Form CR-478 "Affidavit for Time Credit From Treatment Program (Nygren Credit)" - Alaska

What Is Form CR-478?

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

Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the Alaska Court System;
  • 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-478 by clicking the link below or browse more documents and templates provided by the Alaska Court System.

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Download Form CR-478 "Affidavit for Time Credit From Treatment Program (Nygren Credit)" - Alaska

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IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA
AT
STATE OF ALASKA
)
)
)
Plaintiff,
)
)
vs.
)
)
) CASE NO.
)
Defendant.
)
AFFIDAVIT FOR TIME CREDIT FROM
)
TREATMENT PROGRAM
(NYGREN CREDIT)
Upon oath or affirmation, and under penalty of perjury, I state as follows:
1.
I am an employee of the following treatment program:
,
located in (city, state) :
.
2.
The defendant entered the program on
, and left the program on
.
3.
The defendant thus spent a total of
full days in the program.
4.
This program [check all that apply] :
places substantial restriction on the defendant’s freedom of movement and behavior;
furthers reformation and rehabilitation;
addresses traits or behaviors that are likely to cause criminal behavior (e.g., substance
abuse, lack of job skills) ;
provides measures of progress or completion;
requires notification to the prosecution, Pretrial Enforcement, or a probation officer if a
defendant is discharged from the program for noncompliance.
[If you do not feel comfortable checking all of these boxes under penalty of perjury, you should
stop here and contact the attorney for the person who asked you to complete this affidavit to
discuss whether the program qualifies for time credit under Alaska law.]
5.
Additional program information.
a. Describe how the defendant was enrolled in the program.
b. Describe restrictions on the freedom of movement and behavior while in the
program (e.g., any residency requirement; also describe permissible circumstances and
duration for approved absences from the facility) .
CR-478 (6/20)(cs)
AFFIDAVIT FOR TIME CREDIT FROM TREATMENT PROGRAM (NYGREN CREDIT)
AS 12.55.027
IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA
AT
STATE OF ALASKA
)
)
)
Plaintiff,
)
)
vs.
)
)
) CASE NO.
)
Defendant.
)
AFFIDAVIT FOR TIME CREDIT FROM
)
TREATMENT PROGRAM
(NYGREN CREDIT)
Upon oath or affirmation, and under penalty of perjury, I state as follows:
1.
I am an employee of the following treatment program:
,
located in (city, state) :
.
2.
The defendant entered the program on
, and left the program on
.
3.
The defendant thus spent a total of
full days in the program.
4.
This program [check all that apply] :
places substantial restriction on the defendant’s freedom of movement and behavior;
furthers reformation and rehabilitation;
addresses traits or behaviors that are likely to cause criminal behavior (e.g., substance
abuse, lack of job skills) ;
provides measures of progress or completion;
requires notification to the prosecution, Pretrial Enforcement, or a probation officer if a
defendant is discharged from the program for noncompliance.
[If you do not feel comfortable checking all of these boxes under penalty of perjury, you should
stop here and contact the attorney for the person who asked you to complete this affidavit to
discuss whether the program qualifies for time credit under Alaska law.]
5.
Additional program information.
a. Describe how the defendant was enrolled in the program.
b. Describe restrictions on the freedom of movement and behavior while in the
program (e.g., any residency requirement; also describe permissible circumstances and
duration for approved absences from the facility) .
CR-478 (6/20)(cs)
AFFIDAVIT FOR TIME CREDIT FROM TREATMENT PROGRAM (NYGREN CREDIT)
AS 12.55.027
c. Explain whether you allow—and if so, whether the defendant was subject to—an
electronic monitoring device or any other technology for monitoring movements and
behavior.
d. Was there physical custody and supervision of the defendant during the program?
e. Describe any other rules of the program, including rules that the defendant obey
orders of persons who have immediate control of the defendant.
f. Were there any sanctions within the program for violations of program rules?
g. Provide any other information that would help the court decide whether the program
places a substantial restriction on freedom of movement and behavior and that it
furthers the reformation and rehabilitation of the defendant.
SIGNATURE AND NOTARY
I certify under penalty of perjury that the information in this document is true.
Signature
(sign in front of notary or court clerk)
Subscribed and sworn to or affirmed before me at
, Alaska on
(SEAL)
Clerk of Court, Notary Public or other person
authorized to administer oaths.
My commission expires
CERTIFICATION (
)
IF NO NOTARY AVAILABLE
I certify under penalty of perjury that the information in this document is true, and a notary or
other official empowered to administer oaths is not available to administer an oath.
Date
Signature
Place (city or village)
Print Name
CR-478 (6/20)(cs)
AFFIDAVIT FOR TIME CREDIT FROM TREATMENT PROGRAM (NYGREN CREDIT)
AS 12.55.027
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