COUNTY[IES] DIVISION DOCKET NO.
AGREEMENT/MOTION TO EXTEND INFORMAL ASSISTANCE 90 DAYS
JV-095 (11/05/2012)
PROBATION OFFICER ASSENT
ORDER OF THE COURT
(FOR COURT USE ONLY)
This Court ordered informal assistance for 90 days after a preliminary hearing in this Court.
The above named child and the parent/legal guardian/custodian agree to an extension of informal
assistance for 90 days in order to continue working with the probation department.
I assent to the extension of informal assistance.
TRIAL COURT OF MASSACHUSETTS
JUVENILE COURT DEPARTMENT
Print Name and Title
Date
Application for Child Requiring Assistance
In Re:
Parent/Legal Guardian/Custodian's Signature
Print Name
Date
Print Name
The Agreement /Motion to Extend Informal Assistance is approved.
The Agreement /Motion to Extend Informal Assistance is denied.
Justice's Signature
Date
The case is scheduled in this Court for an Informal Assistance Review Hearing on ____________________
at ___________.
Child's Signature
Attorney's Signature
Signature
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