Particulars of Youth Name Date of Birth Address Particulars of Guardian Name Address I have read the particulars of the youth’s undertaking (a copy of which is attached) and as a guardian of the youth I undertake: IMPORTANT NOTE: Failure of the to complete the undertaking by the due date will result in a record of that failure being lodged with the Registrar of the Youth Court. This may result in either a fine of up to $2,500 or 6 months detention (or both). ...................................................................... Guardian Taken before me and duplicate notice(s) given to the guardian and the youth on the date set out hereunder. ...................................................................... Justice of the Peace Date: / /20 Time: am/pm Form YO6 REPORT REQUEST FORM Young Offenders Act Section 32(1) To The Supervisor, Court Services, Department for Communities & Social Inclusion, Youth Justice, Level 8, 101 Grenfell Street, ADELAIDE, 5000 Type of Report Oral/Written Oral/Written Court of Origin YOUTH COURT OF SOUTH AUSTRALIA Sitting At ADELAIDE Registry Address 75 Wright Street, ADELAIDE, SA 5000 Number (08) 8204 0331 Court Fax Number (08) 8204 0333 File Number Presiding Officer Prosecuting Authority POLICE Particulars of Defendant Name
Particulars of Youth Name Date of Birth Address Particulars of Guardian Name Address I have read the particulars of the youth’s undertaking (a copy of which is attached) and as a guardian of the youth I undertake: IMPORTANT NOTE: Failure of the to complete the undertaking by the due date will result in a record of that failure being lodged with the Registrar of the Youth Court. This may result in either a fine of up to $2,500 or 6 months detention (or both). ...................................................................... Guardian Taken before me and duplicate notice(s) given to the guardian and the youth on the date set out hereunder. ...................................................................... Justice of the Peace Date: / /20 Time: am/pm Form YO6 REPORT REQUEST FORM Young Offenders Act Section 32(1) To The Supervisor, Court Services, Department for Communities & Social Inclusion, Youth Justice, Level 8, 101 Grenfell Street, ADELAIDE, 5000 Type of Report Oral/Written Oral/Written Court of Origin YOUTH COURT OF SOUTH AUSTRALIA Sitting At ADELAIDE Registry Address 75 Wright Street, ADELAIDE, SA 5000 Number (08) 8204 0331 Court Fax Number (08) 8204 0333 File Number Presiding Officer Prosecuting Authority POLICE Particulars of Defendant Name
Youth%20Court%20(Young%20Offenders)%20Rules%202016.docx