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For more information:

State of Alaska Dept of Health & Social Services Division of Juvenile Justice 240 Main Street, Suite 701 P.O. Box 110635 Juneau, AK 99811-0635 Hss.djj@alaska.gov
Tel: (907) 465-2212
Fax: (907) 465-2333
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Interstate Compact on Juveniles (ICJ) Downloadable Forms

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If you have difficulty accessing the forms on this page, they are also available on the Interstate Commission for Juvenile's Forms website.

 

Request for Cooperative Supervision Forms

Form IV: Parole or Probation Investigation Request  *.pdf || .doc (temporarily unavailable)

Form IV should be executed by the sending juvenile worker as the summary transmittal sheet for all supervision transfer requests. When properly filled out, the form contains all relevant and pertinent information regarding the juvenile. The referring juvenile worker must fill in his/her name in the bottom left corner, and the ICJ Deputy Administrator signs to the right.

Distribution: One copy each in the three packets of the referral submitted to the Alaska ICJ Office

Form IA/VI: Application for Services and Waiver *.pdf || *.doc

Forms IA and VI have been consolidated into one form to reduce the amount of signatures required in an ICJ application. The first section of Form IA/VI is the application to the sending court or agency whereby the juvenile is requesting Compact services. The juvenile acknowledges and accepts any differences in supervision between the sending and receiving states in order to gain the benefits of compact services.

The second section is the Memorandum of Understanding and Waiver. This section constitutes the legal document whereby juveniles waive their respective right for a hearing when involuntarily returned to the sending state in order to partake in compact services and compact benefits.

This form is signed by the juvenile, custodial parent/legal guardian (in the receiving state), and judge, in probation cases, or compact official, in parole cases. In Alaska the legislature has given placement authority to the Department of Health and Social Services for placement of juveniles in non-secure settings. As such, the Compact Administrator or Deputy Compact Administrator may sign form IA/VI for probation cases.

Distribution: One copy each in the three packets of the referral submitted to the Alaska ICJ Office.

Form V: Report of Sending State Upon Parolee or Probationer Being Sent to the Receiving State *.pdf || *.doc

Form V is to be executed when the parolee or probationer has been accepted by the receiving state and has departed for the receiving state. The form clearly notes reporting instructions and departure dates. It also provides a summary checklist of materials attached which were not previously sent to the receiving state.

Distribution: One copy each in the three packets of the referral submitted to the Alaska ICJ Office.

 

Travel Permit  *.pdf ||.doc (temporarily unavailable)

 

The travel permit, dependent upon whether the form is utilized by the sending state as a Provisional or Temporary travel form, is executed when a parolee or probationer is traveling to establish residence in a member state prior to formal acceptance or just visiting a member state.

Distribution: For placement purposes, one copy each in the three packets of the referral submitted to the Alaska ICJ Office. For visitation purposes, three copies to the Alaska ICJ Office. (Refer to Rules and Regulations, Travel Permits)

 

Supervision Forms

Quarterly Progress Report  *.pdf ||*.doc

This form is a summary/transmittal reporting the adjustment of an ICJ client. The form is prepared by the receiving state on a quarterly basis and is routed to the sending state for review.

Distribution: Three copies to the Alaska ICJ Office.

 

Article IV, Return of Runaways Forms

Form A: Petition for Requisition *.pdf || *.doc

Form IV should be executed by the sending juvenile worker as the summary transmittal sheet for all supervision transfer requests. When properly filled out, the form contains all relevant and pertinent information regarding the juvenile. The referring juvenile worker must fill in his/her name in the bottom left corner, and the ICJ Deputy Administrator signs to the right.

Distribution: One copy each in the three packets of the referral submitted to the Alaska ICJ Office.

 

Form I: Requisition for Runaway Juvenile *.pdf || *.doc

Requisition for Runaway Juvenile us completed and executed if the judge of the home court agrees with the petition. The requisition must be completed, in duplicate, with the judge's original signature on each document. The requisition with the petition and certified true accompanying documents are sent to the ICJ office in the home state.

Distribution: Two original collated sets of documents to the Alaska ICJ Office.

 

Article V, Return of Escapees and Absconders Forms

Form II: Requisition for Escapee, Absconder, or Juvenile Charged as a Delinquent *.pdf || *.doc

For the purposes of the Rendition Amendment, box number two is checked, Requisition for Juvenile Charged with Being Delinquent. The requisition must be completed in duplicate, with original signatures, in the presence of a notary public with the notary affixing the seal/stamp required in the demanding state.

 

Two original certified true copies of adjudication and/or petitions and pick up orders must accompany the requisition.

Distribution: Two original collated sets of documents to the Alaska ICJ Office.

Form II: Requisition for Escapee, Absconder, or Juvenile Charged as a Delinquent *.pdf || *.doc

For the purposes of the Rendition Amendment, box number two is checked, Requisition for Juvenile Charged with Being Delinquent. The requisition must be completed in duplicate, with original signatures, in the presence of a notary public with the notary affixing the seal/stamp required in the demanding state.

Two original certified true copies of adjudication and/or petitions and pick up orders must accompany the requisition.

Distribution: Two original collated sets of documents to the Alaska ICJ Office.

 

Voluntary Return Procedure Forms

Juvenile Rights Form *.pdf || *.doc

The juvenile rights relate exclusively to the Interstate Compact on Juveniles, Article VI, Voluntary Return Procedure. These rights should not be considered a substitute for any other notice of rights required by law. The form used herein to notify the juvenile of his/her rights is optional. Under the law, the juvenile must be advised of his/her rights by the juvenile judge. This form must be signed and dated by the judge.

Distribution: The original signed Form III is filed with the court. Three copies are forwarded to the ICJ Administrator.

Form III: Consent for Voluntary Return by Runaway, Escapee, or Absconder *.pdf || *.doc

After being advised of his/her rights, the juvenile is requested to sign Form III. The form is also signed by the judge and legal counsel/guardian ad litem, if appointed.

Distribution: The original signed Form III is filed with the court. Three copies are forwarded to the ICJ Administrator.

 

Please send your ICJ comments and questions to:

Angelina Ahrens
Compact Administrator
P.O. Box 110635
Juneau, AK 99811-0635

(907) 465-2116 Phone
(907) 465-2333 Fax

angleina.ahrens@alaska.gov