JC\E-649b JC\E-649b (PARENT ONLY COMPLAINT) COMPLAINT AGAINST PARENT; COMPULSORY EDUCATION 1 Eff.: 05/04/10; Rev.:03/21/16; 05/30/19 Education Code 247 48293 NAME: School District Child Welfare & Attendance MAILING ADDRESS: CITY, STATE AND ZIP CODE: , CA 95 TELEPHONE NO : (916) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, CO UNTY OF SACRAMENTO MAILING ADDRESS: Juvenile Justice Courthouse STREET ADDRESS: 9506 Kiefer Blvd. CITY, STATE AND ZIP CODE: Sacramento, CA 95827 BRANCH NAME : SITTING AS THE JUVENILE COURT OF BIRTH: CASE NUMBER : COMPLAINT AGAINST PARENT FOR FAILURE TO COMPLY WITH COMPULSORY ATTENDANCE LAWS [Education Code 247247 48292, 48293] DEPARTMENT : Pursuant to Education Code section 48292, the Attendance Supervisor of the School District, upon information and belief, complains against the above named defendant(s) for the crime of Education Code section 48293(a) as follows: COMPLAINT - COUNT ONE The defendant(s), , being the parent(s), guardian(s), or other person(s) having control and charge of a pupil under the age of 18 years, to wit, , did commit an infraction, namely a violation of Section 48293 of the Education Code of the State of California, in that said defendant(s) did fail to compel the attendance of the pupil at school, within the meaning of Education Code section 48263.5, causing the pupil to be truant from school within the meaning of Education Code section 48260 by being absent without a valid excuse three or more full days in one school year or was tardy for more than any 30-minute period during the school day without a valid excuse on three or more occasions in one school year, to wit: Absent: Tardy: I declare under penalty of perjury that the foregoing is true and correct. Dated: Name: Attendance Supervisor, School District American LegalNet, Inc. www.FormsWorkFlow.com JC\E-649b JC\E-649b (PARENT ONLY COMPLAINT) COMPLAINT AGAINST PARENT; COMPULSORY EDUCATION 2 Eff.: 05/04/10; Rev.:03/21/16; 05/30/19 Education Code 247 48293 SEE IMPORTANT NOTICE ON THE NEXT PAGE CASE NUMBER : NOTICE TO THE PARENTS, GUARDIANS, OR OTHER PERSONS HAVING CONTROL OR CHARGE OF THE PUPIL: You are each required to attend the court hearing at the time and place set for hearing on the attached criminal court complaint. (Education Code 247 48294.) DATE OF COURT HEARING: TIME OF HEARING: 8:30 AM (check in at first-floor reception before that time) LOCATION OF HEARING: Superior Court, 9605 Kiefer Blvd., Sacramento, California. Failure to appear may result in a warrant being issued for your arrest. You have been charged with failure to comply with compulsory attendance laws, an infraction. (Education Code 247 48293.) Upon the motion of the school district, your case will be heard in the Juvenile Court. (Welf. & Inst. Code 247 601.4(a); Education Code 247 48295.) If convicted of this offense, the court may order you to pay a fine of up to $100.00 for a first offense; up to $250.00 for a second offense and up to $500.00 for a third or more offense. If convicted of this offense, the court may order you to be placed in an education and counseling program. (Education Code 247 48293.) If you believe the judicial officer assigned to hear your case is prejudiced against you, you may make a motion to disqualify that judicial officer pursuant to section 170.6 of the Code of Civil Procedure and the case will be re-assigned to another judicial officer. (Welf. & Inst. Code 247 700.2.) American LegalNet, Inc. www.FormsWorkFlow.com JC\E-649b JC\E-649b (PARENT ONLY COMPLAINT) COMPLAINT AGAINST PARENT; COMPULSORY EDUCATION 3 Eff.: 05/04/10; Rev.:03/21/16; 05/30/19 Education Code 247 48293 CASE NUMBER : FILE THIS PAGE WITH THE COURT DO NOT SERVE IT ON THE PARENT PROOF OF SERVICE of the date, time and place of the hearing on the Education Code section 48293 (Failure to Comply with Compulsory Attendance Laws) complaint: On , at least 24 hours before the date scheduled for arraignment in court, I served , who is the parent, guardian or other person having control or charge of the minor by: personal service by first class mail by certified mail by e-mail at the address listed by the family with the school. Name: Title: Interpreter needed for language. On , at least 24 hours before the date scheduled for arraignment in court, I served , who is the parent, guardian or other person having control or charge of the minor by: personal service by first class mail by certified mail by e-mail at the address listed by the family with the school. Name: Title: Interpreter needed for language. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) American LegalNet, Inc. www.FormsWorkFlow.com