CR-265, 08/11 Order on Petition for Determination of Eligibility for Substance Abuse Program 247302.05(3), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of Wisconsin, Plaintiff - vs - Name Date of Birth Amended Order on Petition for Determination of Eligibility for t he Substance Abuse Program Case No. A Petition for Determination of Eligibility for the Substance Abuse Program was filed. THE COURT FINDS: All of the following criteria for eligibility have have not been satisfied. 1. The defendant is presently serving the confinement portion of a bifurcated sentence. 2. The defendant was not convicted of a crime specified in chapter 940 or 247247948.02, 948.025, 948.03, 948.05, 948.055, 948.06, 948.07, 948.075, 948.08 or 948.095, Wis. Stats. 3. The sentencing court did not determine if the defendant is eligible or ineligible to participate in the Substance Abuse Program. 4. The Department of Corrections has approved the filing of the Petition. 5. The district attorney was served with a copy of the Petition. THE COURT ORDERS: The Petition is 1. GRANTED because all of the criteria for eligibility have been satisfied and the A. gravity of the crime is not inconsistent with participation. B. C. itation is served by allowing participation. D. Other: The defendant is eligible to participate in the Substance Abuse Program A. as of the date of this order. OR B. after serving years, months, days, of the confinement portion of this bifurcated sentence. If the defendant is approved for placement in the Substance Abuse Program and successfully completes the Substance Abuse Program, the Department of Corrections shall notify the court. Upon being informed that the defendant has successfully completed the Substance Abuse Program, the court shall reduce the confinement portion for release of the defendant to extended supervision within 30 days of the date on which the court receives notice. The court shall lengthen the term of extended supervision imposed so that the total length of the bifurcated sentence originally imposed do es not change. 2. DENIED . The defendant is not eligible for the Substance Abuse Program because the A. defendant has not satisfied the following criteria for eligibility: [Specify criteria number(s)] B. court already made this determination at sentencing and declines to change it. American LegalNet, Inc. www.FormsWorkFlow.com CR-265, 08/11 Order on Petition for Determination of Eligibility for Substance Abuse Program 247302.05(3), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 C. seriousness of the crime requ ires continued confinement. D. E. defendant needs to be con fined to protect the community. F. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL . DISTRIBUTION: 1. Court 2. Defendant 3. 4. District Attorney 5. Department of Corrections 6. Victim(s) American LegalNet, Inc. www.FormsWorkFlow.com