State of Alabama Unified Judicial System Form JU-7D Authorization of Detention Care Rev. 06/11 Case Number IN THE JUVENILE COURT OF __________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of ______________________________________________________________________________, a child TO _____________________________________________________: (Name of Juvenile Detention Facility) I am a duly designated juvenile court intake officer. Pursuant to §12-15-127(b), based on an allegation of delinquency child in need of supervision / status offender (pursuant to §12-15-208), I have reviewed the written notice of the person taking the above-named child into custody without an order of the juvenile court and have determined that detention care is required for the following reason(s): The child has no parent, legal guardian, legal custodian or other suitable person able to provide supervision and care for the child. The release of the child would present a clear and substantial threat of a serious nature to the person or property of others and where the child is alleged to be delinquent. The release of the child would present a serious threat of substantial harm to the child. The child has a history of failing to appear for hearings before the juvenile court. The child is alleged to be delinquent for possessing a pistol, short-barreled rifle, or short-barreled shotgun. The above-named child is to be delivered to _________________________________________________________________ (Name of Juvenile Detention Facility) by ________________________________________ for admission/placement. (Person/Agency taking child into custody) ____________________________ Date ____________________________________________ Intake Officer TO PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN Part II To question continuing detention of your child, you must appear at the hearing to be held at______________________________ on (date) ________________ at _______________ ____________________________________ time and date to be determined later. (You will be notified) DESCRIPTION OF CHILD Part III Sex _________________ Height _______________ DOB _____________ Eyes _________________ Race ________________ Weight ______________ Hair ______________ Marks ________________ Address ______________________________________________________________________________ _____________________________________________________________________________________ Part IV PERSON TAKING CHILD INTO CUSTODY I certify that I have delivered the above-named child to _____________________________________________, and that I have (Name of Juvenile Detention Facility) delivered a copy of this authorization to ___________________________________________. (Name of person accepting custody at Juvenile Detention Facility) ____________________________________________ Signature ____________________________ Date P art V CUSTODY RECEIPT I certify that I have received custody of the above-named child. ___________________________ Date ____________________________________________ Signature of Person Receiving Custody Ala. Code 1975, §§12-15-12 7(b); 12-15-128 COURT RECORD: (Original) PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN: (Copy) INTAKE OFFICER: (Copy) FACILITY: (Copy) American LegalNet, Inc. www.FormsWorkFlow.com