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Detention Center General Forms
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Youth Development General Forms
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Detention Center Forms
Form DC 001
Admission Sheet
Form DC 002
Inventory of Personal Property
Form DC 003
Pre-Intake Worksheet
Form DC 004
Clothing and Bed Linen Inventory
Form DC 005
Intermittent Detention
Form DC 006
Acknowledgement of Rules
Form DC 007a
Court Behavior Report
Form DC 007b
Daily Behavior Summary
Form DC 008
Nightly Room Check
Form DC 009
Roster
Form DC 010
Staff Alert
Form DC 011 Reserved for future form
Form DC 013
Rule Violation Report/Notice of Hearing
Form DC 014
Summary of Hearing
Form DC 015 Form Number Reserved for Future Use
Form DC 016
Hearing Review Checklist
Form DC 017
Hearing Appeal and Final Decision
Form DC 018
Non Disciplinary Grievance
Form DC 019
Non-Disciplinary Grievance Appeal
Form DC 020
Rule Violation Level Report
Form DC 021
Rule Violation Form
Form DC 022
Student Mail Log
Form DC 023
Phone Log
Form DC 024
Daily Room Inspection
Form DC 025
Key Log
Form DC 026
Fire Drill Report
Form DC 027
Restraint
Form DC 028
Monthly Security Inventory
Form DC 029
Monthly Volunteer Services Report
Form DC 030
Annual Volunteer Services Report
Form DC 031
Visitation Log
Form DC 032
Daily Food Temperature Report
Form DC 033
Food Inventory
Form DC 034
Annual Food Inventory
Form DC 035
Detention Services Use of Force Report
Form DC 036
Monthly Student Suicide Status Report
Form DC 037 Mental Health Screening/Suicide Risk Assessment/Level of Care Determination,- Replaced by form DJJDP 18 001,
Suicide Risk Screening.
Form DC 038
Monthly Summary of Medical and Health Care Services
Form DC 039 Detention Services- Child Abuse Report
Form DC 040
Mental Health Consultation
Form DC 041 Reserved for future form
Form DC 042
Transportation Roster
Form DC 043
Appointment Schedule
Form DC 044
Maintenance-Work Order
Form DC 045
Detention Center Records Checklist
Form DC 046
Building/Office Safety Inspection Checklist
Form DC 047
Medical Referral
Form DC 048
Student Information File Form
Form DC 049
Chemical Inventory Control
Form DC 050
Juvenile Release Report
Form DC 051
Appointment Roster
DC /M 040
Urine Drug Screen Request
DC/TR 001
Chain of Custody for Intra-System Transfers
DC/TR 002
Transportation Incident Report
Form MD 4 002
Witness Statement Form
YD7 001
Special Management Observation Report
YD7 002
Special Management Report
Logistics of the Level System for Minor Rule Violations
Minor Rule Violations Flowchart
Minor Rule Violations Level System Chart
Major Rule Violations Level System Chart
Major Rule Violations Hearing and Appeal Chart
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1801 Mail Service Center, Raleigh, NC 27699-1801 USA | (919) 733-3388 or
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