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Forms

The Juvenile Court Judges’ Commission has developed and made available several forms for use by juvenile probation officers and other stakeholder staff to assist in their performance of duties.  
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Summary ⇧Title ⇳Doc Type ⇳Topic ⇳Field1 ⇳Field2 ⇳
Monthly Detention Summary - listing all children admitted to detention during the month or remaining in detention from the preceding month. JCJC-D-3 PDFDetention Form  
Statement of facts and reasons accompanying court order authorizing the detention/continued detention of a child by a judge or master prior to adjudication. JCJC / ASFA-Del-2 PDFDetention Form  
Statement of facts and reasons accompanying the detention of a child by a probation officer/intake officer pursuant to 42 Pa.C.S. sections 6304, 6225, and 6331. JCJC-D-1 PDFDetention Form  
  PaJCMS Case Pre-Closing Form DOCJuvenile Case Closing Template  
  Outcome Measures Report Data Field Definitions DOCJuvenile Case Closing Template  
  Home Pass Request (JCJC-HP1) DOCHome Pass Form  
  Home Pass Request Instructions (JCJC-HP1) DOCHome Pass Form  
  Home Pass Approval (JCJC-HP2) DOCHome Pass Form  
  Home Pass Approval Instructions (JCJC-HP2) DOCHome Pass Form  
  Home Pass Modification Request (JCJC-HP3) DOCHome Pass Form  
  Home Pass Modification Request Instructions (JCJC-HP3) DOCHome Pass Form  
  Home Pass Assessment (JCJC-HP4) DOCHome Pass Form  
  Home Pass Assessment Instructions (JCJC-HP4) DOCHome Pass Form  
  Failure To Return Notification (JCJC-HP5) DOCHome Pass Form  
  Failure To Return Notification Instructions (JCJC-HP5) DOCHome Pass Form  
  Juvenile Admission Form - Spanish Version.pdf PDFAdmission Form  
  Juvenile Admission Form.pdf PDFAdmission Form