Free JUV02 - Georgia

COMPLAINT IN THE JUVENILE COURT OF __________________________ COUNTY, GEORGIA Case Number _______________________________________________________________________________ Name: (Last, F.M.) Age: AKA: DOB: / / _______________________________________________________________________________ Race: Lives Res.: __________________________ Sex: With: Bus.: _______________________________________________________________________________
(Name) (Phone)

Child's Address: _______________________________________________________________________________
(Street) (Apt. #) (City) (County) (State) (Zip)

Mother's Res.: __________________________ Name: Phone: Bus.: _______________________________________________________________________________
(Include Mother's Maiden Name In Parentheses)

Mother's Address: _______________________________________________________________________________
(Street) (Apt. #) (City) (County) (State) (Zip)

Father's Res.: __________________________ Name: Phone: Bus.: _______________________________________________________________________________ Father's Address: _______________________________________________________________________________
(Street) (Apt. #) (City) (County) (State) (Zip)

Legal Res.: __________________________ Custodian: Phone: Bus.: _______________________________________________________________________________ Custodian's Address: _______________________________________________________________________________
(Street) (Apt. #) (City) (County) (State) (Zip)

Complaint: / / _______________________________________________________________________________
(Code Section) (Misd./Fel.) Date of Offense

Complaint: / / _______________________________________________________________________________
(Code Section) (Misd./Fel.) Date of Offense

Complaint: / / _______________________________________________________________________________
(Code Section) (Misd./Fel.) Date of Offense

Rev. 01/2001

JUV-2

_________________ Case Number Taken Into Custody: Yes ( ) No ( ) By Whom: _______________________________________________________________________________
(Name) (Agency)

Placement of Date: / / Deprived Child: Time: _______________________________________________________________________________ Person notified: Date: / / By: VIA: Time: ______________________________________________________________________________ Place Date: / / Detained: Yes ( ) No ( ) Detained: Time: Authorized by: _______________________________________________________________________________ Released To: Date: / / Relation: Time: _______________________________________________________________________________ Co-perpetrator: _______________________________________________________________________________
(Name and Age)

Co-perpetrator: _______________________________________________________________________________
(Name and Age)

Victim's Name: Phone #: Victim's Address: _______________________________________________________________________________ Victim's Name: Phone #: Victim's Address: _______________________________________________________________________________ Give Complete Details of Offense(s) or Complaint(s) and Apprehension:

_______________________________________________________________________________ Investigating Agency: Officer: P.D. Report #: Phone #: _______________________________________________________________________________ Complainant's Complainant's Name:______________________________ Address: Signature: Date: Phone: _______________________________________________________________________________

Rev. 01/2001

JUV-2