State of Alabama Unified Judicial System Form JU–12B Rev. 6/13 LEGAL INFORMATION (SOCIAL HISTORY SERIAL) Court Case Number IN THE JUVENILE

State of Alabama
Unified Judicial System

Form JU–12B Rev. 6/13

LEGAL INFORMATION
(SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF _________________________________________________ COUNTY, ALABAMA

(Name of County)

In the Matter of _______________________________________________________________________, a child

Part I PRIOR JUVENILE COURT RECORD:

Date Offense / Matter Disposition

Part II CHILD’S ATTITUDES TOWARD CURRENT OFFENSE AND HIS STATEMENT:

Part III COMPLAINANT’S (Victim’s) STATEMENT AND ATTITUDES TOWARD CURRENT OFFENSE:

Part IV PARENT’S ATTITUDES TOWARD OFFENSE:

Part V PARENT’S PRIOR POLICE RECORD:

_________________________________ _______________________________________________
Date Signature of Juvenile Probation Officer

(Name of Child)

State of Alabama
Unified Judicial System

Form JU-12C Rev. 6/13

SCHOOL INFORMATION
(SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF ____________________________________________________________COUNTY, ALABAMA
(Name of County)

In the Matter of___________________________________________________________________________________, a child

Current School:____________________________________________________________________________________________

Schools Previously Attended:_________________________________________________________________________________

Grades Repeated (if applicable):______________________________________________________________________________

Present Grade: __________________ Test Given:______________________ Date
Results: ________________________ Given:_______________________

Functional Grade Level: ________________

Academic Record:
Record
Attached,
Report card,
etc.

Attendance: Required Days: ______________________________
Days Present: ________________________________
Excused Absences: ____________________________
Unexcused Absences: __________________________

Conduct Reports,
Behavior, Attitude
Towards School &
Persons in
Authority: _______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

Extracurricular
Activities: _______________________________________________________________________________________________
_______________________________________________________________________________________________

School Officials
Contacted: _____________________________________________________________________________________________
_____________________________________________________________________________________________

Phone: ________________________________

___________________________________ _______________________________________________
Date Signature of School Official

___________________________________ _______________________________________________
Date Signature of Juvenile Probation Officer

Current Year Last Year
Subject 1 2 3 4 5 6 Yr. Subject 1 2 3 4 5 6 Yr.

1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.

(Name of Child)

State of Alabama
Unified Judicial System

Form JU – 12D Rev. 6/13

PROFILE OF CHILD
(SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF ___________________________________________________________ COUNTY, ALABAMA

(Name of County)

In the Matter of ___________________________________________________________________________________, a child

A profile of the child should include comments about physical appearance; self-image (how the child sees
himself/herself); general attitude towards authority, parents, school and police; peer relationships; strengths, weaknesses,
and attributes the child has that could help him/her through problems; employment history (full-time and part-time);
interests, hobbies and activities; special placements (i.e., special education, foster homes, vocational rehabilitation, etc);
description of programs and adjustment, length of stay, reasons for removal; and other pertinent comments or analysis.

__________________________________ _____________________________________________
Date Signature of Juvenile Probation Officer

(Name of Child)

State of Alabama
Unified Judicial System

Form JU-12E Rev. 6/13

FAMILY–HOME INFORMATION
(SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF _____________________________________________________________COUNTY, ALABAMA

(Name of County)

In the Matter of ____________________________________, a child Age: _________ Sibling Rank By Birth: ____________

Description of Home:

Family Information: Comment on all pertinent information about the child’s family, and income; parents’ marital status
and marital history; medical problems; recurring illnesses, mental or physical; family activities;
general relationships among parents, child, child’s siblings; attitude of parents toward offense; etc.

Other agencies working with family or individual member: (Past or present)

_________________________________ _________________________________________________________
Date Signature of Juvenile Probation Officer

(Name of Child)

State of Alabama
Unified Judicial System

Form JU–12F Rev. 6/13

MEDICAL INFORMATION
(SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF _______________________________________________ COUNTY, ALABAMA

(Name of County)

In the Matter of _________________________________________________________________________, a child

Health History:

Physical History (List diseases, physical handicaps, or surgical history):

Last Physical Exam (date, doctor, results):

Name of Family Doctor: ____________________________ Hospital Plan: _______________________________

Office Address: __________________________________ Medicaid No.: _______________________________
________________________________________________

Phone: ______________________________

Psychiatric History:

Immunizations – Childhood Diseases:

Other Comments: (Immediate problems, current treatments, habits, diet and other factors detrimental to health, medical
complaints and problems)

_________________________________ ____________________________________________________
Date Signature of Probation Officer

(Name of Child)

State of Alabama
Unified Judicial System

Form JU-12G Rev. 6/13

SUMMARY – RECOMMENDATIONS
(SOCIAL HISTORY SERIAL)

Court Case Number

IN THE JUVENILE COURT OF ______________________________________________COUNTY, ALABAMA

In the Matter of _______________________________________________________________________, a child

Needs Assessment and Treatment Priorities (Specific areas or target behavior, i.e., cursing, constant fighting):

Recommendations:

Referral Resources That are Indicated:

Other Comments:

