NORTH CAROLINA WAKE COUNTY IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. _________________________ Assigned Judge: In the matter of: REQUEST FOR SPECIAL JUVENILE SESSION The undersigned attorney hereby requests that the above matter be set for a Special Juvenile Session. The matter is currently scheduled for (check one): Adjudication/Disposition Termination of Parental Rights hearing on ___________________ . The hearing on this matter is anticipated to take ___________ days for the following reason: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ____________ Date ______________________________________________________________________ Print Name of Assistant Wake County Attorney Guardian ad Litem-Attorney Advocate Attorney for Parent _______________________________________________________________________________________________________ Signature of Assistant Wake County Attorney Guardian ad Litem-Attorney Advocate Attorney for Parent JUVENILE JUDGE FINDING Upon completion of the Pre-Trial Conference, and based on the facts and circumstances as indicated above, the Court is of the opinion that a Special Session of Juvenile Court is warranted in this case. ____________ Date _____________________________________________ PRESIDING JUDGE CHIEF DISTRICT COURT JUDGE FINDING The application for the Special Juvenile Session is: Granted Denied Pursuant to the authority contained in N.C.G.S. §7A-146(1), a Special Session of Juvenile Court is scheduled to hear Case Number _____J_______. This Special Session of Juvenile Court shall begin on the ____day of ___________, 20 ______ at 9:00 a.m. in Courtroom ______ of the Wake County Courthouse, and continue until all matters for hearing in this case have been disposed of by the Court. The Honorable _______________________ , District Court Judge, is hereby assigned to preside at this Special Session of Juvenile Court. ____________ Date ____________________________________ CHIEF DISTRICT COURT JUDGE WAKE-JUV (AND)-11 (NEW 02/06) (PAGE 1 of 1) American LegalNet, Inc. www.USCourtForms.com