-667Optional

Custodial and Out-of-Home Placement Disposition Attachment

California · Judicial Council of California · Effective January 1, 2023

This form is used by the court to write down extra decisions or orders made during a hearing when a child is placed in juvenile hall or foster care. It records details about custody, placement, and future care plans for the child.

The court describes it as: States the court’s additional decisions (orders) made at a disposition hearing when the child is ordered to juvenile hall or a foster care placement.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Hearing

Stage: Hearing

This form is used after a disposition hearing in a juvenile case when the court is making decisions about where a child will live or be placed.

Prepared by the court or clerk.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
The form is titled for the court to find and order decisions, suggesting the court or judicial officer completes it. The form is marked as 'Optional Use.'
What kind of decisions are recorded here?
It records things like how long the child can be kept in secure custody, where the child is committed, and if the child needs to stay in the home or be placed elsewhere.
Does this form involve fees?
The provided text does not mention any filing fees associated with this form.

Revision history

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

Related forms

  • 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 translations
  • 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 PDF
  • 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 PDF
  • 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 translation
  • 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 PDF
  • 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 translations
  • JV-224

    County Report on Psychotropic Medication

    This form is used to give the court a report about any medications that are psychotropic (medication that affects the mind). It asks for information about the child's and caregiver's observations regarding the medicine's effects and any follow-up care.

    MandatoryFillable PDF
  • JV-225

    Your Child's Health and Education

    This form asks a parent or guardian to give the court detailed information about a child's health, education, and development. It collects details about medical history, school attendance, and any special needs the child may have.

    MandatoryFillable PDF1 translation