SDCL tit. 26, ch. 7A, APPENDIX OF FORMS, form 5
(SDCL 26-7A-44 )
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 SUMMONS
_____________________________________ AND
MINOR CHILD(REN), AND CONCERNING NOTICE OF HEARING
____________________________________
RESPONDENTS.
THE STATE OF SOUTH DAKOTA SENDS GREETINGS TO THE ABOVE-NAMED CHILD(REN), PARENTS, GUARDIANS, CUSTODIAN OR OTHER RESPONDENTS, AND ALL WHOM IT MAY CONCERN.
You are hereby notified that a Petition has been filed in the above-named Court alleging the above-named child(ren) to be abused or neglected according to provisions of SDCL 26-7A and SDCL 26-8A for the reasons stated in the Petition.
You are hereby summoned to appear, either in person or by attorney, before this Court at _____ o'clock __.m., on _____, the ____ day of _____, 20__, at the Courtroom in the Courthouse in _____, _____ County, South Dakota, to answer to the Petition. Failure to appear shall be deemed an admission to the allegations contained in the Petition. The above-named child(ren) shall not appear before the Court unless otherwise required by the Court. If you [and the child(ren) if required by the Court] fail to appear, a warrant may be issued by the Court requiring that you [and the child(ren) if required by the Court] be brought before the Court.
You are hereby notified that termination of your parental rights is a possible remedy under the proceedings. You and the child(ren) have the right to an attorney at all stages of the proceedings. According to the Petition filed in the Court, the Indian Child Welfare Act (is not) (is) applicable.
The Court (does not) (does) require the child(ren) to appear before the Court.
Dated the _____ day of _____, 20__.
BY THE COURT:
(SEAL)
ATTEST: _______________________
JUDGE
____________ JUDICIAL CIRCUIT COURT
CLERK OF COURTS STATE OF SOUTH DAKOTA
__________ COUNTY, SOUTH DAKOTA
SDCL tit. 26, ch. 7A, APPENDIX OF FORMS, form 5