Civil Commitment Forms - Child
| Form | Description | Statute | Updated | DE Req? |
| Application (Involuntary Initial) | ||||
| Petition for Commitment of Physical Custody of Child to the Local Mental Health Authority Form 0001 |
Used to initiate civil commitment proceedings | 62 A-15-703 (1)(2) | 2012 | No |
| Notice of Proceeding of Child for Commitment of Physical Custody to the Local Mental Health Authority Form 0003 |
Notice to child and appropriate others that an application has been filed and a hearing has been set | 62A-15-703(5)(b) | 2012 | No, but often do |
| Commitment of Physical Custody of Child to Local Mental Health Authority Proceeding (2 pages) Form 0005 |
DE (NDFF) report of commitment proceeding | 62A-15-703 | 2012 | Yes |
| Application (Emergency) | ||||
| Emergency Application for Commitment of Child Without Certification (The Pink Sheet) (2 pages) Form 0029 |
Peace officers or mental health officer may use this form to temporarily hold an individual for 72 hours (Two sided. Printed on pink paper.) | 62A-15-703(6) and 62A-15-629 (2) | 2012 | No |
| Emergency Application for Commitment of Child With Certification (The Blue Sheet) (2 pages) Form 0031 |
Allows an individual to be temporarily held for 72 hours. Requires certification by MD or DE (Two sided. Printed on blue paper.) | 62A-15-703(6) and 62A-15-629 (1) | 2012 | Yes, but not required |
| Commitment (Release) | ||||
| Notice of Discharge From Commitment to the Local Mental Health Authority of a Child Form 0067 |
LMHA uses form to discharge a child from commitment | 62A-15-703(13) and 78A-6-120(6) | 2012 | No |