Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Monthly Supervision Report Form. This is a California form and can be use in US Probation Office Federal.
Loading PDF...
Tags: Monthly Supervision Report, PROB 8, California Federal, US Probation Office
OPROB 8 (Rev. 7/04) U.S. PROBATION OFFICE MONTHLY SUPERVISION REPORT FOR THE MONTH Name: DOB: Court Name (if different): Probation Officer: PART A: RESIDENCE (If new address, attach copy of lease/purchase agreement.) Street Address, Apt. Number: City, State, Zip Code: Secondary Residence: Mailing Address (if different): Own or Rent? E-Mail Address: Own or Rent? Home Phone: Persons Living With You: Did you move during the month? If yes, date moved: Yes No Reason for Moving: Cellular Phone: Pager: PART B: EMPLOYMENT (If unemployed, list source of support under Part D.) Name, Address, Phone No. of Employer: Name of Immediate Supervisor: Is your employer aware of your criminal status: Yes Why? Normal Work Hours: No How many days of work did you miss? Position Held: Gross Wages: Did you change jobs? Were you terminated? Yes Yes No No Mileage: If changed jobs or terminated, state when and why. PART C: VEHICLES (List all vehicles owned or driven by you.) 1. Year/Make/Model/Color: Tag Number: Vehicle I.D.#: Owner: 2. Year/Make/Model/Color: Mileage: Tag Number: Vehicle I.D.#: PART D: MONTHLY FINANCIAL STATEMENT Owner: Net Earnings from Employment: (Attach Proof of Earnings) Other Cash Inflows: TOTAL MONTHLY CASH INFLOWS: TOTAL MONTHLY CASH OUTFLOW: Do you rent or have access to: a post office box? Yes No a safe deposit box? Yes a storage space? Yes No Name and Address of Location: Box No. or Space No Do you have a checking account(s)? Yes No Bank Name: Account No.: Balance Do you have a savings account(s)? Yes No Bank Name: Account No.: Balance Attach a complete listing of all other financial account information, if you have multiple accounts. Does your spouse, significant other, or dependant have a checking or savings account that you enjoy the benefits of or make occasional contributions toward? Yes Bank Name: Account No.: Balance: Description of Item No List all expenditures over $500 (including, e.g., goods, services, or gambling losses) Amount Method of Payment Date American LegalNet, Inc. www.FormsWorkFlow.com OPROB 8 (Rev. 7/04) PART E: COMPLIANCE WITH CONDITIONS OF SUPERVISION DURING THE PAST MONTH Were you questioned by any law enforcement officers? Yes No If yes, date: Agency: Reason: Were you arrested or named as a defendant in any criminal case? Yes No If yes, when and where? Charges: Disposition: (Attach copy of citation, receipt, charges, disposition, etc.) Were any pending charges disposed of during the month? Yes No If yes, date: Court: Disposition: Did you have any contact with anyone having a criminal record? Yes No If yes, whom? Did you possess or use any illegal drugs? Yes If yes, type of drug: Do you have a special assessment, restitution, or fine? Special Assessment: Yes Restitution: No Was anyone in your household arrested or questioned by law enforcement? Yes No If yes, whom? Reason: Disposition: Did you possess or have access to a firearm? Yes If yes, why? Did you travel outside the district without permission? Yes No If yes, when and where? If yes, amount paid during the month: Fine: Page 2 No No NOTE: ALL PAYMENTS TO BE MADE BY MONEY ORDER (POSTAL OR BANK) OR CASHIER'S CHECK ONLY. Do you have community service work to perform? Yes No Number of hours completed this month: Do you have drug, alcohol, or mental health aftercare? Yes No If yes, did you miss any sessions during this month? Yes No Did you fail to respond to phone recorder instructions? Yes No If yes, why? Number of hours missed: Balance of hours remaining: WARNING: ANY FALSE STATEMENTS MAY RESULT IN REVOCATION OF PROBATION, SUPERVISED RELEASE, OR PAROLE, IN ADDITION TO 5 YEARS IMPRISONMENT, A $250,000 FINE, OR BOTH. (18 U.S.C. § 1001) I CERTIFY THAT ALL INFORMATION FURNISHED IS COMPLETE AND CORRECT. SIGNATURE REMARKS: RECEIVED: Mail HC RETURN TO: OC CC DATE U.S. Probation Officer Date American LegalNet, Inc. www.FormsWorkFlow.com