Revised 05/01 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK , Plaintiff, v. ____ - CV - ________ , Defendant, Format for Petition: You must fill in the information in italics PETITION AND ORDER FOR WRIT OF HABEAS CORPUS AD TESTIFICANDUM TO THE HONORABLE [full name of judge]: [Name of party requesting writ], by and through [name of attorneys for party], [ name ofspecific attorney for party], of counsel, hereby petitions the Court for a Writ of Habeas Corpus AdTestificandum for [name of person to be produced] . The following facts and circumstances supportthis petition: The said individual, [ name of person to be produced], is currently confined at [name, city and state of correctional facility]. The presence of [ name of person to be produced] is necessary [reason for production]. WHEREFORE, I respectfully request that the Clerk of the Court be directed to issue a Writof Habeas Corpus Ad Testificandum commanding the United States Marshal for the Western Districtof New York and the [identity of the entity holding the inmate] to take [name of person to be>>>> 2produced] into his custody and to produce [name of person to be produced] in the United StatesCourthouse in [Buffalo or Rochester], New York on [day and date of production], and continuingfor such time as necessary. [name of attorneys for party] [address & phone of requesting attorneys] By: [name of specific attorney for party]DATED: , 20 , New York IT IS SO ORDERED: United States District Judge DATED: , 20 , New York