Form 15(c) Notice of Appointment of Mental Health Expert-Competency

________________________________ COURT

______________________ County, Arizona

STATE OF ARIZONA Plaintiff

[CASE/COMPLAINT NO.]

NOTICE OF

-vs-

APPOINTMENT OF

MENTAL HEALTH

EXPERT

Defendant (FIRST, MI, LAST)

(COMPETENCY)

(A)

The mental disease, defect or disability which is the cause of the Defendant's incompetency;

(B)

Whether there is a substantial probability the Defendant will become competent within a reasonable period of time;

(C)

The most appropriate form and place of treatment in this state, based on the defendant's therapeutic needs and potential threat to public safety;

(D)

The defendant's prognosis; and

(E)

Whether the defendant is incompetent to refuse treatment and should be subject to involuntary treatment.

IT IS FURTHER ORDERED that the report name each mental health expert who examines the defendant; that it describe the nature, content, extent and results of the examination and any test conducted; and that it include the facts on which the findings are based.

IT IS FURTHER ORDERED that a competency hearing will be held in __________ court on the ___ day of __________, 20 ___ at __________ a.m./p.m.

IT IS FURTHER ORDERED that the experts will submit the written reports at least 10 days prior to the competency hearing date to __________ which will seal the originals and provide copies to defense counsel. Defense counsel shall provide redacted copies of the reports to the court and the prosecutor's office within 24 hours of receipt.

Signature of Judicial Officer

Date

Form 15(c)