Free Order of Discharge Upon Expiration of Commitment - Wisconsin


File Size: 15.9 kB
Pages: 1
Date: July 28, 2008
File Format: PDF
State: Wisconsin
Category: Health Care
Author: DHS
Word Count: 168 Words, 1,168 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://dhs.wisconsin.gov/forms1/f2/f25180.pdf

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DEPARTMENT OF HEALTH SERVICES Division of Mental Health and Substance Abuse Services F-25180 (07/2008)

STATE OF WISCONSIN S.971.17(2) and (3) Wisconsin Statutes

CIRCUIT COURT

STATE OF WISCONSIN
STATE OF WISCONSIN, Plaintiff vs

COUNTY
ORDER OF DISCHARGE UPON EXPIRATION OF COMMITMENT

Defendant Date of Birth Court Case Number

On this date,

, the defendant was committed by this court pursuant to: s. 971.17, Stats., (198788) for a crime committed prior to January 1, 1991.

s.971.17, Stats., (1989 90) for a crime committed on or after January 1, 1991. See s. 971.17(8), Stats., (198990)

. Therefore, the Court orders the discharge of the The period of commitment expires (or did expire) on commitment as provided under s. 971.17(4), Stats., (198788) or s. 971.17(6)(b), Stats. (198990), subject to the right of the State Department of Health Services or the appropriate county department under s. 51.42 or 51.437, Stats., to proceed against the person under Ch. 51 or Ch. 55, Stats.

Circuit Court Judge

Date Signed

DISTRIBUTION ORIGINAL Discharge Court Copies Case File, Division of Mental Health and Substance Abuse Services Forensic Specialist