Legal Information (Social History Serial) {JU-12}

State of Alabama Unified Judicial System Form JU­12B Rev. 6/13 LEGAL INFORMATION (SOCIAL HISTORY SERIAL) Court Case Number IN THE JUVENILE COURT OF _________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of _______________________________________________________________________, a child (Name of Child) Part I PRIOR JUVENILE COURT RECORD: Date Offense / Matter Disposition Part II CHILD'S ATTITUDES TOWARD CURRENT OFFENSE AND HIS STATEMENT: Part III COMPLAINANT'S (Victim's) STATEMENT AND ATTITUDES TOWARD CURRENT OFFENSE: Part IV PARENT'S ATTITUDES TOWARD OFFENSE: Part V PARENT'S PRIOR POLICE RECORD: _________________________________ Date _______________________________________________ Signature of Juvenile Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU-12C Rev. 6/13 SCHOOL INFORMATION (SOCIAL HISTORY SERIAL) Court Case Number IN THE JUVENILE COURT OF ____________________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of___________________________________________________________________________________, a child (Name of Child) Current School:____________________________________________________________________________________________ Schools Previously Attended:_________________________________________________________________________________ Grades Repeated (if applicable):______________________________________________________________________________ Present Grade: __________________ Test Given:______________________ Results: ________________________ Date Given:_______________________ Functional Grade Level: ________________ Academic Record: Record Attached, Report card, etc. Current Year 1 2 Last Year 345 Subject 1. 2. 3. 4. 5. 6. 3 4 5 6 Yr. 1. 2. 3. 4. 5. 6. Subject 1 2 6 Yr. Attendance: Required Days: ______________________________ Days Present: ________________________________ Excused Absences: ____________________________ Unexcused Absences: __________________________ Conduct Reports, Behavior, Attitude Towards School & Persons in Authority: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Extracurricular Activities: _______________________________________________________________________________________________ _______________________________________________________________________________________________ School Officials Contacted: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Phone: ________________________________ ___________________________________ Date ___________________________________ Date _______________________________________________ Signature of School Official _______________________________________________ Signature of Juvenile Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU ­ 12D Rev. 6/13 PROFILE OF CHILD (SOCIAL HISTORY SERIAL) Court Case Number IN THE JUVENILE COURT OF ___________________________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of ___________________________________________________________________________________, a child (Name of Child) A profile of the child should include comments about physical appearance; self-image (how the child sees himself/herself); general attitude towards authority, parents, school and police; peer relationships; strengths, weaknesses, and attributes the child has that could help him/her through problems; employment history (full-time and part-time); interests, hobbies and activities; special placements (i.e., special education, foster homes, vocational rehabilitation, etc); description of programs and adjustment, length of stay, reasons for removal; and other pertinent comments or analysis. __________________________________ Date _____________________________________________ Signature of Juvenile Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU-12E Rev. 6/13 Court Case Number FAMILY­HOME INFORMATION (SOCIAL HISTORY SERIAL) IN THE JUVENILE COURT OF _____________________________________________________________COUNTY, ALABAMA (Name of County) In the Matter of ____________________________________, a child (Name of Child) Description of Home: Age: _________ Sibling Rank By Birth: ____________ Family Information: Comment on all pertinent information about the child's family, and income; parents' marital status and marital history; medical problems; recurring illnesses, mental or physical; family activities; general relationships among parents, child, child's siblings; attitude of parents toward offense; etc. Other agencies working with family or individual member: (Past or present) _________________________________ Date _________________________________________________________ Signature of Juvenile Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU­12F Rev. 6/13 MEDICAL INFORMATION (SOCIAL HISTORY SERIAL) Court Case Number IN THE JUVENILE COURT OF _______________________________________________ COUNTY, ALABAMA (Name of County) In the Matter of _________________________________________________________________________, a child (Name of Child) Health History: Physical History (List diseases, physical handicaps, or surgical history): Last Physical Exam (date, doctor, results): Name of Family Doctor: ____________________________ Office Address: __________________________________ ________________________________________________ Phone: ______________________________ Hospital Plan: _______________________________ Medicaid No.: _______________________________ Psychiatric History: Immunizations ­ Childhood Diseases: Other Comments: (Immediate problems, current treatments, habits, diet and other factors detrimental to health, medical complaints and problems) _________________________________ Date ____________________________________________________ Signature of Probation Officer American LegalNet, Inc. www.FormsWorkFlow.com State of Alabama Unified Judicial System Form JU-12G Rev. 6/13 SUMMAR