MT TO ASSUME JURISDICTION/ORDER (MT and ORAJ) - Page 1 of 2 WPF JU 13.0800 (9/2000) - RCW 28A.225.035(15) SUPERIOR COURT OF WASHINGTON COUNTY OF JUVENILE COURT (School District) Petitioner vs. Respondent(s) Parent Student Student222s D.O.B. // NO: MOTION TO ASSUME JURISDICTION AND ORDER ASSUMING JURISDICTION (MT and ORAJ) [] (Name of School) [Clerk222s action required] I. MOTION 1.1 Based upon the following declaration, the school district parent(s)/guardian(s) moves the court for an order assuming jurisdiction of the truancy case involving student, cause number: in County Juvenile Court. II. DECLARATION 2.1 I am the parent(s)/guardian(s) of the student. On (date), the student relocated to County from County. 2.2 I am an employee of the School District. The school district222s records indicate that , the student, relocated to County. I declare under penalty of perjury under the laws of the state of Washington that the forgoing is true and correct. SIGNED on: at , Washington. Signature Address Print name American LegalNet, Inc. www.FormsWorkFlow.com MT TO ASSUME JURISDICTION/ORDER (MT and ORAJ) - Page 2 of 2 WPF JU 13.0800 (9/2000) - RCW 28A.225.035(15) III. ORDER 3.1 THIS COURT assumes jurisdiction of the truancy case involving , the student, originally filed in the County Juvenile Court, Cause Number: . 3.2 The court clerk of County is directed to transfer the file to the court clerk of County. DATED: JUDGE/COMMISSIONER American LegalNet, Inc. www.FormsWorkFlow.com