N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. II, Forms (cf. Part 110), form C
FORM C
CONFINEMENT ORDER TO SHERIFF
STATE OF NEW YORK
SUPREME COURT COUNTY COURT
PART: ________ COUNTY: ____________
________
PEOPLE OF THE STATE OF NEW YORK
Indictment No. ____________
vs. Crime Charged:
________
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 by verdict (C PL 300.10, subd. 4[d])
by plea (C PL 220.15)
And, this court having issued an examination order on [date] ____________ pursuant to the provisions of subdivision 2 of C PL 330.20 requiring that the above-named defendant submit to a psychiatric examination to determine whether the said defendant has a dangerous mental disorder, or if he she does not have a dangerous mental disorder, whether the said defendant is mentally ill,
And, this court having directed that the above-named defendant be committed to a secure facility designated by the Commissioner of Mental Health as the place for conducting the aforesaid psychiatric examination,
And, the above-named defendant being now in the custody of the Commissioner of Mental Health and confined in the following secure facility pursuant to the aforesaid examination order: ____________
And, the Commissioner of Mental Health having submitted to this court the examination reports required by subdivision 5 of C PL 330.20,
And, this court having directed that an initial hearing be conducted pursuant to subdivision 6 of C PL 330.20 to determine the above-named defendant's present mental condition, it is hereby
ORDERED that the
Commissioner of Correction for the City of New York
Sheriff of ________ County
Commissioner of Correction for ________
promptly obtain custody of the above-named defendant from the Commissioner of Mental Health and confine the above-named defendant pending further order of the court.
confine the defendant in the following institution:
[Here name institution located near the place where the court sits if that institution has been designated by the Commissioner of Mental Health as suitable for the temporary and secure detention of mentally disabled persons] ____________
____________.
Dated: ________
____________
____________
Justice of the Supreme Court
Judge of the County Court
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. II, Forms (cf. Part 110), form C