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Sentencing Guidelines Worksheet - Forgery And Forgery Uttering Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Sentencing Guidelines Worksheet - Forgery And Forgery Uttering, Wisconsin Statewide, Circuit Court
CCAP Case Number: _____________________________
Sentencing Date: _______________________
County: _____________________________________
Offender Age: __________________________
Forgery & Forgery Uttering, Wis. Stat. § 943.38
(1)(a)
(1)(b)
(1)(c)
(1)(d)
(2)
THIS WORKSHEET ONLY APPLIES TO:
Sentencing Hearings Held On or After 7/1/2005, for TIS–II Offenses (Offenses Committed On or After 2/1/2003).
NOTE A: Where several options are presented, circle one and check Mitigating or Aggravating. [EX. Minimal / Leader ]
NOTE B: Only check Mitigating or Aggravating for those factors that apply. Otherwise, leave the boxes unchecked.
OFFENSE SEVERITY
Characteristics of the Offense
Value of Loss: $ ..................................................................................................................................
Motivated by Need for Basic Necessities ...........................................................................................
Motivated by Greed ............................................................................................................................
Conduct More Serious than Offense of Conviction.............................................................................
Other, specify: ...................................................................................................................................
Degree of Preparation
None or Spontaneous / Some / Extensive..........................................................................................
Method of Access to Property
Borrowed with Permission ..................................................................................................................
Took without Permission.....................................................................................................................
Obtained Through Burglary or Robbery..............................................................................................
Other, specify: ...................................................................................................................................
Type of Harm
None ...................................................................................................................................................
Extreme Emotional Harm....................................................................................................................
Economic Harm: $ ..............................................................................................................................
Other, specify: ...................................................................................................................................
Aggravating Factors, Wis. Stat. § 973.017
N/A
Concealed or Altered Appearance......................................................................................................
Gang-Related Offense........................................................................................................................
Crime Committed to Influence Governmental Policy ..........................................................................
Other, specify: ..................................................................................................................................
Penalty Enhancers, Wis. Stat. § 939
N/A
Repeat Offender (§ 939.62) ......................................................... Pleaded and Proved .....................
Dangerous Weapon (§ 939.63).................................................... Pleaded and Proved .....................
Hate Crime (§ 939.645)................................................................ Pleaded and Proved .....................
Role in Offense
Minimal / Leader .................................................................................................................................
Defendant was Manipulated or Pressured..........................................................................................
Abused Position of Trust / Authority ...................................................................................................
Other, specify: ..................................................................................................................................
Vulnerable Victim
N/A
Mentally Ill...........................................................................................................................................
Cognitively Deficient ...........................................................................................................................
Elderly Victim ......................................................................................................................................
Otherwise Vulnerable, specify: .........................................................................................................
RISK FACTORS
Education
Grade Completed, circle one: –9 9 10 11 12 12+ ..........................................................
Degree Obtained:
None
GED/HSED
High School
College
Currently Enrolled
Employment History
Usually Employed ..............................................................................................................................
Same Employer for Extended Period of Time ...................................................................................
Employed When Offense was Committed or at Time of Sentencing.................................................
Lengthy or Frequent Periods of Unemployment ................................................................................
Wisconsin Sentencing Guidelines Worksheet §943.38
Mitigating
Aggravating
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Mitigating
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Aggravating
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Effective Date of this Revision: 7/1/2005
SEND TO: Wisconsin Sentencing Commission, P.O. Box 7856, Madison, WI 53707-7856
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Criminal Record
Criminal Record Not a Factor, check here
No Criminal Record ..........................................................................................................................
Prior Misdemeanor(s), total number ................. Assaultive Misdemeanors, total number .............
Prior felony or felonies, total number ............... Assaultive Felonies, total number .......................
Prior Offense(s) Similar to Current Offense.......................................................................................
Previously Placed on Community Supervision ..................................................................................
Criminal History Understates / Overstates Risk.................................................................................
On Legal Status / Not on Legal Status when Crime was Committed ................................................
Time Since Most Recent Conviction / Incarceration:
months / yrs.........................................
Mental and Physical Health
Mental Health Problem(s) / Physical Health Problem(s)....................................................................
Treatment for Health Problems..........................................................................................................
Alcohol and Drug Abuse
Under the Influence When the Offense was Committed....................................................................
Frequent Prior Abuse.........................................................................................................................
Prior Treatment ................ Never Treated For Alcohol/Drug Abuse .......................................
Social Factors
Married or Long-Term Relationship ...................................................................................................
Resides With or Supports Children....................................................................................................
Family Support or Other Support Network.........................................................................................
Defendant Suffered Prior Abuse........................................................................................................
Attitude
Remorse ............................................................................................................................................
Accepts Responsibility.......................................................................................................................
Detailed Rehabilitative Plan in Progress............................................................................................
Cooperated with Authorities / Prosecution.........................................................................................
Other, specify: ..................................................................................................................................
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OFFENSE INFORMATION
Percent of Offenders Given
Probation for the Offense since
2/2003 (TIS II effective date):
Penalty Classification Level:
80%
Class H Felony
Permissible Penalties:
Probation
Fine ņ Maximum $10,000
Maximum Imprisonment ņ 6 Years
x Initial Confinement ņ Maximum 3 Years
x Extended Supervision ņ Maximum 3 Years
RECOMMENDED SENTENCE RANGE
RISK FACTORS
OFFENSE SEVERITY
Lesser
Medium
High
Mitigated
____ Probation
____ Prob. – 1 yr confinement
____ Prob. – 2 yrs confinement
Intermediate
____ Probation
____ Prob. – 2 yrs confinement
____ 1 – 2½ yrs confinement
Aggravated
____ Prob. – 1½ yrs confinement
____ 1 – 2½ yrs confinement
____ 2 – 3 yrs confinement
OTHER FACTORS THAT MAY WARRANT SENTENCE ADJUSTMENT
PSI Recommendation ................................................................................................................................
Read-In Offense(s).....................................................................................................................................
Effect of Multiple Counts ............................................................................................................................
Victim Statement ........................................................................................................................................
Restitution Paid Before Sentencing ...........................................................................................................
District Attorney (DA) Recommendation ....................................................................................................
Defense Attorney Recommendation ..........................................................................................................
Other, specify:...........................................................................................................................................
Mitigating
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Aggravating
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Wisconsin Sentencing Guidelines Worksheet §943.38
Effective Date of this Revision: 7/1/2005
SEND TO: Wisconsin Sentencing Commission, P.O. Box 7856, Madison, WI 53707-7856
American LegalNet, Inc.
www.FormsWorkflow.com