New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Appendices › Appendix 12 › FORMS FOR ARTICLE 730 CRIMINAL PROCEDURE LAW › Form B - Forms adopted by Department of Mental Hygiene

Current through Register Vol. 46, No. 28, July 10, 2024
CERTIFICATE OF SERVICE
A copy of this application was personally served upon the
					 said defendant on the ________ day of ________, 19 ________, with a notice of
					 his right to request a hearing and copies thereof have been served by mail upon
					 the Mental Health Information Service, the District Attorney of ________ county
					 and ________.
____________
(Name any other person served)
Dated ________
____________
Signature of Hospital Director
____________
Printed Name
____________
Hospital
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Form DMH 706 (4-72)
STATE OF NEW YORK
DEPARTMENT OF MENTAL HYGIENE
DESIGNATION OF INSTITUTION
FOR CUSTODY OF DEFENDANT
(C.P.L. Article 730)
NOTICE TO SHERIFF OR LOCAL DEPARTMENT OF CORRECTION
TO:________
________
________
________
Pursuant to the following designation and order of court
					 stated therein (copy attached) you are required to deliver the defendant,
					 ________, to the institution so designated.
ALAN D. MILLER, M.D.
Commissioner of Mental Hygiene
NOTICE TO DIRECTOR OF INSTITUTION
TO:________
________
________
________
Pursuant to the following designation and order of court
					 stated therein, your institution has been designated as appropriate for care
					 and treatment of the named defendant. Such defendant will be delivered to your
					 institution by the appropriate sheriff or local department of
					 correction.
ALAN D. MILLER, M.D.
Commissioner of Mental Hygiene
DESIGNATION
The ________ Court, ________ County, has committed to my
					 custody ________, the defendant in a criminal proceeding pending in such court,
					 pursuant to an order dated ________ (copy attached). I hereby designate
					 ________ an institution in the Department of ________ as the appropriate
					 institution for the care and treatment of such defendant.
Date:________
Assistant CommissionerM.D.
(for the Commissioner of Mental Hygiene)
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Form DMH 720 (4-72)
STATE OF NEW YORK
DEPARTMENT OF MENTAL HYGIENE
NOTICE OF DISMISSAL OF INDICTMENT
(C.P.L. Article 730)
TO: ________
________
________
The Commissioner of Mental Hygiene was served on ________,
					 19 ________ with an order of the ________ Court, County of ________, dismissing
					 the indictment against ________, a patient presently in the custody of the
					 commissioner pursuant to order of such court and confined at your
					 institution.
Authority to retain the above-named patient will cease
					 thirty days from the date of the said service. The patient should therefore be
					 examined and a determination made as to the need for continued in-patient care
					 and treatment.
If the patient is found to be mentally ill or mentally
					 defective and in need of continued in-patient care and treatment, the Director
					 should make appropriate application for an order of retention or certification
					 as is provided under Sec. 73 or Sec. 124 of the Mental Hygiene Law or, if the
					 patient is confined in an institution in the Department of Correction and is so
					 dangerously mentally ill or dangerously mentally defective as to require
					 continued care and treatment in an institution in the Department of Correction,
					 the person in charge of such institution shall before the expiration of such 30
					 day period apply for an order of certification as is provided under Sec. 85 or
					 Sec. 135 of the Mental Hygiene Law.
________M.D.
for the Commissioner of Mental Hygiene
DATE: ________