Order For Nonsecure Custody
Order For Nonsecure Custody Form. This is a North Carolina form and can be use in Juvenile Statewide.
Tags: Order For Nonsecure Custody, J-150, North Carolina Statewide, Juvenile
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : STATE OF NORTH CAROLINA : County CalendarThe General Court Of Justice In No. District Court Division IN THE MATTER OF: Name And Address Of Juvenile IndexFile No. No. Plaintiff(s) -against- : JUDICIAL SUBPOENA : ORDER FOR : NONSECURE CUSTODY (ABUSE/NEGLECT/DEPENDENCY) Juvenile's Date Of Birth Age Race : Sex G.S. 7B-502 through -505, -508 Name Defendant(s)And Address Of Parent/Guardian/Custodian/Caretaker : ...................................................... Name And Address Of Parent/Guardian/Custodian/Caretaker THE PEOPLE OF THE STATE OF NEW YORK 1. As grounds for the issuance of this Order, the Court finds that there is a reasonable factual basis to believe that the matters alleged in the petition are true, that there are no other reasonable means available to protect the juvenile, and: (check one or more) TO a. the juvenile has been abandoned. b. the juvenile has suffered physical injury or sexual abuse. c. the juvenile is exposed to a substantial risk of physical injury or sexual abuse because the parent, guardian, custodian, or caretaker has created conditions likely to cause injury or abuse or has failed to provide, or is unable to provide, adequate GREETINGS: or protection. supervision d. the juvenile is in need of medical treatment to cure, alleviate, or prevent suffering serious physical harm which may result WE disfigurement, YOU, that all business and excuses being laid aside, you and each of you attend before in death, COMMAND or substantial impairment of bodily functions, and the juvenile's parent, guardian, custodian, or the Honorable is unwilling or unable to provide or consent thethe medical treatment. at to Court caretaker located at consents to the nonsecure custody order. County of e. the parent, guardian, custodian, or caretaker in room juvenile is ,aon the and day of to nonsecure custody. , 20 , at o'clock in the noon, and at any recessed f. the runaway consents or adjourned date, to testify and give evidence as a witness in this action on the part of the 2. Efforts by DSS to prevent or eliminate the need for the juvenile's placement include: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. OR 3. Efforts to prevent the need for the juvenile's placement were precluded by an immediate threat of harm to the juvenile, and placement of the juvenile in the absence of such efforts was reasonable. Witness, Honorable , one of the Justices of the Court in County, day of , 20 (Attorney must sign above and type name TO ANY LAW ENFORCEMENT OFFICER OR DIRECTOR OF A COUNTY DEPARTMENT OF SOCIAL below) SERVICES YOU ARE ORDERED to assume custody of the above named juvenile(s) for placement in nonsecure custody and to make due return on this order. You are also ordered to give a copy of this Order to the juvenile's parent, guardian, custodian or caretaker named above. Attorney(s) for The juvenile(s) shall be placed in nonsecure custody with: 1. the Department of Social Services of the county named above. The department may place the juvenile in a licensed foster home, a home otherwise authorized by law to provide temporary residential care, a facility operated by the department, or the following relative's home or other home or facility, which the Court hereby approves: . Office and P.O. Address The department is authorized to arrange for and consent to: a. any medical, surgical, remedial, educational, psychological, or psychiatric testing, treatment or evaluation, including CME or CMHE evaluations, that the department determines to be appropriate for the juvenile. Telephone No.: b. only the following types of testing, treatment, or evaluation: AOC-J-150, Rev. 4/06 © 2006 Administrative Office of the Courts (Over) Facsimile No.: E-Mail Address: Mobile Tel. No.: . American LegalNet, Inc. www.FormsWorkflow.com , COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : 2. (designate person, if the Court places the juvenile directly, not through DSS) Index No. Calendar or someone else shall be held: A further hearing to determine the need for continued nonsecure custody, : whether with DSSNo. Date of Hearing Time Of Hearing Place of Hearing : AM PM Plaintiff(s) -against- Date Signature Of Judge/Judge's Designee : Maximum Duration Of Custody Name Of Judge : If the person above gives telephonic approval: Time JUDICIAL SUBPOENA Judge's Designee (Type Or Print) : Name And Title Of Person Receiving Telephonic Approval Signature Of Person Receiving Telephonic Approval Defendant(s) : . . . . . . . . . . . .AM . . . . PM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. RETURN ON ORDER Date Order Received Date Order Returned 1. The juvenile named above was takenOF NEW YORK THE PEOPLE OF THE STATE into custody at AM PM, on (date) , and taken to ., ITO a copy of this Order to the person named below. gave 2. Though diligently sought, the juvenile named above could not be found in this county. (Add any comments or information about the juvenile's possible whereabouts.) GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Name Of Person Who Has Personally Received A Copy Of This Order Signature And Title Of Person Making Return Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to theJuvenile on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a party Relationship To Department Or Agency result of your failure to comply. Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address AOC-J-150, Side Two, Rev. 4/06 © 2006 Administrative Office of the Courts Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.FormsWorkflow.com