N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. IV, subch. A, Juvenile Delinquency Forms (Family Court Act Article 3), form 3-10 - Application to restore to calendar

Sec. 315.3 F.C.A. Form 3-10

(Juvenile Delinquency)

7/83

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF

________

________

In the Matter of Docket No.

________

________ APPLICATION TO

RESTORE TO CALENDAR

A Person Alleged to be a

Juvenile Delinquent,

________ Respondent.

________

TO THE FAMILY COURT:

The undersigned presentment agency respectfully alleges that:

1. It is the presentment agency and that ________ is the Respondent in the above-entitled proceeding.

2. On ________, 19 ________, an order in the above-entitled proceeding was entered whereby said proceeding was adjourned in contemplation of dismissal in furtherance of justice until ________ upon the following terms and conditions:

A copy of said order is annexed as Exhibit A.

3. (Upon information and belief,) Respondent has not abided by said terms and conditions in that: ____________

____________

4. No previous application has been made to any court or judge for the relief requested herein (except ________.)

WHEREFORE, the undersigned requests that this matter be restored to the calendar of the Family Court of ________ County for further order of the Court.

______________

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)

Notes

N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. IV, subch. A, Juvenile Delinquency Forms (Family Court Act Article 3), form 3-10