State of Alabama Unified Judicial System Form JU-16 REQUEST FOR REHEARING FROM REFEREE TO JUDGE (Name of County) Court Case Number Rev. 6/13 IN THE JUVENILE COURT OF ______________________________________________________ COUNTY, ALABAMA In The Matter Of_____________________________________________________________________________, a child (Name of Child) On ____________________, a hearing was held in the above-styled case before ____________________________, (Date) who issued written findings and recommendations. Pursuant to the provisions of Ala. Code 1975, § 12-15-106(e) and Rule 2.1(E), Alabama Rules of Juvenile Procedure, I hereby request a rehearing in the above-styled case. (Name of Referee) __________________________________ Date _________________________________________________ Requester's Signature __________________________________ COURT RECORD: (Original) _________________________________________________ Clerk CHILD: (Copy) Date Filed Ala. Code 1975, § 12-15-106; Rule 2.1, Ala.R.Juv.P. PARENT/LEGAL GUARDIAN/LEGAL CUSTODIAN : (Copy) American LegalNet, Inc. www.FormsWorkFlow.com