JV-732 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: YOUTH'S NAME: PARENT'S NAME: CASE NUMBER: JUVENILE: COMMITMENT TO THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE FACILITIES 1. a. Youth's name: b. Youth's date of birth: Dept.: 2. a. Date of hearing: b. Judicial officer (name): c. Persons present: Youth's attorney Youth Mother Others as reflected on the attached minute order Room: Father Guardian Deputy district attorney THE COURT FINDS AND ORDERS: 3. The youth was under the age of 18 years at the time of the commission of the offense for which the youth is being committed to the Division of Juvenile Facilities. 4. The mental and physical condition and qualifications of this youth render it probable that the youth will benefit from the reformatory discipline or other treatment provided by the Division of Juvenile Facilities. 5. a. b. c. The youth is committed to the Division of Juvenile Facilities for a 90-day period of observation and diagnosis. The youth is committed to the Division of Juvenile Facilities for acceptance. The youth is a ward of the Division of Juvenile Facilities under a prior commitment and is recommitted to the Division of Juvenile Facilities. is returned to the Division of Juvenile Facilities with the following recommendation. the status of being discharged to supervision should be revoked. the status of being discharged to supervision should not be revoked. the discharge status of the youth should be determined by the Division of Juvenile Facilities. 6. The youth has been declared a ward of the court and is committed based on the following sustained petitions: Sustained Petition Date Offense Code Degree 707(b) Enhancement a. Term b. Page 1 of 3 Form Approved for Optional Use Judicial Council of California JV-732 [Rev. January 1, 2012] COMMITMENT TO THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE FACILITIES Welfare and Institutions Code, §§ 707.2, 731 et seq., 1730 et seq., 1755.3, 1755.4; Cal. Rules of Court, rules 5.790, 5.795, 5.805 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com JV-732 YOUTH'S NAME: CASE NUMBER: JUVENILE: Sustained Petition Date 6. c. Offense Code Degree 707(b) Enhancement Term d. e. Continued in attachment 6. 7. The youth has credit for (state number): 8. Confinement period: a. b. The maximum period of confinement is (state years and months): The court has considered the individual facts and circumstances of the case in determining the maximum period of confinement. days in secure custody. 9. The youth is ordered to pay a restitution fine of $ 10. The youth is ordered to pay victim restitution as stated in attachment 10. 11. Exceptional needs: a. b. The youth is an individual with exceptional needs. The youth has an individualized education program.: included as attachment 11b. to be furnished to the Division of Juvenile Facilities when obtained. c. d. 12. 13. The youth is not an individual with exceptional needs. It does not appear that a determination has been made regarding any exceptional needs the youth may have. The court requests that the youth be considered for programming related to The court requests that a copy of the Clinical Summary Report be sent to the youth's attorney (name and address of attorney): . 14. The probation officer is directed to forward a copy of the youth's medical records to the Division of Juvenile Facilities before delivery. JV-732 [Rev. January 1, 2012] COMMITMENT TO THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE FACILITIES Page 2 of 3 JV-732 YOUTH'S NAME: CASE NUMBER: JUVENILE: 15. Youth has has not been prescribed psychotropic medication. Type and dosage of medication (specify): Additional documentation provided in attachment 15. 16. Such psychotropic medication, if still necessary based on an evaluation by a Division of Juvenile Facilities physician, may be continued for a period not to exceed 60 days from the date of delivery to the Division of Juvenile Facilities reception center and clinic. 17. 18. The child is ordered to submit to AIDS testing under Welfare and Institutions Code section 1768.9. The court has determined that the youth has been in at least one foster care or other Title 42, U.S. Code, Part IV-E­ eligible placement during the course of a dependency or delinquency case. Other findings and orders: See attached. a. (Specify): b. 19. Date: JUDICIAL OFFICER JV-732 [Rev. January 1, 2012] COMMITMENT TO THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE FACILITIES Page 3 of 3