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Form Title: Pretrial Substance Abuse Release
Form Number:
PS-00068

Pretrial Substance Abuse Release

Form Title: Pretrial Mental Health Release
Form Number:
PS-0006D

Pretrial Mental Health Release Form

Form Title: Post Conviction Substance Abuse Release
Form Number:
Prob-0011B

Post Conviction Substance Abuse Release Form

Form Title: Post Conviction Mental Health Release
Form Number:
Prob-0011I

Post Conviction Mental Health Release Form

Form Title: Statement of Reasons
Form Number:
AO 245

Statement of Reasons

Form Title: Net Worth Statement
Form Number:
Probation Form 48.pdf

Net Worth Statement

Having been convicted in the United States District Court, you are required to prepare and file with the probation officer an affidavit fully describing your financial resources, including a complete listing of all assets you own or control as of this date and any assets you have transferred or sold since your arrest.  Amendments were made to 18 U.S.C. §§ 3663(a)(1)(B)(i), 3664(d)(3), and 3664(f)(2), and Rule 32(b)(4)(F) to clarify that the assets owned, jointly owned, or controlled by an offender, and liabilities are all relevant to the court’s decision regarding the ability to pay.

Your Net Worth Statement should include assets or debts that are yours alone (I-Individual), assets or debts that are jointly (J-Joint) held by you and a spouse or significant other, assets or debts that are held by a spouse or significant other (S-Spouse or Significant Other) that you enjoy the benefits of or make occasional contributions toward, and assets or debts that are held by a dependent (D-Dependent) that you enjoy the benefits of or make occasional contributions toward.

Form Title: Worksheet for Presentence Report
Form Number:
Prob 1

Worksheet for Presentence Report

Form Title: Monthly Cash Flow Statement
Form Number:
Prob-0048B

Monthly Cash Flow Statement Form

Having been convicted in the United States District Court, you are required to prepare and file with the probation officer a statement fully describing your financial resources, including a complete listing of all monthly cash inflows and outflows.

If you are placed on probation or supervised release (or other types of supervision), you may be periodically required to provide updated information fully describing your financial resources and those of your spouse, significant others, or dependents, as described above, to keep a probation officer informed concerning compliance with any condition of supervision,  including the payment of any criminal monetary penalties imposed by the court  (see 18 U.S.C. § 3603).

Form Title: Sample vendor form 3

This is a description for the vendor form 3.

Last Updated:
02/14/2014
Form Title: Community Service Log

Form for keeping track of your community service hours.

Form Title: Financial Affidavit
Form Number:
CJA-23

Financial Disclosure Statement

Form Title: Community Service Referral and Letter

Referral Form from the Probation Officer to be given to Community Service Provider