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152

Waiver of juvenile delinquency proceedings form

               IN THE UNITED STATES DISTRICT COURT
           FOR THE ___________ DISTRICT OF ___________
                     _____________ DIVISION

UNITED STATES OF AMERICA           *  UNDER SEAL
                                   *
v.                                 *  NO.
                                   *
[A.B.C., Male Juvenile             *
(INSERT JUVENILE'S INITIALS OR     *
OTHER NON-IDENTIFYING INFORMATION)]*

  JUVENILE'S REQUEST TO BE PROCEEDED AGAINST AS AN ADULT

TO THE HONORABLE JUDGE OF SAID COURT:

     COMES NOW, ______________________, Defendant herein, and states that he
is a juvenile who is alleged in this case to have committed acts of juvenile
delinquency as those terms are defined and discussed under the Juvenile
Justice and Delinquency Prevention Act (18 U.S.C. § 5031 et seq.).

     Defendant is fully aware that he is accused of committing a felony crime,
namely,__________________________________________
_______________________________________________________________.

     Defendant further understands that under the provisions of Title 18,
United States Code, Section 5032, unless he has requested in writing upon
advice of counsel, Defendant would not be proceeded against by criminal
prosecution as an adult until a hearing was conducted in district court to
determine if transfer
of Defendant from juvenile to adult status would be in the interest of
justice.

     Defendant, upon advice of counsel, voluntarily waives any such juvenile
delinquency and transfer hearings, and requests to be proceeded against as an
adult for purposes of criminal prosecution in this case.

     WHEREFORE, Defendant respectfully requests the Court to order defendant
transferred for criminal prosecution as an adult.

Dated:
                                   Defendant




                                   Attorney for Defendant




                                   Parent(s) of Defendant
[updated April 2003]