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
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
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)
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: ________
