Application For Drug Court Diversion Program - Ashtabula County Common Pleas Drug Court

Download a blank fillable Application For Drug Court Diversion Program - Ashtabula County Common Pleas Drug Court in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application For Drug Court Diversion Program - Ashtabula County Common Pleas Drug Court with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Clear Form
Print Button
(Rev 5/15)
*DO NOT FILE WITH CLERK OF COURTS
APPLICATION FOR DRUG COURT
DIVERSION * PROGRAM
Date:____________________
Defendant’s Name: ____________________________Case No. ________________
Original Court (Inits.) _____________________ Assigned Judge: _______________
Arresting Agency:
____________________________________________________
Charges: ______________________________________________________________
______________________________________________________________________
Application is hereby made on behalf of the above-named defendant admission to the
Ashtabula County Common Pleas Drug Court Diversion Program. Permission is given for the Adult
Probation Department to begin a pre-sentence investigation to help determine the defendant’s final
eligibility for the Drug Court Program. It is understood that no questions will be asked by the Adult
Probation Department concerning the charges in this case.
The defendant, by requesting participation in the Drug Court Diversion Program, hereby
knowingly, intentionally and voluntarily waives all rights to a speedy trial whether established by
statute, rule of court or under the Constitution Of The United States Of America or the Constitution
Of The State Of Ohio.
The defendant agrees to begin attending Drug Court sessions, as directed, in Judge Yost’s
courtroom on each Thursday at 9:00 AM immediately upon being notified of the initial approval of
this application by the Prosecuting Attorney and to be subject to random drug testing.
__________________________________
Phone : Home: _________________
Defendant
Cell: __________________
___________________________________
Phone: ________________________
Defendant’s Attorney
Attorney’s Email Address: ____________________________________________
File this Application with the Ashtabula County Prosecutor’s Office, 25 West Jefferson Street,
Jefferson, OH 44047
INITIAL APPROVAL FOR DIVERSION DRUG COURT: (GRANTED)
(NOT GRANTED)
___________________________
Assigned APA: __________________
Prosecuting Attorney
* DRUG COURT DIVERSION PROGRAM IS AVAILABLE ONLY TO DRUG
DEPENDENT OFFENDERS WHOSE INITIAL CHARGES MEET THE LEGAL
CRITERIA OF INTERVENTION IN LIEU OF CONVICTION PURSUANT TO O.R.C.
2951.041.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go