State of Alabama Unified Judicial System Form JU-7D Rev. 06/13 Authorization of Detention Care (Name of County) Court Case Number IN THE JUVENILE COURT OF __________________________________________________ COUNTY, ALABAMA In the Matter of ______________________________________________________________________________, a child (Name of Child) TO _____________________________________________________: (Name of Juvenile Detention Facility) I am a duly designated juvenile court intake officer. Pursuant to Ala. Code § 12-15-127(b), based on an allegation of a child in need of supervision / status offender (pursuant to Ala. Code § 12-15-208), I have reviewed the delinquency 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 one or more of 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 Part II ____________________________________________ Signature of Juvenile Court Intake Officer TO PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN To question continuing detention of your child, you must appear at the hearing to be held at______________________________ ____________________________________ on ________________ at _______________ (Location) (Date) (Time) time and date to be determined later. (You will be notified) Part III DESCRIPTION OF CHILD Gender _________________ Height _______________ Date of Birth _____________ Eyes _________________ Race ________________ Weight ______________ Hair ______________ Marks ________________ Home 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) ____________________________ Date ____________________________________________ Signature P art V CUSTODY RECEIPT I certify that I have received custody of the above-named child. ___________________________ Date Ala. Code 1975, §§ 12-15-12 7(b); 12-15-128 ____________________________________________ Signature of Person Receiving Custody Original: COURT RECORD Copy: PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN Copy: JUVENILE COURT INTAKE OFFICER Copy: FACILITY American LegalNet, Inc. www.FormsWorkFlow.com