New Hampshire > Statewide > Family Division > Juvenile Delinquency
Juvenile Petition NHJB-2184-DF - New Hampshire
| Juvenile Petition Form. This is a New Hampshire form and can be used in Juvenile Delinquency Family Division Statewide . |
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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) JUVENILE PETITION: 1. Juvenile name (Ethnicity for statistical use only): Black or African American Hispanic Address 2. Father name Address Telephone number (Home) 3. Mother name Address Telephone number (Home) 4. Physical custodian of the juvenile Address 5. Petitioner name and organization Address CHINS (RSA 169-D) or (Gender) Delinquency (RSA 169-B) M F Date of Birth Asian White American Indian/Alaskan Native Native Hawaiian/Other Pacific Islander Unable to Determine Date of Birth (Work) Date of Birth (Work) Relationship to Juvenile Telephone number Telephone number 6. The petitioner represents that the juvenile is A CHILD IN NEED OF SERVICES (CHINS) and that the Letter of Consent from the Department of Health and Human Services is attached to this Petition. DELINQUENT in that he/she is alleged to have committed the offense of contrary to RSA Check: Felony offense Class A Class A Misdemeanor Felony offense Class B Class B Misdemeanor Violation 7. Date(s) and time(s) of alleged offense Location of alleged offense 8. Details or facts of alleged offense 9. Petitioner screened this case for Diversion and determined it inappropriate because: SEE BACK FOR IMPORTANT INFORMATION AND FINANCIAL OBLIGATIONS NHJB-2184-DF (09/30/2011) American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: JUVENILE PETITION CHINS or DELINQUENCY I swear or affirm that the foregoing information is true and correct to the best of my knowledge. Date Petitioner Signature State of , County of This instrument was acknowledged before me on by My Commission Expires Affix Seal, if any Signature of Notarial Officer / Title ORDER AND NOTICE OF HEARING A hearing will be held on this petition on at a.m./p.m. at the above-noted court and , the parent(s) or other person(s) having custody or control of the child, is/are hereby ordered to appear at the hearing with the juvenile. Date Clerk/Deputy Clerk STATEMENT OF RIGHTS AND FINANCIAL OBLIGATIONS You (the petitioned juvenile) are advised that you have a right to be represented by an attorney, unless you waive or give up that right by signing a waiver. If you desire an attorney, you should hire one before the date set for the hearing. If you are unable to afford an attorney, the Court, at the Arraignment, will appoint an attorney to represent you. In the event that you need additional time to obtain an attorney or prepare a response to this petition, application should be made to the Court for an extension of time. You are further advised that you have the right to remain silent and need not make any statements or give any evidence which might show that you have committed the offense stated in the petition. Your silence even in the face of an accusation cannot be used against you. Pursuant to RSA 169-D:29 (CHINS) and RSA 169-B:40 (DELINQUENCY), parents and other individuals chargeable by law for the minor's support and necessities may be liable for expenses incurred in the proceeding, including the costs of certain evaluations and placements and the cost of court-appointed counsel. RSA 186-C regarding educationally disabled children grants children and their parents certain rights to services from school districts at public expense and to appeal school district decisions regarding services to be provided. NHJB-2184-DF (09/30/2011) American LegalNet, Inc. www.FormsWorkFlow.com
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