Fill and Sign the Corrections and Rehabilitation Form

JV-732ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: YOUTH’S NAME: PARENT’S NAME: COMMITMENT TO THE CALIFORNIA DEPARTMENT OF CASE NUMBER: CORRECTIONS AND REHABILITATION,DIVISION OF JUVENILE JUSTICE JUVENILE: 1. a. Youth’s name: b. Youth’s date of birth: 2. a. Date of hearing: Dept.: Room: b. Judicial officer (name): c. Persons present: Youth Youth’s attorney MotherFatherGuardian Deputy District AttorneyOthers as reflected on the attached minute order. THE COURT FINDS AND ORDERS:3. The youth was under the age of 18 years at the time of the commission of the offense for which the youth is being committed to theDivision of Juvenile Justice.4. The mental and physical condition and qualifications of this youth render it probable that the youth will benefit from the reformatory discipline or other treatment provided by the Division of Juvenile Justice.5. a. The youth is committed to the Division of Juvenile Justice for a 90-day period of observation and diagnosis.b. The youth is committed to the Division of Juvenile Justice for acceptance.c. The youth is a ward of the Division of Juvenile Justice under a prior commitment; and is recommitted to the Division of Juvenile Justice; oris returned to the Division of Juvenile Justice with the following recommendation:the parole status of the youth be revoked;the parole status of the youth not be revoked; orthe parole status of the youth will be determined by the Division of Juvenile Justice. 6. The youth has been declared a ward of the court and is committed based on the following sustained petitions: SustainedPetition Date Offense CodeDegree 707(b)Enhancement Terma. b. Page 1 of 3Form Adopted for Mandatory Use Cal. Rules of Court, rules 5.790, 5.795, 5.805Judicial Council of California Welfare and Institutions Code, §§ 707.2,JV-732 [Rev. January 1, 2007] 731 et seq., 1730 et seq., 1755.3, 1755.4COMMITMENT TO THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE JUSTICEelectronic form  2005-7 WWW.LawCA.com Law Publishers JV-732YOUTH’S NAME: CASE NUMBER: JUVENILE: SustainedPetition Date Offense CodeDegree 707(b)Enhancement Term6. c. d. e. Continued in Attachment 6. 7. The youth has credit for days in secure custody.8. The maximum period of confinement is (state years and months): 9. The youth is ordered to pay a restitution fine of (state dollar amount): $10. The youth is ordered to pay victim restitution as stated in Attachment 10.11. Exceptional needs:a.The youth is an individual with exceptional needs.b.Educational records do not indicate that a determination has been made regarding any exceptional needs the youth may have.c. The youth has an individualized education program and it: is included as Attachment 11c.will be furnished to the Division of Juvenile Justice when obtained. 12. The court requests that the youth be considered for the Program.13. The court requests that a copy of the Clinical Summary Report be sent to the youth’s attorney (provide name and address ofattorney): 14. The Probation Officer is directed to forward a copy of the youth’s medical records to the Division of Juvenile Justice before delivery. JV-732 [[Rev. January 1, 2007] COMMITMENT TO THE CALIFORNIA DEPARTMENT OF Page 2 of 3CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE JUSTICE JV-732YOUTH’S NAME: CASE NUMBER: JUVENILE: 15. Youth hashas not been prescribed psychotropic medication. Type and dosage of medication (specify): Additional documentation provided in Attachment 15. 16. Such psychotropic medication, if still necessary based on an evaluation by a Division of Juvenile Justice physician,may be continued for a period not to exceed 60 days from the date of delivery to the Division of Juvenile Justice reception center and clinic. Date: JUDICIAL OFFICERJV-732 [Rev. January 1, 2007] COMMITMENT TO THE CALIFORNIA DEPARTMENT OF Page 3 of 3CORRECTIONS AND REHABILITATION, DIVISION OF JUVENILE JUSTICE