9:00 Christian County Court House rm3: Not Established
9:00 Christian County Court House rm3: Not Established
9:00 Christian County Court House rm3: Not Established
Court
RT
TI
Case No._____________________
not established
UCKY
COMM
EA L TH OF KE
NT
NW
CO
AOC-DNA-1
Rev. 1-11
Page 1 of 2
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 610.010, 620.023, .027, .050,
.060, .070, .080; FCRPP 20
OF JUS
JUVENILE
DEPENDENCY, NEGLECT AND ABUSE
PETITION
[ ]
District [ ] Family
Christian
County_______________________
Division ______________________
D
Sex
Race
12/03/2010
SSN
000-00-0000
Jessica Carroll
Afant, __________________________________________________________________________________,
Christian
2
says that on September
________________, 2_____,
in _______________________
County, Kentucky, the above-named juvenile
was/is [ ] dependent (UOR Code - 002813) [ ] neglected (UOR Code - 002814) [] abused (UOR Code - 002815)
pursuant to KRS Chapter 620 et seq and within the scope of KRS 610.010(2)(d); Afants grounds of belief are: ______
_______________________________________________________________________________________________
Parent of above mentioned child has no livable dwelling to provide a safe, secure, and stable living environment for her
minor child. Also affiant alleges that the mother of this child is involved in a sexual relationship with a registered sex
_______________________________________________________________________________________________
offender who is often left alone with the child. Also affiant states that child's father is iincarcerated and that the mother
_______________________________________________________________________________________________
is involved in several illegal activities, including illicit drug use and theft.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
AOC-DNA-1
Rev. 1-11
Page 2 of 2
] Name and address of nearest known adult relative if no parent or person exercising custodial control or