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Referral By Department Of Corrections To Sentencing Court (Geriatric-Terminal) Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Referral By Department Of Corrections To Sentencing Court (Geriatric-Terminal), CR-255, Wisconsin Statewide, Circuit Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
FORM SUMMARY:
:
Calendar No.
Referral by Department of Corrections to Sentencing Court
§302.113(9g) (Geriatric/Terminal)
:
Name of Form:
JUDICIAL SUBPOENA
Plaintiff(s)
Form Number:
Index No.
CR-255
-against-
:
Statutory Reference:
§302.113(9g), Wisconsin Statutes
:
Benchbook Reference:
CR 38
:
Defendant(s)
:
. .Purpose . . .Form:. . . . . . . . . . .To .enable the Department . . .Corrections to refer an inmate’s petition
. . . . . . . of . . . . .
. . . . . . . . . . . . . . . . . . . . of . .
for modification of bifurcated sentence to the sentencing court for a
hearing.
THE PEOPLE OF THE STATE OF NEW YORK
Who Completes It:
Department of Corrections
TO
Distribution of Form:
Accompanying Forms:
GREETINGS:
New Form/Modification:
Original to sentencing court, copy to Department of Corrections.
Inmate’s petition and attachments, if any, and decision of Program
Review Committee.
Modification; last update 02/03/03
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Modifications:
Added a Department of Correction’s form number.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
This form was created to comply with the requirements
orComments:
adjourned date, to testify and give evidence as a witness in this action on the part of the of 2001
Wisconsin Act 109.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party thiswhose behalf this subpoena was issued for a maximum penaltyRecordsand all damages sustained as a
About on form:
This form is the product of the Wisconsin of $50 Management
result of your failure to comply. Committee, a committee of the Director of State Court's Office and a
mandate of the Wisconsin Judicial Conference.
Witness, Honorable
Court in
County,
, one of the Justices of the
If day of
you have additional information that does not change the
, 20
meaning of the form, attach it on a separate page. The form
itself shall not be altered.
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Date: 03/01/04
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Page 1
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
STATE OF WISCONSIN, CIRCUIT COURT,
Index No.
Calendar No.
COUNTY
For Official Use
:
JUDICIAL
Plaintiff(s) Referral by Department of SUBPOENA
State of Wisconsin
-vs-
-against, Defendant
Corrections to Sentencing Court
:
§302.113(9g)
(Geriatric/Terminal)
:
Name
Case No.
Dat e of Birth
:
Defendant(s)
:
......................................................
1.
Attached is the inmate’s Petition to Modify Bifurcated Sentence. The Program Review Committee has
approved this petition for referral to the sentencing court. The Program Review Committee has determined
that the public interest would be served by a modification of the inmate’s bifurcated sentence in the manner
provided in §302.113(9g)(f) (see attached decision of Program Review Committee). The Department of
THE PEOPLE OF THE STATE OF NEW YORK
Corrections requests that the court conduct a hearing on this petition.
TO
2.
The inmate is eligible under §302.113(9g)(i).
3.
The inmate is 65 years of age or older and has served at least 5 years of the term of confinement in prison.
OR
GREETINGS: is 60 years of age or older and has served at least 10 years of the term of confinement in prison;
The inmate
OR
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you from two
The inmate has a terminal condition, and has attached and incorporated into the petition affidavits attend before
,
the Honorable
at the
Court
(2) physicians.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Department of Corrections:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Signature
Distribution:
Witness, Honorable
1. Original - Court
Court in
County,
2. Copy - Department of Corrections
, one of the or Typed of the
Name Printed Justices
day of
, 20
Date
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
CR-255, 03/04 Referral by Department of Corrections to Sentenc ing Court §302.113(9g)
DOC -2253
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
§302.113(9g), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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www.USCourtForms.com
