N.Y. Comp. Codes R. & Regs. tit. 14, Appendices, app 104-B
NACC C-19
(Auth Reg § 2010.1)
STATE OF NEW YORK NARCOTIC ADDICTION CONTROL COMMISSION
N. A.C.C. NO. ________
N. Y.S.I.I.S. NO. ________
DETAINER WARRANT
TO ANY PERSON, FACILITY, AGENCY OR JURISDICTION CURRENTLY HAVING A PRESENT RIGHT OF CUSTODY OF ____________
Pursuant to the authority conferred by Article 9 of the Mental Hygiene Law and the regulations of the Narcotic Addiction Control Commission, you are hereby notified that ________, a person now within your custody is subject to a lawful order granting to this Commission custody of his person.
You are therefore commanded, at or shortly before the termination of your period of custody of the said person, to inform the undersigned of the impending termination of such custody and to detain the said person in order that hemay be brought to the actual custody of this Commission, and for so doing this shall be your sufficient Warrant.
NEW YORK STATE NARCOTIC ADDICTION
CONTROL COMMISSION
Dated: ________, 19________ Per
____________
Authorized Signature
____________
Typed Signature
____________
Address
________
N.Y. Comp. Codes R. & Regs. tit. 14, Appendices, app 104-B
When resident is available for return to the Commission, please notify the Director of Resident Movement and Control, Narcotic Addiction Control Commission, 1855 Broadway, New York, New York, 10023--(212) 765-0525.