Indiana Court Forms
Juvenile Delinquency Benchbook Forms

The following forms comply with provisions of HEA 1001, which requires that court orders include “language approved and recommended by the judicial conference of Indiana in relation to removal or detention.”  Failure to adopt language from these forms, most significantly the federal IV-E language, may result in your county being liable for the costs of placement of a child.

Forms Last Updated or Newly Approved: February 9, 2010

The forms below are available in Microsoft Word format. To view and print Word documents, you must have Microsoft Word installed on your computer.

Click on chapter titles to reveal a complete list of forms from that chapter.

 
Forms
 
Access Probation Officers' Reports on the Probation Website
 
Chapter 1. Detention and Custody
Form #
Form Title
Date Approved
Date Revised
MS Word
D-1.02
Written Promise for Appearance of Juvenile
08.08.2008
08.08.2008
MS Word Document
D-1.03
Notice of Detention of Child
08.08.2008
08.08.2008
MS Word Document
D-1.04
Notice of Detention Hearing
08.08.2008
08.08.2008
MS Word Document
D-1.05
Affidavit in Support of Probable Cause
08.08.2008
08.08.2008
MS Word Document
D-1.06
Written Findings, Recommendations and 48 Hour Order Regarding Probable Cause - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-1.07
Order on Detention Hearing - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-1.08
Petition for Detention Hearing
08.08.2008
08.08.2008
MS Word Document
D-1.09
Writ of Attachment for Failure to Appear
08.08.2008
08.08.2008
MS Word Document
D-1.10
Detention Report to Court Delinquent Children
08.08.2008
08.08.2008
MS Word Document

Chapter 3. Preliminary Inquiry
Form #
Form Title
Date Approved
Date Revised
MS Word
D-3.02
Intake Information for a Delinquent Child and Prosecutor's Request for Preliminary Inquiry
08.08.2008
08.08.2008
MS Word Document
D-3.03
Intake Officer's Advice to a Delinquent Child and Parent, Guardian or Custodian
08.08.2008
08.08.2008
MS Word Document
D-3.04
Consent to Background Investigation and Release
08.08.2008
08.08.2008
MS Word Document

Chapter 4. Informal Adjustment
Form #
Form Title
Date Approved
Date Revised
MS Word
D-4. IA EXT
Informal Adjustment Extension Request
08.08.2008
08.08.2008
MS Word Document
D-4.03
Program of Informal Adjustment
08.08.2008
08.08.2008
MS Word Document
D-4.04
Petition for Order of Compliance
08.08.2008
08.08.2008
MS Word Document

Chapter 5. Delinquency Petition
Form #
Form Title
Date Approved
Date Revised
MS Word
D-5.02
Request for Custody Order
08.08.2008
08.08.2008
MS Word Document
D-5.03
Order Approving Filing of Delinquency Petition Crime Delinquent
08.08.2008
11.03.2009
MS Word Document
D-5.04
Order Approving Filing of Deliquency Petition Status Delinquent
08.08.2008
11.03.2009
MS Word Document
D-5.05
Petition Alleging Delinquency
08.08.2008
08.08.2008
MS Word Document
D-5.06
Order Setting Initial Hearing on Delinquency Petition and for Issuance of Summons - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-5.07
Summons
08.08.2008
08.08.2008
MS Word Document

Chapter 6. Initial Hearing
Form #
Form Title
Date Approved
Date Revised
MS Word
D-6.02
Order on Appointment of Attorney
08.08.2008
08.08.2008
MS Word Document
D-6.03
Order on Initial Hearing on Deliquency Petition Crime Delinquent (No Waiver Requested) - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-6.04
Order on Initial Hearing on Delinquency Petition Crime Delinquent (Waiver Requested) - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-6.05
Order on Initial Hearing on Status Delinquency Petition - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-6.06
Order on Initial Hearing on Delinquency Petition (Denial or Delinquency) - UPDATED!
08.08.2008
02.09.2010
MS Word Document

Chapter 7. Waiver
Form #
Form Title
Date Approved
Date Revised
MS Word
D-7.02
Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-2)
08.08.2008
08.08.2008
MS Word Document
D-7.03
Waiver Order (I.C. 31-30-3-2)
08.08.2008
08.08.2008
MS Word Document
D-7.04
Prosecutor's Motion for Waiver of Juvenile Jurisdiction on Controlled Substances Felony (I.C. 31-30-3-3)
08.08.2008
08.08.2008
MS Word Document
D-7.05
Waiver Order (I.C. 31-30-3-3)
08.08.2008
08.08.2008
MS Word Document
D-7.06
Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-4)
08.08.2008
08.08.2008
MS Word Document
D-7.07
Waiver Order (I.C. 31-30-3-4)
08.08.2008
08.08.2008
MS Word Document
D-7.08
Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-5)
08.08.2008
08.08.2008
MS Word Document
D-7.09
Waiver Order (I.C. 31-30-3-5)
08.08.2008
08.08.2008
MS Word Document
D-7.10
Prosecutor's Motion for Presumptive Waiver of Juvenile Jurisdiction Over Child Previously Convicted of Felony or Non-Traffic Misdemeanor
08.08.2008
08.08.2008
MS Word Document
D-7.11
Waiver Order (I.C. 31-30-3-6)
08.08.2008
08.08.2008
MS Word Document
D-7.12
Order Denying Waiver
08.08.2008
08.08.2008
MS Word Document

