JUVENILE OFFENDER FORMS LIST
COMMENCEMENT OF ACTION
Form #
Name
301
Complaint
302
Juvenile Information Sheet
303
Order Appointing Attorney
304
Oath of Court Appointed Special Advocate (CASA)
305
Order Appointing Special Advocate (CASA)
306
Order Discharging Special Advocate (CASA)
307
Oath and Order Appointing Citizen Review Board Volunteer
308
Citizen Review Board Referral Order
309
Summons
PRE-TRIAL PLEADINGS
Form #
Name
310
Request for Warrant and Detention
311
Warrant
*312
Order Authorizing Removal of Juvenile
313
Certificate of Oral Notice of Detention Hearing
314
Journal Entry of Detention Hearing
315
Waiver of Detention Hearing
316
Order Accepting Waiver of Detention Hearing
317
Subpoena
318
HIPPA Subpoena
319
Infectious Disease Advisory
320
Request for Infectious Disease Test
321
Order for Infectious Disease Test
322
Motion to Determine Competency
323
Order for Hearing on Motion to Determine Competency and Order for
Commitment
324
Order Continuing Hearing to Determine Competency Upon Report of
Chief Medical Officer
325
Journal Entry of Competency Hearing
326
Journal Entry of Hearing Relating to Competency Upon Report of Chief
Medical Officer
327
Journal Entry of Hearing Relating to Competency Upon SRS Report
328
Motion to Authorize Prosecution as an Adult
329
Journal Entry of Hearing on Motion to Authorize Prosecution as an Adult
330
Motion Requesting Designation as Extended Jurisdiction Juvenile
Prosecution
331
Journal Entry of Hearing on Motion to Designate Proceedings as Extended
Jurisdiction Juvenile Prosecution
* These forms contain findings required by the Adoption and Safe Families Act (ASFA, 42 USC 671 et
seq.) and have been approved by the Judicial Administrator pursuant to Supreme Court Administrative
Order No. 155, first entered September 22, 2000. It is mandatory that either these forms or the original
forms approved pursuant to Supreme Court Administrative Order No. 155 be used.
KSJC Rev. 10/09
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332
333
334
335
Notice of Defense of Alibi, Mental Disease or Defect
Request for Jury Trial
Ruling on Request for Jury Trial
Order for Closed Proceedings
ADJUDICATION
Form #
Name
340
Plea Form with Advisory
341
Journal Entry of Adjudication
342
Journal Entry of Adjudication and Sentencing
SENTENCING
Form #
Name
350
Sentencing Order
351
Sentencing Order Extended Jurisdiction Juvenile Prosecution
352
Motion for Departure Sentence
353
Notice of Intention to Impose Departure Sentence
354
Notion of Hearing on Motion to Impose Departure Sentence
355
Journal Entry of Hearing on Motion to Impose Departure Sentence
POST-SENTENCING PROCEEDINGS
Form #
Name
360
Permanency Plan
361
Notice of Permanency Hearing
*362
Combined Permanency Hearing Journal Entry and Order
363
Order for Execution of Adult Sentence Extended Jurisdiction Juvenile
Prosecution
364
Challenge to Order for Execution of Adult Sentence
365
Journal Entry of Hearing on Challenge to Order for Execution of Adult
Sentence
366
Request for Review of Sentence
367
Journal Entry of Hearing on Request for Review of Sentence
368
Motion Alleging Violation of Probation or Court Ordered Placement and
Request for Warrant and Detention
369
Notice of Hearing on Allegation of Violation
370
Probation Violation Hearing Order
371
Motion to Modify Sentence
372
Notice of Hearing on Motion to Modify Sentence
373
Modification of Sentence Order
374
Motion Alleging Violation of Conditional Release
375
Notice of Hearing on Allegation of Violation of Conditional Release
376
Conditional Release Violation Order
377
Order Terminating Jurisdiction
* These forms contain findings required by the Adoption and Safe Families Act (ASFA, 42 USC 671 et
seq.) and have been approved by the Judicial Administrator pursuant to Supreme Court Administrative
Order No. 155, first entered September 22, 2000. It is mandatory that either these forms or the original
forms approved pursuant to Supreme Court Administrative Order No. 155 be used.
KSJC Rev. 10/09
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APPEALS
Form #
380
381
382
Name
Notice of Appeal
Order Appointing Attorney for Appeal
Temporary Orders Pending Appeal
MISCELLANEOUS
Form #
Name
390
Certificate of Sentence
391
Notice of Hearing
392
Motion to Continue
393
Order for Continuance
394
Order Closing Files to Public Inspection
395
Motion to Take Testimony Outside of Courtroom
396
Journal Entry of Hearing on Motion for Testimony Outside of Courtroom
397
Motion for Change of Venue
398
Order Transferring Venue
399
Parental Notice of Order for Counseling
400
Request for Review of Custody
401
Notice to Commissioner of Commitment
402
Notice of Juvenile Offender’s Completion of Term of Incarceration and
Release
403
Notice of Discharge of Juvenile Offender
404
Notice of Recommendations by Court
405
Motion to Retain Juvenile Offender in Custody
406
Notice of Hearing on Motion to Retain Juvenile Offender in Custody
407
Journal Entry of Hearing on Motion to Retain Juvenile Offender in
Custody
408
Petition for Expungement
409
Order for Expungement
410
Order Denying Expungement
* These forms contain findings required by the Adoption and Safe Families Act (ASFA, 42 USC 671 et
seq.) and have been approved by the Judicial Administrator pursuant to Supreme Court Administrative
Order No. 155, first entered September 22, 2000. It is mandatory that either these forms or the original
forms approved pursuant to Supreme Court Administrative Order No. 155 be used.
KSJC Rev. 10/09
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