Do whatever you want with a PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION: fill, sign, print and send online instantly. A $100 application fee and a nonrefundable $100 evaluation fee, or an application for waiver of the fees, must be filed with this application. Some of the features on CT.gov will not function properly with out javascript enabled. 54-56g; P.A. Hartford . ALERT: Click here to view COVID-19 information and CHR hours. You are responsible for determining if these programs will be accepted by the other state. (a) (1) There shall be a pretrial alcohol education program for persons charged with a violation of 14-227a, 14-227g or 14-227m, subdivision (1) or (2) of subsection (a) of 14-227n or 15-133 or 15-140n. To complete the program, participants must attend every class and meet any additional conditions imposed by the court. Participants can ask for reinstatement a maximum of two times, but the court has relatively broad discretion in deciding whether to grant reinstatement. When you are notified of the approval of the pre-proposal application, please complete the Educator Preparation New Program Proposal Application. 1-20 C.G.S. 1. The Impaired Driver Intervention Program (IDIP) is a diversionary program offered by the Connecticut courts and results in your criminal drunk driving charge being dismissed by the courts. Typically a driver is required to take either ten (10) classes, fifteen (15) classes, or is recommended to have a personally tailored plan at a local medical facility. The pre-trial alcohol education program is administered by the Department of Mental Health and Addiction Services (DMHAS) and is delivered by 12 providers under contract to the department. DRIVING UNDER THE INFLUENCE Connecticut law prohibits a If your answer to all these questions is no, then you are eligible to apply for the program. The Pre-Trial Intervention Program also receives referrals from the court. Add the PDF you want to work with using your camera or cloud storage by clicking on the. ADA Notice TO: The Superior Court of the State of Connecticut GA/JD number Address of court Docket number Address of defendant (Number, street, apartment number, town, and zip code) Telephone number of defendant Operator's license number Issuing state Name of defendant Alias/Maiden name of defendant Offense(s) charged I am charged with a violation of section 14-227a, 14-227g, 15-133, or 15-140n of the Connecticut General Statutes or a violation of Public Act 16-126 section 1 or section 2(a)(1) or (2), and I am applying for the Pretrial Alcohol Education Program. Go digital and save time with signNow, the best solution for electronic signatures. The Impaired Driving Program emphasizes enforcement efforts of reducing driving under the influence of drugs and/or alcohol (DUI). document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The Pretrial Impaired Driver Intervention Program (IDIP)formerly known as the Alcohol Education Program (AEP)is an alternative to criminal prosecution. CSSD will direct me to take part in either an alcohol education component of the program or a substance use treatment component of the program. As a result, you can download the signed ct alcohol program to your device or share it with other parties involved with a link or by email. We help people and handle cases in all the courthouses throughout Connecticut, including: New Britain, Hartford, Bristol, Manchester, Enfield, Middletown. Contact: Marti Kardol, LPC. Office of Pretrial Intervention. Find the right form for you and fill it out: emergency contact / parental consent form 2019 Policies and Procedures Hold Harmless No results. This will generally be followed by a scheduled hearing before a judge, during which the applicant will be asked to affirm statements made in their application and explain why they should be accepted into the program. font size, Practitioner Licensing and Investigations Section, Mandatory Reporter of Abuse Neglect and Exploitation. The IDIP is specifically meant for people charged with one of the following six offenses: Anyone with a past conviction for any of the above charges, as well as for Manslaughter With a Motor Vehicle in the Second Degree under C.G.S. On the first court date during the AEP process, you apply for the privilege by completing an application and submitting it to a judge. Being charged with a DUI is a serious event but it does not have to follow you in the form of a criminal record for the rest of your life. Assuming the driver has no past participation in the Program, the Court then provides a date upon which the driver must return to Court. Begin eSigning ct alcohol program with our tool and become one of the millions of satisfied users whove previously experienced the benefits of in-mail signing. People referred for these programs are expected to pay the fees either out-of-pocket or through their health insurance coverage. Activities include a combination of extra DUI . The penalty indicated for each case relates solely to the misconduct set forth in that particular case. (d) Have you ever used a program similar to Connecticut's AEP in another state at anytime in the past? Is a Nolle Better than a Dismissal in my Connecticut Domestic Violence Case? . The signNow extension offers you a range of features (merging PDFs, adding multiple signers, etc.) CONTENT LAST REVIEWED: December2022. 21-79 1; P.A. If a driver is arrested for driving under the influence (DUI), he or she is assigned a Court date at which he or she must appear. The costs are the responsibility of the participant unless they have been determined indigent by the referring court, in which case, DMHAS funds the treatment. Anything said to the States Attorney can be used against him or her at trial so an attorney is highly recommended. 