State of Alabama Unified Judicial System Form JU- 26C DENIAL OF PETITION OF WAIVER OF CONSENT FOR ABORTION Rev. 1/09 Case Number ORDER IN THE JUVENILE COURT OF ____________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of ____________, a minor (Initials Only) This matter coming to be heard by the court on ________________________________________ (date) and the petitioner being represented by counsel, ______________________________________________, OR having waived counsel, and this cause being submitted upon the pleadings and evidence presented, the court is of the opinion and finds that the petitioner is _________years of age; is unmarried and unemancipitated; is approximately ___________ days/______ weeks/ ________ months pregnant; is a resident of _________________________________(County); and desires to have the abortion procedure performed in _________________________________ County, Alabama; and that: NOT mature and well informed enough to make the abortion decision OR the minor is the performance of the abortion would NOT be in the best interests of the minor. The court further finds that: THE COURT HEREBY DENIES the minor’s Petition for a Waiver of Consent to have an abortion performed. THE COURT HEREBY ORDERS that the confidential record of the evidence presented and the order rendered is confidential and shall be maintained for at least four years from the date of this order. This court has further advised the petitioner of her right of appeal and orders that if notice of appeal is given, the clerk of this court shall complete the record within five days of the filing of the notice. __________________________________ Date __________________________________________________ Judge Ala. Code 1975, § 26-21-4 American LegalNet, Inc. www.FormsWorkFlow.com