22 CRR-NY D VI Form 13NY-CRR
22 CRR-NY D VI Form 13
22 CRR-NY D VI Form 13
13 Judicial reprimand of probationer
Sec. 410.40 C.P.L.
FORM 13
(Judicial Reprimand
of Probationer)
1/87
JUDICIAL REPRIMAND OF PROBATIONER APPLICATION
STATE OF NEW YORK
)
) ss.:
COUNTY OF
__
)
_________, being duly sworn, deposes and says:
I am a probation officer with the
Department of Probation. I am responsible for
[County]
supervising the probation of
[Name of Probationer]
who was convicted of (adjudicated a youthful offender for the act of) [Date of conviction],
on [Name of Court] by the __, and was sentenced by [Name of Judge/Justice]
to __.
Based upon the following petitioner's failure to
,
pursuant to C.P.L. §§ 410.20 [County] Department of Probation requests the Court to
order probationer personally to appear before the Court at the time and place set forth below.
(Signature)
Sworn to before me this __ day of __, 19.
Notary Public
COURT ORDER
The above application by the
Department of
[County] Probation is granted. The probationer is directed to appear before the Court on __ at _ (a.m.) (p.m.) in Part __ at __. This order shall be (mailed to) (served personally upon) the probationer.
Judge (Justice)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NOTICE TO PROBATIONER
YOU HAVE BEEN ORDERED TO APPEAR BEFORE THE COURT AT THE ABOVE TIME AND PLACE. FAILURE TO APPEAR AS ORDERED WITHOUT REASONABLE CAUSE THEREFOR CONSTITUTES A VIOLATION OF THE CONDITIONS OF YOUR SENTENCE OF PROBATION, AND MAY RESULT IN REVOCATION OF YOUR PROBATION AND ISSUANCE OF A WARRANT DIRECTING THAT YOU BE TAKEN INTO CUSTODY AND BROUGHT BEFORE THE COURT.
Date mailed ( ) served upon ( ) probationer:__, 19
22 CRR-NY D VI Form 13
Current through May 31, 2021
| End of Document |