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(Rev 5/15)
*DO NOT FILE WITH CLERK OF COURTS
APPLICATION FOR DRUG COURT
DIVERSION * PROGRAM
Date:____________________
Defendant’s Name: ____________________________Case No. ________________
Original Court (Inits.) _____________________ Assigned Judge: _______________
Arresting Agency:
____________________________________________________
Charges: ______________________________________________________________
______________________________________________________________________
Application is hereby made on behalf of the above-named defendant admission to the
Ashtabula County Common Pleas Drug Court Diversion Program. Permission is given for the Adult
Probation Department to begin a pre-sentence investigation to help determine the defendant’s final
eligibility for the Drug Court Program. It is understood that no questions will be asked by the Adult
Probation Department concerning the charges in this case.
The defendant, by requesting participation in the Drug Court Diversion Program, hereby
knowingly, intentionally and voluntarily waives all rights to a speedy trial whether established by
statute, rule of court or under the Constitution Of The United States Of America or the Constitution
Of The State Of Ohio.
The defendant agrees to begin attending Drug Court sessions, as directed, in Judge Yost’s
courtroom on each Thursday at 9:00 AM immediately upon being notified of the initial approval of
this application by the Prosecuting Attorney and to be subject to random drug testing.
__________________________________
Phone : Home: _________________
Defendant
Cell: __________________
___________________________________
Phone: ________________________
Defendant’s Attorney
Attorney’s Email Address: ____________________________________________
File this Application with the Ashtabula County Prosecutor’s Office, 25 West Jefferson Street,
Jefferson, OH 44047
INITIAL APPROVAL FOR DIVERSION DRUG COURT: (GRANTED)
(NOT GRANTED)
___________________________
Assigned APA: __________________
Prosecuting Attorney
* DRUG COURT DIVERSION PROGRAM IS AVAILABLE ONLY TO DRUG
DEPENDENT OFFENDERS WHOSE INITIAL CHARGES MEET THE LEGAL
CRITERIA OF INTERVENTION IN LIEU OF CONVICTION PURSUANT TO O.R.C.
2951.041.