American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU- 7 Rev. 06/1 CUSTODY ORDER FOR VIOLATION OF APPEARANCE AGREEMENT Case Number 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 that the parent, legal guardian or other legal custodian, after request, has failed to bring the child before the court in compliance with an appearance agreement executed under the authority of Ala. Code 1975, 24712-15-127(a)(2), it is ordered that the child be taken into immediate custody and delivered to: Name of Detention/Shelter Care/Other Facility DateJudge Part II TTTTT p TO PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN:To question this Custody Order, you must appear at the hearing to be held at on (date) at time and date to be determined later. (You will be notified ) Part IIIDESCRIPTION OF CHILDSex Height DOB Eyes Race Weight Hair Marks Address Part IVPERSON TAKING CHILD INTO CUSTODY I certify that I have executed this Order by placing the above- named child in custody as ordered, and that I have delivered theabove named child to and that I have delivered a copy of this Order to same. DateSignature Part V CUSTODY RECEIPT I certify that I have received custody of the above- named child. Date Signature of Person Receiving CustodyAla. Code 1975, 24712-15-125(a)(1) COURT RECORD: (Original) PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN: (Copy) FACILITY: (Copy) (Name of Detention, Shelter or other Care Facility)