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Here is the text we could read:

ATTORNEY OR PETITIONER WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

HC-003

STATE:

FAX NO.:

ZIP CODE:

ATTORNEY FOR (name):

PETITIONER'S BIRTHDATE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

IN THE MATTER OF (NAME) :

PETITION FOR WRIT OF HABEAS CORPUS—Penal Commitment

1.  Petitioner is being unlawfully restrained of liberty at (specify name of treatment facility): 

by (specify name of persons having custody, if known):

Petitioner

CASE NUMBER:

2.  Petitioner was admitted to the treatment facility on (date):

and is currently being held pursuant to:

Penal Code, § 1026 (not guilty by reason of insanity)
Penal Code, § 1370 (incompetent to stand trial)
Penal Code, § 2962 (mentally disordered offender)
Other (specify):

3.  Check at least one box:

Petitioner is illegally confined for the following reason:

Penal Code, § 1026.5(b) (extended commitment)
Penal Code, § 2684 (prisoners transferred to state hospital)
Former W & I, § 6300 (MDSO)

Petitioner has been denied the following rights without good cause (Pen. Code, § 2600):

4. Petitioner has no adequate and speedy remedy at law.

5. Have you made any previous requests for relief from this confinement?

If your answer is yes, state the nature and grounds for your request, the date it was made, and the result:

6. 

Petitioner requests that this court (check all that apply):
a.

Issue a Writ of Habeas Corpus to the director of the facility named in item 1, commanding that the petitioner be brought 
before this court at a specified time and place. 
Order the facility personnel to release petitioner from said restraint.
Order that all rights to which petitioner is entitled as a patient be observed.
Grant such other relief as this court deems appropriate.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

(TYPE OR PRINT NAME)

Form Approved for Optional Use 
Judicial Council of California 
HC-003 [Rev. September 1, 2018]

PETITION FOR WRIT OF HABEAS CORPUS—Penal Commitment 
(Mental Health)

(SIGNATURE OF PETITIONER OR PERSON REQUESTING  
WRIT ON PETITIONER'S BEHALF)

Page 1 of 1

Cal. Rules of Court, rule 4.551 
www.courts.ca.gov

a.

b.

b.
c.
d.

Date:

Petition for Writ Of Habeas Corpus—Penal Commitment (Mental Health)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 43
Average fields per page: 43
Reading Level: Grade 7
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

page_caption_sf_court_county was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.54 conf)
topmost_subform_page_caption_sf_court_info_branch_ft was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].Branch_ft[0] (0.39 conf)
page_caption_court_info_city was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].CityZip_ft[0] (0.37 conf)
topmost_subform_page_caption_sf_court_info_street_ft was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].Street_ft[0] (0.39 conf)
page_caption_court_info_mailing was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.42 conf)
page_caption_title_name_text was topmostSubform[0].Page1[0].Caption_sf[0].TitlePartyName[0].FillText1[0] (0.43 conf)
topmost_subform_page_caption_sf_case_number_ft was topmostSubform[0].Page1[0].Caption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.42 conf)
topmost_subform_page_caption_sf_atty_info_state_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyState_ft[0] (0.43 conf)
topmost_subform_page_caption_sf_atty_info_zip_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyZip_ft[0] (0.36 conf)
topmost_subform_page_caption_sf_atty_info_city_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyCity_ft[0] (0.40 conf)
topmost_subform_page_caption_sf_atty_info_street_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyStreet_ft[0] (0.37 conf)
topmost_subform_page_caption_sf_atty_info_firm_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyFirm_ft[0] (0.42 conf)
topmost_subform_page_caption_sf_atty_info_name_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyName_ft[0] (0.40 conf)
topmost_subform_page_caption_sf_atty_info_phone_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Phone_ft[0] (0.39 conf)
topmost_subform_page_caption_sf_atty_info_fax_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Fax_ft[0] (0.41 conf)
topmost_subform_page_caption_sf_atty_info_email_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Email_ft[0] (0.45 conf)
topmost_subform_page_caption_sf_atty_info_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyFor_ft[0] (0.38 conf)
topmost_subform_page_caption_sf_atty_info_bar_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].BarNo_ft[0] (0.41 conf)
topmost_subform_page_caption_sf_atty_info_birthdate was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Birthdate[0] (0.40 conf)
topmost_subform_page_fill_text__1 was topmostSubform[0].Page1[0].FillText37[0] (0.44 conf)
topmost_subform_page_fill_text__2 was topmostSubform[0].Page1[0].FillText38[0] (0.44 conf)
topmost_subform_page_party_ft was topmostSubform[0].Page1[0].Party1_ft[0] (0.38 conf)
topmost_subform_page_fill_text__3 was topmostSubform[0].Page1[0].FillText1[0] (0.44 conf)
topmost_page_date_field__1 was topmostSubform[0].Page1[0].DateField1[0] (0.40 conf)
topmost_subform_page_two__1 was topmostSubform[0].Page1[0].Two[0] (0.38 conf)
topmost_subform_page_two__2 was topmostSubform[0].Page1[0].Two[1] (0.38 conf)
topmost_subform_page_two__3 was topmostSubform[0].Page1[0].Two[2] (0.38 conf)
topmost_subform_page_area_two__1 was topmostSubform[0].Page1[0].#area[0].Two[3] (0.38 conf)
topmost_subform_page_area_two__2 was topmostSubform[0].Page1[0].#area[1].Two[4] (0.38 conf)
topmost_subform_page_two__4 was topmostSubform[0].Page1[0].Two[5] (0.38 conf)
topmost_subform_page_two__5 was topmostSubform[0].Page1[0].Two[6] (0.38 conf)
topmost_subform_page_three was topmostSubform[0].Page1[0].ThreeA[0] (0.35 conf)
topmost_subform_page_fill_text__4 was topmostSubform[0].Page1[0].FillText37[1] (0.44 conf)
topmost_subform_page_three_b was topmostSubform[0].Page1[0].ThreeB[0] (0.35 conf)
topmost_page_text_field__1 was topmostSubform[0].Page1[0].TextField1[0] (0.36 conf)
topmost_page_text_field__2 was topmostSubform[0].Page1[0].TextField2[0] (0.36 conf)
topmost_subform_page_fill_text__5 was topmostSubform[0].Page1[0].FillText1[1] (0.44 conf)
topmost_page_date_field__2 was topmostSubform[0].Page1[0].DateField1[1] (0.40 conf)
topmost_subform_page_fill_text__6 was topmostSubform[0].Page1[0].FillText56[0] (0.44 conf)
topmost_subform_page_six__1 was topmostSubform[0].Page1[0].SixA[0] (0.39 conf)
topmost_subform_page_six_b was topmostSubform[0].Page1[0].SixB[0] (0.39 conf)
topmost_subform_page_six_c was topmostSubform[0].Page1[0].SixC[0] (0.39 conf)
topmost_subform_page_six__2 was topmostSubform[0].Page1[0].SixD[0] (0.39 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Petition for Writ Of Habeas Corpus—Penal Commitment (Mental Health)

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02