Texas Court Forms For Juveniles (Page 17 of 39) in pdf

AFFIDAVIT FOR COMPLAINT: FAILURE TO ATTEND SCHOOL – SCHOOL ATTENDANCE OFFICER (Sec. 25.094, E.C.)

CAUSE NUMBER: _______________

STATE OF TEXAS

IN THE MUNICIPAL COURT

VS.

CITY OF __________________

_____________________

__________ COUNTY, TEXAS

In the Name and by the Authority of the State of Texas:

I, ________________________________, being duly sworn on oath, state and swear that I am duly employed by the

________________ School District and am charged with the duties of attendance officer. In this role, I am responsible for

compliance with state laws regulating compulsory school attendance by students residing with this school district.

I have good reason to believe and do believe that ___________________________________, individual whose date of birth is

________________, is required to attend school under Section 25.085, Education Code. This individual is regularly enrolled and

attends the _______________________________ School, within this school district (and within the territorial limits of the City of

___________________) (and lives within the City of _____________________). Before the making and filing of this affidavit in

the territorial limits of the City of ________________________ and the State of Texas, the individual has intentionally and

knowingly

failed

attend

school

for

______

days

during

the

period

between

__________________

and

________________________.

This failure to attend was determined by:

 Reviewing attendance records of the school,

 Interviewing _________________________________________________________________________________________, or

 Other _____________________________________________________________________________________________________.

Further, no reason for the foregoing absences was provided to the school by the custodial parent or other person in parental relation

to the individual; the records of the school contain no excuse; and each of said absences was unexcused.

I further certify that the school has applied the truancy prevention measures adopted under Section 25.0915(a), Education

Code to the student and the truancy prevention measures failed to meaningfully address the student’s school attendance.

The student  is eligible  is not eligible for special education services under Subchapter A, Chapter 29, Education

Code and the student  receives  does not receive such services.

Additional specifics are:

_________________________________________________________________________________________________________

_______________________________________________________________________________________________________.

Against the peace and dignity of the State.

Affiant: __________________________________

Sworn to and subscribed before me on this the _____ day of _______________, 20___.

______________________________________

(Notary Public in and for the State of Texas)

(Clerk)(Deputy Clerk)(Municipal Court Judge)

City of _______________________________

__________________________County, Texas

Editor’s Note: Section 25.0951, E.C., provides that if a student fails to attend school without an excuse on 10 or more days or parts of days

within a six-month period in the same school year, a school district shall, within 10 school days of the student’s last absence (i.e., the 10th

absence), file a complaint against the student, the student’s parent, or both in the appropriate court alleging an offense under Section 25.093

or 25.094, E.C.

JUVENILES 08/13

TMCEC 2013 FORMS BOOK

209

Texas Court Forms For Juveniles Page 17

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