City of Victoria Form Center

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Schedule an Intake Appointment

  1. First and Last Name

  2. Address Line 1

  3. Address Line 2

  4. May be the same as the Parent/Guardian e-mail below

  5. Do you or the parent/guardian need an interpreter?*
  6. First and Last Name

  7. Parent/Guardian's Preferred Method of Contact*
  8. Intake Appointment

    Prior to your hearing before the Judge, the juvenile case manager will schedule an intake appointment with you and your parent or guardian. Please select which time of day works best for you and your parent or guardian so that the juvenile case manager can assist in scheduling you for a time that works best for you. You may also select an in-person option, a virtual one where all parties are virtual, or a hybrid format where some are in-person and some are virtual. 

  9. Please select the best time of day. *
  10. Intake Appointment Type*
  11. Virtual Meeting or Hearing

    If attending a virtual hearing or meeting, a website link will be sent to you. You will need to have audio and video capabilities on your device. Please test your device at if you are unsure if you have these capabilities. 

  12. Do you have the ability to attend a virtual meeting or hearing?*
  13. Leave This Blank:

  14. This field is not part of the form submission.