Habeas Corpus Petition
for Mental Health Commitment

Court:

Case Number:

Petitioner Information

Name:
Relationship to Detainee:
Address:

Detainee Information

Name:
Facility Name and Address:

Petition

Comes now the petitioner and respectfully states as follows:

1. The detainee is currently confined at the facility listed above under an order of mental health commitment.

2. The petitioner believes that the confinement is unlawful because:

3. The petitioner requests that the Court issue a writ of habeas corpus directing the detainee's custodian to bring the detainee before this Court and to show cause for such confinement, and for such other and further relief as the Court deems just and proper.

Date:
Signature of Petitioner:
Printed Name: