Free Docket & Disposition Report ~ Violation of Probation - Vermont

District Court STATE OF VERMONT Form No.392 Docket & Disposition Report V. Violation of Probation Defendant
Last Name First M.I.

DISTRICT COURT OF VERMONT
Unit No. Circuit

Docket No.

VOP
Incident Offense No.

Address

Scheduled Date of Appearance

DMV Use

City, State, Zip Code

Date of Birth

Age

Place of Birth

Date of Violation

Place of Violation

Probation Officer

Office Location

Previous Violations TO SERVE

Original Sentence: Judge Original Offense

MINIMUM Date
YEARS MONTHS DAYS YEARS

MAXIMUM
MONTHS DAYS

ALL SUSPENDED PART SUSPENDED

YEARS

MONTHS

DAYS

VIOLATION OF PROBATION
R U L E
Date of Rule 5 Hearing A R R A I G N M I E N T Date of Arraignment Defendant Waives: 24 Hour Rule Reading of Complaint Right to Counsel Date Violation Hearing Date Posted Defendant Admits Violation Denies Violation Defendant's Attorney Pro Se Private Counsel Assigned Counsel Denied Name of Defendant's Attorney Name of Judge Name of Reporter F Date A I Judicial Summons L to Issue U R Arrest Warrant E to Issue T Bail Amount O A Date Judicial Summons P P E Date Arrest Warrant A R

Copy of Complaint to Defendant Probable Cause Found Continued for Plea

Name of Guardian ad Litem

5

PRE-ARRAIGNMENT BAIL $ Date Set Date Set Amount Date Posted

Att's. Appearance of Return by

B A I L

Amount

Date Mitt. for Lack of Bail

Deposit

Date Refunded

Personal Recognizance Appearance Bond Date

Cash/Surety Conditions Defendant's admission of violation is found by this court to be voluntary and made with knowledge and understanding of the consequences and after knowing waiver of constitutional rights Admission has a factual basis. Said admission is hereby accepted and a finding of violation entered hereon.

D I S P

Finding of No Violation Dismissed by Court Dismissed by State Date Sentence Imposed Finding of Violation Admission of Violation

JUDGE:

Probation Continued Under Original Conditions MINIMUM MAXIMUM
DAYS YEARS MONTHS DAYS

S E N T E N C E

Probation Conditions Modified

Probation Revoked

TERM

YEARS

MONTHS

with credit for: to be served from:
to: beginning:

SUSPENDED ON PROBATION

TO SERVE
YEARS MONTHS DAYS

Concurrent Consecutive to Docket No.'s

at
at

AM PM AM PM

PART SUSPENDED ALL SUSPENDED ADDITIONAL OR MODIFIED CONDITIONS

Date of Disposition

Mittmus Probation Warrant

Date

Date Disp.Report Sent

Signature of Judge

Date

DMV Use

Probation Discharge Date

Signature of Clerk

Date

Rev. 2/06 SML

Distribution at Disposition: Original - Case File, Copies to:

VCIC

Probation Office