Free Probation Form 12B - District Court of Connecticut - Connecticut

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Fvrm 12B Case 3:03-cr-00248-EBB Document 50 Filed 10/01/2007 agé
UNITED STATES DISTRICT COURT
DISTRICT OF CONNECTICUT
U.S.A. vs. Dor~mAArlN DOMBRO Docket No. 3:03CR00248(EBB)
Petition For Modification of Conditions or Term of ProbationISupervised Release
with the Consent of the Offender
COMES NOW, Joseph P. Nlontesi, PROBATION OFFICER OF THE COURT, presenting an official report upon the
conduct and attitude of Donnaann Dombro, who was sentenced to 72 months' imprisonment, followed by 3 years’ supervised
release, for a violation of 18 U.S.C. § 2251 (d), Conspiracy to Produce Child Pornography, by the Honorable Ellen Bree Burns,
Senior U.S. District Judge, sitting in the court in New Haven, Connecticut on June 25, 2004, and imposed the general terms
and conditions theretofore adopted by the court and also imposed the special condition and terms as follows: 1) the defendant
shall participate in a mental health treatment program, either inpatientor outpatient, which shall include sex offender treatment
with a therapist who is licensed and experienced in treatment of individuals with sexual disorders as directed by the U.S.
Probation Ofhce (USPO); 2) the defendant shall participate in a substance abuse treatment program, either inpatient or
outpatient, which shall include random urinalysis, as directed by the USPO. The defendant shall pay some or all of the costs
of any treatment as determined appropriate by the USPO.
Donnaann Dombro remains in the custody of the Bureau of Prisons, with a scheduled release date of June 24, 2008.
RESPECTFULLY PRESENTING PETITION FOR ACTION OF COURT AND FOR CAUSE AS FOLLOWS:
PRAYING THAT THE COURT WILL ORDER that this petition will serve: N
EI To extend the term of probation/supervised release for years, for a total term of years. [Qi
I To modify the conditions of supenlision as follows:
Please see attachment.
A signed Waiver of Hearing to Modify Conditions is attached.
ORDER OF COURT Respectful S bmi ed,
rrkx s
Considered and ordered this .97 .· .
day of September 2007 and ordered tiled and made a part Jo h P. I\/Iontesi
of the records in the above case. penlising U.S. Probation Officer
Place: New Haven Connecticut
T2?-lonoraple Ellen Bree burns
S ior United States District Judge Date: September 25 2007

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Case 3:03-cr-00248-EBB Document 50 Filed 10/O1/2007 Page 2 of 4
ATTACHMENT
l. You shall participate in a mental health program specializing in sexual offender treatment
approved by the probation officer, and abide by the rules, requirements, and conditions of
the treatment program, including submitting to polygraph testing and Computer Voice Stress
Analysis (CVSA). Further, you shall contribute to the costs of such treatment and/or
polygraphs not to exceed an amount determined reasonable by the probation officer based
on ability to pay or availability of third party payment and in conformance with the Probation
Office’s Sliding Scale for Treatment Services.
2. You shall have no direct contact with minors (under the age of 18) without the written
approval ofthe probation officer and shall refrain from entering into any area where children
frequently congregate including: schools, daycare centers, theme parks, playgrotmds, etc.
3. You are prohibited from possessing, subscribing to, or viewing, any video, magazines, or
literature depicting children in the nude and/or in sexually explicit positions.
4. You shall not possess or use a computer with access to any on line service at any location
(including employment) without written approval from the probation officer. This includes
access through any Internet service provider, bulletin board system, or any public or private
computer network system. You shall permit routine inspection of your computer system,
hard drives, and other media storage materials, to confirm adherence to this condition. The
inspection shall be no more intrusive than is necessary to ensure compliance with this
condition. You shall inform your employer, or other third party who may be impacted by this
condition, of this computer—related restriction and the computer inspection provision ofthe
condition.
5. You shall submit to a search of your person, residence, place of business, computer, or
vehicle, conducted by the United States Probation Officer at a reasonable time and in a
reasonable manner, based upon reasonable suspicion of contraband or evidence of a violation
of a condition of release; failure to submit to a search may be grounds for revocation; you
shall inform any other residents that the premises, may be submit to a search pursuant to this
condition.

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United States District Court *
Districtof Connecticut \
Waiver of Hearing to Modify Conditions i
of Probati¤nISupel·vised Release or Extend Term of Supervision
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I nave been advised and understand that l am entitled by law to a hearing and assistanceiof counsel
before any unfavorable change may be made in my Conditions of Probation and Supervised Release qt my period
of supervision being extended. By "assistance of counsel} l understand that i have the right to be represented at
the hearing by counsel of my own choosing if l em able to retain counsel. l also understand that I here the right
to request the court to appoint counsel to represent me at such a hearing at no cost to myself if I arn.not able to
retain counsel of my own choosing. E
i hereby voluntarily waive my statutory right to aa hearing and to assistance of counsel. l also igree to the
following modification of my Conditions of Probation and Supervised Release orto the proposed exte sion of my
temt of supervision;
1. You shall participate in a mental health program specializing in sexual offendertreatment appr ved bythe
probation officer, and abide by the rules, requirements, and conditions of the treatment progra p , including
submitting to pclygraph testing and Computer Voice Stress Analysis (CVSA}. Further, you shall contribute
to the costs of such treatment andfor poiygraphs not to exceed an amount determined reasonable bythe
Probation Ofticer based on ability to pay or availability of third party payment and in conforrnanise with the
Probation Oftices Sliding Scale for Treatment Services.
2. You shall have no direct contact with minors (under the age of 18) without the written EDDFEJBI oi the
probation ofticer and shall refrain from entering into any area where children frequently ngregate
including: schools, daycare centers. theme parks, playgrounds, etc. I
3. You are prohibited from possessing, subscribing to, or viewing, any video, magazines, or literature
depicting children in the nude and/or in sexually expiioit positions. i
4, You Shall not possess or use a computer with access to any on line service at any iocationi (including
employment) without written approval from the probation officer. This includes access thirough any
Internet service provider, bulletin board system, or any public or private computer network system. You
shall permit routine inspection of your computer system, hard drives, and other media storagegateriais,
to confirm adherence to this condition. The inspection shall be no more intrusive than is ne ssary to
ensure compliance with this condition. You shall inform your employer, or other third pami who may
impacted by this condition, of this computer-related restriction and the computer inspection pirovision of
the condition. i
5, You shall submit to a search of your person, residence, place of business, computer, or vehicle, F onducted
by the United States Probation Otficer at a reasonable time and in a reasonable manner bgsed upon
reasonable suspicion of contraband or evidence of a violation of a condition of release; faiiurjlto subrnit
to at search rnayl be grounds for revocation; you shall inform any other residents that the pre , ises, may
he subject to a search pursuant to this condition.

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