Date:
Status:
To (State):
From (State):
Date of Birth:
Person Submitting Case Closure Notification:
Case Closure Notification Submitted By:
Sending State Receiving State
Please close the above referenced case due to:
Adult sentence longer than juvenile order
Case has expired
Early discharge/termination from supervision
Relocation did not occur within 90 calendar days
Unable to locate juvenile
Juvenile has escaped/absconded
Juvenile has moved to another state
Juvenile has returned to the sending state
Juvenile has been revoked
Juvenile has been adjudicated and is currently in custody
Other or additional information:
The sending state may deny only if the circumstances of the case no longer meet the criteria for
closure listed above.
Denied
Sending State’s Reason for Denying Case Closure:
Form X – Case Closure Notification | Rev. 02-01-16
INTERSTATE COMPACT FOR JUVENILES
CASE CLOSURE NOTIFICATION
FORM X