STATE OF SOUTH CAROLINA COUNTY OF _______________________ A JUVENILE A Child under Seventeen (17) Years of Age ) IN THE FAMILY COURT ) ____JUDICIAL CIRCUIT ) ) ) ) JUVENILE PETITION ) ) ) ) ) Docket No. ____________________________ ___________________________, the Petitioner, having sufficient knowledge to believe that a case has arisen which invokes the juvenile jurisdiction of the court alleges: 1. 2. That the above named juvenile resides in or was found in ____________________ County. That the names and addresses of the child's parents/guardians/custodians are as follows: Name Relationship Address 3. The above named juvenile was a delinquent child, in that on ( he/ / / ), in _________________ County, S.C. ( she) did: _______________________________________ __________________________________________________________________________________ in violation of Section(s)______________________________________________________________, Code of Law of South Carolina (1976). 4. That the above named juvenile was less than seventeen (17) years of age when the above mentioned acts occurred. WHEREFORE, the petitioner prays that the court determine whether these allegations are true and whether the juvenile is in need of the care, protection or discipline of the State. Petitioner VERIFICATION MUST BE ATTACHED SCCA 481 (12/2009) American LegalNet, Inc. www.FormsWorkFlow.com