OFFICE USE ONLY
JUVENILE NO:__________ PETITION/DOCKET NO:_________
STATE OF TENNESSEE
To the Probation Officers of the Juvenile Court or to any other Lawful Officer to Execute and Return:
We command you to summons:
JUVENILE’S NAME LEGAL GUARDIAN
to personally appear before the Judge of the Juvenile Court of Davidson County at 100 Woodland Street, in the
City of Nashville, on the _____________ day of _______________________, 20 ____, at _______________,
then and there to give evidence in the cause of the State of Tennessee in the interest of
___________________________________________ and this you shall in no wise omit, under the penalty
prescribed by law..
Failure to appear for the above hearing may result in the legal guardian and/or child being charged with
Contempt of Court and/or jail time.
Witness, VIC LINEWEAVER, CLERK of the Juvenile Court of Davidson County, Tennessee, this
the __________________________ day of ______________________________, 20______.
I, hereby, certify and return that on the _______________ day of _____________________, 20______,
I served this summons as follows: _____Mail _____Certified Mail _____Personal Service
Requests for ADA accommodation should be made to Administrative Services at 862-8000