Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Probation Revocation Order Into Drug Court Form. This is a Tennessee form and can be use in Williamson Local County.
Loading PDF...
Tags: Probation Revocation Order Into Drug Court, Tennessee Local County, Williamson
IN THE CIRCUIT COURT OF WILLIAMSON COUNTY, TENNESSEE
PROBATION REVOCATION ORDER INTO
DRUG COURT
Case Number ____________________________ Count #: ______ Attorney for State _______________________________
Judicial Division:
IV
Counsel for Defendant ________________________________________
Judicial District: 21ST
Retained
Appointed
Public Defender
State of Tennessee
vs
Defendant ____________________________________________________ Alias ________________________________
Date of Birth _________________________ Sex ______ Race ________ SSN: _________________________________
On the ___________ day of _______________________, 200___,
{
{
{
{
X__________________________________________
Defendants signature – required for waiver
} “By Agreement” of Counsel
} Waived hearing & admitted violation & to serve original sentence.
} Admitted the Violation & agreement of State; { } to be heard by Court
} After hearing, the defendant is found to be;
{ } in violation
{ } not in violation, warrant dismissed
** Convicted Offense _________________________________________________
________________________________________________________________
( XXXX ) FELONY
(
) MISDEMEANOR
** ORIGINAL SENTENCE LENGTH: ___________________________________________
_________________________________________________________________
{
} Probation Revoked
{ } Full Revocation; Serve Original Sentence Imposed
{ } Partial revocation: Serve _______ years ________ months _______ days – { } (day for day) / {
{ } Workhouse
{ } T.D.O.C.
{ } County Jail
} Remainder of Sentence:
{ } Probation
{
{ } Reinstate to Probation
{see below}
{
{
{ } Community Corrections
{ } Termination
} Transfer to Community Corrections Program/Supervision for Drug Court Prog.
} Community Corrections Revoked
{ } Full Revocation; Serve Original Sentence Imposed or as Modified
{
{
} Partial Revocation: serve _____ years _______ months ______ days
{
{ } Remainder of Sentence: { } Probation
} Reinstate to Community Corrections Program
Credit for time served:
{
} at ________%)
{
} County Jail
} Re-Sentence to _____ yr ______ mo. _____days
{
} County Jail {
} Community Corrections {
{ } Transfer to Probation
{
} Workhouse {
} T.D.O.C.
} Terminated
} Community Corrections Program
From _____/_____/_____ to _____/_____/_____.
From _____/_____/_____ to _____/_____/_____.
Total days credited _________________________________
SPECIAL CONDITIONS: Participate in the 21st Drug Court Program. Eligible for furlough consideration
pursuant T.C.A. 40-35-316 after the service of 90 {ninety} days or until further orders of the Drug Court. {See
Attached Participant Consent Form}
DATE OF ENTRY
_________________________
JUDGE’S NAME
_____________________________________
ATTY. FOR STATE {OPTIONAL}
____________________________________
JUDGE’S SIGNATURE
___________________________________________
ATTY. FOR DEFENDANT {OPTIONAL}
revised 2-03
American LegalNet, Inc.
www.USCourtForms.com
