Form NHJB-2825-F "Right to an Attorney in an Abuse/Neglect Case, Request for Court-Appointed Attorney or Waiver of Right to an Attorney" - New Hampshire

What Is Form NHJB-2825-F?

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

Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the New Hampshire Judicial Branch;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form NHJB-2825-F by clicking the link below or browse more documents and templates provided by the New Hampshire Judicial Branch.

ADVERTISEMENT
ADVERTISEMENT

Download Form NHJB-2825-F "Right to an Attorney in an Abuse/Neglect Case, Request for Court-Appointed Attorney or Waiver of Right to an Attorney" - New Hampshire

114 times
Rate (4.6 / 5) 8 votes
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Number:
IN THE MATTER OF:
DOB:
IN THE MATTER OF:
DOB:
IN THE MATTER OF:
DOB:
IN THE MATTER OF:
DOB:
RIGHT TO AN ATTORNEY IN AN ABUSE OR NEGLECT CASE
REQUEST FOR COURT-APPOINTED ATTORNEY OR
WAIVER OF RIGHT TO AN ATTORNEY
I,
, of
,
Name
Address
being the
of
, a minor
Relationship
Child(ren)'s Name(s)
child(ren), have been notified to appear before the court to answer to a petition alleging that my
child(ren) have been abused and/or neglected pursuant to the New Hampshire Child Protection Act
(RSA 169-C).
I have been advised of my right to be represented by an attorney at every point in the case and
at every court hearing.
I have been advised that if I do not think that I can afford to pay an attorney that I may apply to
the court for a court-appointed attorney to represent my interests. To apply for a court-appointed
attorney, I understand that I must complete a Financial Affidavit form and this Right to an Attorney
form and submit both to the court listed on the front of the petition for review. If I financially qualify to
have an attorney represent me, I understand that the court will appoint one.
If an attorney is appointed to represent me, I understand that I may be asked to pay back some
or all of the court-appointed attorney's fees. This will be based upon my ability to pay as determined
by the court.
I understand that the processing of this case involves important legal, procedural and
constitutional matters, including the examination of witnesses, offering of testimony and presentation
of evidence. I further understand that if the court makes a finding of "TRUE" that my child(ren) have
been abused and/or neglected, the finding may be the basis at a future time for a petition to terminate
my parental rights. If my parental rights are terminated, I understand that I will no longer have any
legal rights, privileges, duties or obligations regarding the child(ren).
I understand that even if I waive my right at this time to hire an attorney or to apply for a court-
appointed attorney, I may at any time during the course of this case exercise my right to either hire an
attorney or apply for a court-appointed one.
Top of Page
NHJB-2825-F (07/01/2013)
Page 1 of 2
Clear Form
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Number:
IN THE MATTER OF:
DOB:
IN THE MATTER OF:
DOB:
IN THE MATTER OF:
DOB:
IN THE MATTER OF:
DOB:
RIGHT TO AN ATTORNEY IN AN ABUSE OR NEGLECT CASE
REQUEST FOR COURT-APPOINTED ATTORNEY OR
WAIVER OF RIGHT TO AN ATTORNEY
I,
, of
,
Name
Address
being the
of
, a minor
Relationship
Child(ren)'s Name(s)
child(ren), have been notified to appear before the court to answer to a petition alleging that my
child(ren) have been abused and/or neglected pursuant to the New Hampshire Child Protection Act
(RSA 169-C).
I have been advised of my right to be represented by an attorney at every point in the case and
at every court hearing.
I have been advised that if I do not think that I can afford to pay an attorney that I may apply to
the court for a court-appointed attorney to represent my interests. To apply for a court-appointed
attorney, I understand that I must complete a Financial Affidavit form and this Right to an Attorney
form and submit both to the court listed on the front of the petition for review. If I financially qualify to
have an attorney represent me, I understand that the court will appoint one.
If an attorney is appointed to represent me, I understand that I may be asked to pay back some
or all of the court-appointed attorney's fees. This will be based upon my ability to pay as determined
by the court.
I understand that the processing of this case involves important legal, procedural and
constitutional matters, including the examination of witnesses, offering of testimony and presentation
of evidence. I further understand that if the court makes a finding of "TRUE" that my child(ren) have
been abused and/or neglected, the finding may be the basis at a future time for a petition to terminate
my parental rights. If my parental rights are terminated, I understand that I will no longer have any
legal rights, privileges, duties or obligations regarding the child(ren).
I understand that even if I waive my right at this time to hire an attorney or to apply for a court-
appointed attorney, I may at any time during the course of this case exercise my right to either hire an
attorney or apply for a court-appointed one.
Top of Page
NHJB-2825-F (07/01/2013)
Page 1 of 2
Case Number:
RIGHT TO ATTORNEY – ABUSE & NEGLECT
Please check one (1) of the three (3) boxes below and sign and date the form.
1.
I will hire an attorney to represent me.
2.
I do not think that I can afford to hire an attorney and would like to apply for a court-
appointed attorney. My completed Financial Affidavit form is enclosed.
Date
Signature of Parent
Printed Name of Parent
WAIVER OF RIGHT TO AN ATTORNEY
3.
I do not want an attorney to represent me and waive my right at this time to hire an
attorney or apply for a court-appointed attorney.
By signing below, I understand that even though I have waived my right at this time to
have an attorney represent me, I understand that I may at any time during the course of
this case exercise my right to either hire an attorney or apply for a court-appointed
attorney.
Date
Signature of Parent
Printed Name of Parent
The above named parent has waived her/his right to an attorney.
I have reviewed the content of this form with the parent and have determined that s/he
understands the right to either hire an attorney or apply to have a court-appointed attorney
represent her/him.
Recommended:
Date
Signature of Marital Master
Printed Name of Marital Master
So Ordered:
I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital
master/judicial referee/hearing officer has made factual findings, she/he has applied the correct
legal standard to the facts determined by the marital master/judicial referee/hearing officer.
Date
Signature of Judge
Printed Name of Judge
Top of 1st Page
NHJB-2825-F (07/01/2013)
Page 2 of 2
Page of 2