Free JV-215 APPLICATION TO REVIEW DECISION BY SOCIAL WORKER NOT TO COMMENCE PROCEEDINGS (Welf. & Inst. Code, § 331) - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. :
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number if attorney, and mailing address):

Index No.
FOR COURT USE ONLY

JV­215

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TELEPHONE NO. (Optional): E­MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional):

Calendar No.

Plaintiff(s)

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JUDICIAL SUBPOENA

-against-

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

CHILD'S NAME: . .......

Defendant(s) : ..............................................
CASE NUMBER:

APPLICATION TO REVIEW DECISION BY SOCIAL WORKER NOT TO COMMENCE PROCEEDINGS
(Welf. & Inst. Code, § 331) THE PEOPLE OF THE STATE OF NEW YORK

1. Applicant's name and address: TO 2. Applicant's relationship to child (specify): 3. Applicant on information and belief alleges that the child below is at risk of abuse or neglect and should come within the jurisdiction of the court (supply all information known): a. Child's name: GREETINGS: b. Age: c. Date of birth: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before d. Sex: , the Honorable at the Court e. Mother's name: located at County address: f. Mother's of in room , on the day of , 20 , at o'clock in the noon, and at any recessed g. Father's name: h. Father's address: to testify and give evidence as a witness in this action on the part of the or adjourned date, i. Other (state name, address, and relationship to child): 4. The child described in item 3 above resides within this county. a. Your failure to comply the this subpoena is punishable as a contempt of court and will make you liable to b. was in this county at the time ofwithfacts alleged below. 5. Facts inparty on whose behalf this subpoena was issued for a and relevantpenalty of $50 and all damages sustained as a the support (State supporting facts concisely; include all known maximum dates, times, names, and addresses. Attach separate pages as necessary.): result of your failure to comply. See attachment 5. Witness, Honorable , one of the Justices of the 6. On (date of application): , applicant applied by affidavit to a social worker to commence proceedings Courtthe allegations described above. (Attach a copy of the Application to Commence Proceedings, Form JV-210.) in County, day of , 20 based on 7. It has been three weeks since the application to commence proceedings, and no petition to commence proceedings has been filed by the social worker on behalf of this child. 8. Applicant now requests the juvenile court review the decision of the social (Attorneyand issue above and compelling the social worker worker, must sign an order type name below) to commence juvenile court proceedings. Date:

Attorney(s) for
(TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT)

THE COURT FINDS AND ORDERS
9. The court has reviewed the application and orders that Office and P.O. Address a. the decision of the social worker not to commence proceedings is affirmed. b. the social worker is hereby ordered to commence proceedings by filing a petition pursuant to Welfare and Institutions Code section 300 based on the allegations set forth in this application.

Date:
Form Approved for Optional Use Judicial Council of California JV­215 [New January 1, 2001]

Telephone No.: Facsimile No.: E-Mail Address: JUDICIAL OFFICER Mobile Tel. No.: APPLICATION TO REVIEW DECISION BY SOCIAL WORKER
NOT TO COMMENCE PROCEEDINGS
(Welf. & Inst. Code, § 331)

Welfare and Institutions Code, § 331

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