Forms for juvenile cited violations

2:03:01:05. Forms for juvenile cited violations. Either Form A or B, or any other form that substantially complies with Form A or B, shall be used as a summons and complaint for juvenile cited violations. (1) Form A: JUVENILE CITATION COMPLAINT-SUMMONS State of South Dakota In Circuit Court Juvenile Division County of _________________ _____ Judicial Circuit State of South Dakota (Plaintiff) vs. ___________________________ (Juvenile / Defendant) THE UNDERSIGNED PEACE OFFICER COMPLAINS AND STATES THAT ON OR ABOUT AT OR NEAR AT TIME A.M. _____________________ ______________________ __________P.M. WITHIN THE COUNTY AND STATE LISTED ABOVE NAME DATE OF BIRTH _____________________________________ ______________________ ADDRESS ______________________________________ ______________________________________ DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE(S) _____ Second Degree Petty Theft ($400 or less), in violation of SDCL 22-30A-17.3 _____ Intentional Damage to Property ($400 or less), in violation of SDCL 22-34-1 _____ Purchase, Possession, or Consumption (_____ PBT) of Alcoholic Beverage by Person under 18, in violation of SDCL 35-9-2 _____ Habitual Absence from School by Child of Compulsory School Age, in violation of SDCL 26-8B-2(1) I DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THIS COMPLAINT/SUMMONS HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS IN ALL THINGS TRUE AND CORRECT. ____________________________________ _________________________________ Officer Signature Officer ID ____________________________________ _________________________________ Agency Date SUMMONS AND PROMISE TO APPEAR Juvenile/Defendant is ordered and does promise to appear in the above named court located in the city of ______________________________ on __________________________, 20 ____, at __________________ a.m./p.m. ____________________________________________ Juvenile/Defendant signature (Signing this form is a promise to appear – Not an admission of guilt. However, failure to appear may be considered an admission to the allegation(s) listed above and a judgement for payment may be entered.) ____ Parent(s)/Guardian Notification ________________________________________ Parent(s)/Guardian information Name: ____________________________________ _________________________________ Address: __________________________________ _________________________________ City/State/Zip: ______________________________ _________________________________ Phone: _____________________________________ (2) Form B: UNIFORM TRAFFIC TICKET SUMMONS-COMPLAINT PCN ______________ State of South Dakota ____Juvenile Citation* In Circuit Court County of _________________ _____Judicial Court State of South Dakota (Plaintiff) Vs. __________________________________ No. __________________HP (Defendant) THE UNDERSIGNED PEACE OFFICER COMPLAINS AND STATES THAT ON OR ABOUT AT OR NEAR (LOCATION/MILE POST) AT TIME A.M. P.M. ________________________ ________________________________ ___________ WITHIN THE COUNTY AND STATE AFORESAID NAME HEIGHT SEX _______________________________ ________________ ____ ADDRESS WEIGHT _______________________________ ________________ CITY STATE BIRTH DATE _________________________ ________________ ____________ DRIVER'S LICENSE NO. STATE _________________________ ________________ DID UNLAWFULLY OPERATE __________ PARK ______ VEHICLE MAKE ______________ BODY STYLE ____________ STATE LICENSE NO. YEAR STATE FR_____Y ___________________ _______ ________ ________N AND THEN AND THERE COMMIT THE FOLLOWING OFFENSE TO WIT: PETTY OFF _____ MIS ______ DESCRIBE VIOLATION ___________________________________________ CDL ___Y ___N C Veh. ___Y ___N ___E ___________________________________________ Haz. Materials ___Y ___N in violation of SDCL _________________________ ___Municipal SPEEDING ___Interstate ___Other _____M.P.H. IN ____M.P.H. ZONE OFFICER ISSUING SUMMONS NO CITY COUNTY STATE ___________________________ ___ __________ __________ _______ ABOVE COMPLAINT IS TRUE AS I VERILY BELIEVE DATE OFFICER SIGN IN PRESENCE OF COURT OR NOTARY _____________________________________________________ _____________ SUMMONS and PROMISE TO APPEAR Defendant is ordered and does promise to appear in the above Court located in the city of __________________ on _________________ at __________ a.m. p.m. X__________________________________________________________________________ Defendant's signature Signing this form is a promise to appear – Not an admission of guilt. However, failure to appear may be considered an admission to the allegation(s) listed above and a judgment for payment may be entered. ___ Yes ___ No Court appearance required. ___ Yes ___ No Power of attorney in lieu of appearance. Amount $ ___________ ____Parent(s)/Guardian Notification ____________________________________________ *FOR VIOLATIONS OF SDCL 22-30A-17.3, 22-34-1 (less than $400); 35-9-2; and 26-8B-2(1) Source: 42 SDR 101, effective January 11, 2016. General Authority: SDCL 23-1A-2.1, 23-1A-2. Law Implemented: SDCL 23-1A-2.1