Superior Court of Washington County of _______________________ Juvenile Court (School District) vs. Respondent(s) Petitioner No: Community Truancy Board Return of Case (CTBRC) [_________________________________] (Name of School) Student Student's D.O.B. ___/___/___ Parent(s) On __________________________, the court referred the truancy of ___________________________, student, to the Community Truancy Board. The Community Truancy Board met with the student parent(s) on _________________________________________________________ (date). The parties did not reach an agreement. The parties reached an agreement but the parent(s) student did not comply with the agreement within the timeline for completion set by the Community Truancy Board. The Community Truancy Board returns the case to the juvenile court. DATED: ___________________________________ Signature ___________________________________ Print Name ___________________________________ Address ___________________________________ Comm Truancy Bd Return of Case (CTBRC) - Page 1 of 1 WPF JU 13.0400 (06/2016) - RCW 28A.225.035(6) American LegalNet, Inc. www.FormsWorkFlow.com