Page 101 - Juvenile Practice is not Child's Play

Sentence of probation or parole: from (date): to (date):

Names of all probation and parole officers:
Street address of each officer:

Phone number of each officer:

Email, e-text, and website addresses of each officer:

Was the client ever charged with violation of probation or parole conditions? Yes No

Date of violation and nature of violation charged: Disposition of violation charge:

Does the client or his or her parent or guardian have paper or electronic documents that would contain

identifying or contact information for the courts, judges, cases, prosecutors, defense attorneys,

probation and parole officers involved or information about the proceedings and dispositions?

Was the Client on Probation or Parole at the Time of this Arrest? Yes No

On which of the above prior charges? (indicate by number):

Check whether probation or parole

Amount of back time owed:

Was the Client Under any Pending Charges at the Time of this Arrest? Yes No
Which of the above prior charges was pending (indicate by number): Form of conditional release on that charge:

If the client was on bail for that charge, obtain the data specified below under “Present custodial status / Bail.”

Does the client or his or her parent or guardian have paper or electronic documents that would contain

identifying or contact information for the courts, judges, cases, prosecutors, defense attorneys, probation and

parole officers involved or information about the proceedings and dispositions?

Was the Client Wanted for Arrest on Other Charges in any Jurisdiction at the Time of this Arrest?

Yes No
For each charge:

Jurisdiction: Charge(s):

Nature of incident:

How client knows s/he is wanted:

Name of law enforcement agency involved, if known:

Street address: