Fillable Form Jd-Cr-104 - Sentence Review printable pdf download

NOTICE OF RIGHT TO HAVE SENTENCE

STATE OF CONNECTICUT

REVIEWED/APPLICATION FOR REVIEW

SUPERIOR COURT

JD-CR-104 Rev. 3-12

C.G.S. §§ 51-195, 54-227, Pr. Bk. §§ 43-24, 43-26

Instructions To Clerk

Instructions To Court Reporter

1. Give defendant one form per docket number.

Upon receipt, transcribe and forward to Sentence

2. Complete top portion of form with case information.

Review Division the sentencing hearing for applicant

3. Do not accept this Application if the Applicant indicates being in the custody of the Department

unless such transcript has already been ordered and

of Correction and fails to submit a completed form JD-VS-3, Inmate Notice of Application.

will be provided to the clerk.

4. Complete For Court Use Only section at bottom of Application section of form.

5. Make 5 copies. Submit original to Sentence Review Division. Give one copy each to the

Sentencing Judge, Court Reporter, Defense Counsel, and State's Attorney, and put one copy

in the Court File.

Inmate number

6. When sending to Sentence Review Division, complete transmittal on back of this form.

State of Connecticut vs. (Name of Defendant)

From

At (Town)

Docket number

(Judicial district or Geographical area)

Address of court where sentenced (Number, street, town and zip code)

Date of sentence

Notice to the Defendant Named Above

You have the right to have the sentence you received today reviewed by the Sentence Review Division of the Superior Court. If it

is reviewed, your sentence may be made longer or shorter within the limits of the sentence set by law, another sentence or sentences that

you could have been given at the time of your sentencing may be given to you, or the Sentence Review Division may decide that the

sentence you were given is correct and should not be changed.

If the court decides that you cannot afford to hire an attorney, you have the right to ask the court at the court location listed above

to appoint an attorney to represent you before the Sentence Review Division of the Superior Court.

To have your sentence reviewed, fill-out the Application below, sign it, and file it (all pages) with the Clerk of the Superior Court at

the address listed above within thirty (30) days from the date of sentence above or, if you received a suspended sentence that was

revoked, within thirty (30) days from the date that your sentence was revoked. Fill-out a separate application for each case you are

requesting a review of your sentence for.

If you are in the custody of the Department of Correction, your application cannot be accepted by the clerk unless you fill out,

sign, and file an Inmate Notice of Application, form JD-VS-3, with your application. Under section 54-227 of the Connecticut General

Statutes, receipt of the completed Inmate Notice of Application form by the clerk is proof that you have given notice of your application to

the Office of Victim Services and to the Department of Correction, Victim Services Unit.

Application For Review Of Sentence

To: The Superior Court

I am applying to the Sentence Review Division of the Superior Court for a review of the sentence I received in the case named above

("X" one):

I was represented by counsel in this matter.

I represented myself in this matter and I do not want an attorney to represent me.

I represented myself in this matter and I do want an attorney to represent me.

I ask the clerk to give to the Sentence Review Division the documents listed below that were given to the court at the time I was sentenced

(specify documents ):

("X" one):

I am not in the custody of the Department of Correction.

I am in the custody of the Department of Correction. I notified the Office of Victim Services and the Department of Correction, Victim

Services Unit of this application. I filled out form JD-VS-3, Inmate Notice of Application, and it is attached to this application to prove that

I notified the Office of Victim Services and the Department of Correction, Victim Services Unit.

Correctional facility where you are incarcerated (If this applies to you)

Court Use Only - Stamp Date Received

Date signed

Signed (Defendant/Applicant)

For Court Use Only (To be completed by clerk)

Name of sentencing Judge

Name, address and juris number of prosecuting authority

Name, address and juris number of defense counsel

The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable

accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at /ADA/

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Form Jd-Cr-104 - Sentence Review

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