Fill and Sign the Case No State of North Dakota County of Form

NOTICE OF PROCEDURES AND RIGHTS NORTH DAKOTA SUPREME COURT SFN 17262 (GN-3) (Rev. 08-2015) CASE NO._________________________ TO: Name of Respondent : Address : City : State : Zip Code : 1. NOTICE IS GIVEN that A Petition for Involuntary Commitment has been filed in the above li sted county alleging that you are A Petition for Continuing Treatment has been filed in the above listed co unty alleging that you are mentally ill and as a result require treatment. men tally ill and as a result require emergency treatment. chemically dependent and as a result require treatment. chemically dependent and as a result require emergency treatment. An Application for Emergency Evaluation and Treatment has been filed with this facility alleging that you are mentally ill and as a result require treatment. mentally ill and as a result require emergency treatment. chemically dependent and as a result require treatment. chemically dependent and as a result require emergency treatment. 2. A copy of the petition and a copy of any supporting documentation are attached to this notice. will be given to you when completed. 3. Under North Dakota law, civil commitment procedure begins when the Pet ition for Involuntary Com mitment is filed, or when you are detained for emergency treatment. After the Petition for Involuntary Com mitment is reviewed by the judge to see whether cert ain qualification are met or immediately after you are detained for eme rgency treatment, this notice is given to you. 4. IF YOU ARE IN CUSTODY FOR EMERGENCY EVALUATION AND TREATMENT , you will be examined by a physician, psychiatrist, psychologist, or licensed addiction counselor within 24 hours after you are admitted to the facility, excluding holida ys. Afte r the examination, a preliminary or treatment hearing will be held withi n four (4) days, exclusive of weekends and holidays, of you r dete ntion. If probable cause that you are a person requiring treatment is sh own at the preliminary hearing, a treatment hearing will be held within 14 days. If you are alleged only to be chemically dependent, only a treatment hearing will be held. If it is found at the treatmen t hearing that you are a person requiring treatment, you may be hospitalized for a period of up to 90 days. If you continue to require treatmen t beyond the 90 days, further orders for treatment may be issued for a period of up to one year upon petition and hearing. 5. The law also guarantees you certain other rights and privileges: (a) YOU HAVE THE RIGHT to a hearing; (b) YOU HAVE THE RIGHT to be present at the hearing; (c) YOU HAVE THE RIGHT to have an attorney prior to the hearing and any court -ordered examination and at every stage of the proceedings; (d) YOU HAVE THE RIGHT to an additional independent expert examiner; (e) YOU HAVE THE RIGHT, if you are indigent, to have an attorney and an in dependent examiner each appointed at the expense of the county which is your place of residence; and (f) YOU HAVE THE RIGHT to receive a copy of any examination conducted in connection with these proceedings. 6. If you have any questions about these procedures please conta ct your attorney or the attorney appointed for you by the court, if any. ________________________________________________ _ _______________________________________________________ Facility Representative Judge/Magistrate N.D.C.C. 25-03.1-09(2) N.D.C.C. 25-03.1- 27 _____________________________________________ ___________ County STATE OF NORTH DAKOTA County of