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CHILD CAREAND PROTECTION
The Child Care and Protection Act
Contribution Order
Whereas an order committing (1)
..........................................
a
child (2) to the care of a fit person, or to a juvenile correctional centre has (2)
this day, or on the (3).
...........................................
b e e n made
by (2) this court, or by a Children's Court;
(4)
And whereas (5)
..........................................
(2) the fit person
to whose care, or the superintendent of the juvenile correctional centre to
which, the said child was committed has made application for a contribution
order;
It is hereby ordered that (6)
.............................................
being the
(6)
.......................................................
of the said child shall pay to
(7).
the sum of (8)
........................................................................
.............................................................
each week to be applied
in accordance with the provisions of the Child Care and Protection Act, the
first of such payments to be made on the (3)
...........................
so long as
the said child remains in the care of (2) such fit person, or juvenile
correctional centre, or until this order is varied or revoked in accordance with
the provisions of the Child Care and Protection Act.
Given under my hand this (3)
..................
day of
..........................
at
(9)
.....................................................................
in the parish of
(10)
....................................
(1 1)
...............................................
(1)
State full name of child.
(2)
Strike out inapplicable alternatives.
(3)
State date.
(4)
Strike out if inapplicable.
(5)
State name of applicant, and if he is the superintendent also of the
juvenile correctional centre.
(6)
State name and status of person by whom contributions payable.
(7)
State person to whom contributions payable under section 31 (2)
and (3) of the Child Care and Protection Act.
(8)
State amount of contribution.
(9)
State place.
(10)
State name of parish.
(11)
Signature of the proper officer of the court.
[The inclusion of this page is authorized
by
L.N.
1 1
1/2005]