State of Alabama Unified Judicial System Form JU-7 B Case Number JUVENILE PICK-UP ORDER Rev. 06/11 IN THE JUVENILE COURT OF __________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of ______________________________________________________________________________, a child Part I LAW ENFORCEMENT OFFICER TO ANY LAW ENFORCEMENT OFFICER OF THE STATE OF ALABAMA OR ANY AUTHORIZED PERSON: Based upon a sworn statement presented to the juvenile court that the above-named child needs to be placed in detention or shelter or other care, the court finds the following: The child has no parent, legal guardian, legal custodian, or other suitable person able to provide supervision and care for the child. The release of the child would present a clear and substantial threat of a serious nature to the person or property of others and where the child is alleged to be delinquent. The release of the child would present a serious threat of substantial harm to the child. The child has a history of failing to appear for hearings before the juvenile court. The child is alleged to be delinquent for possessing a pistol, short-barreled rifle, or short-barreled shotgun. FOR DEPENDENCY CASES ONLY: Continuing placement of the above-named child in his or her home would be contrary to the welfare of the child in that: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ It is ordered that the child be taken into immediate custody and delivered to _________________________________________ (Name of Detention/Shelter or Other Care Facility) for placement/admission. ____________________________ Date Part II _____________________________________________ Judge PARENT/LEGAL GUARDIAN/LEGALCUSTODIAN To question this Order, you must appear at the hearing to be held at_________________________________________________ on (date) ________________ at (time) _______ date and time to be determined (you will be notified). Part III DESCRIPTION OF CHILD Sex ______ Race ________ DOB _________ Eyes __________ Height _____Weight _____ Hair _________ Marks _____________________________ Address ______________________________________________________________________ __________________________________________ __________________________________________ Part IV OFFICER / AUTHORIZED PERSON Insert photo If available I certify that I have executed this Order by placing the above-named child in custody as ordered ordered, and that I have delivered a copy to of this Order to: ________________________________________________________. (Name of Detention/Shelter of Other Care Facility) __________________________ Date ____________________________________________ Officer / Authorized Person Part V CUSTODY RECEIPT I certify that I have received custody of the above-named child. ___________________________ Date ____________________________________________ Signature of Person Receiving Custody Ala. Code 1975, §§12-15-125(a)(1); 12-15-126; 12-15-128; 12-15-312(a)(1) COURT RECORD: (Original) PARENT/LEGAL GUARDIAN/CUSTODIAN: (Copy) INTAKE OFFICER: (Copy) FACILITY: (Copy) American LegalNet, Inc. www.FormsWorkFlow.com