COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. ORDER OF COMMITMENT Calendar No. : IN THE JUVENILE COURT OF JUDICIAL SUBPOENA : Plaintiff(s) __________________________ COUNTY, GEORGIA In the interest of: -against- _________________________________, A Child : CASE NUMBER ____________________ SEX ______________________________ : DOB _______________ AGE __________ : Defendant(s) : . . . . . . . . Petition(s) .having .been . . . . . in. this .court .and .after . hearing evidence in this court, this court . . . . . . . . . . . . . . . . . . filed . . . . . . . . . . . . . . . . has determined that the above-named child is subject to the jurisdiction and protection of this court as provided by law; and After hearing evidence or upon the recommendation of the associate judge, no appeal having THE PEOPLEfiled, the court finds that the child committed the act(s) alleged in said petition(s), to wit: been timely OF THE STATE OF NEW YORK _________________________________________________________________________________ TO _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ and that said GREETINGS: child is hereby found to be in a state of: (Place an "X" in appropriate space). ____ delinquency and in need of excuses being laid aside, you WE COMMAND YOU, that all business andtreatment or rehabilitation. and each of you attend before , the Honorable at the Court ____ unruliness and at need of treatment, rehabilitation, or supervision. The court located in County of in room , on thealso finds that the child is20 amenable to treatment therehabilitation pursuant day of , not , at o'clock in or noon, and at any recessed toand give evidence as a witness in this action on the part of the O.C.G.A. §15-11-66(a)(1)-(3). or adjourned date, to testify The court further finds that reasonable efforts have been made to prevent the unnecessary removal of the child from the child’s home, and that removal is in the best interest of the child at this time. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party onis further ordered that said child issued for a maximum penalty of $50 and all damages sustained as a It whose behalf this subpoena was be and hereby is committed to the Department of Juvenile result of your failure supervision and planning as provided in O.C.G.A. §49-4A-8. The undersigned Justice, for care, to comply. judge hereby recommends that the child be: _____________________________________________ Witness, Honorable , one of the Justices of the _________________________________________________________________________________ Court in County, day of , 20 _________________________________________________________________________________ The said Department of Juvenile Justice is authorized to provide such medical treatment, hospitalization and/or surgery as is considered necessary by competent medical authorities for said (Attorney must sign above and type name below) child. It is further ordered that said child be released into the custody of ____________/detained in the ________________________ pending placement by the Department of Juvenile Justice. Attorney(s) for Considered, Ordered, and Adjudged This ____________ day of ________________________, 20______. Office and P.O. Address __________________________________________________ Judge/Associate Judge of ________________________________ County Juvenile Court Telephone No.: Facsimile No.: E-Mail Address: Rev. 10/2001 JUV-15 Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com