JV-236State (JC)Fillable

Input on Placement in Short-Term Residential Therapeutic Program or Community Treatment Facility

Judicial Council of California · Juvenile

Verified current as of August 1, 2026

This form allows a youth, parent, or guardian to provide their thoughts and preferences about whether a young person should be placed in a short-term residential therapeutic program or a community treatment facility. Juvenile court professionals use this form during custody and placement decisions to make sure the youth's voice and family input are heard before the judge makes a final placement order.

This form has fillable fields — you can complete it directly in the viewer on the right.
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