6 Rule 8.34 — Form 5 February 2002 IN THE IOWA DISTRICT COURT FOR ________________________ COUNTY (JUVENILE DIVISION) IN THE INTEREST OF Juvenile No. _______________________ _____________________________________, A Minor. ADVISORY NOTICE TO MINOR YOU ARE NOTIFIED as follows: All information in your case is confidential. No papers will be sent to your home, and you will not be contacted by this court. Your name will not be on your court papers. Your lawyer and your guardian ad litem (if one is appointed) will receive notices about your case. You may also name someone else to get notices. That person’s name should be on your petition. YOUR CASE NUMBER APPEARS AT THE TOP OF THIS SHEET. KEEP IT IN A SAFE PLACE. YOU CANNOT GET INFORMATION FROM THE CLERK WITHOUT YOUR CASE NUMBER. YOU HAVE BEEN GIVEN A COPY OF THE STATEMENT YOU SIGNED WITH YOUR TRUE NAME. KEEP IT IN A SAFE PLACE. YOU MAY NEED TO SHOW IT TO YOUR DOCTOR TO OBTAIN AN ABORTION WITHOUT NOTIFYING A PARENT. Clerk: Complete information below: 1. (a) Your hearing is scheduled for ______________________________________________________________, at the __________________________ County Courthouse in _______________________________, Iowa. OR (b) You must call the clerk at (_____) ____________ to obtain the date of the hearing. 2. (a) Your lawyer is ______________________________________, telephone number ____________________. OR (b) You must call the clerk at the above number to get the name of your lawyer. 3. (a) Your guardian ad litem is _________________________________________________________________, telephone number ____________________________. OR (b) You may call the clerk at the above number to obtain the name of your guardian ad litem. You may be told of the court’s decision immediately after the hearing. If not, you may contact your lawyer or the clerk soon after the hearing to find out if the court has ruled on your petition. You have a right to a hearing and a decision within 48 hours unless you or your attorney asks for an extension of time. Any extension of time granted for the hearing shall extend the deadline for filing any decision on appeal for a like period of time. If these deadlines are not met you have a right to ask the clerk for a paper that will allow your doctor to perform the abortion without notifying a parent. If the court does not grant your petition, you will be able to appeal. American LegalNet, Inc. www.FormsWorkflow.com If the court does not grant your petition and you decide not to appeal, or if your appeal is not granted, you may request that the court appoint a licensed therapist to help you tell your family of your decision and deal with any family problems. The cost of the therapist will be paid for by the court. I certify that I have given a copy of this advisory notice to the minor. __________________________________________________ Clerk of the Court __________________________________ County Courthouse __________________________________, Iowa ___________ American LegalNet, Inc. www.FormsWorkflow.com