Petition To Commit Mentally Ill Child {JC-002B}

To the Honorable Dan H. Michael, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee:Your petitioner respectfully represents to the Court on information and belief that: þ 1. þ Said child is mentally ill and needs care, training, or treatment because of the mental illness. þ 2. þ It is in the best interest of the child and the public that this proceeding be brought. þ 3. þ Said child should be placed in the temporary custody of the Department of Children's Services as provided by law. þ 4. þ The father is , residing at . þ 5. þ The mother is , residing at . þ 6. þ The child is in the custody and control of , residing at .Premises considered, petitioner prays that the Court make inquiry into the allegations herein set forth and make such orders as the Court may deem proper within its jurisdiction. PETITION AFFIDAVITSworn to and subscribed before me this day of , 20 IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEEIN THE MATTER OFA child(ren) under 18 years of ageDocket Number PetitionerAddressPetitionerJANIS FULLILOVE, Clerk of CourtBy D. C.STATE OF TENNESSEECOUNTY OF SHELBYBefore me personally appeared the petitioner in the foregoing petition, who makes oath that the statements therein are true to the best of his knowledge, information and belief. JC-002B09/01/2018REV A American LegalNet, Inc. www.FormsWorkFlow.com