N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. IV, subch. A, Person in Need of Supervision (Family Court Act Article 7), form 7-13 - Petition (transfer for incorrigibility)

Secs. 773 F.C.A. Form 7-13

(Person in Need of Supervision)

7/83

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF ________

________

In the Matter of Docket No. ________

________

A Person Alleged to be a Person in Need of Supervision, PETITION

(Transfer for

Incorrigibility)

________ Respondent.

________

TO THE FAMILY COURT:

The undersigned Petitioner respectfully alleges that:

1. Petitioner, ________, is an agency, society, or institution other than a state training school duly authorized to accept the placement of persons under Article 7 of the Family Court Act.

2. Under an Order of Fact-finding and Disposition of this Court, dated ________, the above-named Respondent was adjudicated to be a person in need of supervision within the meaning of Article 7 of the Family Court Act, and was placed with Petitioner pursuant to section 756 of the Family Court Act.

[FN1]3. (Respondent is incorrigible and (his) (her) presence is seriously detrimental to the welfare of Petitioner or of other persons in its care in that [specify the acts of the Respondent]:

____________

____________.)

[FN2]4. (After placement by this Court, Respondent was released on (parole) (probation) from Petitioner upon the following terms and condition(s):

____________

____________

and Respondent willfully violated the terms and condition(s) in that Respondent [specify acts constituting violation]:

____________

____________

____________.)

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

____________

____________

____________).

WHEREFORE, Petitioner prays that Respondent be transferred from Petitioner and placed with a society or agency, governed or controlled by persons of the same religious faith or persuasion as that of Respondent, or, if such transfer is not practicable, to some other suitable institution.

Dated: ________, 19________.

______________

Petitioner

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 informatio 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] Delete if inapplicable.

[FN2] Delete if inapplicable.

Notes

N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. IV, subch. A, Person in Need of Supervision (Family Court Act Article 7), form 7-13