Legal Juvenile Case Fee Document

LEGAL JUVENILE CASE FEE AGREEMENT

This Juvenile Case Fee Agreement (the Agreement) is entered into on this date: by and between Agency Name: (hereinafter "Agency"), and Responsible Party Name: (hereinafter "Responsible Party"). This Agreement concerns Minor Name: , Case Number: , Minor DOB: .

RECITALS

WHEREAS, the Juvenile Court has assessed fees, costs, and program charges in connection with the juvenile proceedings involving the Minor, and the Agency is responsible for billing and collecting such fees consistent with applicable law; and

WHEREAS, the Responsible Party is the parent, guardian, custodian or other legally responsible person for the Minor and may be legally obligated to pay certain fees and costs assessed by or on behalf of the Agency; and

WHEREAS, the parties desire to set forth the amounts, allocation, payment terms, and remedies related to juvenile case fees and to provide a process for fee waiver, reduction, or payment plan where applicable.

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the parties agree as follows:

1. DEFINITIONS

For purposes of this Agreement: "Fees" means court costs, program fees, supervision fees, counseling fees, restitution administrative fees, and other charges assessed in connection with the juvenile case; "Due Date" means the date on which any installment or billed fee is payable; "Statutory Rate" means the rate of interest or collection costs permitted by applicable law.

2. FEES ASSESSED

The parties acknowledge that the following fee types have been assessed or may be assessed in connection with the juvenile proceeding. Check all that apply and, where required, provide the assessed amount.

Court costs — Amount: $

Supervision/program fee — Amount: $

Counseling/treatment fee — Amount: $

Restitution administrative fee — Amount: $

Other (describe): Amount: $

3. PAYMENT TERMS

Unless a fee waiver or reduction is approved or a payment plan is established under Section 4, all assessed Fees are due and payable in full immediately upon billing by the Agency. The total assessed amount due under this Agreement is $ .

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4. FEE WAIVER, REDUCTION, OR PAYMENT PLAN

The Responsible Party may apply for a waiver, reduction or payment plan. Any approved waiver, reduction, or payment plan must be in writing and signed by an authorized representative of the Agency. If a payment plan is approved, the terms will include the initial payment, periodic installment amounts, and the first payment due date as set forth below.

First installment due on:

5. COLLECTION, DEFAULT, AND ENFORCEMENT

If the Responsible Party fails to make any payment when due, the unpaid balance shall be subject to collection actions, including referral to a collection agency, assessment of late fees and collection costs, and legal enforcement to the extent permitted by law. Interest and fees may accrue at the Statutory Rate. The Agency may offset amounts owed against any public benefits or recoverable distributions to the Responsible Party to the extent permitted by law.

6. LIENS AND SECURITY

To secure payment of Fees where permitted by law, the Agency may assert a lien or other security interest in assets or otherwise use statutory remedies. Execution of any security instrument or lien shall be governed by applicable local law and shall be no broader than authorized by statute.

7. CONFIDENTIALITY

Information related to the juvenile proceeding and fee determinations is subject to confidentiality and disclosure restrictions under juvenile law. The Agency shall release information only as required or permitted by law. The Responsible Party consents to disclosure of fee status and limited billing information to collection agents or as otherwise authorized by statute.

8. NOTICES

All notices, invoices, and correspondence under this Agreement shall be in writing and delivered to the addresses provided below or to such other address as either party may designate by written notice.

9. AMENDMENTS; WAIVER

No amendment to this Agreement shall be effective unless in writing and signed by an authorized representative of the Agency and the Responsible Party. No failure or delay by either party in exercising any right shall operate as a waiver, and any waiver must be in writing.

10. GOVERNING LAW; VENUE

This Agreement shall be governed by and construed in accordance with the laws of the state in which the juvenile proceeding is pending. Venue for any legal action arising from this Agreement shall lie in the appropriate state court or tribunal having jurisdiction over the juvenile proceeding.

11. ENTIRE AGREEMENT; SEVERABILITY

This Agreement constitutes the entire agreement between the parties concerning juvenile case fees and supersedes all prior oral or written agreements. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

12. MISCELLANEOUS

Each party represents that it has the authority to enter into this Agreement. This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

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