Sentencing Order For Probation / Order For Conditional Discharge / Order Of Continuance Under Supervision - Illinois Circuit Court Form Page 2

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G
7.
You shall not possess a firearm or other dangerous weapon and shall surrender to the Clerk of the Court your
Firearm Owners Identification card for the term of this Order.
G
8.
You shall not leave the State of Illinois without the consent of the Court or, in circumstances in which the reason
for the absence is of such emergency nature that prior consent by the Court is not possible, without prior notification and
approval of your Probation Officer.
G
9.
You shall undergo a psychological assessment by _________________________________________ or a
licensed facility approved by the Probation Officer and, if required by said facility or the Probation Officer, complete psychological
evaluation, counseling, or treatment as an outpatient for the period of time required by said facility or the Probation Officer and
shall pay all cost thereof.
G
10.
You shall serve a term of home confinement at ____________________________________________ or any
location subsequently approved by the Probation Officer for a period of ___________ beginning _________________ from
_______________________ until ______________ each day. You shall remain within the interior of the place designated for
your confinement during the hours designated and shall not leave your confinement except for the reasons set forth on the
attached “Conditions of Release from Home Confinement/Custodian’s Home.”
G
As part of this home confinement, you shall be placed on an approved monitoring device as provided by law
with your consent and/or consent of the other person in residence with you and shall comply with the terms and
conditions of an agreement with _______________ and shall pay all cost thereof, according to the following
schedule: Initial charge of $___________ within 7 days and _____________ per ______________ beginning
________________ and continuing on the same day of each _____________ thereafter until home
confinement is terminated.
You shall admit the Probation Officer into your place of confinement at any time for the purpose of verifying your compliance
with the conditions of your confinement.
G
11.
You shall participate in and complete the requirements of the _________________________________
____________________________ program and shall report to said program as __________________________ or the
Probation officer shall direct and pay all cost thereof.
G
12.
You shall not contact, directly or indirectly, be in the presence of, or go upon the premises of
_____________________________.
G
13.
You shall become and remain gainfully employed by ________________________________________ or by
an employer approved by the Probation Officer for at least ________ hours per week beginning ______________________
and shall present satisfactory evidence thereof to the Probation Officer.
G
14.
You shall pursue and complete a course of study or vocational training at _______________________
________________________________
or
an
institution
approved
by
the
Probation
Officer
beginning
______________________ and shall present satisfactory evidence thereof to the Probation Officer.
G
15.
You shall not acquire a driver’s license, or if you are in possession of a driving permit or license, you shall not
drive or operate any motor vehicle, except as may be necessary in the course of your lawful employment, and shall surrender
the driving permit or license to the Clerk of the Court for a period of __________________________. (Alcohol, cannabis, or
controlled substance violations only.)
G
16.
You are sentenced to a term of ____________________________________ as set forth in the Order attached
hereto;
G
17.
You shall submit to Genetic Marker Group (DNA) and HIV blood testing as set forth in the Order attached
hereto. You shall provide specimens of blood, saliva or tissue for genetic marker grouping analysis as required by 730 ILCS 5/5-
4-3. You shall pay to the clerk of the court an analysis fee of $250.00 and any cost for obtaining the specimen.
G
18.
You shall participate in and complete the requirements of a non-residential program for youth at
________________________________________ or at a program approved by the Probation Officer beginning
______________ and further as said agency or the probation officer shall direct and shall pay all costs thereof.
G
19.
You must participate in and cooperate with any and all programs and agencies to which you are referred by
the Probation Officer.
G
20.
You shall make restitution of $________ to _______________________________________ according to the
payment schedule set forth in Paragraph 6.
G
The Respondent parent _________________________________________________ is ordered to
pay $______________ on behalf of the minor toward this Court-ordered restitution, pursuant to the
Page 2 of 3
\cirwide\cirwide 2\juvenile sentencing order (long form) 18
Rev. 4/18/2012

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