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The following forms comply with provisions of HEA 1001, which requires that court orders include "language approved and recommended by the judicial conference of Indiana in relation to removal or detention." Failure to adopt language from these forms, most significantly the federal IV-E language, may result in your county being liable for the costs of placement of a child.
Forms Last Updated or Newly Approved: January 24, 2020
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Access Probation Officers' Reports on the Probation Website
Chapter 1. Detention and Custody
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-1.02 | Written Promise for Appearance of Juvenile | 08.08.2008 | 08.08.2008 |
| D-1.03 | Notice of Detention of Child | 08.08.2008 | 08.08.2008 |
| D-1.04 | Notice of Detention Hearing | 08.08.2008 | 08.08.2008 |
| D-1.05 | Affidavit in Support of Probable Cause | 08.08.2008 | 08.08.2008 |
| D-1.06 | Written Findings, Recommendations and 48 Hour Order Regarding Probable Cause | 08.08.2008 | 02.09.2010 |
| D-1.07 | Order on Detention Hearing | 08.08.2008 | 02.09.2010 |
| D-1.08 | Petition for Detention Hearing | 08.08.2008 | 08.08.2008 |
| D-1.09 | Writ of Attachment for Failure to Appear | 08.08.2008 | 08.08.2008 |
| D-1.10 | Detention Report to Court Delinquent Children | 08.08.2008 | 08.08.2008 |
Chapter 3. Preliminary Inquiry
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-3.02 | Intake Information for a Delinquent Child and Prosecutor's Request for Preliminary Inquiry | 08.08.2008 | 08.08.2008 |
| D-3.03 | Intake Officer's Advice to a Delinquent Child and Parent, Guardian or Custodian | 08.08.2008 | 08.08.2008 |
| D-3.04 | Consent to Background Investigation and Release | 08.08.2008 | 08.08.2008 |
Chapter 4. Informal Adjustment
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-4. IA EXT | Informal Adjustment Extension Request | 08.08.2008 | 08.08.2008 |
| D-4.03 | Program of Informal Adjustment | 08.08.2008 | 08.08.2008 |
| D-4.04 | Petition for Order of Compliance | 08.08.2008 | 08.08.2008 |
Chapter 5. Delinquency Petition
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-5.02 | Request for Custody Order | 08.08.2008 | 08.08.2008 |
| D-5.03 | Order Approving Filing of Delinquency Petition Crime Delinquent | 08.08.2008 | 11.03.2009 |
| D-5.04 | Order Approving Filing of Delinquency Petition Status Delinquent | 08.08.2008 | 11.03.2009 |
| D-5.05 | Petition Alleging Delinquency | 08.08.2008 | 08.08.2008 |
| D-5.06 | Order Setting Initial Hearing on Delinquency Petition and for Issuance of Summons | 08.08.2008 | 02.09.2010 |
| D-5.07 | Summons | 08.08.2008 | 08.08.2008 |
Chapter 6. Initial Hearing
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-6.00 | C.R. 25: Waiver of Attorney | 11.20.2014 | 03.16.2015 |
| D-6.02 | Order on Appointment of Attorney | 08.08.2008 | 08.08.2008 |
| D-6.03 | Order on Initial Hearing on Delinquency Petition Crime Delinquent (No Waiver Requested) | 08.08.2008 | 02.09.2010 |
| D-6.04 | Order on Initial Hearing on Delinquency Petition Crime Delinquent (Waiver Requested) | 08.08.2008 | 02.09.2010 |
| D-6.05 | Order on Initial Hearing on Status Delinquency Petition | 08.08.2008 | 02.09.2010 |
| D-6.06 | Order on Initial Hearing on Delinquency Petition (Denial or Delinquency) | 08.08.2008 | 02.09.2010 |
| D-DISPO ALT | Dispositional Alternatives (I.C. 31-37-19-5 & 31-37-19-6) | 08.08.2008 | 08.08.2008 |
Chapter 7. Waiver
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-7.02 | Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-2) | 08.08.2008 | 01.30.2017 |
| D-7.03 | Waiver Order (I.C. 31-30-3-2) | 08.08.2008 | 01.30.2017 |
| D-7.04 | Prosecutor's Motion for Waiver of Juvenile Jurisdiction on Controlled Substances Felony (I.C. 31-30-3-3) | 08.08.2008 | 01.30.2017 |
| D-7.05 | Waiver Order (I.C. 31-30-3-3) | 08.08.2008 | 01.30.2017 |
| D-7.06 | Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-4) | 08.08.2008 | 01.30.2017 |
