Family Court Of The State Of New York printable pdf download

Family Court Of The State Of New York

F.C.A. §§724,735

Form 7-1

(Recognizance to Produce Child –

Person in Need of Supervision)

(4/2005)

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF ________________

RECOGNIZANCE TO PRODUCE CHILD

I, [specify name]: _____________________________, residing at [specify address]:

___________________________________________, am the [check applicable box]:

Qparent Qother person legally responsible for the care of [specify child’s name]:____________

________________, a child born on [specify date of birth]: _____________________________.

I hereby promise to bring the child on [specify date and time]: ______________________

to the following agency designated to provide diversion services [check applicable box]:

Q Department of Probation, located at [specify address]: __________________________

__________________________________________________________________

Q Department of Social Services, located at [specify address]: _____________________

__________________________________________________________________

Q New York City Administration for Children’s Services, located at [specify address]:

__________________________________________________________________

I UNDERSTAND THAT IF I DO NOT BRING THE CHILD AS PROMISED TO THE

ABOVE-NAMED AGENCY ON THE DATE AND TIME INDICATED, THE FAMILY

COURT MAY ISSUE A WARRANT DIRECTING THAT I AND MY CHILD BE BROUGHT

TO THE FAMILY COURT.

Dated: ______________

_________________________________________

Signature of Parent or Person Legally Responsible

_________________________________________

PRINT NAME

Family Court Of The State Of New York