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42. Form—Certificate for Juvenile Proceeding

UNITED STATES DISTRICT COURT FOR THE

___________DISTRICT OF __________

DIVISION

UNITED STATES OF AMERICA, CR

Plaintiff,

v. CERTIFICATE FOR

JUVENILE PROCEEDING

Defendant.

________________, United States Attorney for the District of _____________, pursuant to authority granted by the Attorney General, hereby certifies to the Court that the State of __________ either does not have jurisdiction or refuses to assume jurisdiction or lacks available programs and services adequate for the needs of the juvenile ________________________________________ who is charged with ______________________________________________

_________________________________________________________________

and that there is a substantial federal interest in the case or the offense to warrant the exercise of federal jurisdiction.

Dated this ____ day of ________________, 19___.

_______________________________

(INSERT NAME)

United States Attorney

[cited in USAM 9-8.110; USAM 9-8.230]

Updated May 19, 2015