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THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name: Case Name: Case Number:
(if known)
NOTIFICATION OF PARENTAL RESPONSIBILITY IN A DELINQUENCY CASE
Pursuant to RSA 169-B:2-a
Any parent or parents, guardian or other person responsible for the welfare of a juvenile alleged to be delinquent has the obligation to: 1. Personally attend and assure the attendance of the juvenile at all court hearings; 2. Personally attend and assure the attendance of the juvenile at all meetings with Health and Human Services and other collateral support service agencies occasioned by the action; 3. Fully participate in all services ordered by the Court including, but not limited to, substance abuse treatment, parenting classes, mediation, and community service; 4. Pay a portion, or all, of any restitution of fines imposed by the Court, when the Court finds payment by the parent to be in the interest of Justice and rehabilitation; and 5. Supervise the minor's compliance with all orders of the Court and conditions of release and probation including, but not limited to, curfew, school attendance and general behavior; Failure to supervise or otherwise accept responsibility as set out above may be treated as contempt of court, punishable by up to a $1,000.00 fine and 90 days imprisonment. It shall be a defense to any such charge of contempt that the parent, guardian or such other person or persons having custody of the juvenile made reasonable efforts to comply.
Date
Signature/Relationship to Juvenile
Date
Signature/Relationship to Juvenile
Date
Signature of Attorney
I have reviewed this acknowledgment with the above person(s) and have determined he/she understands the parental responsibilities. So Ordered:
Date
Signature of Judge
Printed Name of Judge
NHJB-2355-DF (12/06/2006)
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