Six Month Report to Court

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: ______

GENERAL
CONDITIONS
OF
RELEASE / ACQUITTEE'S COMPLIANCE / COMMENTS
/
Never / Sometimes / Always /

Six Month Report To Court

Reviewing Conditional Release of Insanity Acquittee

Page 2

SPECIAL
CONDITIONS
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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