Six Month Report To Court
Reviewing Conditional Release of Insanity Acquittee
Page 1
TO: The Honorable ______DATE: ______
______
______
RE: Acquittee Name: ______
Court Case No.: ______
Date of Conditional Release Order: ______
GENERALCONDITIONS
OF
RELEASE / ACQUITTEE'S COMPLIANCE / COMMENTS
/
Never / Sometimes / Always /
Six Month Report To Court
Reviewing Conditional Release of Insanity Acquittee
Page 2
SPECIALCONDITIONS
OF
RELEASE / ACQUITTEE'S COMPLIANCE / COMMENTS
/
Never / Sometimes / Always /
Other comments on acquittee's progress and adjustment in the community:
______
______
______
______
3
Six Month Report To Court
Reviewing Conditional Release of Insanity Acquittee
Page 3
Acquittee Name:______Date:______
CSB Recommendation to the Court:
______Continue conditional release
______Modify current conditional release order
______Revoke conditional release
______Remove conditions of release
If making a request, provide specifics of request and rationale:
______
______
______
______
______
Signature
______
Name
______
Address
______
______
______
Phone
xc: Acquittee's Attorney
Attorney for Commonwealth
DBHDS Office of Forensic Services
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