Declaration and Request for Evaluation for Competency

Declaration and Request for Evaluation for Competency
IN THE JUSTICE COURT OF SPARKS TOWNSHIP

COUNTY OF WASHOE, STATE OF NEVADA
Justice Court Case Number
Department Number
Justice Court Department Number
District Court Case Number
Department Number
District Court Department Number
THE STATE OF NEVADA

Plaintiff,

vs.

Defendant's Name

Defendant,

Interpreter Required
DECLARATION AND REQUEST FOR EVALUATION FOR COMPETENCY
I, Requestor Name , on behalf of Defendant Name, having met, conferred, or interacted with the defendant sufficiently to develop concerns about their competency, hereby declare under penalty of perjury, and pursuant to the provisions set forth in NRS 178.400-178.415, that good cause exists to refer the defendant for an evaluation to determine whether they are competent to proceed for the reasons set forth below:
The defendant does not appear to understand the nature of the criminal charges against the person as evidenced by:   Description

The defendant does not appear to understand the nature and purpose of court proceedings as evidenced by:Description

The defendant does not appear able to aid and assist counsel in their defense at any time during the proceedings with a reasonable degree of rational understanding as evidenced by:   Description

The defendant has previously undergone competency proceedings.
If checked, when:     Date of compentecy proceedings
Date Person Requesting the Evaluation (Print) Signature Contact Number Email
Should be Empty: