Juvenile Advisory Of Rights, Parental Notification And Waiver Form - Montana Department Of Justice

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JUVENILE ADVISORY OF RIGHTS,
PARENTAL NOTIFICATION and WAIVER FORM
SO/CR# ___________________
Place: ____________________________
Date: ________________
Name of Youth: __________________________________ DOB: ____________ Time Started: __________
Youth’s Address: _________________________________________________________________________
Investigating Officer: _________________________________________ Badge Number: ______________
Date of Offense: _______________ Location of Offense: ________________________________________
Last Grade Completed in School: _________ Place of Birth ______________________________________
Can you read and do you understand the English language?
YES
NO
I.
Advisory of Rights: Before we ask you any questions, you must understand your rights:
(Check each box as the advisory is read to the Juvenile)
1. □ You have the right to remain silent. Anything you say can be used against you in court. Your right to
remain silent cannot be used against you.
2. □ You have the right to speak to a lawyer for advice before we ask you any questions and to have your
lawyer present with you during any questioning.
3. □ If you cannot afford a lawyer, one will be appointed to represent you before any questioning if you
request one.
4. □ If you decide to answer questions now without a lawyer present, you will still have the right to stop
answering questions and to stop us from questioning you further until you have spoken with a lawyer.
5. □ As a juvenile, your parents must be notified that you are being questioned and you have the right to have
your parents present during any questioning.
6. □ If we cannot locate your parents, you have the right to have a relative, guardian or friend notified and
they may be present during any questioning if you request it.
7. □ You have the right to refuse to incriminate yourself, meaning you have the right to make or refuse to
make any statement or admission by speaking with us or in writing that would involve or incriminate you
in this case or in any other investigation concerning violations of the criminal law.
DO YOU UNDERSTAND ALL OF THESE RIGHTS? □ YES NO □
DO YOU HAVE ANY QUESTIONS ABOUT ANY OF THESE RIGHTS?
□ YES NO □
Having these rights in mind, do you wish to speak with me now? If you wish to speak with me, will
you sign this waiver of your rights?
Date and Time of Advisory: ________________________________________________________
Advisory given by: ___________________________________ Badge # ____________________
YCC 60-1 (M) / Implemented 11-06-06
Juvenile Advisory of Rights, Parental Notification and Waiver Form
As received by the Department of Justice, Appellate Services Bureau 04-03-06
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