The clerk of a court in which a person is sentenced to serve a period of incarceration in a state correctional facility shall transmit to the Commissioner of the Division of Corrections and the West Virginia Regional Jail Authority a certified commitment order same as, or similar to, the form provided in this section. If a commitment order in a form other than the one provided in this section is issued, the commitment order is required, at a minimum, to contain the same information.
IN THE CIRCUIT COURT OF ____________________COUNTY, WEST VIRGINIA
State of West Virginia
v. circuit court Case No.___________________
DOB: ________________ SSN: XXX-XX-______ Gender: _____Male/______Female
WEST VIRGINIA DIVISION OF CORRECTIONS CERTIFIED COMMITMENT ORDER
On the ______day of __________________, 20___, the State of West Virginia, by _____________________________________, and the defendant appeared in person and with counsel,________________________________________________.
The defendant has been convicted of the following offense(s):
The defendant is committed to the custody of the Commissioner of Corrections for a period of: ___________________________________________________________________________.
Conviction Date: _______________ Sentence Date: __________________
Effective Sentence Date: _____________ Resentence Date: _____________________ Consecutive to: ____ Concurrent with:
Credit for Jail/Prison Time Served: ______days Credit for Home Incarceration: ______days
Credit for Home Incarceration Parole: ______days Other NonPenal Credit: ________days
Additionally, the court finds:
The defendant shall be transported to and held in a West Virginia Regional Jail Authority facility until transfer into the physical custody of the Commissioner. The court further orders that the cost of incarceration in the regional jail pending transfer shall be paid by the Commissioner from the date of entry of this order forward.
Special Instructions: ___________________________________________________________
It is further ordered that the Circuit Clerk shall forthwith transmit a certified copy of this commitment order to the West Virginia Regional Jail Authority and to the Central Office Inmate Records Manager of the Division of Corrections by facsimile at (fax number) or by mail at (street address).
Enter this _____day of __________, 2____.