State of Alabama Unified Judicial System Form JU-7A CUSTODY ORDER FOR DETENTION/SHELTER CARE Case Number Rev. 1/09 IN THE JUVENILE COURT OF ________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of ________________________________________________________________________, a child Part I : TO ANY LAW ENFORCEMENT OFFICER OF THE STATE OF ALABAMA OR ANY AUTHORIZED OFFICIAL: It appearing to the court by Affidavit that the above–named child needs to be placed in detention/ shelter care you are hereby ordered to take the child into immediate custody and deliver him / her to : ____________________________________________________________________________________________ ________________________________ Date Part II ______________________________________________ Judge PARENT / GUARDIAN / CUSTODIAN To question this Order of Removal, you must appear at the hearing to be held at _________________________ a.m __________________________________ on (date) __________________ at _______________ p.m time and date to be determined later. (You will be notified) Part III DESCRIPTION Sex ______________ Height _____________ DOB ________________ Eyes ____________ Race _____________ Weight _____________ Hair _________________ Marks ___________ Address _____________________________________________________________________________________ _____________________________________________________________________________________ Part IV OFFICER I certify that I have executed this order by placing the above-named child in custody as ordered, and that I have delivered a copy of this Order to _______________________________________________________. Date ______________________________ Part V ____________________________________________________ Officer CUSTODY RECEIPT I certify that I have received custody of the above-named child. _______________________________ Date COURT RECORD: (Original) ____________________________________________________ Signature PARENT/GUARDIAN/CUSTODIAN : (Copy) CHILD: (Copy) INTAKE OFFICER: (Copy) American LegalNet, Inc. www.FormsWorkFlow.com