New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 22. Judiciary |
Subtitle D. Forms |
Chapter IV. Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) |
Subchapter A. Forms Authorized by Section 205.7 |
Juvenile Delinquency Forms (Family Court Act Article 3) |
3-22 Petition (dismissal for continuing lack of capacity) |
Sec. 322.2 F.C.A. Form 3-22 (Juvenile Delinquency) 7/83 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF _________ ________________ In the Matter of Docket No. __ ______ PETITION (Dismissal for Continuing Lack of A Person Alleged to be a Capacity) Juvenile Delinquent, ______ Respondent. ________________ TO THE FAMILY COURT: The undersigned (appearing on behalf of the) Petitioner respectfully alleges that: (1. Petitioner is the (Commissioner of Mental Health) (Commissioner of Mental Retardation and Developmental Disabilities) to whose custody the above-named Respondent was committed by an order of this Court dated __, 19.) (1. (S)he is the __ of the petitioning Respondent in above-entitled proceeding and is appearing on behalf of said child for the purpose of filing this petition. Respondent was committed to the custody of the (Commissioner of Mental Health) (Commissioner of Mental Retardation and Developmental Disabilities) by an order of this Court dated __, 19.) 2. Petitioner alleges that there exists a substantial probability that the above-named Respondent will continue to be incapacitated for the foreseeable future in that WHEREFORE, Petitioner prays that an order be entered herein dismissing the petition sworn to on __, 19 , and filed in this Court on __, 19 , alleging that Respondent is a juvenile delinquent. Dated: ______, 19. ( Commissioner By Name Title ) (By On Behalf of the Petitioner (Child) ) VERIFICATION (Agency) STATE OF NEW YORK ) ) ss.: COUNTY OF __ ) __, being duly sworn, deposes and says: That (s)he is the __ of __, an agency authorized to originate the above-entitled proceeding, and is acquainted with the facts and circumstances therein; that (s)he has read the foregoing and knows the contents thereof; that the same is true to (his) (her) own knowledge, except as to matters therein stated to be alleged on information and belief and as to those matters (s)he believes it to be true. Name Title Sworn to before me this __ day of __, 19. (Notary Public) VERIFICATION (Individual) STATE OF NEW YORK ) ) ss.: COUNTY OF __ ) __, being duly sworn, deposes and says: That (s)he is the in the above-entitled proceeding and is acquainted with the facts and circumstances thereof; that (s)he has read the foregoing and knows the contents thereof; that the same is true to (his) (her) own knowledge, except as to matters therein stated to be alleged on information and belief and as to those matters (s)he believes it to be true. ______________ Sworn to before me this __ day of __, 19. (Deputy) (Clerk of the Court) (Notary Public) |