Chapter 8. Dialogue for Detention / Initial Hearing
Form #
Form Title
Date Approved
Date Revised
MS Word
D-8.01
Dialogue for Detention Hearing (I.C. 31-37-6)
08.08.2008
08.08.2008
MS Word Document
D-8.02
Dialogue for Initial Hearing (I.C. 31-37-12)
08.08.2008
08.08.2008
MS Word Document
D-8.03
DISPO ALT
Dispositional Alternatives: I.C. 31-37-19-5 & 31-37-19-6
08.08.2008
08.08.2008
MS Word Document

Chapter 9. Fact Finding
Form #
Form Title
Date Approved
Date Revised
MS Word
D-9.02
Order of Fact-Finding Hearing on Delinquency Petition - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-9.03
Order on Fact-Finding Hearing on Delinquency Petition
08.08.2008
08.08.2008
MS Word Document

Chapter 11. Dispositional Hearings
Form #
Form Title
Date Approved
Date Revised
MS Word
D-11.02
Sample Dialogue: Dispositional Hearing
08.08.2008
08.08.2008
MS Word Document
D-11.03
Dispositional Order - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-11.04
Dispositional Order - Wardship Awarded to Dept. of Correction - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-11.05
Order to Reinstate Jurisdiction Over Child
08.08.2008
08.08.2008
MS Word Document
D-11.06
Written Warning of Consequences for Violation of Placement Order by Runaway
08.08.2008
08.08.2008
MS Word Document
D-11.07
Written Warning of Consequences for Violation of Compulsory School Attendance Law
08.08.2008
08.08.2008
MS Word Document
D-11.08
Financial Obligation Order
08.08.2008
12.07.2009
MS Word Document

Chapter 12. Parental Participation
Form #
Form Title
Date Approved
Date Revised
MS Word
D-12.02
Petition for Parental Participation
08.08.2008
08.08.2008
MS Word Document
D-12.03
Order of Participation
08.08.2008
08.08.2008
MS Word Document
D-12.04
Verified Information for Rule to Show Cause
08.08.2008
08.08.2008
MS Word Document
D-12.05
Order to Show Cause
08.08.2008
08.08.2008
MS Word Document
D-12.06
Motion for Termination of Probation and Reimbursement of Costs
08.08.2008
08.08.2008
MS Word Document
D-12.07
Order on Motion for Termination of Probation and Reimbursement of Costs
08.08.2008
08.08.2008
MS Word Document

Chapter 14. Modification
Form #
Form Title
Date Approved
Date Revised
MS Word
D-14.02
Verified Petition for Modification of Dispositional Decree
08.08.2008
08.08.2008
MS Word Document
D-14.03
Notice of Hearing on Periodic Review of (or Petition to Modify) Dispositional Order
08.08.2008
08.08.2008
MS Word Document
D-14.04
Order for Hearing and Notice on Modification Petition Including Temporary Order - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-14.05
Order on Periodic [Six (6) Month] Review Hearing (I.C. 31-37-20-2) - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-14.06
Order Approving Permanency Plan - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-14.07
Order on Modification Hearing - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-14.08
Modified Dispositional Order (Secure Placement) - UPDATED!
08.08.2008
02.09.2010
MS Word Document
D-14.09
Notice of Detention Hearing
08.08.2008
08.08.2008
MS Word Document

Chapter 15. Public Access
Form #
Form Title
Date Approved
Date Revised
MS Word
D-15.02
Order Closing Public Access to Juvenile Proceeding During Testimony of Child Witness / Victim
08.08.2008
08.08.2008
MS Word Document
D-15.03
Order Granting Access to Certain Juvenile Records
08.08.2008
08.08.2008
MS Word Document

Chapter 16. Miscellaneous Forms
Form #
Form Title
Date Approved
Date Revised
MS Office
D-16.01
Order of Pre-Adjudication Suspension of License (I.C. 31-37-5-7)
08.08.2008
08.08.2008
MS Word Document
D-16.02
Order of Reinstatement of Driving Privelages (I.C. 31-37-5-7(b))
08.08.2008
08.08.2008
MS Word Document
D-16.03
Indiana Juvenile Detention Centers
08.08.2008
08.08.2008
MS Word Document
 
  Last modified on Tuesday, February, 09, 2010
Indiana Courts www.IN.gov/judiciary
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