22-40 13, 22-115 15. The application fee is $190. Create your eSignature, and apply it to the page. A final court appearance will also be scheduled for approximately twelve (12) months later. At this hearing, an individual charged with a DUI would have the opportunity to meet with the States Attorney and review any evidence that the States Attorney has against them, including a copy of the arrest/incident report and any chemical testing that was performed. JD-CR-9 Rev. If the court grants my application and allows me to take part in the Pretrial Impaired Driving Intervention Program, the court will order that I be sent to the Court Support Services Division (CSSD). If the offender does not successfully complete the assigned programming, they may have their prosecution on the original charges resumed. Install the signNow application on your iOS device. An IDIP participant who successfully meets these requirements will have their initial DUI charge dismissed and all records related to their case destroyed. For most routine DUI arrests--where the blood alcohol content (BAC) is relatively low and there was no accident or other serious motor vehicle or criminal charge--the AEP application will be granted. By signing this form, I am saying that I understand all of the information above, and I request that I be allowed into the Pretrial Alcohol Education Program under section 54-56g of the Connecticut General Statutes. Individuals are evaluated for their substance use by a specialist then given recommendations to seek treatment. (e) Was there an accident in which someone was seriously injured? Pre-Trial Alcohol Education Program Connecticut and the Pre-Trial Intervention Program help promote positive behavioral change. Alcohol Education Program - Eligible After 10 YearsConn. Charged driving under the influence in the State of Connecticut? Some of the features on CT.gov will not function properly with out javascript enabled. Get access to a GDPR and HIPAA compliant platform for maximum straightforwardness. I give my permission to CSSD to get information about any criminal or motor vehicle program I may have been in in this state or in any other jurisdiction so that CSSD can decide if I can be allowed into the program. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. With signNow, it is possible to eSign as many files daily as you require at an affordable price. JD-CR-44 Rev. New Directions is licensed by the Connecticut Department of Public Health and receives or has received a portion of its funding from the following: The Department of Mental Health and Addiction Services. Go to the Chrome Web Store and add the signNow extension to your browser. 16-126 4,5 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov Instructions To Person Filling Out This Application 1. Notice To Clerk: Seal the file on order of the court per C.G.S. 39-33; P.A. Please understand that even if you are eligible for the AEP, does not mean you will automatically get the program. Create an account using your email or sign in via Google or Facebook. Get access to thousands of forms. 2. 14-227g . Print name Signed Duly authorized person First Order of the Court Select all that apply The application is denied. 2. This is a contracted program overseen by DMHAS that includes a clinical evaluation by a substance abuse professional, which results in a report, with recommendations, to the referring court. If you have been stopped and arrested for driving under the influence, there is the possibility for significant criminal penalties as well as monetary costs. Select the document you want to sign and click. If all of the classes and requirements have been completed by the driver, and provided the driver has not been arrested again while taking part in the Program, the charges against the driver will be dismissed at this final court appearance. 2020, CT JD-CR-44 Find a location that has a supply of COVID-19 therapeutics as part of the Test to Treat initiative here. www.jud.ct.gov. These recommendations can be for one of the following: Group Interaction: 18 hours (12 sessions of 1.5 hour classes) of evidence-based, intervention programming. Pursuant to Connecticut General Statute, Section 14-227a, no person shall operate a motor vehicle while under the influence of intoxicating liquor or any drug or both. . All photographs appearing in this website depict models who are not clients of Community Health Resources or their I agree to pay the court a nonrefundable program fee of $350 if I am ordered into the 10 session alcohol intervention program, or $500 if I am ordered into the 15 session alcohol intervention program (these fees may be changed by the legislature), or to pay the costs of taking part in a substance abuse treatment program if I am ordered into a treatment program, except that, if I cannot pay or if I am indigent, I will file with the court an affidavit saying I cannot pay or that I am indigent, and the court may decide that I do not have to pay some or all of the program fee or costs of the treatment program if it finds that I am indigent or unable to pay. All supporting documentation should be sent to: The Office of Pretrial Intervention operates two programs to serve people referred by the court: I. Pretrial: Impaired Driving Intervention Program. 54-56g provides for an alcohol education system wherein the court file is sealed if the person swears:For a violation of Conn. Gen. Stat. In order to qualify, you must first apply with the courts. 54-56g; P.A. The application fee is $190. The contact form sends information by non-encrypted email, which is not secure. File the original of this application with the Clerk of Court. signNow helps you fill in and sign documents in minutes, error-free. