22 CRR-NY D VI Form 16-cNY-CRR

STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 22. JUDICIARY
SUBTITLE D. FORMS
CHAPTER VI. FORMS FOR USE IN COURTS EXERCISING CRIMINAL JURISDICTION
22 CRR-NY D VI Form 16-c
22 CRR-NY D VI Form 16-c
16-c Designation of psychiatric examiners
C.P.L. Article 730 FORM 16-c 12/88
DESIGNATION OF PSYCHIATRIC EXAMINERS
_______
COURT OF
_______
COUNTY OF
_________
__________
x
PEOPLE OF THE STATE OF NEW YORK,
 
DESIGNATION OF
 
PSYCHIATRIC
– against –
 
EXAMINERS
 
Docket No.
__
 
_______
 
Indictment No. __ Defendant. __________x
The undersigned, having been directed by order signed by Honorable __, (Judge) (Justice) of the __ Court of __ County, dated __, to examine the above named defendant pursuant to Article 730 of the Criminal Procedure Law, does hereby designate __, a qualified psychiatrist and __ (a qualified psychiatrist) (a qualified psychologist) for the purpose of conducting the examination of said defendant, each to make a separate report of said examination.
Dated:
______
 
Signature
Printed Name
□ Director of Community Mental
Health Services,
 
County
□ Director
 
Hospital
22 CRR-NY D VI Form 16-c
Current through May 31, 2021
End of Document