| D-7.07 | Waiver Order (I.C. 31-30-3-4) | 08.08.2008 | 01.30.2017 |
| D-7.08 | Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-5) | 08.08.2008 | 01.30.2017 |
| D-7.09 | Waiver Order (I.C. 31-30-3-5) | 08.08.2008 | 01.30.2017 |
| D-7.10 | Prosecutor's Motion for Presumptive Waiver of Juvenile Jurisdiction Over Child Previously Convicted of Felony or Non-Traffic Misdemeanor | 08.08.2008 | 08.08.2008 |
| D-7.11 | Waiver Order (I.C. 31-30-3-6) | 08.08.2008 | 08.08.2008 |
| D-7.12 | Order Denying Waiver | 08.08.2008 | 08.08.2008 |
Chapter 9. Factfinding
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-9.02 | Order of Fact-Finding Hearing on Delinquency Petition | 08.08.2008 | 02.09.2010 |
| D-9.03 | Order on Fact-Finding Hearing on Delinquency Petition | 08.08.2008 | 08.08.2008 |
Chapter 11. Dispositional Hearings
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-11.03 | Dispositional Order | 08.08.2008 | 01.24.2020 |
| D-11.04 | Dispositional Order - Wardship Awarded to Dept. of Correction | 08.08.2008 | 11.26.2018 |
| D-11.05 | Order to Reinstate Jurisdiction Over Child | 08.08.2008 | 11.26.2018 |
| D-11.08 | Financial Obligation Order | 08.08.2008 | 11.26.2018 |
Chapter 12. Parental Participation
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-12.02 | Petition for Parental Participation | 08.08.2008 | 08.08.2008 |
| D-12.03 | Order of Participation | 08.08.2008 | 08.08.2008 |
| D-12.04 | Verified Information for Rule to Show Cause | 08.08.2008 | 08.08.2008 |
| D-12.05 | Order to Show Cause | 08.08.2008 | 08.08.2008 |
| D-12.06 | Motion for Termination of Probation and Reimbursement of Costs | 08.08.2008 | 08.08.2008 |
| D-12.07 | Order on Motion for Termination of Probation and Reimbursement of Costs | 08.08.2008 | 08.08.2008 |
Chapter 14. Post-Disposition
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-14.02 | Verified Petition for Modification of Dispositional Decree | 08.08.2008 | 08.08.2008 |
| D-14.03 | Notice of Hearing on Periodic Review of (or Petition to Modify) Dispositional Order | 08.08.2008 | 08.08.2008 |
| D-14.04 | Order for Hearing and Notice on Modification Petition Including Temporary Order | 08.08.2008 | 02.09.2010 |
| D-14.05 | Order on Periodic [Six (6) Month] Review Hearing (I.C. 31-37-20-2) | 08.08.2008 | 02.09.2010 |
| D-14.05a | Order on Periodic Case Review - APPLA | 05.10.2016 | |
| D-14.06a | Order Approving Permanency Plan - Non-APPLA | 05.10.2016 | |
| D-14.06b | Order Approving Permanency Plan - APPLA | 05.10.2016 | |
| D-14.07 | Order on Modification Hearing | 08.08.2008 | 01.24.2020 |
| D-14.08 | Modified Dispositional Order (Secure Placement) | 08.08.2008 | 01.24.2020 |
| D-14.09 | Notice of Detention Hearing | 08.08.2008 | 08.08.2008 |
| D-14.10 | Order for DCS Payment of Polygraph Examination | 11.26.2018 |
Chapter 15. Public Access
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-15.02 | Order Closing Public Access to Juvenile Proceeding During Testimony of Child Witness / Victim | 08.08.2008 | 08.08.2008 |
| D-15.03 | Order Granting Access to Certain Juvenile Records | 08.08.2008 | 08.08.2008 |
Chapter 16. Miscellaneous Forms
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-16.01 | Order of Pre-Adjudication Suspension of License (I.C. 31-37-5-7) | 08.08.2008 | 08.08.2008 |
| D-16.02 | Order of Reinstatement of Driving Privileges (I.C. 31-37-5-7(b)) | 08.08.2008 | 08.08.2008 |
| D-16.04 | Expungement Petition | 02.25.2015 | 07.28.2017 |
| D-16.05 | Expungement Order | 02.25.2015 | 07.28.2017 |
| D-16.06 | Dual Status Screening Tool Report | 03.10.2016 | |
| D-16.07 | Referral to Dual Status Assessment Team | 03.10.2016 | |
| D.16.08 | Recommendation of Dual Status Assessment Team | 03.10.2016 | |
| D.16.09 | Order on Recommendation of Dual Status Assessment Team | 03.10.2016 | |
| D.16.10 | Emancipation Order | 03.10.2016 |
Chapter 17: Indian Child Welfare Act
| Form # | Form Title | Date Approved | Date Revised |
|---|---|---|---|
| D-17.01 | Indian Child Welfare Act Benchcard | 05.01,2017 |