Get the free Drug Court Referral Form - 20th Judicial Circuit

Page 1 of 3Ninth Judicial Circuit Adult Drug Court Application Date: Defendants Name: Phone No.: DOB: SSN: DL#: RACE/SEX: Defendants Address: Family Member/Contact: Phone No.: Defendants Charges:

How to fill out drug court referral form

How to fill out drug court referral form

1. Start by obtaining a drug court referral form from the appropriate authority or agency.
2. Read and understand the instructions on the form carefully.
3. Provide your personal information accurately, including your name, address, contact details, and social security number.
4. Fill in the details about your legal case, such as the court name, case number, and the name of your attorney, if applicable.
5. Provide detailed information about your drug history, including the substances used, frequency, and duration of use.
6. Answer the questions related to your treatment history, including any previous drug rehabilitation programs attended.
7. Provide information about any recent criminal charges or convictions.
8. If you have any medical conditions or disabilities, disclose them accurately.
9. Attach any supporting documents, such as court orders, medical records, or character references, as required.
10. Double-check all the information provided to ensure accuracy and completeness.
11. Sign and date the form to certify the accuracy of the information provided.
12. Submit the completed drug court referral form to the appropriate authority or agency.

Who needs drug court referral form?

1. Individuals who require or are interested in participating in a drug court program may need to fill out a drug court referral form.
2. This form is typically required by the drug court program administrators or the court itself to assess the suitability of the individual for the program.
3. It is commonly used by individuals facing charges related to drug offenses or addiction issues and seeking an alternative to traditional criminal prosecution.
4. Drug court referral forms may also be necessary for individuals who have been recommended or referred to a drug court program by their attorney, medical professional, or another authority.

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What is drug court referral form?

The drug court referral form is a document used to initiate the process of referral to a drug court program, which helps individuals with substance use disorders.

Who is required to file drug court referral form?

Typically, the referral form must be filed by judges, attorneys, or law enforcement officials who are recommending a participant for drug court.

How to fill out drug court referral form?

To fill out the drug court referral form, provide the required personal information of the individual, details about their substance use history, legal background, and reasons for the referral.

What is the purpose of drug court referral form?

The purpose of the drug court referral form is to assess an individual's eligibility for a drug court program and to document the need for treatment in lieu of traditional criminal justice sanctions.

What information must be reported on drug court referral form?

The form must typically include the individual's name, age, contact information, criminal history, substance use details, and any previous treatment experiences.