REPORTABLE
CIRCUIT COURT
DISTRICT COURT OF MARYLAND FOR
City/County
Located at
Case No.
Court Address
STATE OF MARYLAND
vs.
Defendant
DOB
Charge: (1)
Address
(2)
City, State, Zip
Telephone
COMMITMENT TO THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE
FOR EXAMINATION AND REPORT AS TO DEFENDANT'S CRIMINAL
RESPONSIBILITY AT THE TIME OF THE COMMISSION OF THE
ALLEGED OFFENSE AND COMPETENCY TO STAND TRIAL
(Criminal Procedure § 3-111)
The Defendant having been charged with the commission of a crime as set forth in the charging
document, and the Defendant having filed a written plea alleging the Defendant was not criminally
responsible when the alleged crime was committed, it is
ORDERED the Defendant is hereby committed to the Department of Health and Mental Hygiene
for examination and report as to whether the Defendant was criminally responsible when the alleged
crime was committed and whether the Defendant is competent to stand trial, and
It is further ORDERED
Pending trial, the Defendant be RELEASED
on the posting of bond in the amount of
$
subject to the following condition
ROR, subject to the following conditions
and the Defendant be examined on an out-patient basis on the following date and time:
at
If bond is not posted, the Clerk of the Court will notify the Department of Health and Mental
Hygiene and the Defendant will be confined at
Detention Facility
until the Department of Health and Mental Hygiene Screening Program or other agency designated by the
Department of Health and Mental Hygiene can perform the examination. The Department shall notify the
Court of the date of examination.
The Defendant be CONFINED at
, where
Detention Facility
the Defendant shall remain confined before and after the examination, pending further order of the Court.
Having found such accommodation appropriate for the health and safety of the Defendant, the
Defendant shall be held in a medical wing or other isolated and secure unit in the correctional facility and
if not available, in
or such other medical facility as the
Department may designate.
shall transport the Defendant when
notified by the Department to do so, and at the Department's direction shall return the Defendant to the
place of original confinement, promptly notifying the Court when such return has occurred.
The Department shall send a report of its opinion to the Court, the State's Attorney,
, the Defendant, and to Defense Counsel, who is
,
within sixty days of this Order, unless for good cause shown the Court extends the time for examination.
Date
CC-DC-CR-053 (Rev. 8/2014)
Judge
Reset
ID Number