(d) Have you ever used a program similar to Connecticut's AEP in another state at anytime in the past? If you have been arrested for any DUI offense and have no history of other DUI convictions, you should speak with a qualified criminal defense attorney about the possibility of participating in the IDIP. 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. 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. 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. The complete DPH COVID-19 toolbox is located at ct.gov/coronavirus. 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. 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. 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. Verification form documenting completion of three hundred sixty hours of approved education, at least two hundred forty hours of which related to the knowledge and skill base associated with the practice of alcohol and drug abuse counseling; Verification of successful completion of the International Certification Examination for Alcohol and other Drug Abuse Counselors of the International Certification & Reciprocity Consortium/Alcohol & Other Drug Abuse, Inc. (IC&RC/AODA); Individuals who are not certified by the Connecticut Certification Board (CCB) as a substance abuse counselor on July 1, 2000, may seek admission to the IC&RC/AODA examination, administered by the CCB. 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. 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. 120 C.G.S. to guarantee a much better signing experience. All you have to do is download it or send it via email. 16-126 4,5 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov Instructions To Person Filling Out This Application 1. Both programs offered are for Connecticut and out of state residents. Install the signNow application on your iOS device. I also agree to finish the program that the court orders me into, and after I finish my program, if CSSD thinks I need more treatment, I agree to accept any additional treatment in a treatment program recommended by a DMHAS contractor, or to be placed in a state-licensed treatment program that meets standards set by DMHAS. PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATIONSTATE OF CONNECTICUT SUPERIOR COURTJDCR44 Rev. Send a copy to the prosecuting attorney. We help people and handle cases in all the courthouses throughout Connecticut, including: New Britain, Hartford, Bristol, Manchester, Enfield, Middletown. Instructions To Person Filling Out This Application . We know how stressing filling in forms could be. The program is for offenders who were operating a motor vehicle, a boat, a snowmobile, or an all-terrain vehicle (ATV). If your answer to (e) is yes, you may be eligible depending on how serious the injuries were and the attitude of the victim. The whole procedure can last a few moments. 21-79 1; P.A. The Connecticut Department of Mental Health and Addiction Services (DMHAS) offers the Pretrial Alcohol and Drug Education Programs, pretrial diversion programs, for first-time Driving Under the Influence (DUI)/ Operating Under the Influence (OUI) offenders, or persons arrested for possession of drugs or drug paraphernalia in Connecticut. Charged driving under the influence in the State of Connecticut? The same is true for those who hold a CDL license or permit or for those who allegedly caused serious injury through their offense and cannot show good cause for an exception. These programs are held in CHRs Enfield, Willimantic and Danielson office locations. However, if an offender is found indigent by the court, the costs will be paid by DMHAS. Most jurisdictions charge a fee for completion of the verification form. Pre-Trial Alcohol Education Program Connecticutand Pre-Trial Intervention Program are for first-time offenders. Once the Court is provided with the recommendation of the number of classes, the Court will either accept or reject such recommendation. Copyright 2017 | CHR | Accredited by the Joint Commission. (You can unsubscribe anytime). 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. 3. A $100 application fee and a nonrefundable $100 evaluation fee, or an 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. . (e) Was there an accident in which someone was seriously injured? 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. Copyright The Law Offices of Mark Sherman, LLC 2023. The court will review the report and decide what the participant will be required to do. 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. The Connecticut Certification Board is located at 100 South Turnpike Rd., Suite C, Wallingford, CT 06492 The phone number is 203-284-8800. DRIVING UNDER THE INFLUENCE Connecticut law prohibits a 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. To Find Providers in Connecticuts Community Resources Database: SOURCE: Department of Mental Health and Addiction Services, Forensic Services Division Go to the Chrome Web Store and add the signNow extension to your browser. Please check your spelling or try another term. TO: The Superior Court of the State of Connecticut . File the original of this application with the Clerk of Court. 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. 