N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VI, form 11
Sec. 410.30 C.P.L. FORM 11
(Declaration of
Delinquency)
1/87
________ COURT OF ________
COUNTY OF ________
________ x
PEOPLE OF THE STATE OF NEW YORK,
- against - Indictment/Docket
No. ________
________ DECLARATION OF
DELINQUENCY
Defendant.
________ x
On ________, 19________, defendant was sentenced to a period of (probation) (conditional discharge) [FN1].
The Court has reasonable cause to believe that defendant violated a condition of (his)(her) sentence by [specify conditions allegedly violated and give reasonable description of the time, place and manner in which the violations allegedly occurred]:
____________
____________
____________
Wherefore, it is hereby:
ORDERED that defendant is declared delinquent, and it is further
ORDERED that, to enable the Court to make a final determination with respect to defendant's alleged delinquency:
(I) [FN3] ( ____________ and I jointly and severally) undertake that defendant will appear in
() a warrant be issued, directing a peace officer or appropriate police officer to take defendant into custody and bring (him) (her) before the Court. [FN2]
E N T E R
Dated: ________, 19________
________, New York
______________
Judge (Justice)
[FN1] Strike words in parentheses, as appropriate.
[FN2] The option of issuing a warrant should be exercised only where reasonable and appropriate.
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VI, form 11