7-1 Recognizance to produce child  


F.C.A. §§ 724, 735Form 7-1
(Recognizance to Produce Child – Person in Need of Supervision)
(4/2005)
FAMILY COURT OF THE STATE OF NEW YORK
COUNTY OF _______
RECOGNIZANCE TO PRODUCE CHILD
I, [specify name]: _____, residing at [specify address]: _____, am the [check applicable box]: □ parent □ other person legally responsible for the care of [specify child's name]: _____, a child born on [specify date of birth]: _______.
I hereby promise to bring the child on [specify date and time]: _______ to the following agency designated to provide diversion services [check applicable box]:
□ Department of Probation, located at [specify address]:
 
 
□ Department of Social Services, located at [specify address]:
 
 
□ New York City Administration for Children's Services, located at [specify address]:
 
 
I UNDERSTAND THAT IF I DO NOT BRING THE CHILD AS PROMISED TO THE ABOVE-NAMED AGENCY ON THE DATE AND TIME INDICATED, THE FAMILY COURT MAY ISSUE A WARRANT DIRECTING THAT I AND MY CHILD BE BROUGHT TO THE FAMILY COURT.
Dated:
______
 
______________
 
Signature of Parent or Person Legally Responsible
 
______________
 
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