Tennessee > Local County > Shelby > Juvenile Court
Petition - Hospitalization Of Mentally Ill Child JC-2A - Tennessee
| Petition - Hospitalization Of Mentally Ill Child 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 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 is in need of treatment or rehabilitation and should be hospitalized. 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 _____ STEVE STAMSON, Clerk of Court By __________________________________ D. C. 9/1/06 JC-2A American LegalNet, Inc. www.FormsWorkflow.com
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