Support Court Referral

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UNITED STATES PROBATION OFFICE
SUPPORT COURT REFERRAL
Candidate Name:
PACTS#:
Address:
Supervision:
Phone:
If pretrial, sentencing judge has approved
Support Court participation
__ Yes
Sex:
Sentencing/Supervising Judge:
Age:
Defense Counsel:
Prosecutor:
Supervision Start Date:
Anticipated End Date:
Prior substance-abuse related supervision violations?
History of violence (including arson)?
Any involvement with firearms?
Rape or other sex crime convictions?
Active restraining/protective orders?
Order not to associate with others?
Mental health issues, including suicide/homicidal ideation/attempts?

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