IN THE CIRCUIT COURT FOR [ ] COUNTY, MARYLAND Sitting as a Juvenile Court In The Matter of: * * Respondent Case Number(s): DOB: * ORDER FOR PLACEMENT FOR COMPETENCY ATTAINMENT HAVING FOUND at the Competency Hearing that the Respondent, ___________________________ is incompetent to proceed in the above captioned matter at this time, and there is substantial probability that the Respondent may be able to attain competency in the foreseeable future if attainment services are provided; it is on this _______ day of ______________________ 200____, and HAVING FOUND that pursuant to Courts & Judicial Proceedings §3-8A-17.6(c)(d), the Respondent was detained under §3-8A-15 at the time of the Competency Hearing and that placement in a facility is necessary to protect the child or others, or the child is likely to leave the jurisdiction of the court, and no less restrictive alternative environment is available that will protect the child or the community, or prevent the child from leaving the jurisdiction; it is hereby ORDERED that the Department of Health and Mental Hygiene shall provide competency attainment services for an initial period of not more than ninety (90) days from the date of this Order; and it is further ORDERED that the Respondent be placed at a facility for children by the Department of Health and Mental Hygiene to receive the attainment services, for his/her or others protection, or because of the likelihood he/she will leave the Court’s jurisdiction; it is further JO 33 - December 2007 American LegalNet, Inc. www.FormsWorkflow.com ORDERED that the Department of Juvenile Services shall securely transport the Respondent to the designated facility for children; and it is further ORDERED that upon completion by the Department of Health and Mental Hygiene of interview, observation and such other inpatient attainment services as are necessary, the Department of Health and Mental Hygiene shall release the Respondent to the Department of Juvenile Services; and it is further ORDERED that the Department of Juvenile Services shall provide secure transportation of the Respondent to the Court for a hearing scheduled for the _____ day of _________________________, 200___; it is further ORDERED that the Clerk of the Court shall promptly deliver a copy of this Order to the Department of Health and Mental Hygiene (Attention: Chief, Juvenile Forensic Services at facsimile Number (410) 724-3179). Recommendations Made By ___________________________________ MASTER ___________________________________ Date And So Ordered ___________________________________ JUDGE JO 33 - December 2007 American LegalNet, Inc. www.FormsWorkflow.com