New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Appendices
Appendix 104-A

Current through Register Vol. 46, No. 39, September 25, 2024

NACC C-16

(Auth Reg § 2007.1)

STATE OF NEW YORK NARCOTIC ADDICTION CONTROL COMMISSION

N. A.C.C. NO. ________

N. Y.S.I.I.S. NO. ________

WARRANT FOR ARREST AND DETENTION OF

DELINQUENT NARCOTIC ADDICT (M.H.L. 211.4)

TO ANY STATE POLICE OFFICER OR ANY OTHER PEACE OFFICER IN THE STATE:

Having reasonable cause to believe that ________, a narcotic addict certified to the custody of the Narcotic Addiction Control Commission, has escaped or disappeared from lawful custody or supervision and has been duly declared delinquent by the said Commission, now, therefore, pursuant to the provisions of Article 9 of the Mental Hygiene Law and the regulations of the Narcotic Addiction Control Commission, I hereby order that said narcotic addict be arrested, placed in detention, and returned to the custody of the Narcotic Addiction Control Commission, and for so doing this shall be your sufficient warrant.

NEW YORK STATE NARCOTIC ADDICTION

CONTROL COMMISSION

Dated: ________, 19________ Per

____________

Authorized Signature

____________

Typed Signature

____________

Address

________

I HEREBY CERTIFY that I executed the above warrant at ________ o'clock in the ________ noon on the ________ day of ________, 19 ________, by apprehending the above-named narcotic addict and placing him in a place of detention on behalf of the Narcotic Addiction Control Commission; and that at the time of apprehension of the said narcotic addict, I exhibited the appended warrant and informed the said narcotic addict of the purpose for which he was being taken into custody.

Dated: ________, 19________ ________

Note: