JV-640
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):
FAX NO. (Optional):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:
CHILD'S NAME:
JUVENILE COURT DELINQUENCY PROCEEDING
Initial Hearing Date of Hearing: Judicial Officer: Detention Jurisdiction Time: Court Clerk: Disposition
CASE NUMBER:
Transfer In/Out Location: Court Reporter:
Other (specify):
Bailiff: Interpreter: a. Child's Name: c. Child's Custody Status: d. Parent's Name and Address:
Other Court Personnel: Language: b. Child's Address:
Probation Officer: Child's Date of Birth:
e. Parent's Name and Address: Mother Father Mother Father
1. Persons present: a. b. c. d. e. f. Parent (name): Parent (name): Relative (name and relationship to child): Relative (name and relationship to child): Legal guardian (name): Others with consent of child or approval of the court (name and relationship to child): Mother Mother Father Father
2. Attorneys present: a. b. c. d. For child (name): Prosecutor (name): For parent (name): Other (names and indication of party represented):
Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California JV-640 [New January 1, 2006]
JUVENILE COURT DELINQUENCY PROCEEDING
Welfare and Institutions Code, ยงยง 650, 656, 676 www.courtinfo.ca.gov American LegalNet, Inc. www.USCourtForms.com