Joseline Hernandez Pre-Trial Release Form
Joseline Hernandez Pre-Trial Release Form
Joseline Hernandez Pre-Trial Release Form
1. I agree to report to my CPSS by telephone 2 days a week. If instructed to do so, I agree to report to the Pretrial
Services Office in person Q times E weekly or C monthly. I agree to follow all instructionsas set forth by the
Court and Pretrial Services staff.
2. I agree [lotto leave Broward, Miami-Dade or Palm Beach Counties, Florida orthe County of my residence. I agree not
to change my residence without first obtaining permission from the Court or the Pretrial Services staff. I agree to notify
my CPSS immediately upon any change of address or phone number.
3. agree to obey all City, County, State or Federal laws.
4. agree to attend all Court hearings, unless excused by the Court.
5. agree, if ordered by the Court, to attend any recommended programs.
6. agree to follow all instructions as set forth by the Court, Pretrial Services staff or outside service providers
7. agree to answer promptly and truthfully any and all questions asked of me by the Pretrial Services staff or the Court.
8. agree to allow (at any time and/or unannounced) Pretrial Services and/or Law Enforcementstaff to enter my residence
to monitor program conditions
9. I agree, if ordered by the Court, ngi to possess any firearms, weapons or ammunition and to surrender any that I
possess to the local sheriff's office or police department.
10. I agree and understand that if urinalysis is required, it will be at my own expense unless waived by the Court
11. I agree, if is ordered, to submit findings of the evaluation and complete any recommended
treatment. Further, I agree to provide documentation of attendance/resultsto Pretrial Services staff.
12. I agree that any violation of my Pretrial Services Program conditions may result in the issuance of an arrest warrant and
revocation of release or an Administrative Review where my presence is required.
13. I agree to abide by the following special conditions:
O I shall submit to a evaluation within calendar days from release and submit to any recommended
follow-up treatment.
O l shall not consume alcohol illegal drugs/intoxicants and shall submit to random m Drug ($19.00) %
or
O Alcohol ($12.00) test g[ both n Drug and Alcohol ($29.25) time(s) per (frequency) as ordered
by the Court and shall be required to pay for such tests. O Test Fees Waived
I shall not own or possess any firearms, weapons or ammunition.
I have read or had read to me the above conditions (received a copy) and fully understand and agree to
abide by them.
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Defendant / Client Signatbre CPSS Signature
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