Form 8-5 - Order Of Fact-Finding And Disposition (Page 3 of 5) in pdf

Form 8-5 page 3

“ suspended; “ revoked; and “ the Respondent shall remain ineligible to receive a firearm license

during the period of this order; and it is further

“ ORDERED that the Respondent pay restitution in the amount of $

to [specify]:

for the benefit of [specify name(s)]:

to begin on [specify date]:

at the rate of $

per month and to be paid in full by

[specify date]:

; and it is further

“ ORDERED that the Respondent is placed on probation under the supervision of the Probation

Department of

County for a period of

upon the following

terms and conditions [check applicable provisions; See 22 NYCRR §§205.74(a),(b)]:

___ 1.

Observe the specified conditions of conduct as set forth in the Order of Protection issued

pursuant to Section 842 of the Family Court Act.

___ 2.

Remain within the jurisdiction of the Court unless granted permission to leave by the Court

or probation officer.

___ 3.

Answer all reasonable inquiries by the probation officer and notify the probation officer

prior to any change in address or employment.

___ 4.

Report to a probation officer as directed by the Court or the probation officer and permit the

probation officer to visit your place of residence.

___ 5.

Do not have any contact with the following persons [specify]:

You must not have any physical, visual, written, telephone, e-mail, fax or other electronic or

other contact with such person(s). You must not directly or indirectly cause or encourage

anyone else to have such contact with such person(s).

___ 6.

Pay for medical or mental health treatment expenses for the following person(s) [specify]:

___ 7.

Pay all court-ordered attorney's fees and disbursements incurred by the following person(s)

[specify]:

that arise from this Family Offense

matter.

___ 8.

Cooperate with Department of Social Services and/or child protective workers associated

with this Family Offense matter.

___ 9.

Obey the order for [check applicable box]:

“ no visitation “ supervised visitation “ unsupervised visitation with your children.

Court-ordered visitation with your children is permitted as follows:

_________________________________________________________________

___ 10.

Surrender any and all firearms owned or possessed by you to the law enforcement agency

designated above by the date and time ordered above.

___ 11.

Attend, pay for, and satisfactorily participate in a batterer's education program designed to

help end violent behavior. You will not be discharged from probation without satisfactory

completion as determined by your counselor and probation officer.

Participate in available [check applicable box(es)]: “ medical “ substance abuse “

___ 12.

psychiatric evaluation and treatment and remain in a specified program as

follows:___________________________________________________________

___ 13.

Submit to drug/alcohol (alcosensor/urinanalysis) testing as requested by your probation

officer. You must cooperate with drug/alcohol counseling and random testing as deemed

Form 8-5 - Order Of Fact-Finding And Disposition Page 3

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