N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. II, Forms (cf. Part 110), form S-1
FORM S-1
ORDER TO APPEAR
STATE OF NEW YORK
SUPREME COURT COUNTY COURT
PART: ________ COUNTY: ____________
Address of Court: ____________
____________
________
IN THE MATTER
of
An Order to Appear Pursuant to
C PL 330.20 in Relation to
________
Defendant
________
IN THE NAME OF THE PEOPLE OF THE
STATE OF NEW YORK
TO: [Name of defendant] ________
AN APPLICATION having been filed with this court by the District Attorney the Commissioner of Mental Health pursuant to the provisions of subdivision 14 of C PL 330.20, for a recommitment order committing you to the custody of the Commissioner of Mental Health for confinement in a secure facility for care and treatment for six months from the date of the order,
YOU ARE HEREBY ORDERED to appear before this court on the following date and at the following time:
[Date] ____________
[Time] ____________
Following your appearance before this court, a hearing will be conducted to determine whether you have a dangerous mental disorder,
UPON YOUR FAILURE to appear at the time and place herein mentioned, a warrant may issue to a peace officer directing that you be taken into the custody and brought before this court.
Dated: ________
____________
Justice of the Supreme Court
Judge of the County Court
This order shall be served personally upon the above-named defendant.
This order shall be mailed to the last known address of the above-named defendant.
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. II, Forms (cf. Part 110), form S-1