Drug Offender'S Reinstatement Of Federal Benefits

Download a blank fillable Drug Offender'S Reinstatement Of Federal Benefits in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Drug Offender'S Reinstatement Of Federal Benefits with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

AO 249 (Rev. 01/09) Drug Offender’s Reinstatement of Federal Benefits
U
S
D
C
NITED
TATES
ISTRICT
OURT
for the
__________ District of __________
United States of America
)
Case No.
v.
)
)
)
Sentencing Date:
)
Defendant
DRUG OFFENDER’S REINSTATEMENT OF FEDERAL BENEFITS
The defendant has successfully completed a supervised drug rehabilitation program, or has in good faith tried to
gain admission to such a program but was unable to do so because of its cost or inaccessibility, or has otherwise been
rehabilitated.
IT IS ORDERED: Under 21 U.S.C. §862(c), the defendant’s federal benefits suspended by the court on a
conviction for the distribution or possession of a controlled substance are reinstated.
Date:
Judge’s signature
Printed name and title
City and state of defendant’s residence:
Last four digits of SSN:
Year of birth:
The clerk of court is responsible for sending a copy of this form to:
U.S. Department of Justice - Office of Justice Programs
Attn: Denial of Federal Benefits Program
810 Seventh Street, NW
Washington, D.C. 20531
Print
Save As...
Reset

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go