Form Jd-Cr-9 - Application For Accelerated Pretrial Rehabilitation

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APPLICATION FOR ACCELERATED

STATE OF CONNECTICUT

SUPERIOR COURT

PRETRIAL REHABILITATION

JUDICIAL BRANCH

JD-CR-9

Rev. 10-16

C.G.S. § 54-56e; P.A. 16-126 § 32; P.B. § 39-33

Instructions to Person Filing the Application

1. Fill out the Application and Military Status sections of the form and sign it.

ADA Notice

2. Give the original form to the Clerk of Court, and keep a copy for your records.

3. Send a copy to the prosecuting attorney (the State’s Attorney for your case).

The Judicial Branch of the State of Connecticut

4. A $35.00 application fee or an application for a fee waiver must be filed with this application.

complies with the Americans with Disabilities Act

(ADA). If you need a reasonable accommodation in

Instructions to Clerk

accordance with the ADA, contact a court clerk or an

1. Seal file on order of the court per C.G.S. § 54-56e.

ADA contact person listed at /ADA.

2. Send a copy of the application to CSSD.

TO: The Superior Court of the State of Connecticut

Docket number

Address of court

GA/JD

number

Name of defendant

Address of defendant (Number, street, apartment number, town, and zip code)

Alias/Maiden name of defendant

Telephone number of defendant

CMIS case number

Offense(s) charged

Application

I am charged with the offense(s) listed above, and I am applying for Accelerated Pretrial Rehabilitation.

I agree with the following statements:

1. The offense(s) that I am charged with could result in a sentence of imprisonment. The offense(s) do not include:

(A) a class A felony;

(B) a class B felony, except a violation of section 53a-122(a)(1), (2), or (3) of the Connecticut General Statutes that does not involve the

use, attempted use, or threatened use of physical force against another person, or a violation of section 53a-122(a)(4) that does not

involve the use, attempted use, or threatened use of physical force against another person and does not involve a violation by a

person who is a public official or a state or municipal employee as those terms are defined in section 1-110;

(C) a violation of section(s) 9-359, 9-359a, 14-227a, 53-21(a)(2), 53a-56b, 53a-60(a)(6), 53a-60d, 53a-70, 53a-70a, 53a-70b, 53a-71

(except as provided in section 54-56e(c)(5)), 53a-72a, 53a-72b, 53a-90a, 53a-196e, or 53a-196f of the Connecticut General Statutes;

(D) a crime or motor vehicle violation that caused the death of another person;

(E) a family violence crime as defined in section 46b-38a of the Connecticut General Statutes if:

(i) I am eligible for the pretrial family violence education program under section 46b-36c, or

(ii) I have already had the pretrial family violence education program;

(F) a violation of section 21a-267 or 21a-279 of the Connecticut General Statutes if:

(i) I am eligible for the pretrial drug education and community service program under section 54-56i of the Connecticut General

Statutes, or

(ii) I have already had the pretrial drug education program or the pretrial drug education and community service program;

(G) a motor vehicle violation, while, at the time of the violation:

(i) I was operating a commercial vehicle as defined in section 14-1 of the Connecticut General Statutes, or

(ii) I held a commercial driver's license or commercial driver's instruction permit; or

(H) a violation of section 53a-122 or 53a-123(a)(4) while I was a provider or vendor taking part in the state's Medicaid program.

2. If the offense(s) that I am charged with are a class C felony or are a violation of section 53a-71(a)(1) of the Connecticut General Statutes,

where I was less than four years older than the other person, there is good cause for granting this application.

3. I have never been convicted of a crime or of a violation of section 14-196, 14-215(c), 14-222a, 14-224(a), 14-224(b)(1), or 14-227a of the

Connecticut General Statutes, or a violation of Public Act 16-126 section 1 or section 2(a)(1) or (2).

4. I give the state more time to prosecute me (the tolling of any statute of limitations and the waiver of the right to a speedy trial) for the

offense(s) listed above, if I do not successfully complete this program.

5. I will give the victim(s) of these offense(s) notice of this Application so that the victim(s) will have an opportunity to tell the court what they

think about this application.

6. If this application is granted, I agree that any physical evidence being held by the police may, at the discretion of the Court, be returned to

the rightful owner before the end of the case. I also agree that, if the case must eventually be tried, secondary evidence, such as

photographs of the physical evidence, may be admitted into evidence instead of the physical evidence.

7. If this application is granted, I will pay the court a participation fee of $100, or, if I am ordered to take part in a Hate Crimes Diversion

Program, a participation fee of $425, except that, if I cannot pay or I am indigent, I will file with the court an affidavit saying that I cannot

pay or that I am indigent, and the Court may decide that I do not have to pay the program fee if it finds that I am unable to pay either the

$100 fee or the $425 fee or that I am indigent. ("X" one of the following)

For Court Use Only

I plan to claim that I cannot pay or that I am indigent.

File date

I plan to pay the $100 program fee or the $425 program fee, if ordered to.