Form JD-JM-193 "Interstate Compact for Juveniles - Take Into Custody Application and Order - Non-delinquent Runaway" - Connecticut

What Is Form JD-JM-193?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-JM-193 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

ADVERTISEMENT
ADVERTISEMENT

Download Form JD-JM-193 "Interstate Compact for Juveniles - Take Into Custody Application and Order - Non-delinquent Runaway" - Connecticut

1311 times
Rate (4.3 / 5) 67 votes
INTERSTATE COMPACT FOR JUVENILES
STATE OF CONNECTICUT
TAKE INTO CUSTODY APPLICATION AND ORDER
SUPERIOR COURT
NON-DELINQUENT RUNAWAY
www.jud.ct.gov
JD-JM-193
Rev. 6-19
C.G.S. §§ 46b-120, 46b-133, 46b-149(f), 46b-51h
P.B. § 31a-13A
Address of Court
Docket number
Name of child
Date of birth
Address of child
Date of petition
Name, address and title of applicant
Affidavit
I certify that the following statements are true and accurate to the best of my knowledge and belief.
The child named above is a resident of the State of
and has been reported to be a runaway
from home or other lawful place of abode in that State and is believed to be located at
within the State of Connecticut. The State of
has indicated that it will be responsible for
the reasonable expenses relating to the child's return to that state.
The affiant bases this information and belief on the following documents that are incorporated and made part of this
application: (check all that apply)
Requisition issued through the Interstate Compact For Juveniles;
Affidavit from parent/guardian/court officer;
Court Order;
Verified NCIC communication;
Other (specify);
Based on this information and the belief that it is in the best interests of the child that the child be taken into custody to be
presented before a judge of the Superior Court Juvenile Matters for proceedings as provided by the terms of the Interstate
Compact For Juveniles, I request that the court issue a Take Into Custody Order and that the child be taken into custody and
brought immediately before a judge of the Superior Court Juvenile Matters. If court is not in session, then I request that the
child be placed in a staff secure facility pending a hearing on the next court date.*
This affidavit is made voluntarily, knowing that it may result in the apprehension and return of the child after a hearing to the
child's home state and affirm that it is true to the best of my knowledge and belief.
Print/type name of person signing
Signed at (Town)
On (Date)
Signed (Police officer/juvenile probation officer/prosecutorial official)
At (Town)
On (Date)
Signed (Judge/Clerk/Commissioner of Superior Court/Notary)
Subscribed and sworn
to before me
*NOTE: Non-delinquent runaways from out of state are not to be placed in a juvenile detention center. (Section 46b-149(f) of the
Connecticut General Statutes). To comply with Rule 6-102 of the Interstate Compact For Juveniles, the holding state may hold
non-delinquent runaways from out of state in a location it deems appropriate pending return.
For the police officer, probation officer or prosecutorial official: Contact the appropriate Program and Services Supervisor at (860) 214-4137
or (959) 333-7913 to arrange for placement in a Community Residential Program.
If the appropriate Community Residential Program cannot take the child, contact the DCF Careline at 1-800-842-2288 to arrange for
placement at a suitable alternative facility.
(Page 1 of 2)
Print Form
Reset Form
INTERSTATE COMPACT FOR JUVENILES
STATE OF CONNECTICUT
TAKE INTO CUSTODY APPLICATION AND ORDER
SUPERIOR COURT
NON-DELINQUENT RUNAWAY
www.jud.ct.gov
JD-JM-193
Rev. 6-19
C.G.S. §§ 46b-120, 46b-133, 46b-149(f), 46b-51h
P.B. § 31a-13A
Address of Court
Docket number
Name of child
Date of birth
Address of child
Date of petition
Name, address and title of applicant
Affidavit
I certify that the following statements are true and accurate to the best of my knowledge and belief.
The child named above is a resident of the State of
and has been reported to be a runaway
from home or other lawful place of abode in that State and is believed to be located at
within the State of Connecticut. The State of
has indicated that it will be responsible for
the reasonable expenses relating to the child's return to that state.
The affiant bases this information and belief on the following documents that are incorporated and made part of this
application: (check all that apply)
Requisition issued through the Interstate Compact For Juveniles;
Affidavit from parent/guardian/court officer;
Court Order;
Verified NCIC communication;
Other (specify);
Based on this information and the belief that it is in the best interests of the child that the child be taken into custody to be
presented before a judge of the Superior Court Juvenile Matters for proceedings as provided by the terms of the Interstate
Compact For Juveniles, I request that the court issue a Take Into Custody Order and that the child be taken into custody and
brought immediately before a judge of the Superior Court Juvenile Matters. If court is not in session, then I request that the
child be placed in a staff secure facility pending a hearing on the next court date.*
This affidavit is made voluntarily, knowing that it may result in the apprehension and return of the child after a hearing to the
child's home state and affirm that it is true to the best of my knowledge and belief.
Print/type name of person signing
Signed at (Town)
On (Date)
Signed (Police officer/juvenile probation officer/prosecutorial official)
At (Town)
On (Date)
Signed (Judge/Clerk/Commissioner of Superior Court/Notary)
Subscribed and sworn
to before me
*NOTE: Non-delinquent runaways from out of state are not to be placed in a juvenile detention center. (Section 46b-149(f) of the
Connecticut General Statutes). To comply with Rule 6-102 of the Interstate Compact For Juveniles, the holding state may hold
non-delinquent runaways from out of state in a location it deems appropriate pending return.
For the police officer, probation officer or prosecutorial official: Contact the appropriate Program and Services Supervisor at (860) 214-4137
or (959) 333-7913 to arrange for placement in a Community Residential Program.
If the appropriate Community Residential Program cannot take the child, contact the DCF Careline at 1-800-842-2288 to arrange for
placement at a suitable alternative facility.
(Page 1 of 2)
Print Form
Reset Form
Finding
I have reviewed this Application, affidavit(s) and other supporting documents and find that there is probable cause to believe
that the child has unlawfully left the child's home state or lawful place of abode in violation of the laws of the child's home
state or the orders of the court in the child's case, that there is a need to hold the child for the child's return to the child's home
state, that there is no less restrictive alternative available and that it is in the child's best interests to be taken into custody and
presented before a judge of the Superior Court Juvenile Matters for further proceedings on the request to return the child to
the child's home state. I also find that the State of _______________________________ will be responsible for the
reasonable expenses relating to the child's return to that state.
Take Into Custody Order
To: Any Proper Officer of the State of Connecticut
By Authority of the State of Connecticut, you are commanded to take the child named in this application into custody and
present the child immediately before a judge of the Superior Court Juvenile Matters. If court is not in session, then the child is
to be placed in the designated Community Residential Program pending a hearing on the next court date.
Date (Month, day, year)
At (Time, A.M. or P.M.)
Signed (A judge of the Superior Court)
Date, Time and
Signature
Return On Take Into Custody Order
Town of
Date
State of Connecticut
Then and there, by virtue of the within and foregoing affidavit/warrant, I took the child named in this application into custody
and have executed the issuance of the Take Into Custody Order on the named child pursuant to the order of the Court and
(check one):
Brought the child to the Superior Court Juvenile Matters at ________________________________________________
for presentment before said court.
Placed the child in the staff secure facility located at _____________________________________________________
to be held pending presentment before a judge of the Superior Court.
Attest (Officer's signature and department)
JD-JM-193
Rev 5-19
(Page 2 of 2)
Print Form
Reset Form
Page of 2