Fill and Sign the Order for Examination under Section 97116 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 Examination under §971.16 (Not Guilty by Reason of Mental Disease or Defect)       Date of Birth Case No.       Defendant’s: Telephone Number       Address       Present Location       THE COURT FINDS: The defendant has entered a plea of not guilty by reason of mental disease or defect to the following crime(s): Crime(s)       Wis. Statute(s) Violated       Date(s) Committed       THE COURT ORDERS: 1. The defendant be examined by (name)       . 2. This outpatient examination be conducted at       3. The report shall contain the examiner’s opinions as to both the ability of the defendant to appreciate the wrongfulness of his or her conduct and the ability of the defendant to conform his or her conduct to the requirements of the law at the time of the commission of the crime(s) charged. 4. If sufficient information is available to reach an opinion, the report shall include the examiner’s opinions as to whether the defendant needs medication or treatment and whether the defendant is competent to refuse medication or treatment as defined in §971.16(3), Wisconsin Statutes. 5. The defendant submit to the examination. 6. The examiner submit a report to the court no later than (date)       . 7. The clerk provide the examiner a copy of the most recent criminal complaint and all other examiner’s report(s). 8. Other:       Distribution: 1. Court – Original 2. District Attorney 3. Defense Attorney 4. Examiner BY THE COURT: Circuit Court Judge       Name Printed or Typed       Date CR-270 , 04/05 Order for Examination under §971.16 (Not Guilty by Reason of Mental Disease or Defect) §971.16, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.