Original - Court 1st copy - Center 2nd copy - Sheriff Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT ORI 3rd copy - Prosecutor 4th copy - Defendant 5th copy - Arresting agency CASE NO. COMMITMENT ORDER NOT GUILTY BY REASON OF INSANITY Court address Court telephone no. MI- Police Report No. Defendant's name, address, and telephone no. The State of Michigan THE PEOPLE OF v CTN/TCN SID Race Count pled was found Sex CHARGE CODE(S) MCL citation/PACC Code CRIME 1. Defendant DOB not guilty of the offense(s) charged by reason of insanity. IT IS ORDERED: 2. Defendant is committed to the custody of the Center for Forensic Psychiatry for a period not to exceed 60 days. 3. The center shall thoroughly examine and evaluate the present mental condition of defendant in order to reach an opinion on whether defendant meets the legally established criteria of a person requiring treatment or judicial admission. 4. Within 60 days from the date of this order, the Center for Forensic Psychiatry shall file a written report with the court, defense counsel, and prosecuting official in accordance with the mental health code. 5. If defendant is subsequently hospitalized as a person requiring treatment or by judicial admission as defined in the mental health code, defendant shall not be discharged or placed on leave without first being evaluated and recommended for discharge or leave by the Center for Forensic Psychiatry. 6. a. or b. The sheriff shall transport defendant to the Center for Forensic Psychiatry. Defendant shall immediately report to the Center for Forensic Psychiatry for admission. 7. The clerk of the court shall send to the Center for Forensic Psychiatry a settled record of facts concerning the offense(s) which defendant was found to have committed, but was acquitted. 8. The arresting agency shall destroy the fingerprints and arrest card according to law. 9. The clerk of the court shall send to the Michigan State Police a copy of this order. The Michigan State Police shall enter this order onto LEIN. 10. Additional orders: Date Judge Bar no. The clerk shall advise the Michigan State Police Criminal Justice Information Center of the disposition as required under MCL 769.16a. TO THE DEFENDANT: Your fingerprints and arrest card will be destroyed by the Michigan State Police within 60 days of the date of this order when permitted by MCL 28.243. MC 207 (5/07) COMMITMENT ORDER, NOT GUILTY BY REASON OF INSANITY MCL 330.2050, MCR 6.304 American LegalNet, Inc. www.FormsWorkflow.com