§ 62-7-10

The clerk of a circuit court in which a person is sentenced to serve a period of incarceration in a state prison shall transmit to the Commissioner of the Division of Corrections and Rehabilitation a certified commitment order in the form provided for in this section. A person may not be committed to a prison unless the commitment order is signed by the circuit judge with jurisdiction over the matter. The amendments to this section enacted during the 2019 regular session of the Legislature are effective July 1, 2019. IN THE CIRCUIT COURT OF ____________________COUNTY, WEST VIRGINIAState of West Virginiav.circuit court Case No.___________________Defendant: ______________________________DOB: ________________ SSN: XXX-XX-______ Gender: _____Male/______FemaleWEST VIRGINIA DIVISION OF CORRECTIONS AND REHABILITATION CERTIFIED PRISON COMMITMENT ORDEROn 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

ia, 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 and Rehabilitation 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: ______daysCredit for Home Incarceration Parole: ______days Other NonPenal Credit: ________daysAdditionally, the court finds: ______________________________________________________________________The defendant shall be transported to and held in a facility under the control of the Commissioner of the Division of Corrections and Rehabilitation.

__________________________________________________The defendant shall be transported to and held in a facility under the control of the Commissioner of the Division of Corrections and Rehabilitation. The court further orders that the cost of incarceration in the jail pending transfer shall be paid by the Commissioner consistent with the provisions of §15A-3-16 of this code.Special Instructions: ___________________________________________________________It is further ordered that the Circuit Clerk shall immediately transmit a certified copy of this commitment order to the Central Office Inmate Records Manager of the Division of Corrections and Rehabilitation by facsimile at (fax number), by email at (email address) or other electronic transmission, or by mail at (street address).Enter this _____day of __________, 2____.___________________________________Circuit Judge