Fresno — PJV-29 Friday Court Referral Form

Source: https://www.fresno.courts.ca.gov/_pdfs/forms/PJV-29 Friday Court Referral Form.pdf

SUPERIOR COURT OF CALIFORNIA • COUNTY OF FRESNO Friday Court Referral Form

Name of Referring Party:

Agency:

Contact Number: Email:

Name of Youth:

Date of Birth:

Case Number:

Risk Factors (check all that apply):
Known family/friends inin “the life”
Historyof exploitation (i.e. by stripping company , other)
Runaway
Frequency: How often has the minor runaway?
Duration: How long is the minor usually AWOL?
Location: Where does the minor usually run away to?

Significantly older boyfriend
Frequent travel to other cities
Which cities:
Gang affiliations:
History of sexual and/or physical abuse
Large tattoos (or other forms of branding)
Frequent stays in motels and/or homelessness

Reason For Referral (Detail/Other):

Dependency cases please email completed form to cwscsec@fresnocountyca.gov
Delinquency cases please email completed form to fridaycourt@fresno.courts.ca.gov

PJV-29 E07-19 Friday Court Referral Form MANDATORY