FORM 8.930. JUVENILE NOTICE TO APPEAR

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FORM 8.930. JUVENILE NOTICE TO APPEAR

JUVENILE NOTICE TO APPEAR

DATE .......... AGENCY ………..

CASE NO. ……….

PARENT, ADULT RELATIVE, LEGAL GUARDIAN .....(name).....

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I am the .....(relationship to child)..... of .....(child’s name)..... and promise to ensure that the child appears on .....(date)..... at .....(time)..... at .....(location)...... I also promise immediately to notify the office of the state attorney at .....(telephone number)..... and the clerk of the court at .....(telephone number)..... of any change in the child’s address.

Signature of Parent/Adult

Relative/Legal Guardian

.....(address).....

.....(telephone number).....

.....(date).....

.....(address and telephone number of child, if different).....

- - - - - - - - - - - - - - -

I, .....(child’s name)....., understand that I have been charged with a law violation, .....(offense(s))....., and that I am being released at this time to the custody of .....(parent, adult relative, or legal guardian’s name)......

I promise to appear on .....(date)..... at .....(time)..... at .....(location)....., and to appear as required for any additional conferences or appearances scheduled by DJJ or the court. I understand that my failure to appear shall result in a custody order being issued and that I will be picked up and taken to detention.

Child’s Signature

Date ....................

Arresting Officer ....................

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Releasing officer or DJJ counselor authorizing release

DJJ Intake Telephone Number …………

ATTACH TO ARREST AFFIDAVIT