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Fill and Sign the Department of Corrections Approval to File Petition for Determination of Eligibility for the Earned Release Program Section Form

Fill and Sign the Department of Corrections Approval to File Petition for Determination of Eligibility for the Earned Release Program Section Form

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STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use State of Wisconsin -vs-       , Defendant Name Department of Corrections Approval to File Petition for Determination of Eligibility for the Earned Release Program §302.05(3)(e)       Date of Birth Case No.       The petitioner is presently serving the confinement portion of a bifurcated sentence. The petitioner was not convicted of a crime specified in chapter 940 or §§948.02, 948.025, 948.03, 948.05, 948.055, 948.06, 948.07, 948.075, 948.08 or 948.095, Wisconsin Statutes. The court has not yet determined if the petitioner is eligible or ineligible to participate in the Earned Release Program. The Department of Corrections approves filing of the Petition for Determination of Eligibility for the Earned Release Program. Subscribed and sworn to before me on       Notary Public, State of Wisconsin My commission expires:       Signature of Department of Corrections Representative       Name Typed or Printed       Date Distribution: 1. Court – Original 2. Department of Corrections - copy CR-264 , 03/04 Department of Corrections Approval to File Petition for Determination of Eligibility for the Earned Release Program §302.05(3)(e), Wis. Stats. DOC-2251 This form shall not be modified. It may be supplemented with additional material.

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