New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Juvenile Delinquency Forms (Family Court Act Article 3) › Form 3-7 - Petition

Current through Register Vol. 46, No. 28, July
					 10, 2024
Secs. 310.1, 311.1, 311.2, F.C.A. Form
						3-7
(Juvenile Delinquency)
7/83
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________
In the Matter of Docket No.
						________
________ PETITION
A Person Alleged to be a
Juvenile Delinquent,
________ Respondent.
________
TO THE FAMILY COURT:
The undersigned Presentment Agency
						respectfully alleges that:
1. It is a presentment agency authorized
						to originate a proceeding under article 3 of the Family Court Act in that it is
						________, having its principal office at ____________
____________.
2. Respondent above-named is a (fe)male
						who was born on ________, and resides at ____________
____________.
3. Respondent was over seven and less than
						sixteen years of age at the time of the act(s) alleged herein.
[FN1]4. (Upon information and belief,)
						(O)(o)n or about ________, 19 ________, at ________ (A.M.) (P.M.), at ________
						in the County of ________, Respondent did ________, which act if committed by
						an adult would constitute the crime of ________ as defined by section ________
						of the (Penal Law) (________[FN2])
[Set forth class of felony or misdemeanor
						for each section.]
____________
____________.
[FN3]5. (The name(s) of other persons who
						are charged as (co-respondent(s) (and) (adult(s) in a (criminal) (supreme)
						court proceeding) (is) (are):
[Specify as to each count where
						appropriate.]
____________
____________.)
6. The following are the names and
						addresses of the parent(s) or other person(s) legally responsible for the care
						of Respondent or with whom Respondent resides:
NAME RESIDENCE RELATIONSHIP
________ ________ ________
________ ________ ________
________ ________ ________
7. As to the allegations made herein upon
						information and belief, the Presentment Agency's information and grounds of
						belief are (the statements and admissions of Respondent.) (the statements and
						depositions of witnesses now on file with this Court.) ( ________.)
8. Respondent requires supervision,
						treatment, or confinement.
WHEREFORE, the undersigned prays that the
						Respondent be adjudged a juvenile delinquent and dealt with in accordance with
						the provisions of article 3 of the Family Court Act.
Dated: ________, 19________.
______________
Authorized Presentment Agency
By ____________
______________
Title
VERIFICATION
(Agency)
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________, being duly sworn, deposes and
						says:
That (s)he is the ________ of ________, an
						agency authorized to originate the above-entitled proceeding, and is acquainted
						with the facts and circumstances therein; that (s)he has read the foregoing and
						knows the contents thereof; that the same is true to (his) (her) own knowledge,
						except as to matters therein stated to be alleged on information and belief and
						as to those matters (s)he believes it to be true.
______________
Name
______________
Title
Sworn to before me this
________ day of ________,
						19________.
______________
(Notary Public)
[FN1] As to each count, specify the date,
						time, place, county, and a concise statement supporting every element of the
						crime charged, including the section of the Penal Law or other law under which
						Respondent is charged.
[FN2] Specify other law.
[FN3] Delete if
						inapplicable.