Interstate Compact On Juveniles Out Of State Travel Permit And Agreement To Return
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Interstate Compact On Juveniles Out Of State Travel Permit And Agreement To Return Form. This is a Alabama form and can be use in Juvenile Statewide.
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Tags: Interstate Compact On Juveniles Out Of State Travel Permit And Agreement To Return, ICJ 11, Alabama Statewide, Juvenile
INTERSTATE COMPACT ON JUVENILES
OUT OF STATE TRAVEL PERMIT AND AGREEMENT TO RETURN
VACATION/VISIT ONLY
VISIT FOR TESTING PLACEMENT
To:
TRAVEL PERMIT
From:
(Receiving State)
(Sending State)
From:
(Name, Title)
(Agency/Department)
(Phone #)
Re:
(Juvenile’s Name)
(DOB)
(Offense/s)
(Race/Sex)
(Court/Agency #)
Present Placement(check one):
Detention
Furlough
Residential
Foster Care
(Legal Status)
Community
Other (Specify)
Location:
(Address)
Permission is granted to the above-named juvenile to visit the State of
from
(Date)
until
.
He
She will be staying with
(Date)
(Name)
(Relationship)
at
(Full Address)
(City)
(State)
(Zip)
(Phone #)
Reason for Visit:
Mode of Transportation:
Special Instructions:
Completed by:
(Name)
(Title)
(Date)
I, the undersigned, recognize that I am under the legal custody/jurisdiction of the State of
Department/Court
. I hereby agree that I will comply with the rules and regulations of
my State of jurisdiction and the State of
and with the above conditions and instructions. I will
return to the State of
on
voluntarily and without further formality. In signing this
agreement, I also understand that my failure to comply with the conditions may result in my being considered absent without leave
AWOL), and a warrant and requisition may be issued for my apprehension and return to the State of
for further disciplinary action.
I have read the above OR
I have had the above read and explained to me, and I understand the meaning of it and agree thereto.
_________________________________________________________
(Juvenile’s Signature)
(Date)
Witnessed by: ________________________________________________________________________________________________
(Signature of Caseworker or Probation/Parole Officer)
(Title)
(Date)
Approved by: ________________________________________________________________________________________________
(Signature of Supervisor)
(Title)
(Date)
This is the official ICJ Travel Permit as approved by AJCA in August 2000. No state or other governmental entity party to the Interstate Compact on
Juveniles may change, alter or otherwise modify any form that has been approved and adopted for use by the Association of Juvenile Compact
Administrators. No other form may be substituted. (See Rule 3-103: Revision/Modification of Forms)
ICJ TRAVEL PERMIT
REVISED JANUARY 2007
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