New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter VI - Forms For Use In Courts Exercising Criminal Jurisdiction
Form 9 - Conditions of probation

Current through Register Vol. 45, No. 52, December 27, 2023

Sec. 410.10 C.P.L. FORM 9

Sec. 65.10 P.L. (Conditions of

Probation)

5/85

ADVISEMENT TO DEFENDANT

YOUR FAILURE TO CONFORM TO ANY OF THE FOLLOWING CONDITIONS OF YOUR PROBATION, INCLUDING THE FAILURE TO REPORT TO YOUR PROBATION OFFICER, IS A VIOLATION OF PROBATION.

YOU HAVE A RIGHT TO BE PRESENT AT ANY HEARING TO DETERMINE WHETHER A VIOLATION OF PROBATION HAS OCCURRED. IF YOU INTENTIONALLY ABSENT YOURSELF FROM THE COURT'S JURISDICTION OR INTENTIONALLY FAIL TO APPEAR AT A VIOLATION OF PROBATION HEARING, A HEARING MAY BE HELD IN YOUR ABSENCE AND A REVOCATION OF YOUR PROBATION MAY RESULT.

________ COURT OF ________

COUNTY OF ________

________ x

PEOPLE OF THE STATE OF NEW YORK,

Ind./Docket No. ________

- against -

CONDITIONS OF PROBATION

________,

Defendant.

________ x

THE ABOVE-NAMED DEFENDANT HAVING BEEN

________ convicted of the crime of ____________

________ found to be a youthful offender for the criminal act of ____________

____________

in the criminal action entitled above,

and having been sentenced to:

________ a ________ term of imprisonment, and to

________ a ________ year period of probation to expire on ________, unless terminated sooner in accordance with the Criminal Procedure Law

________ and to pay a fine in the amount of $ ________,

it is

ORDERED that during the period of probation the defendant shall comply with the following conditions and any other conditions which the Court may impose at any time prior to the expiration of the period of probation:

PROBATION CONDITIONS:-THE PROBATIONER SHALL:

1. Report to a probation officer as directed by the Court or the probation officer and permit the probation officer to visit his or her place of abode or elsewhere.

A) Report immediately to ____________

B) Upon release from custody report immediately to ____________

____________

2. Remain within the jurisdiction of the Court unless granted permission to leave by the Court or the probation officer.

3. Answer all reasonable inquiries by the probation officer and notify the probation officer prior to any change in address or employment.

________ 4. Refrain from violating any federal, state or local law; notify the probation officer if arrested or questioned by any law enforcement official.

________ 5. Avoid injurious or vicious habits.

________ 6. Refrain from frequenting unlawful or disreputable places.

________ 7. Refrain from consorting with disreputable persons.

________ 8. Work faithfully at a suitable employment or pursue a course of study or vocational training that can lead to suitable employment.

________ 9. Support his or her dependents and meet other family responsibilities.

________10. Undergo available medical or psychiatric treatment and remain in a specified institution when required for that purpose or directed by the Court or probation officer.

________11. Participate in an alcohol or substance abuse program approved by the Court.

________12. Make restitution or reparation in the amount of $ ________, for the benefit of

Name of Victim,

at a rate of $________ per

____

Time Frame, to be paid in full by

Date Prior to Expiration of Sentence.

Pay such restitution or reparation together with a designated surcharge of $________,

to

____________

Name of Restitution Agency

________13. Perform services for a public or not-for-profit corporation, association, institution or agency, as follows:

____________

____________

________14. Spend a specified part of this sentence at a division for youth facility or attend a nonresidential program pursuant to P.L. §65.10(2)(i), as follows:

____________

____________

________15. Post a bond or security in the amount of $ ________ for the performance of any or all conditions imposed.

________16. Observe the specified conditions of conduct as set forth in an order of protection issued pursuant to CPL §530.12.

________17. Comply with the following conditions which the court deems to be reasonably related to his or her rehabilitation:

____________

____________

________18. Obey the directions given by the probation officer to insure compliance with the Conditions of Probation.

E N T E R

Dated: ________, New York

________, 19________

______________

Justice/Judge

RECEIPT

I have this day received a copy of the foregoing Conditions of Probation.

______

Dated:

______________

Defendant (Signature)

______________

Witness (Court Clerk) (Signature)

Sec. 410.10 C.P.L. Forma 9

Sec. 65.10 P.L. (Condiciones de

Probatoria)

5/85

NOTIFICACION AL ACUSADO

SU INCUMPLIMIENTO CON CUALQUIERA DE LAS SIGUIENTES CONDICIONES DE SU PROBATORIA, INCLUYENDO EL NO REPORTAR A SU OFICIAL DE PROBATORIA, ES UNA VIOLACION DE PROBATORIA.

USTED TIENE EL DERECHO DO ESTAR PRESENTE EN CUALQUIER VISTA PARA DETERMINAR SI HA OCURRIDO UNA VIOLACION DE PROBATORIA. SI USTED INTENCIONALMENTE SE AUSENTA DE LA JURISDICCION DE LA CORTE O INTENCIONALMENTE FALLA DE COMPARECER EN UNA VISTA DE VIOLACION DE PROBATORIA, UNA VISTA EN SU AUSENCIA SE PUEDE LLEVAR ACABO LO CUAL PUEDE RESULTAR EN REVOCAR SU PROBATORIA.