________________________________ ____________________________________________________
Date Signature of Juvenile Probation Officer

(Name of County)

(Name of Child)

  1. Text1:
  2. Text2:
  3. Text3:
  4. Text4:
  5. Text5:
  6. Text6:
  7. Text7:
  8. Text8:
  9. Text9:
  10. Text10:
  11. Text11:
  12. Text12:
  13. Text13:
  14. Text14:
  15. Text15:
  16. Text16:
  17. Text17:
  18. Text18:
  19. Text19:
  20. Text20:
  21. Text21:
    1. 0:
    2. 1:
    3. 2:
    4. 3:
    5. 4:
  22. Text22:
    1. 0:
    2. 1:
    3. 2:
    4. 3:
  23. Text23:
    1. 0:
    2. 1:
    3. 2:
    4. 3:
    5. 4:
  24. Text24:
    1. 0:
    2. 1:
    3. 2:
  25. Text25:
  26. Text27:
  27. Text28:
  28. Text29:
  29. Text30:
  30. Text31:
  31. Text32:
  32. Text33:
  33. Text34:
  34. Text35:
  35. Text36:
  36. Check Box37: Off
  37. Text39:
  38. Text40:
  39. Text41:
  40. Text42:
  41. Text43:
  42. Text44:
  43. Text45:
  44. Text46:
  45. Text47:
  46. Text48:
  47. Text49:
  48. Text50:
  49. Text51:
  50. Text52:
  51. Text53:
  52. Text54:
  53. Text55:
  54. Text56:
  55. Text57:
  56. Text58:
  57. Text59:
  58. Text60:
  59. Text61:
  60. Text62:
  61. Text63:
  62. Text64:
  63. Text65:
  64. Text66:
  65. Text67:
  66. Text68:
  67. Text69:
  68. Text70:
  69. Text71:
  70. Text72:
  71. Text73:
  72. Text74:
  73. Text75:
  74. Text76:
  75. Text77:
  76. Text78:
  77. Text79:
  78. Text80:
  79. Text81:
  80. Text82:
  81. Text83:
  82. Text84:
  83. Text85:
  84. Text86:
  85. Text87:
  86. Text88:
  87. Text89:
  88. Text90:
  89. Text91:
  90. Text92:
  91. Text93:
  92. Text94:
  93. Text95:
  94. Text96:
  95. Text97:
  96. Text98:
  97. Text99:
  98. Text100:
  99. Text101:
  100. Text102:
  101. Text103:
  102. Text104:
  103. Text105:
  104. Text106:
  105. Text107:
  106. Text108:
  107. Text109:
  108. Text110:
  109. Text111:
  110. Text112:
  111. Text113:
  112. Text114:
  113. Text115:
  114. Text116:
  115. Text117:
  116. Text118:
  117. Text119:
  118. Text120:
  119. Text121:
  120. Text122:
  121. Text123:
  122. Text124:
  123. Text125:
  124. Text126:
  125. Text127:
  126. Text128:
  127. Text129:
  128. Text130:
  129. Text131:
  130. Text132:
  131. Text133:
  132. Text134:
  133. Text135:
  134. Text136:
  135. Text137:
  136. Text138:
  137. Text139:
  138. Text140:
  139. Text141:
  140. Text142:
  141. Text143:
  142. Text144:
  143. Text145:
  144. Text146:
  145. Text147:
  146. Text149:
  147. Text37:
  148. Text38:
  149. Text152:
  150. Text154:
  151. Text155:
  152. Text156:
  153. Text157:
  154. Text172:
  155. Text173:
  156. Text174:
  157. Text175:
  158. Text176:
  159. Text177:
  160. Text181:
  161. Text183:
  162. Text184:
  163. Text186:
    1. 0:
  164. Text187:
    1. 0:
  165. Text188:
    1. 0:
  166. Text189:
  167. Text148:
  168. Text150:
  169. Text151:
  170. Text158:
  171. Text159:
  172. Text160:
  173. Text153:
  174. Text161:
  175. Text163:
  176. Text164:
  177. Text162:
  178. Text165:
  179. Text168:
  180. Text169:
  181. Text170:
  182. Text171:
  183. Text178:
  184. Text185:
    1. 0:

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Self-Awareness and Family Systems Genogram Analysis Paper: (Visual Intergenerational Genogram Project and Multi-Systemic Eco- Map) Each student will

Self-Awareness and Family Systems Genogram Analysis Paper: (Visual Intergenerational Genogram Project and Multi-Systemic Eco- Map) Each student will construct a three generational visual genogram and develop an at least 5-page typed, self-awareness family analysis paper.  The goal of drawing a genogram is to objectify the intergenerational system of family projections,

Self-Awareness and Family Systems Genogram Analysis Paper: (Visual Intergenerational Genogram Project and Multi-Systemic Eco-Map) Each student will

Self-Awareness and Family Systems Genogram Analysis Paper: (Visual Intergenerational Genogram Project and Multi-Systemic Eco-Map) Each student will construct a three-generational visual genogram and develop at least a 5-page typed, self-awareness family analysis paper.  The goal of drawing a genogram is to objectify the intergenerational system of family projections, identifications, relationships,