Court Referral Child Juvenile Non Law Enforcement Referral
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Court Referral Child Juvenile Non Law Enforcement Referral Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Court Referral Child Juvenile Non Law Enforcement Referral, JD-1702, Wisconsin Statewide, Circuit Court
JD-1702, 05/00 Court Referral - Child/Juvenile (Non-Law Enforcement Referral) 24724748.24 and 938.24, Wisconsin Statutes.This form shall not be modified. It may be supplemented with additional material.State of Wisconsin, Circuit Court, County 1. Intake Case Number Court Referral - Child/Juvenile(Non-Law Enforcement Referral)2. Court Case Number 3. Child's/Juvenile's Name (Last, First, Middle) 4. Alias/Nickname 5. Age 6. Date of Birth 7. Sex Male Female 8. Child's/Juvenile's Street AddressCityStateZip Code 9. County of Residence 10. Race 1. White2. Black3. Asian4. Indian5. Other 11. Home Telephone 12. School Attended/Place of Employment 13. Grade/Occupation 14. Legal Father's NameAddress Marital Status Work: Home: 15. Legal Mother's NameAddress Marital Status Work: Home: 16. Guardian/Legal Custodian/Supervising AgencyAddress Marital Status TELEPHONEWork: Home: 17. Name of Referring AgencyAddress 18. Telephone Number 19. Prior Record with Referring Agency: No YesIf yes, describe manner of handling: Additional information attached.20. Name of Referring Person 21. Reason(s) for Referral:Statute Number(s): Describe Allegation(s): Additional information attached. INTAKE INQUIRY RECOMMENDATION22. Date Received 23. Interview Date and Time: 24. Present at Interview: 25. Custody Authorization: Released DetainedDate: Time: Nonsecure: Secure: 26. Prior Referrals to Intake: No Yes How Many? 27. Intake Recommendation - Check all appropriate boxes. A. Case Closed Dismissed - lacks jurisdiction Counseled Referred to Other County Other: (Specify) B. Deferred Prosecution/Informal Disposition AgreementExpires: Supervised Work Program: hrs. Informal Supervision Other: (Specify) C. Formal Petition Requested In Need of Protection/Services under ch. 48 In Need of Protection/Services under ch. 938 28. Comments: 29. Name of Intake Worker/Agency 30. Signature31. Telephone 32. Date Recommended American LegalNet, Inc. www.FormsWorkFlow.com
