APPLICATION FOR ORDER OF DETENTION JD-JM-9A Rev. 7-18 C.G.S. 247 46b-133; P.A.18-31; P.B. 247 30-6STATE OF CONNECTICUT SUPERIOR COURT JUVENILE MATTERS www.jud.ct.gov To: The Judicial Authority of the State of Connecticut: Address of court Docket number Name and address of child Date of birth Probation Officer Address at which child is living Date of delinquency petitionApplicationThe undersigned respectfully requests that the above-named child be placed immediately in Juvenile Detention because there is probable cause to believe that the child has committed the act or acts alleged in the petition of delinquency dated above, a verified copy of which is attached hereto, and there is no appropriate less restrictive alternative available. Further, the circumstance(s) indicated below are applicable (At least one box must be checked): A. There is probable cause to believe that the level of risk the child poses to public safety if released to the community prior to the court hearing or disposition cannot be managed in a less restrictive setting. B. There is a need to hold the child to ensure the child's appearance before the court or compliance with court process, as demonstrated by the child's previous failure to respond to the court process. C. There is a need to hold the child for another jurisdiction.Therefore, in accordance with the statutes in such cases made and provided, the applicant requests that said child be remanded immediately to the care and custody of the Juvenile Detention Superintendent or designee. Juvenile Detention Superintendent or designee (Name) Location (Address) Signed (Applicant) Name/title of applicant Date signed Distribution: Original - Court File Copy 1 - Prosecutorial Official Copy 2 - Probation Officer Copy 3 - Detention Superintendent Copy 4 - Attorney for Juvenile American LegalNet, Inc. www.FormsWorkFlow.com