F.C.A.§ 322.2 Forms 3-21 (Juvenile Delinquency-Extension of Commitment for Lack of Capacity) 6/2016 At a term of the Family Court of the State of New York, held in and for the County of , at , New York, on , . PRESENT : Hon. Judge ________________________________ In the Matter of Docket No. ORDER (Extension of Period of Commitment for Lack of Capacity) A Person Alleged to be a Juvenile Delinquent, Respondent. _________________________________ The petition of , under section 322.2 of the Family Court Act, sworn to on , , having been filed in this Court, requesting that an order be entered by this Court extending the period of commitment of Respondent, for a period of , 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, " the Presentment Agency and "Mental Hygiene Legal Services) in writing by the Commissioner of NOW, after hearing the proof and testimony offered in this case, it is hereby ADJUDGED that Respondent " is "is not an incapacitated person, as defined in subdivision 13 of section 301.2 of the Family Court Act; and it is hereby American LegalNet, Inc. www.FormsWorkFlow.com Form 3-21 page 2 [Check applicable box(es)]: " ORDERED that Respondent be returned to this Court for further proceedings under article 3 of the Family Court Act upon the petition of , filed in this Court on , , requesting that Respondent be adjudged a juvenile delinquent. " ORDERED that Respondent continue in the custody of the " Commissioner of Mental Health " Commissioner of the Office of People with Developmental Disabilities for a period not to exceed one year in accordance with 322.2 of the Family Court Act. PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FRM 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. Dated: ENTER ____________________________________ Judge of the Family Court 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