COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. WASHINGTON COUNTY ADULT PROBATION & PAROLE OFFICE : Index No. 90 West Chestnut Street Millcraft Center, Room 220 E.W., 2nd Floor, Washington, PA 15301 : Calendar No. Phone: 724/228-5886 Fax: 724/228-9306 Toll Free: 1-800-619-9904 : Plaintiff(s) JUDICIAL SUBPOENA I have read (or had read to me) these Conditions, and I will comply with them and any special conditions (such as evaluation or -against: treatment) that the Court or my probation officer imposes. If I comply, I will be discharged from supervision when my term expires. If I fail to comply, my case may be revoked and I may be arrested and detained pending the revocation hearing. If I am enrolled in : the ARD Program and fail to comply, my probation officer may petition the District Attorney’s Office to have my ARD status revoked. : DATE: CLIENT: Defendant(s) : ...................................................... DATE: WITNESS: THE PEOPLE OF THE STATE OF NEW YORK CONDITIONS OF PROBATION/PAROLE/IPP/ARD 1. Report to your PO (Probation/Parole Officer) as directed and permit a PO to visit you at your residence and submit to TO warrantless searches of your residence, vehicle, property, and/or your person (including drug/alcohol testing). 2. Do not violate any criminal laws or ordinances. Notify your PO within 72 hours of any new arrest or citation or any other contact with law enforcement. GREETINGS: 3. 4. Notify your PO within 72 hours of any significant change in employment. You must show pay stubs to your PO to WE COMMAND YOU, hours. If unemployed, you must seek aside, you and each your PO. verify your employment and workthat all business and excuses being laidwork as instructed byof you attend before , the Honorable at the Court located at County of reside at the address you reported to your PO and may not move without approval from your PO. In an You must inemergency, notify on the within 24 hours of the reason forat move and your the address. and at request, you room , your PO day of , 20 , the o'clock in new noon, Upon any recessed must list all date, to testify and give evidence as a witness in this action on the part of the persons staying at or visiting your residence. or adjourned 5. Your PO must give permission whenever you plan to stay overnight away from your listed address. You may not leave Pennsylvania without a written travel permit from your PO. 6. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Do not possess a firearm or other dangerous weapon. You will be in violation if there are any firearms or other the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a dangerous weapons in your residence, on your person, or in your vehicle. result of your failure to comply. 7. Do not display assaultive, threatening, or harassing behavior. Witness, Honorable 8. , one of the Justices of the Do Courtnot unlawfully possess or use any controlled substance. Do not abuse any prescribed medication. Notify your PO in County, day of , 20 of any medications that you are taking upon request or upon urinalysis or other drug/alcohol testing. 9. Do not possess, purchase, or use alcoholic beverages. Do not enter bars or taverns. 10. Avoid unlawful and disreputable places and people. Avoid any specific persons, places, groups, or locations if so instructed by your PO. 11. It is your responsibility to make payments as scheduled to the Attorney(s) for You may request a payment extension Clerk of Courts. if you are unable to pay the scheduled amount, but you must show that you have made a good-faith effort to comply. You will be charged with Contempt of Court if you do not fulfill your payment obligations. 12. The Ignition Interlock Law (Act 63 of 2000) may apply to you. See the Ignition Interlock Restricted License FAQ sheet for details. Notify your PO if you did not receive the FAQ sheet. Office and P.O. Address (Attorney must sign above and type name below) YOUR RIGHTS: If you believe that your PO has violated your rights, you may make a written report to the PO’s Supervisor. You must be specific about when and where the violation occurred and the details. Anonymous complaints will Telephone No.: not be considered. You will receive written notice of your rights regarding any arrest or revocation proceedings. Facsimile No.: ** ALL NON-ARD DUI DEFENDANTSE-Mail Address: – SEE REVERSE SIDE ** Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : IF YOU WERE ARRESTED AND CONVICTED FOR DUI ON OR AFTER DECEMBER 15, 1990, YOU Calendar No. MUST DO ALL OF THE FOLLOWING BEFORE YOUR DRIVER’S LICENSE CAN BE RESTORED AFTER : YOUR SUSPENSION PERIOD UNDER ACT 122. JUDICIAL SUBPOENA Plaintiff(s) 1. -against: You must complete all treatment as ordered by the court and as defined by the treatment agency for alcohol/drug abuse (e.g. attend all scheduled group therapy session) within the first six (6) months of your : supervision. 2. : You must pay to the treatment agency all costs, which are related to your treatment. 3. Defendant(s) : . .You .must .pay . . .Washington .County .all. fines, . . . . . . fees,. etc. related to your DUI Conviction. . . . . . . . . . . to . . . . . . . . . . . . . . . . . . . . . . costs, . . . . . AFTER YOU COMPLETE THESE REQUIREMENTS, the Washington County Adult Probation Office, on your behalf, will petition thePEOPLE OF THE STATE OFall parties that you are eligible to have your license restored after the THE sentencing court to inform NEW YORK suspension period if you: TO 1. Obtain a letter from the treatment agency, which notes that you have completed treatment and have paid all treatments costs. 2. 3. Obtain an Act GREETINGS: 122 Affidavit from the Washington County Clerk of Courts, which notes that you have paid all costs, fines, fees, etc., related to your DUI conviction or ordered treatment. (Regular payment receipts are not acceptable). WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Bring this located at County of information to the Adult Probation Office and sign the Act 122 Order that is to be sent to the insentencing judge. the room , on day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the If you have completed your requirements but are unable to obtain the described letter or Act 122 Affidavit, contact your probation/parole officer. A hearing before the sentencing court can be scheduled to review your situation and determine if you have complied. comply with this subpoena is punishable as a contempt of court and will make you liable to Your failure to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Also, please note your your attorney can perform these services to you. result of that failure to comply. Witness, Honorable , one of the Justices of the NOT Court IF YOU DO County,FOLLOW THESE ,INSTRUCTIONS in day of 20 AS SOON AS POSSIBLE, YOUR PENNSYLVANIA DRIVER’S LICENSE WILL NEVER BE RESTORED. (Attorney must sign above and type name below) BY SIGNING BELOW, I HAVE READ AND UNDERSTAND MY OBLIGATION REGARDING THE ACT 122 DUI LICENSING REQUIREMENTS. Attorney(s) for Office and P.O. Address CLIENT DATE WITNESS Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com