Fill and Sign the Not Guilty Mental Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use State of Wisconsin, Plaintiff -vs-       , Defendant Name Order of Commitment (Not Guilty by Reason of Mental Disease or Defect)       Date of Birth Case No.       Defendant’s: Telephone Number       Address (Include municipality and county)       Present Location (Include municipality and county)       THE COURT FINDS: 1. The defendant was found not guilty by reason of mental disease or defect to the following crime(s): Crime(s)       Wis. Statute(s) Violated       Date(s) Committed       2. At least one of the crimes is a misdemeanor and the maximum term of imprisonment, including imprisonment authorized by penalty enhancers, is       years,       months,       days. 3. At least one of the crimes is a felony committed before July 30, 2002 after July 30, 2002 and the maximum term of imprisonment for the crime(s), including imprisonment authorized by penalty enhancers, is: life. life plus       years.       years,       months,       days. 4. The crime (or at least one of them if more than one) is a felony and the court has informed the defendant of the requirements and penalties under §941.29, Wisconsin Statutes, related to possession of a firearm. 5. The crime (or at least one of them if more than one) is a violent felony and the court has informed the defendant of the requirements and penalties under §941.291, Wisconsin Statutes, related to possession of body armor. THE COURT ORDERS: 1. Judgment of not guilty by reason of mental disease or defect be entered for the above listed crime(s). 2. The defendant committed to the Department of Health and Family Services (DHFS) for: life.       years,       months,       days, which does not exceed the maximum term of confinement/imprisonment that could be imposed on an offender convicted of the same felony(ies), plus imprisonment authorized by any penalty enhancer.       years,       months,       days, which is not more than two-thirds of the maximum term of imprisonment that could be imposed on an offender convicted of the same misdemeanor(s), including imprisonment authorized by any penalty enhancer. 3. This commitment to commence on (date)       . 4. The defendant be granted       days credit. 5. The clerk to provide DHFS a copy of the most recent criminal complaint and all examiner reports. CR-271 , 03/04 Order of Commitment (Not Guilty by Reason of Mental Disease or Defect) §971.165, 971.17(1)(1g)(1h), 973.155, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Order of Commitment (Not Guilty by Reason of Mental Disease or Defect) Page 2 of 2 Case No. Distribution: 1. Court (Original) 2. District Attorney 3. Defense Attorney 4. Department of Health and Family Services 5. Department of Corrections 6. §51.42 Board (of county of defendant’s residence) 7. Sheriff (of county of defendant’s residence) 8. Municipal Police Department (where defendant resides) BY THE COURT: Circuit Court Judge       Name Printed or Typed       Date CR-271 , 03/04 Order of Commitment (Not Guilty by Reason of Mental Disease or Defect) §971.165, 971.17(1)(1g)(1h), 973.155, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2