Indiana Court Forms
Juvenile Delinquency Benchbook Forms

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: November 26, 2008

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Click on chapter titles to reveal a complete list of forms from that chapter.

 
Forms
Probation Officer's Reports
Form #
Form Title
Date Approved
Date Revised
MS Word
Fillable PDF
D-PI 3.05
Probation Officer's Report of Preliminary Inquiry
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-PDR 10
Pre-Dispositional Report
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
 
Detention and Custody
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-1.02
Written Promise for Appearance of Juvenile
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.03
Notice of Detention of Child
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.04
Notice of Detention Hearing
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.05
Affidavit in Support of Probable Cause
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.06
Written Findings, Recommendations and 48 Hour Order Regarding Probable Cause
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.07
Order on Detention Hearing
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.08
Petition for Detention Hearing
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.09
Writ of Attachment for Failure to Appear
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-1.10
Detention Report to Court Delinquent Children
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Preliminary Inquiry
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-3.02
Intake Information for a Delinquent Child and Prosecutor's Request for Preliminary Inquiry
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-3.03
Intake Officer's Advice to a Delinquent Child and Parent, Guardian or Custodian
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-3.04
Consent to Background Investigation and Release
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Informal Adjustment
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-4. IA EXT
Informal Adjustment Extension Request
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-4.03
Program of Informal Adjustment
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-4.04
Petition for Order of Compliance
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Delinquency Petition
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-5.02
Request for Custody Order
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-5.03
Order Approving Filing of Delinquency Petition Crime Delinquent
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-5.04
Order Approving Filing of Deliquency Petition Status Delinquent
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-5.05
Petition Alleging Delinquency
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-5.06
Order Setting Initial Hearing on Delinquency Petition and for Issuance of Summons
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-5.07
Summons
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Initial Hearing
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-6.02
Order on Appointment of Attorney
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-6.03
Order on Initial Hearing on Deliquency Petition Crime Delinquent (No Waiver Requested)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-6.04
Order on Initial Hearing on Delinquency Petition Crime Delinquent (Waiver Requested)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-6.05
Order on Initial Hearing on Status Delinquency Petition
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-6.06
Order on Initial Hearing on Delinquency Petition (Denial or Delinquency)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Waiver
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-7.02
Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-2)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.03
Waiver Order (I.C. 31-30-3-2)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.04
Prosecutor's Motion for Waiver of Juvenile Jurisdiction on Controlled Substances Felony (I.C. 31-30-3-3)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.05
Waiver Order (I.C. 31-30-3-3)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.06
Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-4)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.07
Waiver Order (I.C. 31-30-3-4)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.08
Prosecutor's Motion for Waiver of Juvenile Jurisdiction (I.C. 31-30-3-5)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.09
Waiver Order (I.C. 31-30-3-5)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
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
MS Word Document
Adobe PDF Document
D-7.11
Waiver Order (I.C. 31-30-3-6)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-7.12
Order Denying Waiver
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Dialogue for Detention / Initial Hearing
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-8.01
Dialogue for Detention Hearing (I.C. 31-37-6)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-8.02
Dialogue for Initial Hearing (I.C. 31-37-12)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-8.03
DISPO ALT
Dispositional Alternatives: I.C. 31-37-19-5 & 31-37-19-6
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Fact Finding
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-9.02
Order of Fact-Finding Hearing on Delinquency Petition
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-9.03
Order on Fact-Finding Hearing on Delinquency Petition
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Dispositional Hearings
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-11.02
Sample Dialogue: Dispositional Hearing
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-11.03
Dispositional Order
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-11.04
Dispositional Order
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-11.05
Order to Reinstate Jurisdiction Over Child
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-11.06
Written Warning of Consequences for Violation of Placement Order by Runaway
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-11.07
Written Warning of Consequences for Violation of Compulsory School Attendance Law
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-11.08
Financial Obligation Order
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Parental Participation
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-12.02
Petition for Parental Participation
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-12.03
Order of Participation
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-12.04
Verified Information for Rule to Show Cause
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-12.05
Order to Show Cause
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-12.06
Motion for Termination of Probation and Reimbursement of Costs
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-12.07
Order on Motion for Termination of Probation and Reimbursement of Costs
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Modification
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-14.02
Verified Petition for Modification of Dispositional Decree
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.03
Notice of Hearing on Periodic Review of (or Petition to Modify) Dispositional Order
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.04
Order for Hearing and Notice on Modification Petition Including Temporary Order
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.05
Order on Periodic [Six (6) Month] Review Hearing (I.C. 31-37-20-2)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.06
Order Approving Permanency Plan
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.07
Order on Modification Hearing
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.08
Modified Dispositional Order (Secure Placement)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-14.09
Notice of Detention Hearing
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Public Access
Form #
Form Title
Date Approved
Date Revised
MS Word
Adobe PDF
D-15.02
Order Closing Public Access to Juvenile Proceeding During Testimony of Child Witness / Victim
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-15.03
Order Granting Access to Certain Juvenile Records
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document

Miscellaneous Forms
Form #
Form Title
Date Approved
Date Revised
MS Office
Adobe PDF
D-16.01
Order of Pre-Adjudication Suspension of License (I.C. 31-37-5-7)
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-16.02
Order of Reinstatement of Driving Privelages (I.C. 31-37-5-7(b))
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
D-16.03
Indiana Juvenile Detention Centers
08.08.2008
08.08.2008
MS Word Document
Adobe PDF Document
 
  Last modified on Tuesday, January, 06, 2009
Indiana Courts www.IN.gov/judiciary