New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 22. Judiciary |
Subtitle D. Forms |
Chapter II. CPL Section 330.20 Forms |
Forms (cf. Part 110) |
V Furlough order |
FORM V FURLOUGH ORDER STATE OF NEW YORK □ SUPREME COURT □ COUNTY COURT PART: __ COUNTY: __________ IN THE MATTER of A Furlough Order Pursuant to CPL 330.20 in Relation to __________ Defendant __________ Present: Honorable □ Justice of the Supreme Court □ Judge of the County Court The above-named defendant having been found not responsible by reason of mental disease or defect and now being in the custody of the State Commissioner of Mental Health and confined in a facility for care and treatment pursuant to [check one of the following] □ a commitment order issued under the provisions of subdivision 6 of CPL 330.20 □ a recommitment order issued under the provisions of subdivision 14 of CPL 330.20 □ a first retention order issued under the provisions of subdivision 8 of CPL 330.20 □ a second retention order issued under the provisions of subdivision 9 of CPL 330.20 □ a subsequent retention order issued under the provisions of subdivision 9 of CPL 330.20 by the following court on the following date: [Name of court] [Date of order] □ And, an application having been made pursuant to subdivision 10 of CPL 330.20 by the State Commissioner of Mental Health for a furlough order; □ And, a demand for a hearing not having been made; □ And, a demand for a hearing having been made by the District Attorney, and such hearing having been held on ; □ And, the court, on its own motion, having conducted a hearing on ; And, due deliberation thereon having been had, And, the court having found that the issuance of a furlough order is consistent with the public safety and welfare of the community and the above-named defendant, and that the clinical condition of the above-named defendant warrants a granting of the privileges authorized by a furlough order, It is hereby ORDERED that the Commissioner of Mental Health is directed to allow the above-named defendant, now in confinement in a facility pursuant to the aforesaid order, to temporarily leave the facility for [here insert a period of time not exceeding 14 days] __ under the following terms and conditions: □ (a) While outside the facility pursuant to this order, the above-named defendant shall be under the constant supervision of □ one employee □ two employees □ three employees of the facility; □ (b) While outside the facility pursuant to this order, the above-named defendant need not be under the constant supervision of any employee of the facility; □ (c) [Here insert any terms and conditions that the court deems necessary or appropriate] Dated: _________ □ Justice of the Supreme Court □ Judge of the County Court |