Initial Eligibility Checklist For Early Termination Of Certain Person'S Obligation To Register

ADVERTISEMENT

Budget: ZZ118
Fund: 087
Texas Department of State Health Services
Professional Licensing and Certification Unit
Council on Sex Offender Treatment
P.O. Box 149347, Mail Code 1982
Austin, Texas 78714
ATTN: CSOT Executive Director
Phone (512) 834-4530 ** Fax (512) 834-6677
Email:
csot@dshs.state.tx.us
INITIAL ELIGIBILITY CHECKLIST FOR
EARLY TERMINATION OF CERTAIN PERSON’S OBLIGATION TO REGISTER
(Please Type or Print Clearly)
Date: ______________________________________
Attorney of Record: __________________________ Email: __________________________
Address: _____________________________________________________________________
City: _______________________________
Zip Code: __________________________
Telephone ___________________________
Fax: _______________________________
Registered Sex Offender’s Full Name: _____________________________________________
SSN: _______________________________
DOB: ______________________________
Address: _____________________________________________________________________
City: _______________________________
Zip Code: __________________________
Telephone ____________________________________________________________________
Email:________________________________________________________________________
Reportable Conviction or Adjudication: ___________________________________________
Texas Penal Code: _____________________________________________________________
Age of the Victim at the time of the Offense: _______________________________________
County of Sentencing Court: ____________________________________________________
Sex Offender Treatment: Yes / No
Community Supervision: Yes / No
(List of required supporting documentation is continued on next page)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Checklist For Distribution Authorization Of Commission Checks Checklist For Distribution Authorization Of Commission Checks Legal
Checklist For Mandatory Disclosure Of Documents Checklist For Mandatory Disclosure Of Documents Legal
Publication 774 - Purchaser's Obligations To Pay Sales And Use Taxes Directly To The Tax Department Questions And Answers - Nys Department Of Taxation And Finance Publication 774 - Purchaser's Obligations To Pay Sales And Use Taxes Directly To The Tax Department Questions And Answers - Nys Department Of Taxation And Finance Financial
Worksheet To Determine Father's Obligation To Children In His Present Home Form Worksheet To Determine Father's Obligation To Children In His Present Home Form Legal
Publication 774 - Purchaser's Obligations To Pay Sales And Use Taxes Directly To The Tax Department Questions And Answers Publication 774 - Purchaser's Obligations To Pay Sales And Use Taxes Directly To The Tax Department Questions And Answers Financial
Form 37-s - Schedule Sf Computation Of Separate Income, Losses, Deductions, And Federal Tax Amounts To Be Used By Married Person(s) Required To File Separate State Return(s) Template (1999) Form 37-s - Schedule Sf Computation Of Separate Income, Losses, Deductions, And Federal Tax Amounts To Be Used By Married Person(s) Required To File Separate State Return(s) Template (1999) Financial
Transaction Privilege (sales) Tax Or Business, Occupational And Professional License Application Form With Licensing Eligibility Checklist For Sole Proprietors Transaction Privilege (sales) Tax Or Business, Occupational And Professional License Application Form With Licensing Eligibility Checklist For Sole Proprietors Financial
Da Form 5687-r - Initial Inspection Checklist For Indoor Ranges Da Form 5687-r - Initial Inspection Checklist For Indoor Ranges Business
Form M22 - Request For Early Audit Of Minnesota Income Tax Return(s) Form M22 - Request For Early Audit Of Minnesota Income Tax Return(s) Financial
Form M22 - Request For Early Audit Of Minnesota Income Tax Return(s) Form M22 - Request For Early Audit Of Minnesota Income Tax Return(s) Financial

Related Categories

Parent category: Legal
Download
Go
Page of 2