COMMONWEALTH OF PENNSYLVANIA:
IN THE COURT OF COMMON PLEAS
:
OF NORTHUMBERLAND COUNTY, PA
vs.
:
:
CRIMINAL LAW DIVISION
__________________________________, :
DOCKET NO. CR__________________
Defendant
:
DUI COURT COLLOQUY
(Use a separate face sheet for each CR#)
(1)
I voluntarily request entry into the Northumberland County’s DUI Treatment Court
Program. I understand that entry into the program requires that I plead guilty to my
criminal charges. This program also requires the waiver of other important rights.
(2)
I agree to submit to and complete a diagnostic evaluation and treatment program dealing
with my substance abuse problem as ordered by the Court. I further authorize
Northumberland County Drug and Alcohol Department to release my treatment
information to the Court. Such information will not, however, be used by the District
Attorney in any subsequent trial. In addition, I understand that any statements made
during DUI Treatment Court sessions will not be used against me at any subsequent
criminal proceedings.
(3)
If I do not successfully complete the diversion program or comply with the conditions of
this agreement, a hearing will be scheduled and may result in a modification of my
treatment plan, revocation of my release from incarceration or termination from the
program resulting in a sentencing hearing.
(4)
I understand that I am charged with and I am entering a guilty plea to the following
offenses, which carry standard range minimum penalties based on my prior record score:
OFFENSE
PRS OGS
Standard Range
Max. Jail
Max. Fine
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INITIALS:______
.