State of Alabama Unified Judicial System Form JU–12B Case Number LEGAL INFORMATION (SOCIAL HISTORY SERIAL) Rev. 1/09 IN THE JUVENILE COURT OF _________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of _______________________________________________________________________, a child Part I PRIOR COURT RECORD: Date Offense / Matter Disposition Part II CHILD’S ATTITUDES TOWARD OFFENSE AND HIS STATEMENT: Part III COMPLAINANT’S (Victim’s) STATEMENT AND ATTITUDES TOWARD OFFENSE: Part IV PARENT’S ATTITUDES TOWARD OFFENSE: Part V PARENT’S PRIOR POLICE RECORD: _________________________________ _______________________________________________ Date Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Case Number SCHOOL INFORMATION (SOCIAL HISTORY SERIAL) Form JU-12C Rev. 1/09 IN THE JUVENILE COURT OF ____________________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of___________________________________________________________________________________, a child School:__________________________________________________________________________________________________ Schools Previously Attended:_________________________________________________________________________________ Grades Repeated:_________________________________________________________________________________________ Present Grade: __________________ Test Given:______________________ Results: ________________________ Date Given:_______________________ Functional Grade Level: ________________ Academic Record: Record Attached, Report card, etc. Attendance: Subject Current Year 1 2 3 4 5 6 Yr. 1. 2. 3. 4. 5. 6. Subject 1 2 Last Year 3 4 5 6 Yr. 1. 2. 3. 4. 5. 6. Required Days: ______________________________ Days Present: ________________________________ Excused Absences: ____________________________ Unexcused Absences: __________________________ Conduct Reports, Behavior, Attitude Towards School & Persons in Authority: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Extracurricular Activities: _______________________________________________________________________________________________ _______________________________________________________________________________________________ School Officials Contacted: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Phone: ________________________________ ___________________________________ Date _______________________________________________ School Official (Signature) ___________________________________ Date _______________________________________________ Juvenile Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System PROFILE OF YOUTH Case Number (SOCIAL HISTORY SERIAL) Form JU – 12D Rev. 1/09 IN THE JUVENILE COURT OF ___________________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of ___________________________________________________________________________________, a child A Profile of the youth should include comments about physical appearance; self-image (how the child sees himself/herself); general attitude towards authority, parents, schools and police; peer relationships; strengths, weaknesses, and attributes the child has that could help him/her through problems; employment history (full-time and part-time); interests, hobbies and activities; special placements (i.e., special education, foster homes, vocational rehabilitation, etc); description of programs and adjustment, length of stay, reasons for removal; and other pertinent comments or analysis. __________________________________ Date _____________________________________________ Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU-12E FAMILY–HOME INFORMATION Rev. 1/09 Case Number (SOCIAL HISTORY SERIAL) IN THE JUVENILE COURT OF _____________________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of ____________________________________, a child Age: _________ Sibling Rank By Birth: ____________ Description of Home: Family Information: Comment on all pertinent information about the child’s family; income; parents’ marital status and marital history; medical problems; recurring illnesses, mental or physical; family activities; general relationships among parents, child, child’s siblings; attitude of parents toward offense; etc. Other agencies working with family or individual member: (Past or present) _________________________________ Date _________________________________________________________ Juvenile Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU–12F MEDICAL INFORMATION Rev. 1/09 Case Number (SOCIAL HISTORY SERIAL) IN THE JUVENILE COURT OF __________________________________________________________, ALABAMA (Name of County) In the Matter of _________________________________________________________________________, a child Health History: Physical (List diseases / physical handicaps / surgical history): Last Physical Exam (date, doctor, results): Name of Family Doctor: ____________________________ Hospital Plan: _______________________________ Office Address: __________________________________ ________________________________________________ Medicaid No.: _______________________________ Phone: ______________________________ Psychiatric History: Immunizations – Childhood Diseases: Other Comments: (Immediate problems, current treatments, habits, diet and other factors detrimental to health, medical complaints and problems) _________________________________ Date ____________________________________________________ Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU-12G Case Number SUMMARY – RECOMMENDATIONS Rev. 1/09 (SOCIAL HISTORY SERIAL) IN THE JUVENILE COURT OF ______________________________________________COUNTY, ALABAMA (Name of County) In the Matter of _______________________________________________________________________, a child Needs Assessment and Treatment Priorities (Specific areas or target behavior, i.e., cursing, constant fighting): Recommendations: Referral resources that are indicated: Other Comments: ________________________________ Date ____________________________________________________ Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com