JD-1751, 11/18 Teen Court Referral 247247938.34(2m), 938.342(1)(f), and 938.344(2g)(a)4, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Name Date of Birth Teen Court Referral Case No. To Teen Court Administrator: 1. The court has ordered the juvenile to participate in a teen court program. determined that participation in a teen court program will likely benefit the community and the juvenile. 2. The juvenile is alleged to have committed a delinquent act that would be a misdemeanor if committed by an adult. in violation of a civil law or ordinance. in violation of certain intoxicating liquor, beer or drug violations. in violation of a municipal truancy or school dropout ordinance violation. 3. The juvenile admitted or pleaded no contest in open court, with the parent, guardian or legal custodian present, to the allegation. 4. The juvenile has not successfully completed participation in a teen court program during the two years before the date of the violation. IT IS ORDERED: The teen court conduct appropriate proceedings concerning this juvenile and report the results to this court. DISTRIBUTION: 1. Court 2. Teen Court Administrator 3. Juvenile/Juvenile's Attorney 4. Parent(s)/Guardian/Legal Custodian/Attorney American LegalNet, Inc. www.FormsWorkFlow.com