SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL People vs. _______________________________________________________Case No.______________________________Date:___________________________ DOMESTIC VIOLENCE SENTENCING ORDER AND/OR GRANT OF PROBATION The above named defendant having been convicted of a violation of section(s)____________________________ of the _______________________ code. DEFENDANT SENTENTED TO___________________COUNTY JAIL, EXECUTION OF SENTENCE SUSPENDED; IMPOSITION OF SENTENCE SUSPENDED; And the defendant is placed on ______Summary ______Formal Probation for a period of ________ three _______ five years on the following terms and conditions: _____ Defendant shall obey all FEDERAL, STATE, COUNTY, AND CITY LAWS; COUNSELING: Defendant will participate in counseling as follows: ______Anger Management for ______________months. __________Certified program. ________Non certified program. ______Alcoholic Anonymous for ____________months. _______Narcotics Anonymous for ___________months. ______Parenting Classes for _________ months through ____________________________________________________________________________________. Defendant must provide proof at the initial review date of having enrolled in counseling within ______ days of this order. The initial review date is set for ______________ at 8:30 a.m. After the initial review date, the defendant must provide proof of having attended counseling as ordered, not less than once each week between review dates. “Proof” as required by this paragraph, means a written document showing; 1) the date of enrollment 2) the dates of each session attended 3) the name and address of the agency or entity providing the counseling, and 4) the signature of an authorized agent or representative of the agency or entity providing the counseling. FINE: Defendant shall pay the following fines: Domestic victims of violent crimes fund ______$400.00 ____Restitution Fine $100.00 Terms of payment: _______Fine to be paid in full by __________________. _____Fine due within _________ days. _______Fine due immediately. _____Payable in installments of $____________ commencing _________________________ and continuing monthly until paid in full. _____Pursuant to PC1202.44/PC1202.45, defendant shall pay $________ probation revocation fine. This fine is stayed, to be imposed upon a revocation of Probation. Fines are payable at any of the following locations: Superior Court Superior Court 220 Main Street 415 4th Street _______ Brawley, CA 92227 ________ Calexico, CA 92231 ________ Superior Court Superior Court Probation Department 939 Main Street 2124 Winterhaven Drive 324 Applestill Road El Centro, CA 92243 _______ Winterhaven, CA 92283 ________ El Centro, CA 92243 _______ Superior Court 1625 W. Main Street, El Centro, CA 92243 COMMUNITY SERVICE: ______Defendant shall serve ____________ hours of community service through ______ Probation Department located at 324 Applestill Road, El Centro, CA. Report to Probation by not later than _____________________on __________________________________. ____ Other ______________________________________. Community Service must be completed by _________________________________. IMPRISONMENT: ______Defendant shall serve _______ days in custody at the Imperial County jail commencing on ____________________ and receive credit for time served ______days actual, _______behavioral credits for a total of ______________days served. ______Defendant shall serve _____________weekends at the Imperial County jail commencing on _______________________. Weekends shall be served Consecutively unless otherwise ordered by the court. Defendant ________shall pay _______shall not pay $100.00 to the Imperial County jail upon surrendering. ______Defendant shall report to the Imperial County Jail located at 328 Applestill Road, El Centro, CA on _______________ before 7:00 p.m., sober and with picture identification such as a driver’s license, immigration card, passport, etc. ______Defendant shall serve ________ days of Cal Trans. To be completed by _________________. Defendant shall report to the Probation Department located at 324 Applestill Road, El Centro, CA no later than ___________________________ to arrange to serve the time provided by this order. FIREARMS: ______Defendant shall not own or possess any firearms for a period of 10 years. RESTRAINING ORDERS: _______Defendant shall not stalk, annoy, harass, threaten, molest or abuse __________________________________________________________________________. _______Defendant shall stay away from and not contact _________________________________________________________________________________________. OTHER:______________________________________________________________________________________________________________________________. Signed ____________________________________________ Address___________________________________________ Judge____________________________________ DOB _______________________ ___________________________________________ Clerk____________________________________ Dr. Lic., # _________________________________________ Interpreter________________________________ Distribution: Court Defendant Updated: 11/24/2008 Form approved for mandatory use CR DV-01 CR-05 (Adopted 1/1/09) Defense Attorney Accounting Probation American LegalNet, Inc. www.FormsWorkflow.com