eLaws | eCases | State of New York |
 New York Codes Rules Regulations (Last Updated: March 27,2024)
 TITLE 22. Judiciary
 Subtitle D. Forms
 Chapter VI. Forms for Use in Courts Exercising Criminal Jurisdiction
  13 Judicial reprimand of probationer

  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