FORM 8.930. JUVENILE NOTICE TO APPEAR

JUVENILE NOTICE TO APPEAR
DATE .......... AGENCY ………..
CASE NO. ……….
PARENT, ADULT RELATIVE, LEGAL GUARDIAN .....(name).....
I am the .....(relationship to child)..... of .....(child’s name).....
and promise to ensure that the child appears on .....(date)..... at
.....(time)..... at .....(location)...... I also promise immediately to notify
the office of the state attorney at .....(telephone number)..... and the
clerk of the court at .....(telephone number)..... of any change in the
child’s address.



Signature of Parent/Adult
Relative/Legal Guardian
.....(address).....
.....(telephone number).....
.....(date).....
.....(address and telephone number
of child, if different).....
---------------
I, .....(child’s name)....., understand that I have been charged
with a law violation, .....(offense(s))....., and that I am being released
at this time to the custody of .....(parent, adult relative, or legal
guardian’s name)......

I promise to appear on .....(date)..... at .....(time)..... at
.....(location)....., and to appear as required for any additional
conferences or appearances scheduled by DJJ or the court. I
understand that my failure to appear shall result in a custody order
being issued and that I will be picked up and taken to detention.
Child’s Signature
Date ....................
Arresting Officer ....................


Releasing officer or DJJ
counselor authorizing release
DJJ Intake Telephone Number …………
ATTACH TO ARREST AFFIDAVIT