Free JV-635 - California

JV-635
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY

CASE NAME:

PROMISE TO APPEAR--JUVENILE DELINQUENCY
(Juvenile 14 Years or Older)
LAW ENFORCEMENT AGENCY: REPORT NUMBER:

Name of child: Date of birth of child: Address of child: Phone number of child: Name of parent, legal guardian, or adult relative: Address of parent, legal guardian, or adult relative (if different from that of child):

Phone number of parent, legal guardian, or adult relative (if different from that of child): 1. I have been arrested for one or more of the following felony offenses (list code violations alleged):

2. The who is my

police officer mother

is releasing me to (name): probation officer father legal guardian relative (state relationship):

3. I PROMISE TO APPEAR on (date): located at at (time): courthouse address above in Dept.: other (specify address): Room:

4. I understand that if I do not come to court on the date and at the time indicated, the court may order that a warrant be issued for my arrest. Date:
(TYPE OR PRINT NAME) (SIGNATURE OF CHILD)

(TYPE OR PRINT NAME)

(SIGNATURE OF

PARENT

LEGAL GUARDIAN

RELATIVE)

Witnessed by:
(TYPE OR PRINT NAME) PROBATION OFFICER POLICE OFFICER (agency):

(SIGNATURE OF

Request for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if you ask at least five days before the proceeding. Contact the clerk's office or go to www.courtinfo.ca.gov/forms for Request for Accommodations by Persons With Disabilities and Order (form MC-410). (Civil Code, § 54.8.)
Page 1 of 1 Form Adopted for Mandatory Use Judicial Council of California JV-635 [Rev. January 1, 2006]

PROMISE TO APPEAR--JUVENILE DELINQUENCY
(Juvenile 14 Years or Older) · Copy to youth · Copy to parent, guardian, or relative

Welfare and Institutions Code, § 629 www.courtinfo.ca.gov

· ORIGINAL--Transmitted to court

· Copy to probation
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