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Interstate Compact On Juveniles Out Of State Travel Permit And Agreement To Return ICJ 11 - Alabama
| Interstate Compact On Juveniles Out Of State Travel Permit And Agreement To Return Form. This is a Alabama form and can be used in Juvenile Statewide . |
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INTERSTATE COMPACT ON JUVENILES OUT OF STATE TRAVEL PERMIT AND AGREEMENT TO RETURN VACATION/VISIT ONLY To: (Receiving State) VISIT FOR TESTING PLACEMENT From: (Sending State) TRAVEL PERMIT From: (Name, Title) (Agency/Department) (Phone #) Re: (Juvenile's Name) (DOB) (Race/Sex) (Offense/s) (Court/Agency #) (Legal Status) Present Placement(check one): Detention Furlough Residential Foster Care Community Other (Specify) Location: (Address) Permission is granted to the above-named juvenile to visit the State of until at (Full Address) (City) (State) from (Date) (Name) (Relationship) . (Date) He She will be staying with (Zip) (Phone #) Reason for Visit: Mode of Transportation: Special Instructions: Completed by: (Name) (Title) (Date) I, the undersigned, recognize that I am under the legal custody/jurisdiction of the State of Department/Court . I hereby agree that I will comply with the rules and regulations of my State of jurisdiction and the State of and with the above conditions and instructions. I will return to the State of on voluntarily and without further formality. In signing this agreement, I also understand that my failure to comply with the conditions may result in my being considered absent without leave AWOL), and a warrant and requisition may be issued for my apprehension and return to the State of for further disciplinary action. I have read the above OR I have had the above read and explained to me, and I understand the meaning of it and agree thereto. _________________________________________________________ (Juvenile's Signature) (Date) Witnessed by: ________________________________________________________________________________________________ (Signature of Caseworker or Probation/Parole Officer) (Title) (Date) Approved by: ________________________________________________________________________________________________ (Signature of Supervisor) (Title) (Date) This is the official ICJ Travel Permit as approved by AJCA in August 2000. No state or other governmental entity party to the Interstate Compact on Juveniles may change, alter or otherwise modify any form that has been approved and adopted for use by the Association of Juvenile Compact Administrators. No other form may be substituted. (See Rule 3-103: Revision/Modification of Forms) ICJ TRAVEL PERMIT REVISED JANUARY 2007 American LegalNet, Inc. www.FormsWorkFlow.com
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