Free MC-400 PROOF OF ENROLLMENT OR COMPLETION ALCOHOL OR DRUG PROGRAM - California


File Size: 25.4 kB
Pages: 1
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: West Group
Word Count: 508 Words, 3,505 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courtinfo.ca.gov/forms/documents/mc400.pdf

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Preview MC-400 PROOF OF ENROLLMENT OR COMPLETION ALCOHOL OR DRUG PROGRAM
COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. NAME AND ADDRESS OF COURT: : : Plaintiff(s) -against: : : :

Index No. Calendar No.

FOR COURT USE ONLY

NAME OF DEFENDANT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE:

JUDICIAL SUBPOENA

DATE OF COURT ORDER:
(check one)

Defendant(s) : ......................................................
PROOF OF ENROLLMENT IN ALCOHOL OR DRUG PROGRAM
CASE NUMBER:

PROOF OF COMPLETION OF ALCOHOL OR DRUG PROGRAM

THE PEOPLE OF THE STATE OF NEW YORK TO
DESCRIPTION OF ALCOHOL OR DRUG PROGRAM
Name of Program: Address of Program: Program License Number:

Program Telephone Number:

GREETINGS:

PROOF OF ENROLLMENT

1. Defendant (name): enrolled in the alcohol or drug WE COMMAND YOU, that all business and education program described above on (specify date of enrollment): excuses being laid aside, you and each of you attend before the Honorable Court I declare under penalty of perjury under the laws of the State of at the California that the foregoing is true and correct. located at County of Date:

,

in room , on the day of ................................................................................................
Date:
(TYPE OR PRINT NAME)

, 20 , at o'clock in the noon, and at any recessed (TYPE to testify and (SIGNATURE OF DEFENDANT) or adjourned date,OR PRINT NAME) give evidence as a witness in this action on the part of the

(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)

Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50(TITLE) all damages sustained as a and result of your failure to comply.
PROOF OF COMPLETION
successfully completed the alcohol or drug 2. Defendant (name): Witness, Honorable , one of the Justices of the education program described above on (specify date of completion): Court in County, day of , 20 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)

Date: ................................................................................................
(TYPE OR PRINT NAME)

(Attorney must sign above and type name below)

(SIGNATURE OF DEFENDANT)

(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)

Attorney(s) for
(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 Office and P.O. Address 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. Telephone No.: Sl USTED NO CUMPLE CON ESTOS REQUISITOS, SU INCUMPLIMIENTO PUEDE RESULTAR EN LA REVOCACION DE SU LIBERTAD Facsimile No.: CONDICIONAL.
Form Approved by the Judicial Council of California MC-400 [Rev. January 1, 1986]

E-Mail Address: Mobile Tel. PROOF OF ENROLLMENT OR COMPLETION No.:
ALCOHOL OR DRUG PROGRAM

Veh. Code, ยง23205

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