Juvenile Petition Misdemeanor Assault Delinquent Form. This is a North Carolina form and can be use in Juvenile Statewide.
Tags: Juvenile Petition Misdemeanor Assault Delinquent, J-312, North Carolina Statewide, Juvenile
File No. STATE OF NORTH CAROLINA In The General Court Of Justice District Court Division County IN THE MATTER OF: Name And Address Of Juvenile JUVENILE PETITION MISDEMEANOR ASSAULT (DELINQUENT) Age Juvenile's Date Of Birth Race Sex G.S. 7B-1501(7), -1801, -1802 Category Of Offense Name Of Petitioner Misdemeanor, Class Offense Code Offense In Violation Of G.S. Physical Address Of Offense, If Applicable Date Of Offense Time Of Offense AM PM I have sufficient knowledge or information to believe that a case has arisen that invokes the juvenile jurisdiction of the court, and therefore allege that: 1. The juvenile named above is under the age of eighteen (18) and committed a delinquent act in this district while under the age of sixteen (16). 2. The names, addresses and telephone numbers of the juvenile's parents, guardian, or custodian are as follows: NAME RELATIONSHIP/TITLE ADDRESS TELEPHONE NO. 3. The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of offense shown and in the county named above the juvenile unlawfully and willfully did assault I. SIMPLE ASSAULT [G.S. 14-33(a)] and strike (name person) by . II. ASSAULT INFLICTING SERIOUS INJURY [G.S. 14-33(c)(1)] and strike (name person) by thereby inflicting serious injury (describe injury) , . III. ASSAULT WITH A DEADLY WEAPON [G.S. 14-33(c)(1)] (name person) with a deadly weapon, a (describe weapon) by , . IV. ASSAULT ON A PERSON UNDER TWELVE [G.S. 14-33(c)(3)] and strike , . (name person) a child under the age of 12, by AOC-J-312, Rev. 10/08 © 2008 Administrative Office of the Courts (See additional offenses on reverse) American LegalNet, Inc. www.FormsWorkflow.com V. ASSAULT BY POINTING A GUN [G.S. 14-34] (name person) by intentionally pointing a gun (describe gun), at such person without legal justification. , VI. ASSAULT ON GOVERNMENT OFFICER/EMPLOYEE [G.S. 14-33(c)(4)] and strike , (name person) a government officer employee, by (describe assault) . At the time of the offense the officer or employee named above was attempting to discharge the following duty of his/her office or employment . I request the court to hear the case to determine whether the allegations are true and whether the juvenile is within the jurisdiction of the Court as a delinquent juvenile. VERIFICATION Being first duly sworn, I say that I have read the allegations in the petition and that the same are true to my own knowledge, except as to those matters alleged upon information and belief, and as to those, I believe them to be true. Signature Of Petitioner SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Signature Of Person Authorized To Administer Oaths Date Deputy CSC Assistant CSC Address City, State, Zip Clerk Of Superior Court Magistrate Date My Commission Expires Agency (if applicable) County Where Notarized Title (if applicable) Notary Telephone No. SEAL Witness(es) Name Telephone No. Address Date Complaint Received By Department Of Juvenile Justice And Delinquency Prevention 15-DAY EXTENSION OF TIME TO FILE PETITION Pursuant to G.S. 7B-1703, at the discretion of the undersigned chief court counselor, the time to file a petition in the above captioned case is extended 15 days. Date Name Of Chief Court Counselor Signature Of Chief Court Counselor Decision of Court Counselor Regarding the Filing of the Petition Date 1. Approved for Filing 2. Not Approved for Filing a. Closed b. Diverted and Retained Time AM PM Name Of Court Counselor Giving Telephonic Approval Name And Title Of Person Receiving Telephonic Approval Date Signature Of Person Receiving Telephonic Approval Signature Of Court Counselor Post-Diversion Approval For Filing Of Petition Date Signature Of Court Counselor Approved for Filing AOC-J-312, Side Two, Rev. 10/08 © 2008 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkflow.com