Order On Petition To Revoke Conditional Release (Not Guilty By Reason Of Mental Disease Or Defect)
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Order On Petition To Revoke Conditional Release (Not Guilty By Reason Of Mental Disease Or Defect) Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Order On Petition To Revoke Conditional Release (Not Guilty By Reason Of Mental Disease Or Defect), CR-276, Wisconsin Statewide, Circuit Court
FORM SUMMARY
Name of Form:
Order on Petition to Revoke Conditional Release (Not Guilty by
Reason of Mental Disease or Defect)
Form Number:
CR-276
Statutory Reference:
§971.17, Wisconsin Statutes
Benchbook Reference:
CR 34
Purpose of Form:
For use when the court acts on a petition to revoke conditional
release.
Who Completes It:
The court.
Distribution of Form:
Original to court, copy to district attorney, defense attorney,
Department of Health Services (DHS), sheriff of county of
conviction, §51.42 Board of county of defendant’s residence.
Accompanying Forms:
A copy of Order of Commitment. Order for Placement, if the court
orders revocation of conditional release.
New Form/Modification:
Modified; last update 03/04.
Modifications:
Changed Department of Health and Family Services to Department
of Health Services (DHS).
Comments:
This form recognizes that conditional release petitions may result in
revocation of placement on conditional release. Once this placement
is revoked, the court must complete CR-275, Order for Placement, to
order the new placement in institutional care and to address, if
needed, the issue of involuntary administration of medication
About this form:
This form is the product of the Wisconsin Records Management
Committee, a committee of the Director of State Court's Office
and a mandate of the Wisconsin Judicial Conference.
If you have additional information that does not change the
meaning of the form, attach it on a separate page. The form
itself shall not be altered.
Date: 04/24/2008
Page 1
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For Official Use
COUNTY
STATE OF WISCONSIN, CIRCUIT COURT,
Order on Petition to Revoke
Conditional Release
State of Wisconsin, Plaintiff
-vs-
, Defendant
(Not Guilty by Reason of
Mental Disease or Defect)
Name
Case No.
Date of Birth
THE COURT FINDS:
1. The defendant was committed to the Department of Health Services on (date)
A copy of the Order of Commitment is attached.
.
2. The defendant was placed on conditional release.
3. A petition to revoke conditional release was filed and a hearing on the petition was held.
4a. The defendant stipulated that the terms of conditional release were violated and the defendant stipulated to
revocation of conditional release.
OR
has not proven by clear and convincing evidence that:
has
4b. The State
a rule or condition of release was violated, and/or
the safety of the defendant or others requires revocation.
THE COURT ORDERS:
1. Placement on conditional release be revoked and an Order for Placement is completed and a copy is
attached.
2. The petition is denied and conditional release will continue.
BY THE COURT:
Distribution:
1. Court (Original)
2. District Attorney
3. Defense Attorney
4. Department of Health Services
5. Sheriff (of county of defendant’s residence)
6. §51.42 Board (of county of defendant’s residence)
7. Dept. of Corrections
Circuit Court Judge
Name Printed or Typed
Date
CR-276, 04/08 Order on Petition to Revoke Conditional Release (Not Guilty by Reason of Mental Disease or Defect)
§971.17, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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