PH-4aNew York

Statement to Court of Permanency Hearing Reports and/or Notices Sent

New York Family Court · Juvenile & Dependency

Copy of the court's form from nycourts.gov, taken October 21, 2026. See it on the court's site ↗

Statement the foster care agency files with the Family Court listing the parents, child, attorneys and others to whom the permanency hearing report and notice were mailed, and when.

This form must be printed and filled by hand, or opened in Adobe Acrobat.
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