JUVENILE DOCKET JUVENILE COURT OF ___________________ COUNTY Case Number:______________________________
Name: Address: Race: ( ) White Age: Complaint: ( ) Delinquency _____ Fel. _____ Misd. ( ) Deprivation ( ) Termination of Parental Rights ( ) Traffic ( ) Special Proceedings Referral Source: Attorney Type: Retained / / / / Care / / / / / / ( ) Pub. Defender ( ) Private Appointed ( ) None Amount: $ DOB: ( ) Black / / ( ) Am. Indian Sex: ( ) Hispanic ( ) Female ( ) Asian ( ) Other
( ) Male
( ) Unruly
( ) Private
( ) County Attorney Date of Bond Type: Date Complaint Received Date Child Taken Into Custody Date Detained or Placed Detention Hearing Date
( ) RYDC ( ) Shelter
( ) Attention Home ( ) Other
( ) Foster
Released To: / / / / / / / / / / Date Petition Filed Date of Arraignment, if held Dismissed or Withdrawn Prior to Adjudication Date Continuation of Adjudicatory Hearing is Granted Adjudicatory Hearing Date:
Rev. 01/2001
JUV-16
OFFENSE DISPOSITION ( ( ( ( ( ) ) ) ) ) Adjudicated ( ) Amended/Reduced Transferred to Another Juvenile Court Transferred to Superior Court Informal Adjustment ( ) Order Entered Denied CASE DISPOSITION Date of Disposition Informal Adjustment Probation/Supervision Probation - Detention under OCGA §15-11-66(b) Detention under OCGA §15-11-66(b) Committed to DJJ Committed - Designated Felony Restrictive Custody for: Months ( ) Committed - Detention under OCGA §15-11-66(b) ( ) Committed - DHR ( ) Traffic Fine ( ) Dismissed ( ) Custody Other Name/Relationship: ( ) Custody to DFCS ( ) Transferred to Other Juvenile Court ( ) Transferred to Superior Court ( ) Granted ( ) Denied ( ) Review Order Entered Disposition by: ( ) Judge, Name: ( ) Associate Judge, Name: ( ) Officer of the Court, Name: Appealed ( ) Yes ( ) No Date of Notice: Date of Remittitur: / / Findings: Motions, Remarks: / ( ( ( ( ( ( / ) ) ) ) ) ) ( ) Dismissed
( ) Granted
/
/
Rev. 01/2001
JUV-16