In the Matter Of s2

Tennessee Department of Children’s Services Penalty for Harboring

IN THE MATTER OF: / / Name Date of Birth

You are advised the child named above has absconded from the custody of the Department of Children’s Services. You are hereby notified that harboring a juvenile offender is a criminal offense punishable by up to 11 months, 29 days in jail and $2, 500.00 in fines.

If you have any information that would help locate this juvenile offender, you should disclose it during this interview. If you learn of information after the interview, you should contact the investigator/case manager immediately, especially if the juvenile contacts you.

Any child who is not properly supervised and at large is at risk of harm to themselves and possibly the community. Your cooperation in bringing this child back into custody is very important.

/ / Print Name Date

Signature Relationship to Child/Youth

Check the “Forms” Webpage for the current version and disregard previous versions. This form may not be altered without prior approval. Distribution: Copies: Youth’s Case File Recipient CS-0749