________ CORTE DE ________

CONDADO DE ________

________ x

CIUDADANOS DEL ESTADO DE NUEVA YORK,

- contra - Causa/Registro No. ________

CONDICIONES DE

________, PROBATORIA

Acusado.

________ x

EL MAS-ARRIBA MENCIONADO ACUSADO HABIENSO SIDO

________ convicto del crimen de ____________

________ habiendo sido encontrado como delincuente juvenil por el acto, criminal de ________ en la accion criminal mas arriba citada, y habiendo sido sentenciado a:

________ a ________ termino de encarcelacion, y a

________ a ________ ano( ) periodo de probatoria que expirara en ________ a no ser que sea terminada antes de su expiracion, de acuerdo con la Ley del Codigo Penal

________ y de pagar una multa en la cantidad de $ ________

asi se

ORDENA que durante el periodo de Probatoria el acusado debera cumplir con las siguientes condiciones y cualquiera otras condiciones que la Corte pueda imponer en cualquier tiempo antes de que expire el periodo de probatoria:

CONDICIONES DE PROBATORIA:-LA PERSONA EN PROBATORIA DEBERA:

1. Reportar a un oficial de probatoria, como asi ordenado por la Corte o el oficial de probatoria, y permitir al oficial de probatoria el visitar su lugar de residencia o cualquier otro lugar.

A) Reportar inmediatamente a ____________

B) Al ser puesto en libertad reportar inmediatamente a ____________

____________

2. Permanecer dentro de la jurisdiccion de la Corte a no ser que la Corte o el oficial de probatoria le haya dado permiso a ausentarse.

3. Contestar razonablemente todas las preguntas del oficial de probatoria y notificar al oficial de probatoria antes de que se efectue cualquier cambio de direccion o empleo.

4. Refrenarse de violar cualquier ley federal, estatal o local; notificar al oficial de probatoria si usted es arrestado nuevamente o interrogado por cualquier agente de la ley.

5. Evitar habitos nocivos o viciosos.

6. Refrenarse de visitar lugares ilegales o de dudosa moralidad.

7. Refrenarse de tratar a personas de mala reputacion.

8. Trabajar puntualmente en un empleo apropiado o seguir un curso de estudios o entrenamiento vocacional que pueda conducir a un empleo adecuado.

9. Mantener financieramente a sus dependientes y hacerse cargo de otras responsabilidades familiares.

10. Someterse a tratamiento medico o siquiatrico disponible y permanecer en una institucion especifica, cuando es requerido para ese proposito, o ordenado por la Corte o el oficial de probatoria.

11. Participar en un programa de rehabilitacion alcoholica o de drogas aprobado por la Corte.

12. Indemnizar o compensar en la cantidad de $ ________ para el beneficio de

(I) [FN3] ( ____________ and I jointly and severally) undertake that defendant will appear in

de $________ por

(I) [FN3] ( ____________ and I jointly and severally) undertake that defendant will appear in

(I) [FN3] ( ____________ and I jointly and severally) undertake that defendant will appear in

indemnizacion o compensacion, junto con un sobrecargo designado de $____________, a

_________________

(Nombre de la Agencia de Compensacion)

13. Prestar sus servicios, sin remuneracion, a una corporacion sinfines-lucrativos, agencia publica, asociacion o institucion, como sigue:____________

14. Pasar una parte especifica de esta sentencia en una facilidad de la Division Juvenil o atender un programa no-residencial de acuerdo al P.L. §65.10(2)(i), como sigue:

____________

15. Fijar un deposito o fianza en la cantidad de $ ________ para asegurar la ejecucion de cualquiera o todas las condiciones impuestas.

16. Observar las condiciones especificas de conducta puestas en vigencia por una orden de proteccion emitida de acuerdo a la LCP §530.12.

17. Cumplir con las siguientes condiciones que la Corte estime razonablemente relacionadas con su rehabilitacion:

____________

18. Obedecer las direcciones dadas por el oficial de probatoria para asegurar el total cumplimiento de las Condiciones de Probatoria.

ENTRADA

Fechado: ________, Nueva York

________, 19 ________

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

______________

Magistrado/Juez*

RECIBO

Yo, en este dia, he recibido una copia de las mas arriba mencionadas Condiciones de Probatoria.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

____________

Fechado:

______________

Acusado (Firma)*

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

______________

Testigo (Escribano de la Corte) (Firma)*

THIS FORM IS FOR INFORMATIONAL PURPOSES ONLY; ONLY THE OFFICIAL ENGLISH VERSION OF THE FORM SHOULD BE SIGNED.

ESTA FORMA EN ESPANOL ES SOLAMENTE PARA SU CONOCIMIENTO; SOLAMENTE LA VERSION EN INGLES REQUERIRA SU FIRMA.

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