State of Alabama Unified Judicial System Form JU-10 Rev. 6/13 Court Case Number CONSENT DECREE IN THE JUVENILE COURT OF __________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of ________________________________________________________________________, a child (Name of Child) Pursuant to Ala. Code 1975, § 12-15-211, it is hereby ordered that these proceedings are suspended and the child is continued under supervision under the following terms and conditions: This decree will be in force for six months, unless the child is discharged sooner by the court or the decree is extended by the court. If prior to discharge by the juvenile probation officer or expiration of the consent decree, a new delinquency or child in need of supervision petition is filed against the child, or the child otherwise fails to fulfill express terms and conditions of the decree, the petition under which the child was continued under supervision may be reinstated after a hearing and the case may proceed to adjudication. Upon satisfaction by the child of the consent decree or upon the child otherwise being discharged by the court, the petition shall be dismissed with prejudice. ________________________________________ Date _______________________________________________ Judge Agreed: _______________________________________ Signature of Parent /Legal Guardian/Legal Custodian __________________________________________ Signature of Child _______________________________________ Signature of Parent /Legal Guardian/Legal Custodian APPLICATION FOR EXTENSION The undersigned hereby requests the juvenile court to extend the consent decree for an additional ____ (max. 6 months) for the following reasons: __________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ _______________________ Date _____________________________________________ Signature of Juvenile Probation Officer/Department/Agency Supervising Child Upon review of the application above, I hereby months. grant deny the request for extension of this consent decree to an additional_____ ________________________ Date ____________________________________________ Judge Child Discharged ________________________ Date Ala. Code 1975, § 12-15-211 ____________________________________________ Judge COURT RECORD: (Original) PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN: (Copy) CHILD: (Copy) American LegalNet, Inc. www.FormsWorkFlow.com