The North Carolina Department of Juvenile Justice and Delinquency Prevention
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Services by County
   
   
North Carolina Government At Your Service
 
Departmental Policies

  Youth Development Center General Forms
Acrobat Document Form YC 003 Behavior Alert/Infraction Report
Word Document Form YC 003 Behavior Alert/Infraction Report
Acrobat Document Form YC 005 Infraction Tracking Form
Acrobat Document Form YC 006 Behavior Alert Tracking Form
Word Document Form MD 4 002 Witness Statement Form
Acrobat Document Form YC 008 Investigation Report
Word Document Form YC 008 Investigation Report
Acrobat Document Form YC 009 Hearing Notification
Acrobat Document Form YC 010 Hearing Summary Form
Acrobat Document Form YC 011 Appeal of Infraction Form
Acrobat Document Form YC 011b Hearing Review Checklist
Acrobat Document Form YC 012 Certified Visitors List
Acrobat Document Form YC 013 Weekly Visitation Report
Acrobat Document Form YC 014 Commitment Package Information Listing
Acrobat Document Form YC 015 Request for Off-Campus Activities
Acrobat Document Form YC 016 Camp Woodson Juvenile Request Form
Acrobat Document Form YC 017 Request for Release
Acrobat Document Form YC 018 Clothing Inventory/Attire Control Form
Acrobat Document Form YC 019 Plan and Terms of Post-Release Supervision
Acrobat Document Form YC 020 Room Check Form
Acrobat Document Form YC 024 Treatment Team Summary Notes
Acrobat Document Form YC 025 Alert Notification Form
Acrobat Document Form YC 026 Unannounced Monitoring Report
Acrobat Document Form YC 027 Meal Request Form
Acrobat Document Form YC 028 Individualized Treatment Plan
Acrobat Document Form YC 028 Individualized Treatment Plan - Juvenile's Copy
Acrobat Document Form YC 029 Juvenile Questionnaire
Acrobat Document Form YC 030 Recommendation for Extended Commitment
Acrobat Document Form YC 030b Request to Modify Recom. for Ext. Commitment
Acrobat Document Form YC 032 ATPC Behavioral Observation Report
Acrobat Document Form YC 033 Referral Form
Acrobat Document Form YC 034 Request to Show Movie during Class Time
Acrobat Document Form YC 035 YDC Transportation Roster
Acrobat Document Form YC 036 Juvenile Questionnaire Follow-up Action Form
Acrobat Document Form YC 037 Recommendation for Accelerated Community Transition of a Violent Offender
Acrobat Document Form YC 038 Transfer Summary Request
Acrobat Document Form YC 040 Consent of Release Form
Acrobat Document Form YC 042 Search Reporting Form
Acrobat Document Form YC 044 Key Signature Sheet
Acrobat Document Form YC 045 Counseling Session
Acrobat Document Form YC 047 Scholastic Development Plan
Acrobat Document Form YC 048 Youth Development Center Admissions Form
Acrobat Document Form YC 050 Parental Request for Judicial Review
Acrobat Document Form YC 051 Confirmation of Commitment Parameters Form
Acrobat Document Form YC 052 Weekly Juvenile Withdrawal
Acrobat Document Form YC 053 Request for Withdrawal
Acrobat Document Form YC 054 Juvenile Telephone Request / Record
Word Document Form YC 054 Juvenile Telephone Request / Record
Acrobat Document Form YC 055 Parental Permission (Telephone)
Acrobat Document Form YC 057 Minor Release Form for Juvenile to Enroll in a GED Preparation (Basic Skills) Program
Acrobat Document Form YC 059 Monthly Activity Report
Acrobat Document Form YC 062 Request of Records Letter
Acrobat Document Form YC 063 ATPC Assessments and Procedures Checklist
Acrobat Document Form YC 064 Comprehensive Vocational Evaluation Form
Acrobat Document Form YC 065 ATPC Juvenile Clothing/Property Inventory
Acrobat Document Form YC 067 Preliminary Plan of Care and Plan of Care
Acrobat Document Form YC 068 ATPC Transportation Form
Acrobat Document Form YC 070 ATPC Juvenile Sign-Out/ Sign-In Log
Acrobat Document Form YD 071 Progress Notes
Acrobat Document Form YC 072 ATPC Transfer Ticket/Receipt
Acrobat Document Form YC 074 ATPC Record of Screening Log
Acrobat Document Form YC 075 ATPC Education Checklist of Indicators Form
Acrobat Document Form YC 077 ATPC Educational Assessment Report
Acrobat Document Form YC 086 Transfer of Juvenile Record Log
Acrobat Document Form YC 087 Request of Juvenile Record Log
Acrobat Document Form YC 088 Special Dietary Request
Acrobat Document Form YC 089 was replaced by MD4 001,
Authorization to Apprehend and Transport a Committed Juvenile.
Acrobat Document Form YC 091 Application for Scholarship
Acrobat Document Form YC 100 GED Referral
   
  Youth Development Center Attachments
Acrobat Document Attachment Risk and Needs Assessment
Acrobat Document

Attachment Daily Meal Production Plan

Acrobat Document Attachment DPI Individualized Growth Plan
Acrobat Document Attachment Flowchart- Behavior Expectations
Acrobat Document Attachment Flowchart- Disciplinary Action
Acrobat Document Attachment Guidelines for Violent Offenders
Acrobat Document Form CS 001 Juvenile Family Data Sheet
Word Document Form DJJDP6 001 Incident Report
Acrobat Document Form DJJDP6 001 Incident Report
Word Document MD4 002 Statement Form
Word Document Form DC 045 Detention Center Records Checklist
Acrobat Document Form DC/TR 001 Chain of Custody For Intra-System Transfers
Acrobat Document Form DC/TR 002 Transport Request
Acrobat Document Form DC/M 001 Medical Screening Interview
Acrobat Document Form DC/M 015 Access to Medical Services
Acrobat Document Form DC/M 022 Controlled Substance Inventory
Acrobat Document Form YC/M 027 Medical Discharge Summary
Acrobat Document Form YC/M 038 Woodson Medical and Physical Examination
Acrobat Document Attachment Organization Chart for Main File
Acrobat Document Attachment Juvenile Questionnaire Instructions
Acrobat Document Attachment MAYSI
Acrobat Document Attachment Model Release Letter to Judge
Acrobat Document Attachment Example Extended Commitment Letter
Acrobat Document YD7 001  Special Management Observation Record
Acrobat Document YD7 002  Special Management Report


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