COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Case Name: Plaintiff(s) Index No. Calendar No. : Cause No.: JUDICIAL SUBPOENA -against“OFFENDER REGISTRATION” ATTACHMENT: OFFENDER REGISTRATION FOR SEX OFFENSE : OR KIDNAPPING OFFENSE (If required, attach to Statement on Plea of Guilty.): : Because this crime involves a sex offense or a kidnapping offense involving a minor as defined in RCW 9A.44.130, I will be required to register with the sheriff of the county of the state of Washington where I : reside. If I am not a resident of Washington but I am a student in Washington or I am employed in Washington or I carry on a vocation in Washington, I must register with the sheriff of the county of my Defendant(s) : . .school,. place.of.employment,.or. vocation.. . .must. register .immediately upon being sentenced unless I ..... .... . .......... . ....... I ... ...... ..... am in custody, in which case I must register at the time of my release with the person designated by the agency that has me in custody and I must also register within 24 hours of my release with the sheriff of the county of the state of Washington where I will be residing, or if not residing in the state of Washington, where I am a student, where I am employed or where I carry on a vocation. THE PEOPLE OF THE STATE OF NEW YORK If I leave this state following my sentencing or release from custody but later move back to Washington, I must register within 30 days after moving to this state or within 24 hours after doing so if I am under the TO jurisdiction of this state's Department of Corrections. If I leave this state following my sentencing or release from custody, but later while not a resident of Washington I become employed in Washington, carry on a vocation in Washington, or attend school in Washington, I must register within 30 days after attending school in this state or becoming employed or carrying out a vocation in this state, or within 24 GREETINGS: hours after doing so if I am under the jurisdiction of this state’s Department of Corrections. WE COMMAND YOU, county, I must and written being laid aside, you and each of you attend before If I change my residence within athat all businesssend excusesnotice of my change of residence to the sheriff within residence to a new Court within this state, I must send county , the Honorable 72 hours of moving. If I change my at the written notice of the change of address at least fourteen days before moving to the county sheriff in the located at County of innew county of residence, I must register with the sheriff of, the new county within 24 hours of moving any recessed room , on the day of , 20 at o'clock in the noon, and at and I must also give written notice of my change of address to the sheriff of the county where last registered or adjourned date, to testify and give evidence as a witness in this action on the part of the within 10 days of moving. If I move out of Washington State, I must send written notice within 10 days of moving to the new state or foreign country to the county sheriff with whom I last registered in Washington State. Your failure to comply with this subpoena is punishable as a contempt of court and I must If I move to another state, or if I work, carry on a vocation, or attend school in another state will make you liable to the party onnew address, fingerprints, andwas issued for a maximum penalty of10 days afterdamages sustained as a register a whose behalf this subpoena photograph with the new state within $50 and all establishing residence, or after to comply. result of your failurebeginning to work, carry on a vocation, or attend school in the new state. I must also send written notice within 10 days of moving to the new state or to a foreign country to the county sheriff with whom I last registered in Washington State. Witness, Honorable , one of the Justices of the If I am public or private institution of higher education, I Court in a resident of Washington and I am admitted to ,a20 County, day of shall, within 10 days of enrolling or by the first business day after arriving at the institution, whichever is earlier, notify the sheriff of the county of my residence of my intent to attend the institution. If I lack a fixed residence, I am required to register. Registration mustmust sign above 24 hours of release in (Attorney occur within and type name below) the county where I am being supervised if I do not have a residence at the time of my release from custody or within 48 hours, excluding weekends and holidays, after ceasing to have a fixed residence. If I enter a different county and stay there for more than 24 hours, I will be required to register in the new Attorney(s) for county. I must also report in person to the sheriff of the county where I am registered on a weekly basis. The weekly report will be on a day specified by the county sheriff’s office, and shall occur during normal business hours. I may be required to provide a list of the locations where I have stayed during the last seven days. The lack of a fixed residence is a factor that may be considered in determining a sex offender’s risk level and shall make me subject to disclosure to the public at large pursuant to RCW Office and P.O. Address 4.24.550. If I apply for a name change, I must submit a copy of the application to the county sheriff of the county of my residence and to the state patrol not fewer than five days before the entry of an order granting the Telephone No.: STATEMENT ON PLEA OF GUILTY (“OFFENDER REG.” ATTACHMENT) - Page 1 of 2 Facsimile No.: WPF JU 07.0600 (08/2002) - JuCR 7.7; RCW 13.04.033, 13.40.130, .140, 10.01.200 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. name change. If I receive an order changing my name, I must submit a copy of the order to the county : JUDICIAL SUBPOENA sheriff of the county of my residence and to Plaintiff(s) the state patrol within five days of the entry of the order. RCW 9A.44.130(7). -against: : Date: Respondent’s signature : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: STATEMENT ON PLEA OF GUILTY (“OFFENDER REG.” ATTACHMENT) - Page 2 of 2 Facsimile No.: WPF JU 07.0600 (08/2002) - JuCR 7.7; RCW 13.04.033, 13.40.130, .140, 10.01.200 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com