Fl. R. Juv. P. form 8.930

As amended through January 1, 2025

Form 8.930 - JUVENILE NOTICE TO APPEAR

JUVENILE NOTICE TO APPEAR

DATE .......... AGENCY .....

CASE NO. ....

PARENT, ADULT RELATIVE, LEGAL GUARDIAN .....(name).....

I am the .....(relationship to child).....of .....(child's name)..... and promise to ensure that the child appears on .....(date).....at .....(time).....at .....(location)......I also promise immediately to notify the office of the state attorney at .....(telephone number).....and the clerk of the court at .....(telephone number).....of any change in the child's address.

__________________________

Signature of Parent/Adult

Relative/Legal Guardian

.....(address).....

.....(telephone number).....

.....(date).....

.....(address and telephone number of child, if different)..... ---------------

I, .....(child's name)....., understand that I have been charged with a law violation, .....(offense(s))....., and that I am being released at this time to the custody of .....(parent, adult relative, or legal guardian's name)......

I promise to appear on .....(date).....at .....(time).....at .....(location)....., and to appear as required for any additional conferences or appearances scheduled by DJJ or the court. I understand that my failure to appear shall result in a custody order being issued and that I will be picked up and taken to detention.

________________________

Child's Signature

Date ....................

Arresting Officer ....................

___________________________

Releasing officer or DJJ counselor authorizing release

DJJ Intake Telephone Number ....

ATTACH TO ARREST AFFIDAVIT

Fl. R. Juv. P. form 8.930

Amended effective 7/1/2023; amended by 258 So.3d 1254, effective 1/1/2019; amended by 939 So.2d 74, effective 1/1/2007; amended by 783 So.2d 138, effective 1/1/2001; added by 589 So.2d 818, effective 7/1/1991.