Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Additional Conditions Of Release Form. This is a Official Federal Forms form and can be use in Administrative Office - Criminal Federal District.
Loading PDF...
Tags: Additional Conditions Of Release, AO 199B, Official Federal Forms Federal District, Administrative Office - Criminal
AO 199B (Rev. 03/09) Additional Conditions of Release
Page
Pages
of
ADDITIONAL CONDITIONS OF RELEASE
Upon finding that release by one of the above methods will not by itself reasonably assure the defendant’s appearance and the safety of other persons or the community,
IT IS FURTHER ORDERED that the defendant’s release is subject to the conditions marked below:
(
) (7) The defendant is placed in the custody of:
Person or organization
Address (only if above is an organization)
City and state
Tel. No. (only if above is an organization)
who agrees (a) to supervise the defendant in accordance with all of the conditions of release, (b) to use every effort to assure the defendant’s appearance at all scheduled court
proceedings, and (c) to notify the court immediately if the defendant violates any condition of release or disappears.
Signed:
(
Custodian or Proxy
) (8) The defendant must:
( ) (a) report to the
,
telephone number
, no later than
.
( ) (b) execute a bond or an agreement to forfeit upon failing to appear as required the following sum of money or designated property:
Date
(
) (c)
post with the court the following proof of ownership of the designated property, or the following amount or percentage of the above-described sum
.
execute a bail bond with solvent sureties in the amount of $
.
maintain or actively seek employment.
maintain or commence an education program.
surrender any passport to:
obtain no passport.
abide by the following restrictions on personal association, place of abode, or travel:
(
(
(
(
(
(
) (d)
) (e)
) (f)
) (g)
) (h)
) (i)
(
) (j)
avoid all contact, directly or indirectly, with any person who is or may become a victim or potential witness in the investigation or
prosecution, including but not limited to:
(
) (k)
undergo medical or psychiatric treatment:
(
) (l)
return to custody each (week) day at
schooling, or the following purpose(s):
(
(
(
(
) (m)
) (n)
) (o)
) (p)
(
) (q)
(
) (r)
(
) (s)
(
) (t)
maintain residence at a halfway house or community corrections center, as the pretrial services office or supervising officer considers necessary.
refrain from possessing a firearm, destructive device, or other dangerous weapons.
refrain from ( ) any ( ) excessive use of alcohol.
refrain from use or unlawful possession of a narcotic drug or other controlled substances defined in 21 U.S.C. § 802, unless prescribed by a licensed medical
practitioner.
submit to any testing required by the pretrial services office or the supervising officer to determine whether the defendant is using a prohibited substance. Any
testing may be used with random frequency and include urine testing, the wearing of a sweat patch, a remote alcohol testing system, and/or any form of
prohibited substance screening or testing. The defendant must refrain from obstructing or attempting to obstruct or tamper, in any fashion, with the efficiency
and accuracy of any prohibited substance testing or monitoring which is (are) required as a condition of release.
participate in a program of inpatient or outpatient substance abuse therapy and counseling if the pretrial services office or supervising officer considers it
advisable.
participate in one of the following location monitoring program components and abide by its requirements as the pretrial services officer or supervising
officer instructs.
( ) (i) Curfew. You are restricted to your residence every day ( ) from
to
, or ( ) as directed by the pretrial
services office or supervising officer; or
( ) (ii) Home Detention. You are restricted to your residence at all times except for employment; education; religious services; medical, substance abuse,
or mental health treatment; attorney visits; court appearances; court-ordered obligations; or other activities pre-approved by the pretrial services
office or supervising officer; or
( ) (iii) Home Incarceration. You are restricted to 24-hour-a-day lock-down except for medical necessities and court appearances or other activities
specifically approved by the court.
submit to the location monitoring indicated below and abide by all of the program requirements and instructions provided by the pretrial services officer or
supervising officer related to the proper operation of the technology.
The defendant must pay all or part of the cost of the program based upon your ability to pay as the pretrial services office or supervising officer
( )
determines.
(
(
(
(
(
(
)
)
)
)
)
(i)
(ii)
(iii)
(iv)
(v)
o’clock after being released each (week) day at
o’clock for employment,
Location monitoring technology as directed by the pretrial services office or supervising officer;
Radio Frequency (RF) monitoring;
Passive Global Positioning Satellite (GPS) monitoring;
Active Global Positioning Satellite (GPS) monitoring (including “hybrid” (Active/Passive) GPS);
Voice Recognition monitoring.
) (u)
DISTRIBUTION:
COURT
DEFENDANT
PRETRIAL SERVICES
U.S. ATTORNEY
U.S. MARSHAL
American LegalNet, Inc.
www.FormsWorkflow.com
