Fill and Sign the Order for Conditional Release Plan Not Guilty by Reason of Mental Disease or Defect Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use State of Wisconsin, Plaintiff -vs-       , Defendant Name Order for Conditional Release Plan (Not Guilty by Reason of Mental Disease or Defect)       Date of Birth Case No.       Defendant’s: Telephone Number       Address       Present Location       THE COURT FINDS: 1. The defendant was committed to the Department of Health and Family Services (DHFS) on (date)       . A copy of the Order of Commitment is attached. 2. On (date)       , the court determined that conditional release would not pose a significant risk either of bodily harm to the defendant or to others, or of serious property damage. 3. The defendant resides in       County. THE COURT ORDERS: 1. DHFS and the §51.42 Board of the county of the defendant’s residence prepare a plan that identifies:  The treatment and services, if any, that the defendant will receive in the community.  The defendant’s needs, if any, for supervision, medication, community support services, residential services, vocational services, and alcohol or other drug abuse treatment.  Who will be responsible for providing the treatment and services identified in the plan. 2. All the defendant’s treatment records requested by DHFS be released to DHFS. 3. The plan be presented to the court for approval: within 21 days for a defendant who is not in an institution under this commitment within 60 days for a defendant who is in an institution under this commitment after the date the court determined the defendant appropriate for conditional release. 4. The hearing be held on (date)       at (time)       . CR-274 , 03/04 Order for Conditional Release Plan (Not Guilty by Reason of Mental Disease or Defect) §51.30(1)(b), 146.82(2)(c), 971.17(3)(d), 971.17(4)(e), Wis. Stats. This form shall not be modified. It may be supplemented with additional material. Order for Conditional Release Plan (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 (where defendant will reside) 8. Municipal Police Department (where defendant will reside) BY THE COURT: Circuit Court Judge/Clerk of Court       Name Printed or Typed       Date CR-274 , 03/04 Order for Conditional Release Plan (Not Guilty by Reason of Mental Disease or Defect) §51.30(1)(b), 146.82(2)(c), 971.17(3)(d), 971.17(4)(e), Wis. Stats. This form shall not be modified. It may be supplemented with additional material. Page 2 of 2