Waiver Of Child Parent Statement Of Responsibility
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Waiver Of Child Parent Statement Of Responsibility Form. This is a Connecticut form and can be use in Juvenile Statewide.
Tags: Waiver Of Child Parent Statement Of Responsibility, JD-JM-29, Connecticut Statewide, Juvenile
WAIVER OF CHILD/PARENT
STATEMENT OF RESPONSIBILITY
JD-JM-29 Rev. 6-96
CGS 46b-135 to 137, 138a
Pr. Bk. Secs. 1025.1, 1048.1
STATE OF CONNECTICUT
SUPERIOR COURT
JUVENILE MATTERS
ADDRESS OF COURT
DOCKET NO.
NAME AND ADDRESS OF CHILD
BIRTHDATE
NAME AND ADDRESS OF PARENT(S) OR GUARDIAN
WAIVER OF CHILD
I,
, in the presence of my (parent(s)/guardian), and having
been informed in (his/her/their) presence of my right 1) to counsel, and the Court's obligation to provide counsel if I
cannot afford it; 2) to remain silent because my statement may later be used against me; and 3) to be fully informed
as to my claimed delinquent behavior as set forth in the Notice to Appear or summons, dated
do hereby for the purpose of this proceeding waive my right to counsel and to remain silent.
SIGNATURE OF CHILD
SIGNATURE OF PARENT OR GUARDIAN
DATE
WAIVER OF PARENT OR GUARDIAN
I,
, parent/guardian of
have been informed of my right to counsel and the Court's obligation to provide counsel if I cannot afford it, and my further
right to refuse to testify against said child except that a parent or guardian who has received personal violence from said
child, may upon trial for such personal violence be compelled to testify. The parent or guardian may refuse to testify if the
testimony might tend to incriminate the parent or guardian. I do hereby for the purpose of this proceeding waive my right to
counsel and to remain silent.
SIGNATURE OF PARENT OR GUARDIAN
SIGNATURE OF WITNESS
DATE
STATEMENT OF RESPONSIBILITY
I,
, in the presence of my (parent)(parents)(counsel) admit that I
am responsible for the following act(s):
SIGNATURE OF CHILD
SIGNATURE OF PARENT OR GUARDIAN
DATE
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