STATE OF MINNESOTA	DISTRICT COURT

JUVENILE DIVISION

COUNTY OF select county	FIFTH JUDICIAL DISTRICT

In the Matter of the Welfare of:

enter name

D.O.B.: select date

Juvenile Delinquency/​Extended Juvenile Jurisdiction: Findings of fact

District Court File Number enter file number

☐ Other file numbers included in this hearing:
enter file numbers

Date of Hearing: select date	Judge: select or enter judge name

Type of Hearing: select hearing type

Appearances:

☐Prosecutor: enter name

☐Attorney for Juvenile: enter name

☐Mother: enter name

☐Father: enter name

☐Community corrections: enter name

☐enter name

Upon the evidence adduced, the arguments of counsel, and all the files, records, and proceedings herein, the Court makes the following:

Findings of Fact

☐The Juvenile waived the presence of a parent, and the Court finds it is in the best interests of the child to proceed without a parent.

☐The Juvenile understands the nature of the offense or offenses; made a knowing, intelligent, and voluntary waiver of their rights; and offered facts sufficient to support an admission to the following charge or charges: enter charges as amended to enter amendment.

☐An agreement was reached as to select Plea, Disposition, or both.

☐The Juvenile has admitted violating the conditions of their probation by enter admission.

☐The violation was inexcusable or intentional.

☐The need for confinement outweighs policies favoring probation.

☐The Juvenile committed an offense that, if committed by an adult, would result in a presumptive commitment to prison under the Sentencing Guidelines and applicable statutes, and the Juvenile was at least 16 years old at the time of the offense.

☐The Juvenile knowingly, voluntarily, and intelligently waived their right to a contested extended jurisdiction juvenile proceeding on the record, after being fully and effectively informed of their rights by counsel.

☐The Juvenile was in possession of a firearm at the time of the offense, and the firearm is subject to immediate seizure by law enforcement pursuant to Minnesota Statutes Section 260B.198, Subdivision 2.

☐The Juvenile was in possession of a dangerous weapon in a school zone, and the Juvenile is subject to cancellation of driving privileges until age 18 pursuant to Minnesota Statutes Section 260B.198, Subdivision 2.

☐The Juvenile pled guilty to an offense which is a Crime of Violence under Minnesota Statutes Section 624.712, Subdivision 5.

☐The transcript of these proceedings sets forth facts which support this disposition order and is hereby incorporated as to (a) why the best interests of the Juvenile are served by this disposition order and (b) what alternative dispositions were considered by the Court and discussed as to why they were not appropriate in this case.

☐This matter has been screened by enter name for out-of-home placement. The screening committee is recommending the Juvenile be placed at and successfully complete the enter text placement.

☐The Court finds that the least restrictive alternative available to restore the Juvenile to law-abiding behavior is out-of-home placement at enter facility name. Alternative dispositions considered by the Court include enter considerations.

☐Previous efforts to restore the Juvenile to law-abiding behavior include enter efforts.

☐Other: enter any other findings of fact.

Dated: enter date	By the Court

Judge of District Court

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