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F.C.A. §§ 354.1, 375.1 Form 3-37 (Juvenile Delinquency- Notice of Disposition or Termination of Proceeding)12/2015FAMILY COURT OF THE STATE OF NEW YORKCOURT OF_________________________________In the Matter of Docket No.Name: NYSID No.Date of Birth: NOTICE OF A Person Alleged to be a DISPOSITION OR Juvenile Delinquent TERMINATION OF PROCEEDING Respondent. __________________________________PLEASE TAKE NOTICE that this juvenile delinquency proceeding has been finally disposed of orterminated as follows [check all applicable boxes]:“ Dismissal“ Withdrawal“ Adjournment in contemplation of dismissal Date: Term:“ Adjudication for acts which, if committed by an adult, would constitute the following crimes [specify crime(s) and indicate designated felony, and felony or misdemeanor classification]:“ Disposition upon adjudication [specify date of disposition and term]: “ Conditional discharge Date: Term: “ Probation Date: Term: “ Placement (check applicable box):“ Restrictive placement (designated felonies only). Date: Term:“ Placement for limited-secure level of care with “ [Non-NYC cases only]: NYS Office of Children and Family Services“ [NYC cases only]: Commissioner of NYC Administration for Children’s Services“ Placement for non-secure level of care: “ [Non-NYC case only]: NYS Office of Children and Family Services “ [Non-NYC case only]: Commissioner of Social Services, County of [specify]: “ [NYC cases only]: Commissioner of NYC Administration for Children’s Services“ [NYC cases only]: Placement with the NYC Administration for Children’s Services for non-secure orlimited secure level of care, the level to be determined by the Commissioner: “ Placement in Respondent’s own home or suitable relative or other suitable private person“ Placement with NYS Office of Children and Family Services, Commissioner of Social Services, County of [specify]: or [NYC cases only]: Commissioner of NYC Administration for Children’s Services for transfer to Office of Mental Hygiene “ Restitution or Services for Public Good “ Order of Protection “ Other action [specify]: Form 3-37 page 2 CLERK'S CERTIFICATIONI, , (Deputy) Clerk of the Family Court the State of New York, County, do hereby certify that the above information is an accurate summary of the records ofthis Court.IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Court this day of , (SEAL)___________________________________(Deputy) ClerkInstructions for Users and Recipients of Form 3-37All dispositions and terminations of proceedings under Article 3 of the Family Court Act, in whichRespondent has been fingerprinted pursuant to section 306.1 of the Family Court Act, must be reported on thisform, which must be sent promptly by the Clerk of Court to: New York State of Division of Criminal JusticeServices, Records Division, Executive Park Tower, Stuyvesant Plaza, Albany, N.Y. 12203. Upon receipt of thisnotification, the Division of Criminal Justice Services shall note such disposition or termination on the recordspertaining to the Respondent or, in the case of termination of the action without a felony finding (or in the case ofa juvenile eleven or twelve years old at the time of commission, a class A or B felony only), shall destroy suchrecords forthwith.Additionally, unless the Family Court has determined that the interests of justice require otherwise,where the proceeding has been terminated in favor of the Respondent, this notice must be sent to the director ofthe appropriate presentment agency, attorney for the child, director of the local probation department and directorof the local police department or other law enforcement agency, as well as the New York State Division ofCriminal Justice Services. Upon receipt of this notification, each recipient shall seal or cause to be sealed allofficial records and papers, including judgments and orders or the court, but not including public court decisionsor opinions or records and briefs on appeal, relating to the arrest, the prosecution and the probation serviceproceedings, including all duplicates or copies thereof, on file with the Court, police agency, probation serviceand presentment agency and shall not make such papers available to any person or public or private agency. SeeF.C.A. §375.1. If the proceeding has been adjourned in contemplation of dismissal, pursuant to F.C.A. §315.3,this form should be sent on the date of the adjournment. Official records and papers in such cases should not besealed until the date of ultimate dismissal. If the proceeding has been restored to the calendar prior to thedismissal, a new Notice of Disposition or Termination of Proceeding (Form-37) must be sent. Such papers shallremain sealed during the pendency of any motion to prevent sealing, pursuant to F.C.A.§375.1. Finally, where the proceeding has been terminated in any manner other than an adjudication for acrime which, if committed by an adult, would constitute a felony (or in the case of a juvenile eleven or twelveyears of age at the time of commission, a class A or B felony only), this form must be sent to the directors of allpolice departments or law enforcement agencies, as well as the New York State Division of Criminal JusticeServices, having copies of fingerprints, palmprints, photographs and copies thereof and information relating tothe arrest of the Respondent. Upon receipt of this notification, all such fingerprints, palmprints, photographs andcopies thereof and information relating to the arrest of the Respondent shall be destroyed forthwith. See F.C.A.§354.1. If the proceeding has been adjourned in contemplation of dismissal, pursuant to F.C.A. §315.3, this formshould be sent on the date of the adjournment. Fingerprints and related records in such cases should not bedestroyed until the date of ultimate dismissal. If the proceeding has been restored to the calendar prior to thedismissal, a new Notice of Disposition or Termination of Proceeding (form 3-37) must be sent.