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Petition (Juvenile Delinquency) Form. This is a New York form and can be use in Family Court Statewide.
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Tags: Petition (Juvenile Delinquency), 3-7, New York Statewide, Family Court
F.C.A. § 310.1, 311.1, 311.2
Form 3-7
(Juvenile Delinquency)
10/95
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF
......................................
In the Matter of
Docket No.
A Person Alleged to be a Person
Juvenile Delinquent,
PETITION
Respondent.
.....................................
TO THE FAMILY COURT:
The under signed Petitioner respectfully alleges that:
1. It is a presentment agency authorized to originate a proceeding under article
3 of the Family Court Act in that it is
, having its
principal office at
.
2. Respondent above-named is a (fe)male who was born on
and resides at
,
.
3. Respondent was over seven and less than sixteen year of age at the time of
the act(s) alleged herein.
4. The subject child (is)(is not) a Native American child subject to the Indian Child
Welfare Act of 1978 (25 U.S.C. §§ 1901-1963).
*5. (Upon information and belief,) (O)(o)n or about
, 20 , at
(A.M.) (P.M.), at
in the County of
Respondent did
,
______________________
*
.
As to each count, specify the date, time, place,
county, and a concise statement supporting every element of the crime charged,
including the section of the Penal Law or other law under which Respondent is
charged.
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Form 3-7 page 2
which act if committed by an adult would constitute the crime of
defined by section
of the (Penal Law)(
**)
as
[Set forth class of felony or misdemeanor
for each section]
.
***6. (The name(s) of other persons who are charged as (co-respondent(s))
(and) (adult(s)) in a (criminal) (supreme) court proceeding) (is) (are):
[Specify as to each count where appropriate.]
.)
7. The following are the names and addresses of the parent(s) or other person(s)
legally responsible for the care of Respondent or with whom Respondent resides:
RELATIONSHIP
NAME
RESIDENCE
.
8. As to the allegations made herein upon information and belief, the
Presentment Agency's information and grounds of belief are (the statements and
admissions of Respondent.) (The statements and depositions of witnesses now on file
with this Court.) (
.)
9. Respondent requires supervision, treatment, or confinement.
WHEREFORE, the undersigned prays that the Respondent be adjudged a
juvenile delinquent and dealt with in accordance with the provisions of article 3 of the
Family Court Act.
Dated:
,
.
_______________________________
Authorized Presentment Agency
By_____________________________
_______________________________
Title
_____________________
**
Specify other law.
*** Delete if inapplicable.
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Form 3-7 page 3
VERIFICATION
(Ag ency)
STATE OF NEW YORK )
) ss.:
COUNTY OF
)
, being duly sworn, deposes and says:
That (s)he is the
of
, an agency authorized to originate the above-entitled proceeding, and
is acquainted with the facts and circumstances therein; the (s)he has read the foregoing
and knows the contents thereof; that the same is true to (his) (her) own knowledge,
except as to matters therein stated to be alleged on information and belief and as to
those matters (s)he believes it to be true.
_______________________________
Name
_______________________________
Title
Sworn to before me this
day of
,
.
_________________________________
Notary Public
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