N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. II, Forms (cf. Part 110), form X
FORM X
DISCHARGE ORDER
STATE OF NEW YORK
SUPREME COURT COUNTY COURT
PART: ________ COUNTY: ____________
________
IN THE MATTER
of
A Discharge Order Pursuant to
C PL 330.20 in Relation to
________
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 having been committed to the custody of the State Commissioner of Mental Health for confinement in a secure facility for care and treatment pursuant to a commitment order issued under the provisions of subdivision 6 of C PL 330.20 by the following court on the following date:
[Name of court] ____________
[Date of commitment order] ____________
And, the above-named defendant's inpatient status being thereafter terminated by a release order issued by the following court on the following date:
[Name of court] ____________
[Date of release order] ____________
And, the aforesaid court issuing the said release order also issuing on the same date an order of conditions,
And, an application having been made pursuant to subdivision 13 of C PL 330.20 by the State Commissioner of Mental Health for a discharge order,
And, a demand for a hearing not having been made,
And, a demand for a hearing having been made by the District Attorney, and such hearing having been held on ____________,
And, the court, on its own motion, having conducted a hearing on ____________,
And, due deliberation thereon having been had,
And, the court having found that the above-named defendant has been continuously on an outpatient status for three years or more pursuant to the aforesaid release order,
And, the court having further found that the above-named defendant does not have a dangerous mental disorder and is not mentally ill,
And, the court having further found that the issuance of a discharge order is consistent with the public safety and welfare of the community and the defendant,
It is hereby
ORDERED that the aforesaid order of conditions is terminated.
ORDERED that the above-named defendant is unconditionally discharged from supervision under the provisions of C PL 330.20.
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 X