IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR MULTNOMAH COUNTY THE STATE OF OREGON, Plaintiff, vs. , Defendant ) ) ) ) ) ) ) Case No. MOTION/PETITION IN APPLICATION FOR AN ORDER EXTENDING THE DUII DIVERSION PERIOD; AND ORDER GRANTING OR DENYING THE MOTION/PETITION The above-named defendant makes this motion/petition to the court for an order extending the diversion period of the driving under the influence of intoxicants (DUII) diversion agreement that this court entered in this. In submitting this motion/petition: 1. The defendant submits that the defendant has made a good faith effort to complete the conditions of the diversion agreement. a. b. The defendant has not completed the following conditions of the diversion agreement: c. 2. The defendant has completed the following conditions of the diversion agreement: The defendant has not completed the diversion conditions in “b.” above because (explain): The defendant requests that the court extend diversion agreement for (insert time, not longer than 180 days) and submits that the defendant can complete the conditions of the diversion agreement within that time because (explain): 3. The defendant affirms that the court has not granted the defendant any previous extension of the diversion agreement under ORS 813.225. 4. The defendant understands that if the defendant: a. b. 08-06 Fully complies with the conditions of the diversion agreement within the extended diversion period requested herein, the court may dismiss the charge with prejudice if the defendant files a motion under ORS 813.250. Fails to comply with the diversion agreement within the extended diversion period, the court will enter a judgment of conviction on the DUII charge and will sentence the defendant. Page 1 of 2 (12/03) Distribution: Original–Court Copies: DA, Petitioner, Defense Attorney, Evaluator (See SLR 4.085 (4)) American LegalNet, Inc. www.USCourtForms.com This Motion/Petition and proposed order are respectfully submitted by: Defendant’s Nam e (typed or printed) Signature of Defendant Address Date Telephone Num ber FO R C O U R T STAM P O N O R D ER ORDER FINDING. The court finds the defendant named in the above motion/petition 9 made 9 did not make a good faith effort to complete the conditions of the diversion agreement and that the defendant 9 can 9 cannot complete the conditions of the diversion agreement in the requested extended diversion period. ORDER. The court 9 allows 9 denies the above motion/petition for an order extending the diversion period in case number . If “allowed,” this court orders the diversion period in this case extended for (not longer than 180 days) beginning on __________________ and ending on ____________________________. Name of Judge 08-06 Page 2 of 2 Signature of Judge (12/03) Distribution: Original–Court Date Copies: DA, Petitioner, Defense Attorney, Evaluator American LegalNet, Inc. www.USCourtForms.com