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F.C.A.§ 322.2 Form 3-19 (Juvenile Delinquency- Incapacitated Person-After Probable Cause Hearing)6/2016 At a term of the Family Court of the State of New York, held in and for the County of , at New York on , . PRESENT : Hon. Judge _____________________________________ In the Matter of Docket No. ORDER REGARDING INCAPACITATED A Person Alleged to be a PERSON Juvenile Delinquent, (After Probable Cause Hearing) Respondent. ______________________________________ The petition under Article 3 of the Family Court Act, sworn to on , , having been filed in this Court in the above-entitled proceeding alleging that Respondent is a juveniledelinquent; and The Court, by an order dated , , having found that Respondent is an incapacitated person as defined in subdivision 13 of section 30 1.2 of the Family Court Act and lacks the capacity to understand the proceeding against (him) (her) o r to assist in (his) (her) own defense as a result of (mental illness as defined in subdivision 20 of the s ection l.03 of the Mental Hygiene Law) (intellectual disability as de fined in subparagraph (2) of paragraph (a) of subdivision 22 of section l.03 of the Mental Hygiene Law); and Notice having been duly given to Petitioner, Respondent, Q Respondent's parent(s) Q the person legally responsible for the child's care Q counsel for Respondent and the Q Presentment Agency; and The matter having duly come on for a hearing to determine wheth er there is probable cause to believe that Respondent committed an act which would be a cr ime if committed by an adult; and The Court, after hearing the proof and testimony offered in rel ation to the case, finds that there is Q no probable cause to believe that Respondent committed an act which would be a crime if Form 3-19 Page 2 committed by an adult Q probable cause to believe that Respondent committed an act which would be a misdemeanor if committed by an adult Q probable cause to believe that Respondent committed an act whi ch would be a felony if committed by an adult Q probable cause to believe that Respondent committed a designat ed felony act ; NOW therefore, it is hereby [Check applicable box(es)]: Q ORDERED that the petition is DISMISSED. Q ORDERED that Respondent be committed to the custody of Q the Commissioner of Mental Health Q the Commissioner of the Office of People with Developmental Disabilities) for a period not to exceed days; 1 and is further Q ORDERED that Respondent be co mmitted to the custody of the Commissioner of for an initial period not to exceed a pe riod of one year, in accordance with Section 322.2 of the Family Court Act; 2 (and it is further) Q ORDERED that Respondent be provi ded with treatment in a residential facility within the appropriate office of the Mental Hygiene Department. 3 PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FRO M THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY A PPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPE LLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. Dated: , . ENTER __________________________________ Judge of the Family Court Check applicable box: 9 Order mailed on [specify date(s) and to whom mailed ]:________ ___________________ 9 Order received in court on [specify date(s) and to whom given] :_____________________ 1 Applicable if misdemeanor. 2 Applicable if felony. 3 Applicable if designated felony act.

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