IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEEIN THE MATTER OFChild(ren) under 18 years of ageDocket Number PETITIONTo the Honorable Dan H. Michael, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee:Your petitioner respectfully represents to the Court on information and belief that: þ 1. þ Said child(ren) is/are dependent and neglected within the meaning of the law of the State of Tennessee in that said child(ren) þ 2. þ Said child(ren) is/are in need of the protection and assistance of the Court and adjudication of custody and guardianship as provided by law. þ 3. þ It is in the best interest of said child(ren) and the public that this proceeding be brought. þ 4. þ The father is , residing at . þ 5. þ The mother is , residing at . þ 6. þ The child(ren) is/are in the custody and control of , residing at , and the petitioner requests thatPremises considered, petitioner prays that the Court make inquiry into the allegations herein set forth and make such orders as the Court may deem proper and in the best interest of said child(ren).PetitionerAddress AFFIDAVITSTATE OF TENNESSEECOUNTY OF SHELBYBefore me personally appeared the petitioner in the foregoing petition, who makes oath that the statements therein are true to the best of his knowledge, information and belief.PetitionerSworn to and subscribed before me this day of , 20 .JANIS FULLILOVE, Clerk of CourtBy D. C.JC-002REV A09/01/2018 American LegalNet, Inc. www.FormsWorkFlow.com