Nebraska State Court Form CC 6:14 Rev. 04/14 ORDER OF PROBATION Neb. Rev. Stat. §29-2262 IN THE COUNTY COURT OF ________________________ COUNTY, NEBRASKA THE STATE OF NEBRASKA, Plaintiff vs. ORDER OF PROBATION _ Defendant THIS CASE CAME ON FOR SENTENCING on this _____ day of __________, 20____. The State of Nebraska was represented by ___________________ of _________________ County, Nebraska, and the defendant was present and ( ) represented by _____________________ ( ) waived counsel after advice of the right to counsel. The Honorable _______________________ presided. The Court found the defendant guilty of ________________________________________________________________ ___________________________________________ on _________, 20____. The defendant was allowed allocution and showed no sufficient reason why sentence should not be pronounced. IT IS THEREFORE ADJUDGED that the defendant shall serve _____________ months/years on [ ] Traditional Supervision Probation [ ] Intensive Supervision Probation/Community Based Intervention. During the term of probation, the defendant shall: 1. Obey all city ordinances, the laws of any state, and the laws of the United States, and report any arrest, citation, or any other contact with law enforcement to the probation officer by the next regular probation office business day. Avoid social contact with persons having criminal records, or on probation or parole, except by permission from the Court or probation officer, and not be present where illegal activity is taking place. Report as directed by the Court or probation officer and permit the probation officer to visit the defendant at all times and places. Reside within the State of Nebraska, or __________________, except as authorized by the probation officer, obtain permission from the probation officer prior to any change in address or employment, and not leave the State of Nebraska without advance permission from the Court or probation officer. Obtain and maintain suitable employment, or regularly attend school/vocational training, unless exempted by the Court or probation officer, meet the defendant's family responsibilities, and make no changes in the defendant's school or work program without prior permission from the probation officer. 2. 3. 4. 5. Order of Probation CC 6:14 Rev. 04/14 1 American LegalNet, Inc. www.FormsWorkFlow.com 6. Cooperate in all matters which may affect this probation, and truthfully answer all inquiries from the probation officer. Pay $30.00 Probation Administrative Enrollment fee today. Not own or possess a firearm, ammunition, or dangerous weapon in accordance with federal law, and, if convicted of an offense not covered by federal law, not possess a firearm, ammunition, or any dangerous weapon without written permission from the Court. Abstain from the use or possession of alcohol and controlled substances, except by prescription; not be present in any location where the primary business is to serve alcohol, nor attend any social function at which alcoholic beverages are served, without permission of the probation officer; and, submit to random chemical testing of the defendant's blood, breath, or urine to determine the presence of alcohol and/or controlled substances as directed by the Court or probation officer, or a law enforcement officer who has been authorized and directed by the probation officer. Submit to random searches and seizures of the defendant's person, premises, or vehicle/s upon request of a probation officer or a law enforcement officer who has been authorized and directed by the probation officer. Unless otherwise ordered, pay all fines(s), court costs, restitution, probation programming fees, drug testing fees, offender assessment screens, evaluations, and other rehabilitation services in equal monthly payments, and have all financial obligations and other conditions of probation completed not later than thirty (30) days before to the end of the probation term. Pay to the court clerk: a. Court costs: $_______ 7. 8. 9. 10. 11. 12. [ ] by ____________________, 20____. [ ] to be taken from bond deposit with any balance released. b. Restitution: $_________ [ ] for distribution to_______________________. c. Chemical Testing: $5.00 per month for a total of $____________. d. Probation Programming fees of $________ per month for a total of ____________. The balance of $_________ per month of the regular probation programming fee is waived. e. Offender Assessment: $______________ by __________, 20_____. f. Fine(s): I: $____________, II. ____________, III. ____________ by________________, 20_____. g. Electronic Monitoring/GPS: $_________ per day for a total of $_________. h. Other: ______________________________________________. Order of Probation CC 6:14 Rev. 04/14 2 American LegalNet, Inc. www.FormsWorkFlow.com The following special conditions have been added by the Court to further the rehabilitation of the Defendant: 13. Jail: [ ] a. Serve _______days in the _________ County jail beginning ______________, 20_____ with eligibility to earn _________days' good time. [ ] b. Serve the following terms of confinement in the ________County jail: [ ] _____ days beginning _________________, 20____. [ ] _____ days beginning _________________, 20____. [ ] _____ days beginning _________________, 20____. These periods of confinement may be waived, all or in part, by the Court. [ ] c. Other: _____________________________________________________ __________________________________________________________ __________________________________________________________ 14. Treatment: [ ] a. Submit to a chemical dependency evaluation under the Nebraska Standardized Model within _______days, and, [ ] follow the treatment recommendations of the evaluation, or [ ] after review and/or further hearing, the Court may amend this condition/sentence to include any treatment reasonably related to the rehabilitation of the defendant. The defendant shall not change treatment programs without prior approval of the probation officer. [ ] b. Satisfactorily complete an outpatient treatment program for chemical dependency with a registered provider in accordance with the Standardized Model, including any continuing care. The defendant shall not change treatment programs without prior approval of the probation officer. [ ] c. Satisfactorily complete an intensive outpatient chemical dependency treatment program with a registered provider in accordance with the Standardized Model, inc