Form CR-220 "Proof of Enrollment or Completion (Alcohol or Drug Program)" - California

What Is Form CR-220?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 22, 2019;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CR-220 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form CR-220 "Proof of Enrollment or Completion (Alcohol or Drug Program)" - California

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CR-220
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
FOR COURT USE ONLY
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
NAME OF DEFENDANT:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
DATE OF COURT ORDER:
(check one):
PROOF OF ENROLLMENT IN ALCOHOL OR DRUG PROGRAM
CASE NUMBER:
PROOF OF COMPLETION OF ALCOHOL OR DRUG PROGRAM
DESCRIPTION OF ALCOHOL OR DRUG PROGRAM
Name of program:
Address of program:
Program telephone number:
Program license number:
PROOF OF ENROLLMENT
1.
Defendant (name):
enrolled in the alcohol or drug education program
described above on
(specify date of enrollment):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DEFENDANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)
(TITLE)
PROOF OF COMPLETION
successfully completed the alcohol or drug education
2.
Defendant (name):
program described above on
(specify date of completion):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DEFENDANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)
(TITLE)
— INSTRUCTIONS —
YOU NEED TWO OF THESE FORMS:
1. UPON ENROLLMENT IN A COURT-ORDERED ALCOHOL OR DRUG EDUCATION PROGRAM, FILL OUT THE PROOF OF ENROLLMENT
PORTION OF ONE COPY OF THIS FORM AND FURNISH IT TO THE SENTENCING COURT WITHIN THE TIME AND IN THE MANNER
SPECIFIED BY THE COURT.
2. UPON SUCCESSFUL COMPLETION OF THE PROGRAM, FILL OUT THE PROOF OF COMPLETION PORTION OF A SECOND COPY OF THIS
FORM AND FURNISH IT TO THE SENTENCING COURT WITHIN THE TIME AND IN THE MANNER SPECIFIED BY THE COURT.
FAILURE TO COMPLY WITH THESE REQUIREMENTS MAY RESULT IN THE REVOCATION OF YOUR PROBATION.
Sl USTED NO CUMPLE CON ESTOS REQUISITOS, SU INCUMPLIMIENTO PUEDE RESULTAR EN LA REVOCACION DE SU LIBERTAD
CONDICIONAL.
Page 1 of 1
Form Approved for Optional Use
PROOF OF ENROLLMENT OR COMPLETION
Veh. Code, § 23655
Judicial Council of California
www.courts.ca.gov
ALCOHOL OR DRUG PROGRAM
CR-220 [Rev. January 22, 2019]
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This Form button after you have printed the form.
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CR-220
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
FOR COURT USE ONLY
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
NAME OF DEFENDANT:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
DATE OF COURT ORDER:
(check one):
PROOF OF ENROLLMENT IN ALCOHOL OR DRUG PROGRAM
CASE NUMBER:
PROOF OF COMPLETION OF ALCOHOL OR DRUG PROGRAM
DESCRIPTION OF ALCOHOL OR DRUG PROGRAM
Name of program:
Address of program:
Program telephone number:
Program license number:
PROOF OF ENROLLMENT
1.
Defendant (name):
enrolled in the alcohol or drug education program
described above on
(specify date of enrollment):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DEFENDANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)
(TITLE)
PROOF OF COMPLETION
successfully completed the alcohol or drug education
2.
Defendant (name):
program described above on
(specify date of completion):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DEFENDANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)
(TITLE)
— INSTRUCTIONS —
YOU NEED TWO OF THESE FORMS:
1. UPON ENROLLMENT IN A COURT-ORDERED ALCOHOL OR DRUG EDUCATION PROGRAM, FILL OUT THE PROOF OF ENROLLMENT
PORTION OF ONE COPY OF THIS FORM AND FURNISH IT TO THE SENTENCING COURT WITHIN THE TIME AND IN THE MANNER
SPECIFIED BY THE COURT.
2. UPON SUCCESSFUL COMPLETION OF THE PROGRAM, FILL OUT THE PROOF OF COMPLETION PORTION OF A SECOND COPY OF THIS
FORM AND FURNISH IT TO THE SENTENCING COURT WITHIN THE TIME AND IN THE MANNER SPECIFIED BY THE COURT.
FAILURE TO COMPLY WITH THESE REQUIREMENTS MAY RESULT IN THE REVOCATION OF YOUR PROBATION.
Sl USTED NO CUMPLE CON ESTOS REQUISITOS, SU INCUMPLIMIENTO PUEDE RESULTAR EN LA REVOCACION DE SU LIBERTAD
CONDICIONAL.
Page 1 of 1
Form Approved for Optional Use
PROOF OF ENROLLMENT OR COMPLETION
Veh. Code, § 23655
Judicial Council of California
www.courts.ca.gov
ALCOHOL OR DRUG PROGRAM
CR-220 [Rev. January 22, 2019]
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form