Youthful Offender Eligibility Application Motion And Order Form. This is a Connecticut form and can be use in Criminal Statewide.
Tags: Youthful Offender Eligibility Application Motion And Order, JD-CR-14, Connecticut Statewide, Criminal
COURT YOUTHFUL OFFENDER ELIGIBILITY STATE OF CONNECTICUT COUNTY . . . . . . . . . . .OF. . . . . . . . . . . . . APPLICATION, .MOTION AND .ORDER . . . . . . . . . . . . . . . . . . . COURT . . SUPERIOR . . . . . . . : JD-CR-14 Rev. 10-01 C.G.S. §§ 54-76b et seq., 54-76c Pr. Bk. Sec. 39-33 Index No. Distribute as follows: 1. Clerk of Court - Original 2. C.S.S.D. - Adult Probation : 3. Prosecutor Calendar TO: The Judicial Authority of the State of Connecticut FROM (Name of Accused) ADDRESS OF ACCUSED JUDICIAL DISTRICT OR G.A. DATE OF BIRTH Plaintiff(s) DOCKET NO. No. PLACE : BIRTH OF SEX SOCIAL SECURITY NO. JUDICIAL SUBPOENA -against- : ADDRESS OF COURT : CRIME(S) CHARGED AGAINST THE DEFENDANT (Include date and offense(s) committed) : NAME OF ATTORNEY (Include Juris no.) Defendant(s) APPLICATION AND MOTION : ...................................................... I, the above-named Defendant, hereby make application that I be investigated to determine if I am eligible to be adjudged as a Youthful Offender under the provisions of Chapter 960a of the General Statutes, and move that the court file be sealed as to the public. I hereby make the following statements: 1. That on the date the alleged violations occurred, I had reached the age of 16 years but had not reached the age of 18 years THE PEOPLE OF THE STATE OF NEW YORKcase was transferred to the regular criminal docket pursuant to as verified by my date of birth, specified above, or this C.G.S. § 46b-127. 2. TO charged with a crime which is not a Class A felony or a violation of C.G.S. §§ 53-21(a)(2), 53a-70, 53a-70a, 53a-70b, I am 53a-71, 53a-72a or 53a-72b, except a violation involving consensual sexual intercourse or sexual contact between myself and another person who is thirteen years of age or older but under sixteen years of age. 3. I have not previously been convicted of a felony. 4. I have not previously been adjudged as a serious juvenile offender or serious juvenile repeat offender, as GREETINGS: § 46b-120, or as a Youthful Offender. defined in C.G.S. 5. I have not previously been afforded a pre-trial program for accelerated rehabilitation under C.G.S. § 54-56e. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , at the Court I HEREBY CONSENT TO THE FOLLOWING: the Honorable a. Physical and mental examinations, if necessary. located at County of b. Investigations and questioning. , on the day of c. in room A trial without a jury, should a trial be held. , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give the foregoing statements in this action on the part of the evidence as a witness DATE SIGNED SIGNED (Defendant) I, the above-named Defendant, declare under oath, that are true, knowing that my false statement herein is punishable by law. CONSENTED TO BY (Signature of Parent or Guardian) DATE SIGNED SIGNED (Attorney for Defendant) DATE SIGNED Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ORDER the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a THE APPLICATION FOR INVESTIGATION IS: DENIED GRANTED result of your failure to comply. IT IS HEREBY ORDERED THAT: PHYSICAL EXAMINATIONS MENTAL EXAMINATIONS be made of the Defendant and that investigations be made, to determine the Defendant's eligibility as a Youthful Offender,onethe Court Supportof the Witness, Honorable , by of the Justices Services Division. It is also ordered that the Connecticut State Police, or any agency thereof, release any information they may have regarding prior Youthful Court in County, day of , 20 Offender adjudication of said Defendant and to provide such information to the investigating officer. IT IS HEREBY FURTHER ORDERED that the court file in this case be sealed only as to the public and that further action thereon be held in abeyance until such examinations, investigations and questioning are completed. BY THE COURT (Name of Judge) DATE ORDERED DATE INVESTIGATION DUE(Attorney must signAssistant Clerk) SIGNED (Judge or above and type ELIGIBILITY REPORT DATE name below) SIGNED For Court Use Only DATE OF BIRTH VERIFIED BY (Form of I.D.) DATE OF OFFENSE FILE DATE Attorney(s) for DEFENDANT IS ELIGIBLE DEFENDANT IS ELIGIBLE BUT HAS CHARGES PENDING DEFENDANT IS INELIGIBLE for the following reasons: DEFENDANT HAS AN ADULT FELONY CONVICTION (See attached record) PREVIOUS Y.O. ADJUDICATION Office and P.O. Address PRIOR USE OF ACCELERATED REHABILITATION PRIOR SERIOUS JUVENILE OFFENSE JUVENILE RECORD ATTACHED OTHER (Specify:) ELIGIBILITY REPORT PROVIDED BY DATE OF REPORT Telephone No.: Facsimile No.: CLIENT NUMBER E-Mail Address: Mobile Tel. No.: PART A DOCKET NUMBER STATE I.D. NUMBER YOUTHFUL OFFENDER ELIGIBILITY - APPLICATION, MOTION, AND ORDER American LegalNet, Inc. www.USCourtForms.com