Fill and Sign the Application for Appointment of Sanity Commission Louisiana Form

STATE OF LOUISIANA : _______ JUDICIAL DISTRICT COURT VS : PARISH OF _______ , LOUISIANA _______________ : DOCKET NO. _______ ____________________________________________________________________________ APPLICATION FOR APPOINTMENT OF SANITY COMMISSION TO EXAMINE DEFENDANT TO REPORT ON HIS/HER PRESENT MENTAL CONDITION, AND MENTAL CONDITION AT THE TIME OF THE ALLEGED OFFENSE, AND FOR A HEARING AS TO HIS/HER PRESENT CAPACITY TO PROCEED The application of _______________ , attorney for defendant, _______________ , represents that: I. The defendant is charged with the offense of _______________ , to have been committed on the ___ day of _______ 20 ___ . II. There is good reason to believe that the defendant does not presently have the mental capacity to understand the proceedings against him/her or to assist in his/her defense; and the defendant's mental incapacity to proceed exists because or as a result of mental disease or defect. This belief is based on the following facts: WHEREFORE, applicant prays that: l. A sanity commission be appointed by the Court to examine and report upon the present mental capacity of the defendant to proceed and to fix and conduct a hearing in conformity with C.Cr.P. Arts. 633 through 647. 2. A sanity commission be appointed by the Court to make an examination as to the defendant's mental condition at the time of the alleged offense. Respectfully Submitted, ____________________________ _______________ _______ Parish I.D. Board _______________ _______ , LA _______ ( ___ ) _______ STATE OF LOUISIANA : _______ JUDICIAL DISTRICT COURT VS : PARISH OF _______ , LOUISIANA _______________ : DOCKET NO. _______ ______________________________________________________________________________ ___ O R D E R The foregoing application considered, IT IS ORDERED that: l. A sanity commission consisting of Doctor(s) _________________________ and __________________________, be and they are hereby appointed to examine upon the present mental condition of the defendant, _______________ , and to report to this Court, within thirty (30) days after the date of this order, whether said defendant has a mental disease or defect, as a result to which the defendant presently lacks the capacity to understand the proceedings against him/her or to assist in his/her defense and that a hearing be held on the ____ day of _________________, 20___, to determine defendant's mental capacity to proceed. 2. The defendant, _______________ , be committed to the custody of _________________________ until this court has determined his/her mental capacity to proceed. 3. A sanity commission consisting of Doctor(s) _______________________ and ________________________, be and they are hereby appointed to make an examination as to defendant's mental condition at the time of the alleged offense, and to report its findings to this court within thirty (30) days after the date of this order. _______________ , Louisiana, this ____ day of _______________, 20 ___ . ______________________________ DISTRICT JUDGE C E R T I F I C A T E I hereby certify that a copy of the above and foregoing Application for Sanity Commission has this date been served upon the Office of the District Attorney for the Parish of _______ , Louisiana, by hand delivering a copy of the same. _______________ , Louisiana, this ____ day of __________, 20 ___ . ______________________________ _______________