WPCX Jioe0#A"Ayz#̓,|u C:GV)Hj He[izR7z Pp95ٴ9cHwWPi5!ISL 6@̮Xn+ >~Q֔Gפ?cuFn j̣~e39v)LQXMU;ceL:M˿Q}:,uufFۓ*ီyC|E>o폣۬dbw&,zB+l /hyoS1!$?531 D2o5C2u6)u$xx%DmC4y INlV4&.+cIbg?ӉP⌈t k鍌BYQ wW3+hA]V^{dUd `q<$][˂-]Șs!4!2+KC΢pWH T,z#U2Nu % 0: 0 G3 z U60 U@N ^ w 4   m 0N f(a*>N 0Ub[ch 0Ve D5 B 0V       ASc 0D| D5 B D5 BG D5d B D5 B D1 D59 B*n D5 B* D5 B*, D5V B* D5 B7 B7!HPLJ33000(9 Z6Times New Roman RegularX($USUS.,http://www.kscourts.org = ]"USUS.,  _ ]"USUS.,  _  ,,XX ,,,,ForOfficeUseOnly3H $AZVerdana (9 Z(Times New Roman Ҕ6Z DM6:i+003|xU(O$ԈTABLE ALevel 1Level 2Level 3Level 4Level 5(-2$ !USUS.,  - - 'USUS.,  _"X C"_8/1/07_http://www.kscourts.org/council/coversheetforms.htm(.3$ !USUS.,  \\\\)!dxdx d(.3$ !USUS.,  d]Ze[E<<CLevel 1Level 2Level 3Level 4Level 5($$   1  gggg)!dxdx  diiii)!dxdxP Pdkkkk)!dxdx dmmmm)!dxdx dii)! dxdxpppp)!dxdx&0 d drrrr)!dxdx&P d dtttt)!dxdx&p d Pdvvvv)!dxdx&p Pd dxyxy)!dxdx3+0 d d d3+0 d d d !USUS.,  _XXsc?/+b~tP_ `@EP_tth+scH84nz} `@E)vv)v8XXdd8=XXdd=__     `     h   111    JUVENILEINFORMATIONSHEET   XX  Thejuvenileinformationsheetneitherreplacesnorsupplementsthefilingandserviceofpleadingsorotherpapersasrequiredbylaw.Thisformis p requiredforusebytheClerkoftheDistrictCourtforthepurposesofinitiatingthejuveniledocketsheet.Thisinformationwillnotbeavailabletothe  t publicandthisdocumentwillbestoredinaseparatelocationfromthecasefileandthendestroyedwithinareasonabletime.Anewcase willnotbe $ accepted withoutacoversheetattached.(THISFORMMUSTBETYPEDORPRINTEDLEGIBLY).Thisformcanbefoundat4 !O  5  www.kscourts.org.6O  7 %    *\ddd Xdd Xdd XX%X%,(#dd +  "p < < "` `JUVENILE #`X# $L  p $ `NATUREOFSUIT (PlaceanXinallboxesthatapply)#`#    ^x7 \`p JUVENILEOFFENDER  F  CHILDINNEEDOFCARE  \    ` \^x7pAbuse   l    pNeglect t    $  | pDependent(nofault) p  pTerminationofParentalRights   t pOtherDependency/ChildVictim   , pStatusOffense/Petition X  #^x7 \`# J   ` \^x7 *X,XXuXX*(hXh@X%X%(CHILDSINFORMATION @ ,,` (ATTACHADDITIONALSHEET,IFNECESSARY)  `,,NAME:       `     h  u  v ADDRESS:   `     h  u  h      `     h  u DLORSTATEIDNO: `     h  u  P ,,` 0  00` StateandNumberB!` `  `,, _SSN_:     ` DOB:    h  u  d# RACE:0  ,,`WhiteBlackAsianAmericanIndian/AlaskanV%       PacificIslandUnknown ' `,,ETHNICITY:,,`HispanicNon_hispanic_ԀUnknown V) `,,SEX:     `  + ALIASNAMESUSED: `     h  u  *~-      `     h  u _KDR_ԀTransactionNumber `     h  f1 ATTORNEYS 5 `(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) @7 `     `     h  u      `     h  u      `     h  u      `     h  u  OTHERPARTYSINFORMATION  !]D ,,`(ATTACHADDITIONALSHEET,IFNECESSARY) !F #`,,#NAME:     `     h  u  "J ADDRESS:   `     h  u  1#L      `     h  u DLORSTATEIDNO: `     h  u  m$ P ,,` 0  00` StateandNumber %_!R` `  #`,,# _SSN_:     ` DOB:    h  u  %!T RELATIONSHIPTOCHILD:,,`CustodianFosterParent(s) &s"V   Grandparent(s)GuardianParentOther &"X `,,PHONE:     ` SEX:    h  's#Z ALIASNAMESUSED: `     h  u  '$\      `     h  u      `     h  u ATTORNEYS ):&c `(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) *&e #`#     `     h  u      `     h  u      `     h  u      `     h  u      `     h  -e)n OTHERPARTYSINFORMATION @n ,,`(ATTACHADDITIONALSHEET,IFNECESSARY) p #`,,=#NAME: p      x   (#  5%  vt ADDRESS:     x   (#  5%  hv  p      x   (#  5% DLORSTATEIDNO:   x   (#  5%  Pz ,,` 0 p 0p%p%0 %%StateandNumberB| % % #`,,b# _SSN_: p     DOB: x   (#  5%  d~ RELATIONSHIPTOCHILD:,,`CustodianFosterParent(s) V  p Grandparent(s)GuardianParentOther  #`,, #PHONE: p     SEX: x   (#  V ALIASNAMESUSED:   x   (#  5%    p      x   (#  5%  p      x   (#  5% ATTORNEYS(ifknown)   `(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) T #`|## p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (# OTHERPARTYSINFORMATION !q ,,`(ATTACHADDITIONALSHEET,IFNECESSARY) ! #`,,%#NAME: p      x   (#  5%  " ADDRESS:     x   (#  5%  E#  p      x   (#  5% DLORSTATEIDNO:   x   (#  5%  $  ,,` 0 p 0p%p%0 %%StateandNumber%s! % % #`,,"(# _SSN_: p     DOB: x   (#  5%  %! RELATIONSHIPTOCHILD:,,`CustodianFosterParent(s) 3&"  p Grandparent(s)GuardianParentOther &# #`,,)#PHONE: p     SEX: x   (#  3'# ALIASNAMESUSED:   x   (#  5%  '%$  p      x   (#  5% ATTORNEYS(ifknown) )N& `(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) *& #`+# p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  %-y) (hXh@XX(TherequirementthatSocialSecuritynumbersbeincludedonjuvenilecasesisnotmandatory.Thenumberisusedforpurposesofidentificationandmaybedisclosed a.* aspermittedbylaw.Thisformisnotconsideredtobeapublicrecord. .S+   05042005  /+ _  XX` XXXXADDITIONALJUVENILEPARTYINFORMATION @  @  @  @  "v (X@X%X%(  XcIXX XXXcI OTHERPARTYSINFORMATION N ,(,(ATTACHADDITIONALSHEET,IFNECESSARY)  ,,(NAME:   `     h  u   f   ADDRESS:   `     h  u         `     h  u DLORSTATEIDNO: `     h  u  F ,(, 0  00` StateandNumber ` `  ,,( _SSN_:     ` DOB:    h  u   ^ RELATIONSHIPTOCHILD:,(,ԀCustodianFosterParent(s)     Grandparent(s)0 ` Guardian0 ` ` ParentOther6    ,,(PHONE:   `  SEX:   h  u    ALIASNAMESUSED: `     h  u  N       `     h  u ATTORNEYS  2  /D(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) ~ " /D     `     h  u      `     h  u      `     h  u      `     h  u  OTHERPARTYSINFORMATION T/ ,(,(ATTACHADDITIONALSHEET,IFNECESSARY) H1 #,,(9#NAME:   `     h  u   l3  ADDRESS:   `     h  u   `5      `     h  u DLORSTATEIDNO: `     h  u  L9 ,(, 0  00` StateandNumber@;` `  #,,(=;# _SSN_:     ` DOB:    h  u  d= RELATIONSHIPTOCHILD:,(,ԀCustodianFosterParent(s) X?   Grandparent(s)0 ` Guardian0 ` ` ParentOtherA   #,,(<#PHONE:   `  SEX:   h  u  \C ALIASNAMESUSED: `     h  u  E      `     h  u ATTORNEYS 8J /D(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) ,L #/D>#     `     h  u      `     h  u      `     h  u      `     h  u  OTHERPARTYSINFORMATION Y ,(,(ATTACHADDITIONALSHEET,IFNECESSARY) N[ #,,(+A#NAME:   `     h  u   ]  ADDRESS:   `     h  u  f _      `     h  u DLORSTATEIDNO: `     h  u  !c ,(, 0  00` StateandNumberF"e` `  #,,(RC# _SSN_:     ` DOB:    h  u  "g RELATIONSHIPTOCHILD:,(,ԀCustodianFosterParent(s) ^#i   