Connecticut > Statewide > Criminal
Pre Trial Drug Education Program Request For Reinstatement JD-CR-118R - Connecticut
| Pre Trial Drug Education Program Request For Reinstatement Form. This is a Connecticut form and can be used in Criminal Statewide . |
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PRE-TRIAL DRUG EDUCATION PROGRAM REQUEST FOR REINSTATEMENT JD-CR-118R Rev. 1-11 C.G.S. ยง 54-56i www.jud.ct.gov Instructions To Person Filling Out This Application 1. File the original of this application with the clerk of the court. 2. Send a copy to the prosecuting attorney. CSSD case number To: The Superior Court of the State of Connecticut Address of court Geographical Area Number Name of Applicant/Defendant Docket number Operator's number Social Security Number Date of birth Telephone number Address of Applicant (Number, street, town, apartment number and zip code) I have applied for the Pre-Trial Drug Education Program before and my application was granted. I was placed in this program but I did not successfully complete the program assigned to me or I was found to be no longer amenable to treatment. I now request reinstatement into the Pretrial Drug Education Program. If my request is granted, I understand that I must pay a nonrefundable program fee, which shall not be waived unless good cause is shown. I understand that I may also need to pay the costs of reinstatement into the program, if any. Court Support Services Division Verification of Eligibility Eligible for reinstatement Ineligible for reinstatement If granted, this is defendant's first reinstatement to this program. If granted, this is defendant's second reinstatement to this program. 10 sessions recommended 15 sessions recommended Substance abuse treatment program recommended Court Order (If the application is denied and the file ordered unsealed, consider ordering the applicant's social security number, date of birth and telephone number redacted.) The request for reinstatement is denied and the court file is ordered to be unsealed, a plea of not guilty is entered, if not previously entered, and this case is to be immediately placed on the trial list. The request for reinstatement is granted, the court file is ordered sealed and the defendant is referred to the Court Support Services Division for referral to the Department of Mental Health and Addiction Services for placement in an appropriate drug intervention program for one year, which includes the community service labor program participation requirement, or to be placed in a state-licensed substance abuse treatment program, which also includes the community service labor program participation requirement. The defendant is ordered to enter the pretrial drug education program without delay. The program fee is: $175 (10 sessions) $250 (15 sessions) And the defendant is ordered to forthwith pay the clerk the nonrefundable program fee unless the fee is waived below. The program fee is waived for good cause shown. The substance abuse treatment program costs shall be paid by the defendant unless the costs are waived below. The costs of placement in a substance abuse treatment program is waived for good cause shown. Case continued to (Date and time) Signed (Judge, Assistant Clerk) Date signed American LegalNet, Inc. www.FormsWorkFlow.com Print Form Reset Form
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