Napa — Pre-Plea Mental Health Diversion Order (Penal Code § 1001.36)

Source: https://www.napa.courts.ca.gov/system/files/forms-and-filings/cr-76-pre-plea-mental-health-diversion-order-20260629.pdf

CR-76 SUPERIOR COURT OF CALIFORNIA, COUNTY OF NAPA FOR COURT USE ONLY

PEOPLE OF THE STATE OF CALIFORNIA

v.

DEFENDANT:

CASE NUMBER: PID & EVENT NUMBER:

PRE-PLEA MENTAL HEALTH DIVERSION ORDER CHARGE(S):
(Penal Code § 1001.36)

PRE-PLEA MENTAL HEALTH DIVERSION IS GRANTED UNDER THE FOLLOWING CONDITIONS:

1. Obey all laws.

2. Immediately report to Post Court Services. Immediately notify the Court, in writing, of any change of address or telephone number.

3. Maintain contact with a Mental Health Agency and obey all reasonable directives of the Mental Health Agency. Sign medical release forms as requested by the Mental Health Agency and/or the Probation Department. Comply with your Mental Health Service Plan.

4. Appear for Mental Health Diversion Review: ____________________ at 11:00am in Department 1 (Felony) ____________________ at 11:00am in Department 3 (Misdemeanor)

5. Pay restitution to the victim(s) and/or the California Victim Compensation Board (CalVCB) in the sum listed below, plus
   interest at 10% per year from this date, in a manner to be determined by the Court and Linebarger. Go to the Napa
   County Probation Department at 555 Gateway Dr, Suite P, Napa, CA 94559 to complete the Statement of Assets form CR-
   115.
   Victim: ________________Sum: ________ Victim: ________________ Sum: ___________
   Pay restitution to the victim(s) and/or the California Victim Compensation Board (CalVCB) in an amount to be determined
   by Probation and the Court, plus interest at 10% per year from this date, in a manner to be determined by the Court and
   Linebarger. Go to the Napa County Probation Department at 555 Gateway Dr, Suite P, Napa, CA 945 to complete the
   Statement of Assets form CR-115.
   Victim: _______________________________ Victim: ____________________________________

I have read this diversion order and I understand everything on it. I agree to accept all the conditions.

DATE DEFENDANT’S SIGNATURE

INTERPRETER’S STATEMENT

I, having been duly sworn or having a written oath on file, certify that I truly translated this form to the defendant in the following language: Spanish Other (specify)_____________________

DATE INTERPRETER’S NAME INTERPRETER’S SIGNATURE

DATE JUDGE

Form CR-76 Adopted for Mandatory Use [Effective July 1, 2024; Revised June 29, 2026]