F.C.A.§322.2 Form 3-25 (Juvenile DelinquencyOrder Modifying Order 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 A Person Alleged to be a Juvenile Delinquent, Docket No. ORDER (Modifying Order Of Commitment for Lack Of Capacity) Respondent. ___________________________________ A petition under section 322.2 of the Family Court Act, sworn to on , , having been filed in this Court by , in the above-entitled proceeding, alleging that Respondent, committed to a residential facility within the appropriate office of the Mental Hygiene Department, may be more appropriately treated in a non-residential facility; and Notice having been duly given to Respondent, QRespondent's parent (s) Qthe person legally responsible for the child's care, Qcounsel for the Respondent, Qthe Commissioner of Mental Health Qthe Commissioner of the Office of People with Developmental Disabilities Q Mental Hygiene Legal Services; and The matter having thereafter duly come on for a hearing before the Court and the Court, after having made an examination and inquiry into the facts and circumstances of the case, finds that treatment in a non-residential facility Qwould Qwould not be more appropriate for the Respondent in that American LegalNet, Inc. www.FormsWorkFlow.com Form 3-25 Page 2 NOW therefore, it is hereby [Check applicable box]: " ORDERED that Respondent be returned to the Commissioner of specify]: for continued care in a residential facility. " ORDERED that the order of commitment dated , , is hereby modified to authorize the transfer of Respondent to a non-residential facility, under the continued care of the Commissioner of [specify]: . 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