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Fill and Sign the Non Law Enforcement Referral Form

Fill and Sign the Non Law Enforcement Referral Form

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Open the document and fill out all its fields.
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JD-1702, 05/00 Court Referral - Child/Juvenile (Non-Law Enforcement Referral) §§48.24 and 938.24, Wisconsin Statutes. This form shall not be modified. It may be supplemented with additional mater ial. State of Wisconsin, Circuit Court, County 1. Intake Case Number Court Referral - Child/Juvenile (Non-Law Enforcement Referral) 2. Court Case Number 3. Child's/Juvenile's Name (Last, First, Middle) 4. Alias/Nickname 5. Age 6. Date of Birth 7. Sex Male Female 8. Child's/Juvenile's Street Address City State Zip Code 9. County of Residence 10. Race 1. W hite 2. Black 3. Asian 4. Indian 5. Other 11. Home Telephone 12. School Attended/Place of Employment 13. Grade/Occupation 14. Legal Father's Name Address Marital Status Work: Home: 15. Legal Mother's Name Address Marital Status Work: Home: 16. Guardian/Legal Custodian/Supervising Agency Address Marital Status T ELEPH O N E Work: Home: 17. Name of Referring Agency Address 18. Telephone Number 19. Prior Record with Referring Agency: No Yes If yes, describe manner of handling: Additional information attached. 20. Name of Referring Person 21. Reason(s) for Referral: Statute Number(s): Describe Allegation(s): Additional information attached. INTAKE INQUIRY RECOMMENDATION 22. Date Received 23. Interview Date and Time: 24. Present at Interview: 25. Custody Authorization: Released Detained Date: Time: Nonsecure: Secure: 26. Prior Referrals to Intake: No Yes How Many? 27. Intake Recommendation - Check all appropriate boxes.A. Case Closed Dismissed - lacks jurisdiction Counseled Referred to Other County Other: (Specify) B. Deferred Prosecution/Informal Disposition Agreement Expires: Supervised W ork Program: hrs. Informal Supervision Other: (Specify) C. Formal Petition Requested In Need of Protection/Services under ch. 48 In Need of Protection/Services under ch. 938 28. Comments: 29. Name of Intake W orker/Agency 30. Signature 31. Telephone 32. Date Recommended

Useful advice on preparing your ‘Non Law Enforcement Referral’ online

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Follow this comprehensive guide:

  1. Log into your account or register for a free trial of our service.
  2. Click +Create to upload a file from your device, cloud storage, or our form library.
  3. Open your ‘Non Law Enforcement Referral’ in the editor.
  4. Click Me (Fill Out Now) to prepare the document on your part.
  5. Add and assign fillable fields for others (if necessary).
  6. Proceed with the Send Invite settings to request eSignatures from others.
  7. Download, print your copy, or convert it into a reusable template.

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Here is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

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Child Protective Services NY phone Number
are you a mandated reporter? a. yes b. no

The best way to complete and sign your non law enforcement referral form

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