APPLICATION FOR SUSPENSION OF PROSECUTION - VIOLATION OF FIREARM LAWS JD-CR-106 Rev. 7-19 C.G.S. 247247 29-33, 29-37a, 53-202l, 53-202w; P.A. 19-6 I am applying to have my prosecution suspended and say: 1. I am charged with a violation of section 29-33, 29-37a, 53-202l or 53-202w of the Connecticut General Statutes or section 5 of Public Act 19-6 for which suspension of prosecution is appropriate. 2. I have not been convicted of this crime before. 3. I have not had a prosecution of this crime suspended before under section 29-33(h), 29-37a(i), 53-202l(e), 53-202w(g), or section 5(g) of Public Act 19-6. 4. If prosecution is suspended, I agree to give the state more time to prosecute me for the violation I am charged with (the tolling of any statute of limitations with respect to the violation and to waive my right to a speedy trial). 5. I understand that if the court grants my application to suspend my prosecution: (a) I will be released to the custody of the Court Support Services Division for no more than 2 years. (b) The court may order conditions it deems appropriate. (c) If the court finds that I refused to accept or violated the conditions of the suspension of prosecution, the court will end the suspension of prosecution and the case will be brought to trial. (d) If the court finds that I have satisfactorily completed the period of probation, the court will dismiss the charges and all records of the charges will be erased under section 54-142a. (e) An order of the court denying a motion to dismiss the charges against me, if I have completed the period of my probation, or ending my participation in the program will be a final judgment for purposes of appeal. By signing this form, I request that the prosecution for the violation be suspended and that the court order me placed in the custody of the Court Support Services Division. Signed (Defendant) uTO: The Superior Court of the State of ConnecticutThe application is denied.INSTRUCTIONS To Defendant: Send the original of this form to the Clerk of Court and send a copy to the state's attorney. To Clerk: Send a copy to CSSD - Intake, Assessment and Referral if the First Order continues the case for investigation.Application I have read or had read to me the statements above and understand them. I agree with the statements. Consented to by (Parent or Guardian) Signed (Attorney for Defendant)First Order The application is continued to the following Court Hearing Date so that the Defendant's eligibility may be verified. Court Hearing Date and Time Signed (Judge or Clerk) Date SignedCourt Support Services Division Recommendation Signed (CSSD Officer/Duly Authorized Personnel) Date Signed ELIGIBLE INELIGIBLESecond Order of Court (if applicable) The application is denied.Having found that (a) the violation alleged is not of a serious nature, (b) the Defendant (1) will probably not offend in the future, (2) has not previously been convicted of a violation of section 29-33, 29-37a, 53-202l, or 53-202w of the Connecticut General Statutes, or section 5 of Public Act 19-6, and (3) has not previously had a prosecution under: section 29-33 suspended under subsection (h) of that statute, section 29-37a suspended under subsection (i) of that statute, section 53-202l suspended under subsection (e) of that statute, section 53-202w suspended under subsection (g) of that statute, or section 5 of Public Act 19-6 suspended under subsection (g) of that Public Act, and (c) the Defendant has acknowledged that the Defendant understands the consequences of the suspension of prosecution, the application is granted; the prosecution is suspended, the case is continued to the below date, and the Defendant is released to the custody of the Court Support Services Division for the Period of Custody and subject to the conditions specified below. Period of Custody (Not to exceed two years) Case Continued To (Court Hearing Date) The Conditions of the Suspension of Prosecution Are: By the Court (Name of Judge) Signed (Clerk) Date Signed Docket Number (For Court Use Only) From (Name of Defendant) Address of Defendant (Number, street and town) Judicial District of Geographical Area Address of Court Date Signed Date Signed STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov American LegalNet, Inc. www.FormsWorkFlow.com Final Progress ReportDisposition The Defendant has not satisfactorily completed the conditions of the program. (Explain): The Defendant has satisfactorily completed the conditions of the program. Signed (CSSD Officer/Duly Authorized Personnel) Date Signed Program not successfully completed, a plea of not guilty entered and this case immediately placed on the trial list. Other disposition: Program successfully completed and charges dismissed. By the Court (Name of Judge) Signed (Clerk) Date Signed JD-CR-106 Rev. 7-19 (Back/Page 2) American LegalNet, Inc. www.FormsWorkFlow.com