Free IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSAS - Kansas

IN THE DISTRICT COURT OF SHAWNEE COUNTY, KANSAS DIVISION Division Number STATE OF KANSAS VS. Defendant PLAINTIFF NO.: Case Number DEFENDANT ORDER OF PROBATION
In accordance with the authority conferred by the laws of the State of Kansas, you have been placed on probation this date, period of months by the Honorable , District Judge. , for a

IT IS THE ORDER OF THE COURT THAT YOU WILL COMPLY WITH THE FOLLOW ING STANDARD CONDITIONS OF PROBATION (DCR 3.308): 1. 2. You will not violate any law (federal, state or local). You will notify your probation officer, the next working day, if questioned or arrested by a law enforcement officer. You will not act as an informant for any law enforcement agency without first discussing the situation with your probation officer. You will not have contact with victims, witnesses, or co-defendant(s), in this or any other cases. You will seek and maintain a lawful full-time job and provide proof of such to your probation officer. Y ou will advise your employer of your probation, and you will maintain reasonable hours in your personal life, consistent with your work schedule. You will notify your probation officer the next working day if you change or lose your job and report your progress in seeking a new job. You will keep your probation officer informed, and provide proof, of your current address and notify your probation officer before making any changes in your address. You will make regular monthly payments consistent with your income on all court-ordered obligations (including restitution, costs, fines, fees, child support, civil, traffic, or the like). You will support your legal dependents, to the best of your ability. The Court Collection Service may be used to collect debts owed to Victims and the Court. You will not own, possess, transport, or receive any firearms and/or ammunition during the term of your probation. You will not leave Shawnee County, Kansas, without permission of your probation officer.

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10. You will provide your probation officer with full and truthful information at all times. 11. You will report as directed, follow the probation officer's instructions, and permit visits at reasonable times. 12. You will not consume alcohol, cereal malt beverages, or illegal drugs and you will not associate with persons or places where alcohol, cereal malt beverages, or illegal drugs are sold, distributed, or consumed. 13. You will submit to a breath, blood, or urine test upon the request of a probation officer, or any other law enforcement officer, at any time during the term of your probation and pay the costs of the test. 14. You will participate in, cooperate with, and successfully complete all evaluations, treatment, counseling, education, W ork Release, Community Service W ork, or other programs required by your supervising probation officer. 15. You will be subject to and shall cooperate with the following requirements and restrictions (including the frequency thereof), and associated costs as administered by your probation officer: reporting, chemical testing, field contacts, travel restrictions, curfews, up to 200 hours of community service work, evaluations/treatments, ISP screenings, work release, review board, and electronic monitoring.

IT IS THE FURTHER ORDER OF THE COURT THAT YOU W ILL PAY THE FOLLOW ING SPECIALLY ASSESSED CHARGES AS DIRECTED BY YOUR PROBATION OFFICER: Docket Fees Probation Service Fee Fine Restitution Attorney Fees KBI Analysis Fee Administrative Fee Surcharge

IT IS THE FURTHER ORDER OF THE COURT THAT YOU W ILL COM PLY W ITH THE FOLLOW ING SPECIAL CONDITIONS: 1) 2) I understand that the Court can change these conditions of probation, reduce the period of probation, or extend the period of probation if conditions are not met. I also understand that at any time during my probation I may be arrested by a probation officer or any law enforcement officer for any violation of my probation, which could result in my probation being revoked and my sentence being imposed.

I have (read / had this order read to me), received a copy of, and understand this order. I further understand that I have a responsibility to comply with this order. IT IS SO ORDERED.

DISTRICT JUDGE

Probationer

Date

Date Probation Officer I

Address:

R/N: Defendant S.S. No.: DOB: Case No.: Case Number Division Division Number / /

Phone: Employer:

Offense: Special Conditions:
Docket Fees Probation Service Fee Fine Restitution Attorney Fees KBI Analysis Fee Administrative Fee Surcharge

Total Probation Order/Brochure Given and Explained to Client (date) Monthly Income Worksheet Completed (date) Estimated Amount of Payment Agreed Upon Frequency of Payment (weekly, bi-weekly, monthly)
G G

$0.00

Treatment Required Date Entered Treatment Volunteer Work Began Date Completed Hours Completed Convicted/Dismissed (date) Convicted/Dismissed

Yes

No

(date) New Charges Filed New Charges Filed (date) Revocation Requested: (date) Early Discharge Requested (date) Discharged
G G G

Approved

Disapproved

OJA 50 Completed