Alternatives to Detention Requirement Form

For a juvenile to be placed on any form of monitored supervision, please complete this form in its entirety and click the submit button below. This will automatically send to Juvenile Community Corrections Staff.

Juvenile Name*

Today's Date*

Date

Program 1 Ordered:*

Program 2 Ordered (if applicable):

Cause Number (Last Four)

If no cause number is assigned, you must input the Quest Case Number.

Quest Case Number:

If no cause number is assigned, you must input the Quest Case Number so staff may enter the requirement.

Are there any current protection orders or no contact orders in place?*

If yes, do exclusion/protection zones need to be entered to protect the victim? If exclusion and protection zones are requested the authorizing probation officer must submit that information to the Director, Assistant Director and Field Officer(s) upon receipt.

Is the juvenile currently involved in problem solving court?*

If the juvenile is involved in problem solving court, please indicate below additional requirements. (i.e. attend meetings, sessions, etc.)

Case Reason*

Referring Agency*

Assigned Probation Officer*

Court Disposition

Enter a summary of the court disposition (if applicable)

Total Days Ordered*

Program Start Date*

Enter the date the juvenile should start the program.

Program End Date

The date the monitoring device will come off (if pending court, leave blank)

PROGRAM END DATE SHOULD BE SCHEDULED MONDAY-FRIDAY (EXCLUDING HOLIDAYS) - PLEASE KEEP THIS IN MIND WHEN DETERMINING HOW MANY DAYS A YOUTH WILL SERVE.

Next Court Date (if applicable)

If the juvenile is ordered to remain on a form of monitoring pending their next hearing, indicate the date of their hearing.

Additional Information

Please enter additional information you believe may be helpful to Juvenile Community Corrections Staff.

Authorizing Probation Officer*

Please verify that you are human*