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. Please contact the jurisdiction for fee information; Verification form documenting completion of three hundred hours of supervised practical training in alcohol and drug counseling; Verification form documenting completion of three years of supervised paid work experience or unpaid internship, as defined in Sec. 5. There would first be a hearing on any such application and whether you get the program is left to the Judge's discretion. If you would like to use the Impaired Driving Intervention Program or the Drug Education and group interaction you can contact the providers below. Open the doc and select the page that needs to be signed. Medical Malpractice - Serious Injury or Wrongful Death, Legal Malpractice - Serious Loss or Injury. The penalties for a conviction for driving under the influence can, and often times do, include jail time. Submitting a contact form, sending a text message, making a phone call, or leaving a voicemail does not create an attorney-client relationship. 410 Capitol Ave., MS # 12 APP . 53a-56b, Assault With a Motor Vehicle in the Second Degree under C.G.S. 2016 CT.gov | Connecticut's Official State Website, regular With signNow, it is possible to eSign as many files daily as you require at an affordable price. 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. It is from this interview wherein the Director makes a recommendation to the Court as to the drivers eligibility for the Program. There may be more than one hearing at this stage of proceedings if the applicant allegedly caused serious injury through their violation. 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. I have read this entire application, and I understand it. And because of its cross-platform nature, signNow can be used on any device, PC or mobile, irrespective of the OS. Some of the features on CT.gov will not function properly with out javascript enabled. Choose the correct version of the editable PDF form from the list and get started filling it out. If my application is granted: 1. We will be looking into this with the utmost urgency, The requested file was not found on our document library. The Alcohol Education Program. These programs are held in CHR's Enfield, Willimantic and Danielson office locations. 14-227g . A $100 application fee and a nonrefundable $100 evaluation fee, or an application for waiver of the fees, must be filed with this application. 10- or 15-session alcohol intervention program or a state-licensed substance abuse treatment program. Please enter your zip code for best results. These recommendations can be foroneof the following: Payment 1-20 C.G.S. I. Example: Yes, I would like to receive emails from CHR. All Rights Reserved. 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. Alcohol Education Program - Eligible After 10 YearsConn. Fill out the Application and Military Status sections of the form and sign it. 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. A person who successfully completes the program they were assigned to, any additional treatment ordered, and has no further legal difficulties may have the original charges dismissed after one year. 2020, CT JD-CR-44 today at 203-878-0661 for a free consultation. Click, PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION, Rate PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION as 5 stars, Rate PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION as 4 stars, Rate PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION as 3 stars, Rate PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION as 2 stars, Rate PRETRIAL ALCOHOL EDUCATION PROGRAM APPLICATION as 1 stars, notice of application for pretrial alcohol education program, How To Electronic signature New Hampshire Supply Agreement Checklist, Electronic signature New Mexico Payment Reminder Free, Electronic signature New Hampshire Supply Agreement Checklist Easy, How Do I Electronic signature New Hampshire Supply Agreement Checklist, Electronic signature New Hampshire Supply Agreement Checklist Safe, Electronic signature New Mexico Payment Reminder Secure, Help Me With Electronic signature New Hampshire Supply Agreement Checklist, Electronic signature New York Payment Reminder Online, Electronic signature New York Payment Reminder Computer, How Can I Electronic signature New Hampshire Supply Agreement Checklist, Electronic signature New York Payment Reminder Mobile, Electronic signature New Mexico Payment Reminder Fast, Electronic signature New York Payment Reminder Now, Electronic signature New York Payment Reminder Later, Can I Electronic signature New Hampshire Supply Agreement Checklist, Electronic signature New York Payment Reminder Myself, Electronic signature New Mexico Payment Reminder Simple, Electronic signature New York Payment Reminder Free, Electronic signature New York Payment Reminder Secure, Electronic signature New York Payment Reminder Fast. If your answer to all these questions is no, then you are eligible to apply for the program. file is . Open the email you received with the documents that need signing. Department of Children and Families (DCF), Reckless boating while intoxicated, under. I also agree to begin the alcohol intervention or substance abuse treatment program that the court orders me into within 90 days unless the court gives me more time, and I understand that I can wait to begin my program until after the suspension of my license is over.