UNITED STATES DISTRICT COURT Revised 05/01 WDNYWESTERN DISTRICT OF NEW YORK [name of plaintiff], Plaintiff ____ - CV - ____ v. [name of defendant(s)], Defendant[s]. Format for Writ: You must fill in the information in italics. WRIT OF HABEAS CORPUS AD TESTIFICANDUM TO: Name and Address of Custodian CC: UNITED STATES MARSHAL Western District of New York GREETINGS: You are hereby commanded to produce the body of [prisoners name and number] , now incarcerated in [name of correctional facility] at [city and state of correctional facility] on [dateprisoner should be produced] at [time prisoner should be produced], and deliver [prisoners name and number] to the custody of the United States Marshal in [Buffalo or Rochester], New York. At the close of each day during which the inmates presence is required at the United States DistrictCourthouse pursuant to this writ, the inmate shall be remanded to the custody of [name of custodian] pursuant to whose directions officers of the New York Department of Correctional Services shall house the inmate in a correctional facility of suitable security located in the Western District of NewYork and transport the inmate to and from the said office of the United States Marshal as and when required during the course of the proceedings. >>>> 2 Following the delivery of the inmate to the custody of the United States Marshal each dayas required by this writ, the United States Marshal shall provide all necessary security and care ofthe inmate until the inmates custody shall have been remanded to [ name of custodian] at the endof such day. Upon completion of said proceeding, the custody of [prisoners name and number] shall beremanded to [name of custodian] pursuant to whose directions officers of the New York StateDepartment of Correctional Services shall effect return to the [name of correctional facility] undersafe and secure custody. The [New York State Department of Correctional Services or other custodial entity] and theUnited States Marshal shall each bear their respective costs of the implementation of the terms ofthis writ. CLERK OF COURT UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK 2