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Here is the text we could read:

 
           INTERSTATE COMPACT FOR JUVENILES 
 
               PAROLE OR PROBATION INVESTIGATION REQUEST 
 

 

 

FORM IV 

 

ATE: 

TO: 
 
 
Name of Juvenile: 

           

           

 
           

(Receiving State) 

(Sending State)

            Race: 

           

                         Sex: 

           

 

 

 

 

           

FROM: 
 
 

 
 
 
DOB: 

*If known,  *Ht: 

     

   

*Wt: 

*Eye Color:

     

   

*Hair Color: 

     

 

     
 

   

tatus:   

  

Sending State File #: 

           

 To reside with:     OR 

 Is residing with: 

           

 

     

   

Telephone: 

     

          

(Name) 

 
Relationship: 

Address:         

                                 City: 

     

                       

     

   

Reason for Adjudication/Commitment: 

     

   

Date of Adjudication: 

     

   

Date of Commitment: 

     

   

Minimum Parole/Probation Expiration 
Date: 

     

   

Maximum Parole/Probation 
Expiration Date: 

           

Anticipated Placement Date : 

     

   

Present Location: 

     

   

e desire to transfer this juvenile on                            to your state: 

               (probation/parole) 

 Because his/her legal guardian resides in your state. 
 For the following reasons, with your consent: 

           

 

 

FOR ICJ USE ONLY 

   

 

Name:  

 

 

 

 (Compact Official/Designee)  

itle: 

           

Other  

     

   

           
THE FOLLOWING MATERIALS ARE ENCLOSED: 

  Cover letter 
  IA/VI Application for Compact Services and Memorandum of 

 

Understanding and Waiver 

  Petition(s) 
  Order of Adjudication and Disposition 
  Legal and Social History 
  Parole/Probation Conditions (Agreement) 
  School Transcript/Records 
  Immunization Records 
  Any other Pertinent Information 

eferred by: 

           

(Name – Please Print) 

Referring Agency: 

           

CJ FORM IV  |  Rev. 0(cid:21)-01-1(cid:25) 

 

  

  D

  S

  R

 

    I

           

           

  W

 

 

 

 

 

 

   T

ICJ Parole or Probation Investigation Request 2016

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.mass.gov (2023-03)
Page(s): 1
Fields(s): 43
Average fields per page: 43
Reading Level: Grade 11
LIST Grouping(s): Unknown

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

ppi_ranticipatedplacementdate was PPIRanticipatedplacementdate (0.57 conf)
pri_cover_letter was PRICoverLetter (0.41 conf)
priiavi was PRIIAVI (0.35 conf)
pri_petitions was PRIPetitions (0.45 conf)
pri_order_adjudication was PRIOrderOfAdjudication (0.43 conf)
pri_legal_social_history was PRILegalAndSocialHistory (0.44 conf)
parole_probation_conditions was PRIParoleProbationConditions (0.51 conf)
school_transcript_records was PRISchoolTranscriptRecords (0.39 conf)
pri_immunization_records was PRIImmunizationRecords (0.37 conf)
pri_pertinent_info was PRIAnyOtherPertinentInfo (0.33 conf)
compact_official_designee_validate was PPIRcbCompactOfficialDesigneeVALIDATE (0.37 conf)
fb_document_id was FBDocumentID (0.30 conf)
signature_date was Date (1.00 conf)
receiving_state was Receiving State (0.39 conf)
sending_state was Sending State (0.41 conf)
name_juvenile was Name of Juvenile (0.35 conf)
users1_birthdate was DOB (1.00 conf)
race was Race (0.41 conf)
sex was Sex (0.38 conf)
height was Height (0.36 conf)
weight was Weight (0.36 conf)
eye_color was Eye Color (0.37 conf)
hair_color was Hair Color (0.37 conf)
sending_state_file_number was SendingStateFileNumber (0.37 conf)
reside was Reside With (0.37 conf)
relationship_juvenile was Relationship to Juvenile (0.42 conf)
users1_phone_number was Telephone (1.00 conf)
users1_address_line_one was Address (1.00 conf)
users1_address_city was City (1.00 conf)
receiving_state_drop was Receiving State Drop Down (0.35 conf)
zip_code was Zip Code (0.30 conf)
reason_adjudication was Reason for Adjudication (0.42 conf)
date_adjudication was Date of Adjudication (0.34 conf)
date_committment was Date of Committment (0.34 conf)
min_parole_probation_date was Min Parole/Probation Date (0.44 conf)
max_parole_probation_date was Max Parole/Probation Date (0.41 conf)
present_address was Present Address (0.36 conf)
reasons was Reasons (0.40 conf)
comments was Other Comments (0.43 conf)
official_designee_name was Compact Official or Designee Name (0.39 conf)
title was Title (0.27 conf)
referrred was Referrred by (0.50 conf)
referring_agency was Referring Agency (0.44 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

ICJ Parole or Probation Investigation Request 2016

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02