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. -formerly known as the Alcohol Education Program ("AEP")-is an alternative to criminal prosecution. 10- or 15-session alcohol intervention program or a state-licensed substance abuse treatment program. Pretrial Alcohol Education Program Application And Order Form. Use a connecticut alcohol application 2020 template to make your document workflow more streamlined. C.G.S. If your answer to (e) is yes, you may be eligible depending on how serious the injuries were and the attitude of the victim. 14-227a, the person has not had such a system invoked on his behalf within the preceding ten years for a violation of section 14-227a;For a violation of Conn. Gen. Stat. People who are at a high risk for severe illness should consider additional measures to minimize their exposure to COVID-19 and respiratory illnesses. You must apply for the program, and if you qualify, the court will require you to take either the 10 session of 15 session program. (c) Have you ever been convicted of DUI anywhere else in the past? There may be more than one hearing at this stage of proceedings if the applicant allegedly caused serious injury through their violation. All supporting documentation should be sent to: Connecticut Department of Public Health . These programs are held in CHR's Enfield, Willimantic and Danielson office locations. For additional DMHAS program details, visit the website at: https://portal.ct.gov/DMHAS/Divisions/Forensic-Services/Community-Forensic-Services. If the court hearing(s) goes well, the next step will be payment of a $250 application fee and a meeting with a contractor employed by the Department of Mental Health and Addiction Services, who will determine what treatment is appropriate. I agree to give the State more time to prosecute me (the tolling of any statute of limitations for this offense(s) and to waive my right to a speedy trial) for the offense(s) listed above if I do not complete the program. I. Upon submitting this application, the applicant is asked a series of questions under oath regarding any past participation in the Program or any participation in other states in similar programs. 3. DUI/OUI in Connecticut is based on a blood alcohol content (BAC) of 0.02 or higher, or drugs under zero-tolerance for anyone under age 21. ("X" one of the following) I plan to claim that I cannot pay or that I am indigent I plan to pay the program fee. Medical Malpractice - Serious Injury or Wrongful Death, Legal Malpractice - Serious Loss or Injury. This is a contracted program overseen by DMHAS that includes an evaluation by a substance abuse professional, which results in a report, with recommendations, to the referring court. the chance to get alcohol education or substance abuse treatment instead of going to trial. 10-22 C.G.S. Mail: Russell Hall, CVH, Box 351, Middletown, CT 06457. phone 860-262-5812; fax 860-707-1961, [email protected]. Therefore, the signNow web application is a must-have for completing and signing ct alcohol education program application on the go. Most jurisdictions charge a fee for completion of the verification form. File the original of this application with the Clerk of Court. 53a-60d, or any equivalent charge in another state is ineligible to participate in the program. Step 2: Submission and Initial Review of the Educator Preparation New Program Proposal Application. Copyright The Law Offices of Mark Sherman, LLC 2023. 2023 airSlate Inc. All rights reserved. Use its powerful functionality with a simple-to-use intuitive interface to fill out Connecticut program application online, e-sign them, and quickly share them without jumping tabs. (b) Have you previously used the AEP within the last 10 years in Connecticut? I agree to take part in at least one (1) Victim Impact Panel if the court orders me to. 16-126 4,5 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov Instructions To Person Filling Out This Application 1. Failure to do so could lead to the drivers failure to complete the Program. To Find Providers in Connecticuts Community Resources Database: SOURCE: Department of Mental Health and Addiction Services, Forensic Services Division If the Court accepts the recommendation by the Director, a Program Fee payment in the amount of three hundred fifty dollars ($350.00), or five hundred dollars ($500.00) must be paid depending upon the number of classes that the Court orders. 16-126 4,5 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov Instructions To Person Filling Out This Application 1. In Connecticut, some first time DUI offenders qualify for admittance into the Alcohol Education Program (AEP). PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION . If I am telling the court that I cannot pay or that I am indigent by filing an affidavit of my inability to pay or of my indigency, I give my permission to CSSD to get information to decide if I cannot pay or if I am indigent. If you would like to use the Impaired Driving Intervention Program or the Drug Education and group interaction you can contact the providers below. The application . COVID-19 Community Levels Update, April 14, 2023: The CDC has listed all eight Connecticut counties in the Low/Green category as part of its weekly Community Levels update. Applications are only accepted online. After that, your ct alcohol program is ready. Send a copy to the prosecuting attorney. If you would like to attend a substance use treatment program you can contact your health insurance company for a referral or you can contact a substance use treatment agency. *Individuals who are certified by a board that is a member of the IC&RC /AODA shall be deemed to have met these requirements. Pre-Trial Alcohol Education Program Connecticutand Pre-Trial Intervention Program are for first-time offenders. Connecticut law provides for a Pretrial Alcohol Education Program under which certain eligible offenders charged with DUI may successfully complete an alcohol intervention or substance abuse treatment program, as appropriate, and have the DUI charges dismissed (CGS 54-56g). Select the area where you want to insert your eSignature and then draw it in the popup window. 