Petition Form printable pdf download

Petition Form

F.C.A. §764

Form 7-9

(Person in Need of Supervision)

8/2002

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF_____

_____________________________________________

In the Matter of

Docket No.___________

A Person Alleged to be a Person

in Need of Supervision,

PETITION (Termination

of Placement)

Respondent.

____________________________________________

TO THE FAMILY COURT:

The undersigned Petitioner respectfully alleges upon information and belief that:

1. Petitioner,______________________________________________, is the G parent G guardian

G next friend of the above-named Respondent, and resides at [specify]:

Petitioner,

, is a duly authorized agency

that has its principal office at [specify]:

2. Under an Order of Fact-finding and Disposition of this Court,

dated________________________, the Respondent was adjudicated to be a person in need of supervision

within the meaning of Article 7 of the Family Court Act and placed in the custody of

__________________________________________________________________ for a period of _____

months, terminating on ___________________________.

3. Respondent is now in the custody of [specify]:

and the

placement should be terminated for the following reasons:

4. No previous application has been made to any court or judge for

this relief

(except [specify]: ________________________________________________.)

5. The Petitioner has made application to the agency with which the child has been placed for the

release of Respondent, which application was [check applicable box]: G denied G not granted within

thirty days from the day application was made)

WHEREFORE, Petitioner requests this Court to issue an Order terminating the placement of

Respondent and directing release.

Dated:________________, ___________.

______________________________

Petitioner

(By:______________________________

Name

Petition Form