District Court Probation Update

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District Court Probation Update

Director: James M. Malcom Jr.


Monthly Report


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This report is due on or before the 15th day of each month. If this report is not received by that date, a violation may be filed with the Court.


Fill out information, and press the red “Submit Report” button at the bottom of the screen.
(All * fields required)



Address Information
 
Name
First*:
Middle:
Last*:

Date of Birth*:


Home Address

Street Address*:

City*:
State*:
Zip*:

Address Active As Of*:


Is your Mailing Address is the Same?  



Mailing Address

Street Address*:

City*:
State*:
Zip*:

Address Active As Of*:


Contact Information

Cell Phone:
Home Phone:
Message Phone:
Email Address:


Employment

Are you currently employed?*  

If yes, please list employer information. (Name of Company, Address):


Since the last time you reported to your Probation Officer, have you:

Had contact with Law Enforcement?*  

If yes, please Explain:


New charges since you last reported?*  

If yes, please list:


Please indicate what you are doing to comply with your court ordered probation conditions

Are you attending alcohol/drug treatment?*  

If yes, Treatment Starting Date:

If yes, at which Treatment Agency are you attending classes?


Are you attending AA/NA?  

If yes, Number of meetings:


Are you serving Jail/Work Release/EHM?*  


Have there been any significant changes in your life since you last reported to this office?*  

If yes, explain:


Do you have any question or need to talk with your Probation Officer?*  

Question:


STATEMENT TO BE MADE BY THE DEFENDANT:

 I DECLARE THAT I HAVE COMPLIED FULLY WITH THE ABOVE DIRECTIVES. I UNDERSTAND THAT IF I FAIL TO BE TRUTHFUL OR IF I MAKE ANY EFFORT TO PERSUADE THE VERIFYING PARTY/WITNESS TO NOT BE TRUTHFUL, THE PROBATION DEPARTMENT CAN FILE VIOLATION CHARGES AGAINST ME IN THE COURT.

Defendant Name:*
Date:*


THE COURT/PROBATION DEPARTMENT HAS DIRECTED THE ABOVE NAMED PERSON TO:

NO POSSESSION OR CONSUMPTION OF ALCOHOL OR CONTROLLED SUBSTANCES, NO DRIVING WITHOUT VALID LICENSE AND INSURANCE. TIME PERIOD OF: UNTIL THE COURT REACHES A DECISION.

Name of Witness/Verifying party:*
Phone Number of Witness/Verifying party:*