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Fill and Sign the Juvenile Manual Final 060513 Department of Public Form

Fill and Sign the Juvenile Manual Final 060513 Department of Public Form

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JDF 460 R7/06 CHECK LIST FOR PETITION TO DISCONTINUE SEX OFFENDER REGISTRATIONOriginal Case Name State of ________________ v. _____________________ Case Number: _____________________ CHECK LIST FOR PETITION TO DISCONTINUE SEX OFFENDER REGISTRATION (Complete this checklist if you were younger than 18 at the time of the disposition or adjudication.) Please provide the following names and addresses:Treatment Provider(s)___________________________________________ ____________________________________________Name of Treatment Provider Name of Treatment Provider___________________________________________ ____________________________________________Address of Treatment Provider Address of Treatment Provider___________________________________________ ____________________________________________CityState Zip CodeCity State Zip CodeName of Treatment Provider Name of Treatment Provider___________________________________________ ____________________________________________Address of Treatment Provider Address of Treatment Provider___________________________________________ ____________________________________________CityState Zip CodeCity State Zip CodeIf supervised by probation, parole, or the Division of Youth Corrections, please complete the following:___________________________________________ ____________________________________________Probation Officer Division of Youth Corrections___________________________________________ ____________________________________________Address Address___________________________________________ ____________________________________________CityState Zip Code City State Zip Code___________________________________________Parole Officer___________________________________________Address ___________________________________________City State Zip Code IF YOU NEED ADDITIONAL SPACE CONTINUE ON THE BACK OF THE FORM.

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in ______, the court addressed capital punishment for juvenile offenders.
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