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ITION FOR JUDICIAL REVIEW RESPONSIBLE INDIVIDUALS LIST Name And Address Of Individual Seeking Judicial Review ABUSE SERIOUS NEGLECT Date Of Birth Of Individual Seeking Judicial Review G.S. 7B-323 Pursuant to G.S. 7B-200(a)(9), I seek to invoke the jurisdiction of this Court. Pursuant to G.S. 7B-323, I file this petition for judicial review of the determination by the Director of the County Department of Social Services of abuse or serious neglect and my identification as a responsible indiv.

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