F.C.A§§ 350.2,351.1,352.1 352.2,353.1,353.3, 353.5 Form 3-33 (Juvenile DelinquencyOrder of DispositionDesignated FelonyRestrictive Placement) 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. Person Alleged to be a Juvenile Delinquent, ORDER OF DISPOSITION A (Designated Felony; Restrictive Placement) Respondent. ________________________________________ An Order of Fact-finding dated the day of , having been entered in (this Court) (the Family Court of County) adjudging that the Respondent herein did the following act(s):[Specify as to each count.] which would constitute the crime(s) of: [Delete inapplicable provisions]: a. [Specify crime(s)] as defined by section(s) of the Penal Law, (a) designated (class A) felony act(s) pursuant to section 301.2 of the Family Court Act; and b. [Specify crime(s)] as defined by section(s) of the American LegalNet, Inc. www.FormsWorkFlow.com Form 3-33 Page 2 (Penal Law) (specify other law ); and The matter having thereafter duly come on for a dispositional hearing before the Court, the Court, after ordering a probation investigation and diagnostic assessment in accordance with section 351.1 of the Family Court Act and making reports available to counsel presenting the petition and counsel for Respondent in accordance with section 351.1 of the Family Court Act and after making an examination and inquiry into the facts and circumstances of the case finds upon a preponderance of the evidence that the Respondent requires supervision, treatment, or confinement, and more specifically, restrictive placement in accordance with section 353.5 of the Family Court Act, for the following reasons: NOW therefore, upon the findings made in the fact-finding and dispositional hearings herein and upon all proceedings had herein, it is hereby ORDERED and ADJUDGED that the above-named Respondent is a juvenile delinquent on the further ground that the Respondent required confinement; and it is therefore ORDERED that the proceeding be and the same is hereby continued, and the Respondent is placed for a period of years (less the period spent in detention pending 1 disposition,) in the custody of the New York State Office of Children and Family Services for confinement in a secure facility for months and may not be released therefrom or transferred to a non-secure facility during the months of confinement; and it is further ORDERED that the Respondent shall not be discharged from the custody of the New York State Office of Children and Family Services during the term of this order; and it is further ORDERED that the New York State Office of Children and Family Services (shall) (shall not) report to the Court pursuant to section 353.5 of the Family Court Act; (and it is further) 1 Applicable unless the court finds that all or part of such credit would not serve the needs and best interests of the respondent or the need or protection of the community; F.C.A. §353.3(5). American LegalNet, Inc. www.FormsWorkFlow.com Form 3-33 Page 3 (ORDERED that the New York State Office of Children and Family Services shall photograph the Respondent.) (and it is further) (ORDERED .) 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