JV-692 SUPERIOR COURT OF CALIFORNIA, COUNTY OF MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: NOTIFICATION TO SHERIFF OF JUVENILE DELINQUENCY FELONY ADJUDICATION (Welfare & Institutions Code Section 827.2) TO THE SHERIFF OF THE COUNTY OF: MAILING ADDRESS: CITY, STATE ZIP CODE: ATTENTION, COUNTY SHERIFF: Pursuant to Welfare & Institutions Code section 827.2, you are hereby notified that CHILD'S NAME: CHILD'S DATE OF BIRTH : was found by a court of competent jurisdiction to have committed at least one offense which would have been a felony if committed by an adult. The child was found to have committed the following felony offenses: (List statutory violations) YOU ARE BEING NOTIFIED BECAUSE (Check all that apply): The offenses occurred in your county The child is a resident of your county. The child's disposition has been modified. THE COURT­ORDERED DISPOSITION of the child's case is: Wardship probation Department of Juvenile Facilities Commitment Non-wardship probation Other: Date: Clerk of the Superior Court: WARNING: UNLAWFUL DISSEMINATION OF THIS INFORMATION IS A MISDEMEANOR Any information received from this court is to be received in confidence for the limited law enforcement purpose for which it was provided and shall not be further disseminated except as provided by the provisions of Welfare and Institutions Code section 827.2. An intentional violation of the confidentiality provisions of this section is a misdemeanor. Page 1 of 1 Form Approved for Optional Use Judicial Council of California JV-692 [New January 1, 2012] NOTIFICATION TO SHERIFF OF JUVENILE DELINQUENCY FELONY ADJUDICATION (Welfare & Institutions Code Section 827.2) (Welfare and Institutions Code, § 827.2) www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com