2016, CT JD-CR-44 Section 14-227g, 53a-56b, or 53a-60d of the Connecticut General Statutes; b. Sometimes counsel can persuade the Court to schedule the date sooner than twelve months for good cause. Additionally, individuals who have used the IDIP or its predecessor, AEP, within the past ten years are ineligible. 5. Substance Use Disorder Programs that serve as an intake for agencies which evaluate individuals who are in need of substance use services and are directed to the number of subsidized beds that may be available in the community. ATF Summer Camp Hold Harmless and Liability / Release Middletown Heritage Festival 2017 Registration Form, Bold Line in the Electrical Services Agreement Template with ease, Bold Line in the Retainer Agreement Template with ease, Bold Line in the Advertising Agreement Template with ease, Bold Line in the Waiver Agreement Template with ease, Bold Line in the Money Transfer Agreement Template with ease, ct alcohol education program application form, connecticut pretrial alcohol education program. Both programs are offered through CHR. Click here to visit our Avvo profile with over 300 certified reviews. It seems that JavaScript is not working in your browser. PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION JD-CR-44 Rev. Get the free connecticut alcohol education program 2020-2023 form . Pretrial Alcohol Education Program (CGS 54-56g, as amended by PA 15-211) One-year program but defendant can request more time for good cause. the next step will be payment of a $250 application fee and a meeting with a contractor employed . 5456gwww.mud.ct.instructions to person filling . The examinationsare administered four times per year. 10-16 C.G.S. Alcohol and Drug Counselor Certification. Please note that the results of such examination are for the purpose of state certification/licensure, and will not necessarily qualify the examinee for CCB certification. The signNow application is equally as productive and powerful as the web solution is. Get the free ct alcohol education program 2020-2023 form. Find the extension in the Web Store and push, Click on the link to the document you want to eSign and select. Department of Children and Families (DCF), Reckless boating while intoxicated, under. For information regarding both programs, please call 1.860.456.3215 or CHRs Assessment Center at 1.877.884.3571. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Central Intake/Assessment for Substance Use Disorder, https://portal.ct.gov/DMHAS/Divisions/Forensic-Services/Community-Forensic-Services, Pretrial Alcohol Education Program (PAEP) and Drug (PDEP) Connecticut. STATE OF CONNECTICUT . 3. The AEP is a state diversionary program that requires participants to: Complete weekly one hour classes over a ten to fifteen week period; and; Attend a Mothers Against Drunk Driving (MADD) Victim Impact . If you want more information on the Pretrial Impaired Driver Intervention Program, call us today to schedule your confidential consultation. today at 203-878-0661 for a free consultation. These programs offer eligible defendants a chance to receive education or substance use treatment and complete community service hours instead of going to trial. An experienced attorney may be able to either have the charges against you dropped, or obtain your entrance into the Alcohol Education Program which can eventually lead to the dismissal of your charges and leave you with no criminal record. Instructions To Person Filling Out This Application . 410 Capitol Ave., MS # 12 APP . If you wish to share the ct alcohol program with other parties, you can send it by electronic mail. The sigNow extension was developed to help busy people like you to minimize the burden of signing forms. 2. Assuming arguendo that the stop of the individual by the police officer was proper, the driver may be eligible for Connecticut's Pre-Trial Alcohol Education Program. Along with the required classes, a second requirement for the Alcohol Education Program is attendance at a Mothers Against Drunk Driver Victims Impact Panel, as well as possible community service and restitution if there was an accident resulting in property damage. ct alcohol education are in fact a ready business alternative to desktop and laptop computers. Forms provided by US Legal Forms, a third-party service that sells forms for a fee. 20-74s-l of the Regulations of Connecticut State Agencies that entailed working directly with alcohol and drug clients;*. font size, Department of Mental Health and Addiction Services, Danielson, Enfield, Manchester and Willimantic, Meriden, Middletown, Milford and Old Saybrook, Derby, Danbury, New Haven, New Milford and Torrington. For more information or to learn if you qualify, call us today. There is currently no mechanism for evaluating the program's. TO: The Superior Court of the State of Connecticut APPLICATION FOR ACCELERATED PRETRIAL REHABILITATION . The Board of Regents announced disciplinary actions resulting in the revocation of 4 licenses, surrender of 12 licenses and 2 certificates, and 32 other disciplinary actions.
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