DCJS - 3207 (7/04)
SECURING ORDER
STATE OF NEW YORK
DOCKET #__________________________________
COUNTY OF__________________________________________
DATE OF BIRTH_____________________________
TOWN/VILLAGE/CITY COURT OF_________________________
NYSID #____________________________________
THE PEOPLE OF THE STATE OF NEW YORK
V.
Defendant
________________________________________________________
The above named defendant having appeared before the undersigned on a (ACCUSATORY INSTRUMENT)/
(WARRANT), charging the defendant with the most serious offense of_________________________________
in violation of Section_______________Sub Div_____________of the______________________________Law a
(Class_______Felony/Misd) (Violation) (Infraction)
AND
(Check one box only)
further court attendance being required on the_________day of__________________20______,
at___________(AM/PM) before the______________ Court of______________________________;
OR
the matter having been transferred for action of the Grand Jury
ORDERED
Now therefore it is
that the defendant be
RELEASED
; (Check one box only)
on bail fixed in the amount of $_________________________and received by this Court;
OR
Other (Explain)________________________________________________________________
REMANDED
OR
to the custody of County Sheriff/Commissioner of Correction
until his appearance is required as set forth, (Check one box only)
OR
until bail is posted in the amount of $_________CASH OR $___________BOND______________;
specify type
OR
until bail in an amount fixed by a Superior Court has been posted
OR
without bail
AND that this ORDER includes the lesser offense(s) of:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
SPECIAL ORDERS/INSTRUCTIONS
CPL 730 (competency) Exam ordered (UCS# 16-A Attached)
Local Mental Health Referral
Additional Comments______________________________________________________________________
______________________________________________________________________
Signature
Dated:________________
__________________________________
__________________________________
(PRINT OR TYPE NAME)
JUDGE OR JUSTICE
RELEASE INFORMATION
It is hereby ORDERED that the defendant (Check one box only)
be released from custody having been CONVICTED of the most serious offense of
____________________________________in violation of Section__________Sub Div_____________of the
_____________Law a (Class__________Misd) (Violation) (Infraction) AND SENTENCED TO TIME SERVED;
OR
be released from custody (OTHER)
DATED:____________
Signature
_________________________________________
___________________________________________
(PRINT OR TYPE NAME)
JUDGE OR JUSTICE