subject_line
JUDICIAL SERVICES GROUP, LTD.
Offender Information
First Name
*
Last Name
*
Street Address
Address Line 2
City
*
State
Michigan
Zip Code
*
Phone Number
*
Email Address
Court Information
Case Number
*
Judge's Name
*
Reason for Order
*
Condition of Probation
Sentencing
Condition of Bond
Other
If Other, enter details.
Probation Officer
PO Telephone No.
PO Email Address
Misc Info
OFFENDER ALLOWED TO ATTEND THE FOLLOWING
*
NO RESTRICTIONS
Work
School
Church
AA Meetings
NA Meetings
Treatment/Counseling
Medical Appointment
Other
Testing Requirements if on Soberlink PBT
1 test per day
2 test per day
3 tests per day
4 test per day
Other
If Other, enter details
Type of Device Required
Select Tether Device Type
*
SCRAM CAM Alcohol Tether $10 per day
Soberlink PBT $6.50 per day
SCRAM Remote Breath PBT $8.00 per day
GPS Ankle Tether $10 per day
GPS Ankle Tether with Victim Device $18 per day
How long is offender required to wear/use device?
*
30 Days
60 Days
90 Days
120 Days
1 Year
Until Further Notice
Other
If Other, enter details.
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