WAIVER OF PRELIMINARY HEARING AND CERTIFICATION Commonwealth of Virginia Case No. VA. CODE § 16.1-269.1(B) & (C) Juvenile and Domestic Relations District Court In re: I am fourteen years of age or older and have been charged with the following offenses which if committed by an adult, would be felonies and could be punishable by confinement in a state correctional facility: I understand that I have the right to a preliminary hearing before the Court named above to determine whether there is probable cause to believe that I committed a felony AND having the consequences of my waiver explained to me by the Judge of this Court, I nevertheless WAIVE MY RIGHT TO A PRELIMINARY HEARING on the felony offenses named above. JUVENILE'S SIGNATURE DATE ATTORNEY FOR THE JUVENILE ORDER The above-named felony offenses and the following ancillary charges: are ORDERED certified to the grand jury of the Circuit Court of this jurisdiction. The Court further ORDERS that the juvenile be: Remanded to jail. Released into the care and custody of the juvenile's parent(s), guardian or person standing in loco parentis. Bail is set in the amount of $ Continued on bail in the amount of $ detention facility. Detained in the DATE JUDGE FORM DC-521 (PAGE ONE OF ONE) 4/97 PDF American LegalNet, Inc. www.USCourtForms.com