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

Summary

Proof of Enrollment or Completion (Alcohol or Drug Program)

Text

Form ID: CR-220
Title: Proof of Enrollment or Completion (Alcohol or Drug Program)
Effective Date: 2019-01-22
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-220
Primary Download URL: https://www.courts.ca.gov/documents/cr220.pdf
Form Detail Page:
Proof of Enrollment or Completion (Alcohol or Drug Program)
(CR-220)
Tells the  court that a defendant is enrolled in or has completed a court-ordered alcohol or drug program. The alcohol or drug program administrator also needs to sign this form.
Get form CR-220
Effective: January 22, 2019
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How-to instructions for Criminal
PDF Text:
PROOF OF ENROLLMENT
Defendant (name):1.
(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.
(SIGNATURE OF DEFENDANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)
Date:
(TYPE OR PRINT NAME)
(TITLE)
DESCRIPTION OF ALCOHOL OR DRUG PROGRAM
Form Approved for Optional Use 
Judicial Council of California  
CR-220 [Rev. January 22, 2019]
PROOF OF ENROLLMENT OR COMPLETION  
ALCOHOL OR DRUG PROGRAM
Veh. Code, § 23655 
www.courts.ca.gov
Page 1 of 1
Name of program:
CR-220
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
NAME OF DEFENDANT:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
DATE OF COURT ORDER:
(check one):
PROOF OF COMPLETION OF ALCOHOL OR DRUG PROGRAM
PROOF OF ENROLLMENT IN ALCOHOL OR DRUG PROGRAM
FOR COURT USE ONLY
CASE NUMBER:
Address of program:
Program license number: Program telephone number:
PROOF OF COMPLETION
Defendant (name):2.
(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.
(SIGNATURE OF DEFENDANT)
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PROGRAM DIRECTOR OR INSTRUCTOR)
Date:
(TYPE OR PRINT NAME)
(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.
enrolled in the alcohol or drug education program
described above on
successfully completed the alcohol or drug education
program described above on

Retrieval chunks

• #1

  Form ID: CR-220 Title: Proof of Enrollment or Completion (Alcohol or Drug Program) Effective Date: 2019-01-22 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-220 Primary Download URL: https://www.courts.ca.gov/documents/cr220.pdf Form Detail Page: Proof of Enrollment or Completion (Alco…

• #2

  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. enrolled in the alcohol or drug education program described above on successfully completed the alcohol o…