Grandparent(s)0 ` Guardian0 ` ` ParentOther#> k   #,,(D#PHONE:   `  SEX:   h  u  b$ m ALIASNAMESUSED: `     h  u  %V!o      `     h  u ATTORNEYS &"t /D(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) 2'#v #/D G#     `     h  u      `     h  u      `     h  u      `     h  u  )&  OTHERPARTYSINFORMATION N ,(,(ATTACHADDITIONALSHEET,IFNECESSARY)  #,,(QI#NAME:     x   (#  5%   f  ADDRESS:     x   (#  5%    p      x   (#  5% DLORSTATEIDNO:   x   (#  5%  F ,(, 0 p 0p%p%0 %%StateandNumber  % % #,,(xK# _SSN_: p     DOB: x   (#  5%   ^ RELATIONSHIPTOCHILD:,(,ԀCustodianFosterParent(s)    p Grandparent(s)0  Guardian0x % %ParentOther6 x%x% #,,(L#PHONE:     x SEX:  (#  5%    ALIASNAMESUSED:   x   (#  5%  N   p      x   (#  5% ATTORNEYS(ifknown)  2  /D(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) ~  #/DAO# p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  OTHERPARTYSINFORMATION T ,(,(ATTACHADDITIONALSHEET,IFNECESSARY) H #,,(wQ#NAME:     x   (#  5%   l  ADDRESS:     x   (#  5%   `  p      x   (#  5% DLORSTATEIDNO:   x   (#  5%  L ,(, 0 p 0p%p%0 %%StateandNumber@ % % #,,(S# _SSN_: p     DOB: x   (#  5%  d RELATIONSHIPTOCHILD:,(,ԀCustodianFosterParent(s) X  p Grandparent(s)0  Guardian0x % %ParentOtherx%x% #,,( U#PHONE:     x SEX:  (#  5%  \ ALIASNAMESUSED:   x   (#  5%    p      x   (#  5% ATTORNEYS(ifknown) 8 /D(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) , #/DgW# p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  OTHERPARTYSINFORMATION  ,(,(ATTACHADDITIONALSHEET,IFNECESSARY) N #,,(Y#NAME:     x   (#  5%     ADDRESS:     x   (#  5%  f   p      x   (#  5% DLORSTATEIDNO:   x   (#  5%  ! ,(, 0 p 0p%p%0 %%StateandNumberF" % % #,,([# _SSN_: p     DOB: x   (#  5%  " RELATIONSHIPTOCHILD:,(,ԀCustodianFosterParent(s) ^#  p Grandparent(s)0  Guardian0x % %ParentOther#> x%x% #,,(1]#PHONE:     x SEX:  (#  5%  b$  ALIASNAMESUSED:   x   (#  5%  %V!  p      x   (#  5% ATTORNEYS(ifknown) &" /D(FirmName,Address,TelephoneNumberandSupremeCourtIDNumber) 2'# #/D_# p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  5%  p      x   (#  )& (X@XX(,(,TherequirementthatSocialSecuritynumbersbeincludedonjuvenilecasesisnotmandatory.Thenumberisusedforpurposesofidentificationandmaybedisclosedas +\' permittedbylaw.Thisformisnotconsideredtobeapublicrecord. +' ,,(  05042005 +L(    X0,  `XX`@jj&Authority  SupremeCourtRule123. b @* X  NotesonUse \ X od}d    SupremeCourtRule123requiresthatallnewcasesthatarefiledbeaccompaniedbyacoversheet.The 4   coversheet,orinformationsheet,shouldnotberetainedinthecasefileandmaybedestroyedafterthecaseis  t  enteredintothecaseinformationsystem.TheSupremeCourtRulealsodirectsthatpersonalidentifiersrequired  ` inthisform,e.g.socialsecuritynumbers,beexcludedorpartiallyredactedfromallpleadings,unlessotherwise  L orderedbythecourtorrequiredbylaw.Theformmaybeaccessedontheinternetat  8  4 XO  5  www.kscourts.org/council/coversheetforms.htm6`gOtg,  7ZgԀbyclickingonthelinkundertheFormslist,theCaseFilingCover  $  Sheetslink.   #XcIXXXc##XXcIc#