Page 1 of 1 Form L-876 – Optional

Cal. Form L-876

California Superior Local Rules

Form L-876 – Optional Rev. April 9, 2026 TREATMENT-MANDATED DEFERRED ENTRY OF JUDGMENT PROGRAM AGREEMENT AND WAIVER OF RIGHTS SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE TREATMENT-MANDATED DEFERRED ENTRY OF JUDGMENT PROGRAM – AGREEMENT AND WAIVER OF RIGHTS People vs. __________________________________________ Case Number: _______________________________________ I, the Defendant in the above-titled case, elect to participate in a treatment-mandated deferred entry of judgment program pursuant to Health & Safety Code

section 11395 (the “Program”). In doing so, I understand and agree to the following: 1. I am giving up my statutory right to sentencing and pronouncement of judgment within twenty (20) court days (felonies) or five (5) court days (misdemeanors) from the date of my plea of guilty or nolo contendere. This agreement to waive time for sentencing shall apply at every future hearing on this matter unless and until it is expressly revoked. 2. I will abide by the Court -ordered treatment plan .

I understand that my treatment plan may change over time and may include, but is not limited to, residential and/or outpatient treatment, mental health treatment, recovery services, community service, education, job training, and other conditions the Court deems necessary for treatment or a successful outcome. I will comply with all directives of my treatment provider and participate as expected. 3. I will not consume alcohol, unauthorized drugs, narcotics, or controlled substances, including marijuana. I will submit to a chemical/drug test of my blood and/or urine upon request and/or as a term of treatment. 4.

I will appear in court as ordered and am required to and responsible for providing a written progress report to the Court before each scheduled progress review. I will attend all appointments with the treatment provider(

s) and test as required by the Court or treatment provider. 5. I will comply with: ☐ Protective order ☐ Stay-away order ☐ Firearms prohibition ☐ __________________________ 6. I will not commit any new misdemeanor or felony law violations. If I am convicted of a crime committed since starting treatment, the Court shall hold a hearing, and if the Court finds this to be true, shall terminate the Program. 7. If it appears I am performing unsatisfactorily in the Program, am not benefiting from treatment, am not amenable to treatment, or have refused treatment, a motion may be made for entry of judgment and sentencing.

After notice, the Court shall hold a hearing. If the Court finds one of these circumstances to be true, the Court may terminate the Program, enter judgment, and impose a sentence. 8. For time spent in residential treatment, I may only earn actual credits pursuant to Penal Code

section 2900.5 and shall not earn conduct credits pursuant to Penal Code

section 4019, or any other provision. Time spent in any other program or counseling is not eligible for any credits. 9. Upon successful completion of the Court-ordered treatment plan as described in Item 2, and upon the positive recommendation of the treatment provider, the Court shall dismiss the charge and the arrest upon which deferred entry of judgment was imposed shall be deemed to have never occurred pursuant to Penal Code

section 1000.4. Dismissal based on successful completion of the Program shall not count as a conviction for any purpose, including for determining punishment pursuant to Health and Safety Code

section 11395, subdivision (b). I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATED: ________________________________ SIGNED: ____________________________________ Defendant DEFENDANT’S ATTORNEY: I am the attorney of record, and I have fully explained each of the above terms to the Defendant. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

DATED: ________________________________ SIGNED: ____________________________________ Defense Attorney INTERPRETER’S STATEMENT: I, ___________________________, have been duly sworn as a court certified / registered / provisionally qualified interpreter, state that I am fluent in the ______________________ language. I translated the contents of this form to the Defendant in that language. DATED: ________________________________ SIGNED: ____________________________________ Court Interpreter You are ordered to return to Court on _____________________ at ____________ a.m./p.m. in Dept. C58.

You are ordered to report to _______________________________________ on __________________ at ____________ a.m./p.m. Court Use Only

Document details

Collection	California Superior Local Rules
Citation	Cal. Form L-876
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	96fcb546ad04bbffd0e3f6aa0b4403ba5c69e6c0

Source file is stored in the law ingest library (pdf).