IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
IN AND FOR THE COUNTY OF PIERCE
(School District) Petitioner
vs. PROGRESS REPORT (RPT)
[ __________________________ ]
Parent (Name of School)
Student [Clerk’s Action Required]
Student’s D.O.B. / /
Student’s Current Address: _________________________________________________
Mailing Address (if different from above): __________________________________________
Is this address new?
School where Student is Currently enrolled: ________________________________________
At a hearing on ____________________________ (date), the court ordered the student
to attend school without any unexcused absences. The student has failed to comply with the
court’s order, specifically (list dates of unexcused absences):
Attached are the student’s attendance records reflecting unexcused absences in
violation of the order. Also attached is documentation of other violations of the court order, if
any. The attached materials are hereby incorporated into the progress report by reference.
[ ] The Student was also ordered to refrain from the unlawful consumption of alcohol and/or
controlled substances, submit to testing for use of alcohol and/or controlled substances, submit
to an alcohol/drug assessment, and comply with any treatment and/or counseling
[ ] The student unlawfully consumed alcohol and/or controlled substances (provide
[ ] The student [ ] has [ ] has not submitted to testing for use of alcohol and/or
[ ] The student [ ] has [ ] has not submitted to the alcohol/drug assessment
[ ] The student [ ] has [ ] has not complied with treatment and/or counseling
Additional information the court should be aware of:
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
DATED: _________________ PLACE: _______________, WASHINGTON.
Signature of Declarant _____________________________________
Print Name and Title of Declarant ____________________________
School District Official (optional) ____________________________
Address and phone number:___________________________________
Mailed/delivered on _________ day of _____________, 20______.
To PIERCE COUNTY PROSECUTOR’S OFFICE, JUVENILE DIVISION.
Print Name: _________________________________________