Fill and Sign the Delinquency Court Form

JV-640 ATTORNEY 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: ––––– CHILD'S NAME: ––––– JUVENILE COURT DELINQUENCY PROCEEDING CASE NUMBER: ––––– Initial Hearing Detention Jurisdiction Disposition Transfer In/Out Other (specify): ––––– Date of Hearing: ––––– Time: ––––– Location: ––––– Judicial Officer: Court Clerk: Court Reporter: ––––– ––––– ––––– Bailiff: Other Court Personnel: Probation Officer: ––––– ––––– ––––– Interpreter: Language: Child's Date of Birth: ––––– ––––– ––––– b. Child's Address: ––––– a. Child's Name: ––––– ––––– ––––– c. Child's Custody Status: ––––– ––––– d. Parent's Name and Address: e. Parent's Name and Address: ––––– Mother ––––– Mother ––––– ––––– ––––– Father ––––– Father 1. Persons present: a. Parent (name): ––––– Mother Father b. Parent (name): ––––– Mother Father c. Relative (name and relationship to child): ––––– d. Relative (name and relationship to child): ––––– e. Legal guardian (name): ––––– f. Others with consent of child or approval of the court (name and relationship to child): ––––– ––––– ––––– 2. Attorneys present: a. For child (name): ––––– b. Prosecutor (name): ––––– c. For parent (name): ––––– d. Other (names and indication of party represented): ––––– ––––– Page 1 of 1 Form Adopted for Mandatory Use JUVENILE COURT DELINQUENCY PROCEEDING Welfare and Institutions Code, §§ 650, 656, 676 Judicial Council of California JV-640 [New January 1, 2006] electronic form ã 2005 WWW.LawCA.co m Law Publishers