State of Alabama Unified Judicial System Form JU-6 Case Number PETITION Rev.10/11 IN THE JUVENILE COURT OF _____________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of ________________________________________, a child. Date of Birth or Age: _________________ Child’s Residence Address:___________________________________________________________________________ Residence ______________________________________ Child’s Father: __________________________________ Address: _______________________________________ Child’s Mother: __________________________________ Child’s Guardian(s) Or Physical/Legal Custodian(s): _______________________ Other Adult Relative (If required by law): ___________________________________ Petitioner: ______________________________________ The child is alleged to be care or supervision (If applicable) Residence ______________________________________ Address: _______________________________________ Residence ______________________________________ Address: _______________________________________ Residence ______________________________________ Address: _______________________________________ Address ______________________________________ for Notice: ______________________________________ DELINQUENT and in need of care or rehabilitation DEPENDENT and in need of IN NEED OF SUPERVISION and in need of care, rehabilitation or supervision in that: The child was taken into custody and placed into detention at _______________________________________ on the________day of_______________,20______, at ___________a.m./p.m I, being 18 years or older, swear or affirm that I have knowledge of the facts alleged or am informed of these facts and believe that they are true. Date ______________________ Petitioner’s Signature _____________________________________ SWORN TO AND SUBSCRIBED BEFORE ME: Date: _____________________ Intake Officer or Notary Public _____________________________________ THE PARENT, LEGAL GUARDIAN OR LEGAL CUSTODIAN OF THE CHILD CAN BE MADE A PARTY TO THIS CASE PURSUANT TO ALA. CODE 1975, §12-15-113, AND RULE 31, ALABAMA RULES OF JUVENILE PROCEDURE. A PERSON MADE A PARTY TO THIS CASE MAY BE REQUIRED TO PAY ATTORNEY FEES, TO PAY FOR EVALUATION AND TREATMENT, TO PAY FINES, COURT COSTS, AND RESTITUTION, AND TO PAY FOR CARE, SUPPORT, AND SUPERVISION OF THE CHILD. A PERSON MADE A PARTY MAY BE SUBJECT TO OTHER THINGS ALSO. FAILURE TO COMPLY WITH THE ORDERS OF THE COURT CAN RESULT IN CONTEMPT PROCEEDINGS, AND FAILURE TO MAKE PAYMENTS ORDERED CAN RESULT IN A CIVIL JUDGMENT FOR THE COLLECTION OF THE PAYMENTS ORDERED. I certify that I have been duly designated an Intake Officer of the Court according to Ala. Code 1975, § 12-15-102(11). Based on a verified complaint which was received ______________, at _____ ___.m., and, as alleged, contained legally sufficient information to establish subject-matter jurisdiction, venue and probable cause, I have determined that the filing of the petition is in the best interests of the public and/or the child. Date: ______________________ Signature of the Intake Officer: __________________________________ Ala.Code 1975, §§ 12-15-120(a); 12-15-121; Rule 12, Ala.R.Juv.P. COURT RECORD: (Original) PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN : (Copy) D.H.R. or D.A.: (Copy) G.A.L. or Attorney : (Copy) CHILD: (Copy) American LegalNet, Inc. www.FormsWorkFlow.com