Fill and Sign the Sentencing Services Plan Form

Referred by: order of the presiding judge (upon plea of verdict of guilt). Signature Of Attorney For Defendant Signature Of Judge Or Referral Agent Decline participation in the development of a senten cing plan.* G.S. 7A-773.1(a) *Pursuant to the local comprehensive sentencing services progra m plan rules, if this certification by attorney declining participation is not signed and either filed with the clerk's office or returned to the Sentencing Services Progr am by (date or event) , sentencing plan development will begin. D. REFERRAL AUTHORIZATION C. POST-PLEA ORDER B. CERTIFICATION BY ATTORNEY FOR DEFENDANT A. PRE-PLEA REFERRAL Participate in the development of a sentencing plan. Defendant may be located at (Include home address and phone number; if in jail, include location, address and phone number for jail, if known .) Sentencing plan is to be completed by (date or event) Referred by: File No.(s) Felony/ Misd. Offense Description STATE OF NORTH CAROLINA In The General Court Of Justice File No. REFERRAL/ORDER FOR SENTENCING SERVICES PLAN STATE VERSUS G.S. 7A-773.1(a), 7A-774(2) Superior Court Division District County The above named defendant, charged with the following offense(s), has been identified as eligible for Sentencing Services: Name Of Defendant Race Sex DOB Attorney For State Attorney For Defendant AOC-CR-613, Rev. 7/2000 © 2000 Administrative Office of the Courtscomprehensive sentencing services program plan priority case. G.S. 7A-774(2) the defendant the attorney for the defendant the district attorney request of the presiding judge (pre-plea) NOTE: "B. Certification By Attorney For Defendant" section b elow must be completed. The defendant chooses to: Name And Address Of Program Date Name Of Attorney For Defendant (Type Or Print) Applicable to pre-plea cases only. Date Of Referral Name Of Judge Or Referral Agent (Type Or Print) . (Over) Signature Of Person Mailing Signature Of Person Serving leaving a copy at the office of the defendant's attorney. defendant's attorney box in the courthouse. Signature copies of the sentencing plan are enclosed within the attached sealed envel ope for presentation to the following upon a finding of guilt. attorney for defendant defendant district attorney judge other a copy of the sentencing plan has been forwarded to the following: attorney for defendant defendant district attorney judge delivering a copy personally to the defendant's attorney. defendant . CERTIFICATE OF SERVICE INSTRUCTIONS CERTIFICATION OF PLAN DISTRIBUTION BY SENTENCING a copy of the sentencing plan will be distributed at sent encing to any authorized person who does not already have a copy of the plan, or depositing a copy enclosed in a postpaid, properly addressed envelope in a post office or official depository under the exclusive care and custody of the U.S. Postal Service directed to the defendant's attorney. defendant. Pursuant to G.S. 7A-773.1(b): Date Name (Type Or Print) CERTIFICATION OF PLAN DISTRIBUTION BY SENTENCING SE RVICES (see above) After the sentencing plan is completed, the sentencing ser vices program fills out each portion of this section, as appropriate, to document the distribution of the plan . Enter the lead case file number, as determined by the clerk's office. Check all boxes that apply. If plans are placed in the cle rk's files, this side of the form should be completed and stapled to the outside of the sealed envelope. REFERRAL/ORDER FOR SENTENCING SERVICES PLAN (reverse side) NOTE: This form must be filed with the clerk if the defendant declines to p articipate in the development of a sentencing plan or if the court orders a sentencing plan upon a finding of guilt. The filing o f this form in other situations is governed by the local comprehensive sentencing services program plan. Pre-plea referrals. For all pre-plea referrals, Sections A and D must be com pleted, and the judge or other referral agent must sign Section D. (The program itself is the referral agent for priority cases specified in the local program p lan.) For all pre-plea referrals except those from the defense attorn ey or defendant, notice must be given to the defendant, and the "Certificate of Service" section below must be completed. The attorney for the defendant must complete Section B on the reverse side and either file the form with the clerk's of fice or return it to the sentencing services program, as spe cified in the local program plan. Post-plea referrals. Only a judge may refer cases post-plea. Sections C and D m ust be completed, and Section D signed by the judge making the referral. CERTIFICATE OF SERVICE (see below) In accordance with the local comprehensive sentencing services p rogram plan, the Certificate of Service section should be completed to indicate the method by which the defendant was notified of the referral to the sentencing services program. Date Mailed I certify that a copy of this Referral/Order was served by: I certify that a copy of this Referral/Order was served by: Date Served AOC-CR-613, Side Two, Rev. 7/2000 © 2000 Administrative Office of the Courts File No. Name Of Defendant