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CR -276 , 04/08 Order on Petition to Revoke Conditional Release (Not Guilty by Reason of Mental Disease or Defect) §971.17, W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of W isconsin, Plaintiff -vs- , Defendant Name Order on Petition to Revoke Conditional Release (Not Guilty by Reason of Mental Disease or Defect) Date of Birth Case No. THE COURT FINDS: 1. The defendant was committed to the Department of Health Services on [Date] . A copy of the Order of Commitment is attached. 2. The defendant was placed on condition al release. 3. A petition to revoke conditional release was filed and a hearing on the petition was held. 4a. The defendant stipulated that the terms of conditional release were violated and the defendant stipulated to revocation of co nditional release. OR 4b. The State has has not proven by clear and convincing evidence that: a rule or condition of release was violated, and/or the safety of the defendant or others requires revocation. THE COURT ORDERS: 1. Placement on conditional release be revoked and an Order for Placement is completed and a copy is attached. 2. The petition is denied and conditional release will continue. BY THE COURT: DISTRIBUTION: 1. Court 2. District Attorney 3. Defense Attorney 4. Department of Health Services 5. Sheriff (of county of defendant’s residence) 6. §51.42 Board (of county of defendant’s residence) 7. Department of Corrections Circuit Court Judge Title (Print or Type Name if not eSigned) Date