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 3-22 - Petition (dismissal for continuing lack of capacity)

Current through Register Vol. 46, No. 28, July
					 10, 2024
Sec. 322.2 F.C.A. Form 3-22
(Juvenile Delinquency)
7/83
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF ________
________
In the Matter of Docket No.
						________
________ PETITION (Dismissal for
						Continuing Lack of A Person Alleged to be a Capacity)
Juvenile Delinquent,
________ Respondent.
________
TO THE FAMILY COURT:
The undersigned (appearing on behalf of
						the) Petitioner respectfully alleges that:
[FN1](1. Petitioner is the (Commissioner
						of Mental Health) (Commissioner of Mental Retardation and Developmental
						Disabilities) to whose custody the above-named Respondent was committed by an
						order of this Court dated ________, 19________.)
[FN2](1. (S)he is the ________ of the
						petitioning Respondent in above-entitled proceeding and is appearing on behalf
						of said child for the purpose of filing this petition. Respondent was committed
						to the custody of the (Commissioner of Mental Health) (Commissioner of Mental
						Retardation and Developmental Disabilities) by an order of this Court dated
						________, 19________.)
2. Petitioner alleges that there exists a
						substantial probability that the above-named Respondent will continue to be
						incapacitated for the foreseeable future in that ____________
WHEREFORE, Petitioner prays that an order
						be entered herein dismissing the petition sworn to on ________, 19 ________,
						and filed in this Court on ________, 19 ________, alleging that Respondent is a
						juvenile delinquent.
Dated: ________, 19________.
(
______________
Commissioner
By
_____________
Name
______________
Title)
(By
_____________
On Behalf of the Petitioner (Child)
						)
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)
VERIFICATION
(Individual)
STATE OF NEW YORK)
) ss.:
COUNTY OF ________)
________, being duly sworn, deposes and
						says:
That (s)he is the in the above-entitled
						proceeding and is acquainted with the facts and circumstances thereof; 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.
________
Sworn to before me this
________ day of ________,
						19________.
______________
(Deputy) (Clerk of the Court)
(Notary Public)
[FN1] Select applicable paragraph.
[FN2] Select applicable
						paragraph.