F.C.A.§§ 301.2, 322.1 Form 3-16 (Juvenile Delinquency­ Order Extending Time for Examination to Determine Capacity) 8/2010 At a term of the Family court of the state of New York held in and for the county of , at New York, on P R E S E N T: Hon. Judge ............................................................................... In the Matter of Docket No. A Person Alleged to be a Juvenile Delinquent, ORDER EXTENDING TIME FOR EXAMINATION TO DETERMINE CAPACITY Respondent. ................................................................................... A petition under article 3 of the Family Court Act, sworn to on , , having been filed in this Court in the above-entitled proceeding alleging that Respondent is a juvenile delinquent, and an order dated , , having been duly entered by this court direction an examination to determine whether Respondent is an incapacitated person as defined in subdivision 13 of section 301.2 of the Family Court Act and further directing that an examination report be filed with this Court by , ; and Notice having been duly given to Respondent, (Respondent's parent(s)) (the person legally responsible for the child's care) and counsel for Respondent of an application to extend the period for filing the examination report; and Respondent (having appeared by counsel), (Respondent's parent(s)) (the person legally responsible for the child's care) (having appeared in answer to the application) ; and consented to the application); and American LegalNet, Inc. www.FormsWorkFlow.com Form 3-16 page 2 Special circumstances having been shown to exist in that ; it is therefore ADJUDGED that a longer period is necessary to complete the examination and report; and it is ORDERED that the time for filing of the examination report is hereby extended to and including , . PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. ENTER _____________________________________ Judge of the Family Court Dated: , . Check applicable box: 9 Order mailed on [specify date(s) and to whom mailed ]:___________________________ 9 Order received in court on [specify date(s) and to whom given]:_____________________ American LegalNet, Inc. www.FormsWorkFlow.com