Expression, Additional Conditions of Release

• Legal Form Number: AO 199B
• Court: United States Federal Court
• Section: United States Federal Court

AO 199B(Rev. 12/20) Additional Conditions of Release

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of

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ADDITIONAL CONDITIONS OF RELEASE

Pursuant to 18 U.S.C. § 3142(c)(1)(B), the court may impose the following least restrictive condition(s) only as necessary to reasonably assure the

appearance of the person as required and the safety of any other person and the community.

IT IS FURTHER ORDERED that the defendant’s release is subject to the conditions marked below:

(

)

(6)

The defendant is placed in the custody of:

Person or organization

Address (only if above is an organization)

City and state Tel. No.

who agrees to (a) supervise the defendant, (b) use every effort to assure the defendant’s appearance at all court proceedings, and (c) notify the court

immediately if the defendant violates a condition of release or is no longer in the custodian’s custody.

Signed:

Custodian

Date

(

)

(7)

The defendant must:

(

)

(a)

submit to supervision by and report for supervision to the

,

telephone number

, no later than

.

(

)

(b)

continue or actively seek employment.

(

)

(c)

continue or start an education program.

(

)

(d)

surrender any passport to:

(

)

(e)

not obtain a passport or other international travel document.

(

)

(f)

abide by the following restrictions on personal association, residence, or travel:

(

)

(g)

avoid all contact, directly or indirectly, with any person who is or may be a victim or witness in the investigation or prosecution,

including:

(

)

(h)

get medical or psychiatric treatment:

(

)

(i)

return to custody each

at

o’clock after being released at

o’clock for employment, schooling,

or the following purposes:

(

)

(j)

maintain residence at a halfway house or community corrections center, as the pretrial services office or supervising officer considers

necessary.

(

)

(k)

not possess a firearm, destructive device, or other weapon.

(

)

(l)

not use alcohol (

) at all (

) excessively.

(

)

(m)

not use or u nlawfully possess a narcotic drug or other controlled substances defined in 21 U.S.C. § 802, unless prescribed by a licensed

medical practitioner.

medical practitioner.

(

)

(n)

submit to testing for a prohibited substance if required by the pretrial services o ffice or supervising officer. Testing may be used with

random frequ ency and may 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 not obstruct, attempt to obstruct, or tamper with the efficiency and accuracy

of prohibited substance screening or testing.

(

)

(o)

participate in a program of inpatient or outpatient substance abuse therapy and counseling if directed by the pretrial servic es office or

supervising officer.

(

)

(p)

participate in one of the following location restriction programs and comply with its requirements as directed.

(

)

(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 approved in advance by the pretrial services office or supervising officer; or

(

(

)

)

(iii)

(iv)

Home Incarceration. You are restricted to 24-hour-a-day lock-down at your residence except for medical necessities and

court appearances or other activities specifically approved by the court; or

Stand Alone Monitoring. You have no residential curfew, home detention, or home incarceration restrictions. However,

you must comply with the location or travel restrictions as imposed by the court.

Note: Stand Alone Monitoring should be used in conjunction with global positioning system (GPS) technology.