Application for Accelerated Rehabilitative Disposition (ARD) Program In the Court of Common Pleas of York County, Pennsylvania Dave Sunday, District Attorney ONLY PRO SE DEFENDANTS ARE PERMITTED TO SUBMIT AN APPLICATION ELECTRONICALLY. DEFENDANTS WITH COUNSEL MUST PACFILE THE ARD APPLICATION. ARD Applications submitted through our website must have all fields completed. If a field doesn’t apply to you enter n/a. If incomplete applications are submitted, and fields are omitted, the application will be rejected. You will be provided a confirmation if your application is successfully submitted online. You should keep this confirmation as proof of submission.Date Preliminary Hearing held or waived:* MM slash DD slash YYYY OTN #* Arraignment Date:* MM slash DD slash YYYY (ARD application must be filed within 30 days after this date or it will NOT be accepted.)Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your preferred phone type?* Home Phone Cell Phone Work Phone Cell Phone*Cell PhoneHome Phone*Home PhoneWork Phone*Work PhoneEmail* Place of Birth* Date of Birth* MM slash DD slash YYYY Maiden Name Work schedule / days and hours* EmployerEmployer Name* Employer Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer Phone*Police InformationPolice Department / Officer* District Judge* First Last Present Charges* Have you ever been charged with an offense other than a summary?*(Include: ALL out-of-state offense/ in- state offense/ pending case/ juvenile offense/ ARD/ Rule 586, PBJ, STET, dismissed case or nolle pros) If so, list the offense, year and the result. Notify the DA’s Office in writing within 72 hrs. of any new police involvement.Do you read and speak English?* Yes No Language* WaiverWaiver Consent I agree to the wavier.AND NOW, COMES THE DEFENDANT FOR THE PURPOSE OF WAIVING HIS RIGHT TO A SPEEDY TRIAL UNDER RULE 600 OF THE PENNSYLVANIA RULES OF CRIMINAL PROCEDURE REPRESENTING AS FOLLOWS: 1.THE DEFENDANT FULLY UNDERSTANDS HIS RIGHTS UNDER RULE 600 OF THE PENNSYLVANIA RULES OF CRIMINAL PROCEDURE TO HAVE THE CASE TRIED WITHIN 365 DAYS OF THE FILING OF A COMPLAINT. 2.KNOWING THOSE RIGHTS, IT IS THE DEFENDANT’S WISH TO FORMALLY WAIVE THOSE RIGHTS, KNOWING THAT THE CASE MAY BE CALLED FOR TRIAL AT A DATE AFTER THE MAXIMUM NUMBER OF DAYS ALLOWED UNDER RULE 600 HAVE EXPIRED. 3.THE DEFENDANT WAIVES THE ABOVE RIGHTS FOR THE PURPOSE OF A.R.D. PROGRAM CONSIDERATION/RECONSIDERATION.Your Signature*CAPTCHANameThis field is for validation purposes and should be left unchanged.