Tennessee > Local County > Shelby > Juvenile Court
Petition - Commit Mentally Ill Child To Department Of Childrens Services JC-2B - Tennessee
| Petition - Commit Mentally Ill Child To Department Of Childrens Services Form. This is a Tennessee form and can be used in Juvenile Court Shelby Local County . |
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IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEE IN THE MATTER OF Docket Number ____________________________ A child(ren) under 18 years of age PETITION To the Honorable Curtis S. Person, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee: Your petitioner respectfully represents to the Court on information and belief that: 1. Said child is mentally ill and needs care, training, or treatment because of the mental illness. 2. It is in the best interest of the child and the public that this proceeding be brought. 3. Said child should be placed in the temporary custody of the Department of Children's Services as provided by law. 4. The father is ______________________________, residing at _________________________________. 5. The mother is _____________________________, residing at _________________________________. 6. The child is in the custody and control of ____________________________________________, residing at __________________________________________________________________________________. Premises considered, petitioner prays that the Court make inquiry into the allegations herein set forth and make such orders as the Court may deem proper within its jurisdiction. ____________________________________________ Petitioner ___________________________________________ Address AFFIDAVIT STATE OF TENNESSEE COUNTY OF SHELBY Before me personally appeared the petitioner in the foregoing petition, who makes oath that the statements therein are true to the best of his knowledge, information and belief. ___________________________________________ Petitioner Sworn to and subscribed before me this __________ day of _________________________________, 20 _____ JOY TOULIATOS, Clerk of Court By __________________________________ D. C. 9/1/10 American LegalNet, Inc. www.FormsWorkFlow.com JC-2B
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