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Community Corrections as a Direct Commitment Home Detention as a Probation Violation Home Detention as a Term of Probation Work Release for a Probation Violation Work Release Defendant's Name(Required) Prescreen Fee(Required)The above listed Defendant would like to be screened for Community Corrections consideration. He/She has been advised there is a non-refundable $25.00 Prescreen Fee that MUST be paid at the time the request is made OR prior to the pre-screen interview being conducted. If he/she is in custody, payment of the Prescreen Fee MUST be paid at the time of hook-up if it is not paid prior. He/She also understands that a home visit/pre-walk is required as part of the screening process at the convenience of a Field Officer. A prescreen appointment time/date along with necessary paperwork to fill out and bring with them to their appointment will be sent to the address listed above/facility if incarcerated. Allow 60 days for the screening process to be completed. If your client resides in any county other than Boone, a transfer request will be made to the supervising Community Corrections agency that oversees their county of residence, therefore this process may take longer than 60 days. There is a non-refundable $50.00 Transfer Fee that applies when a transfer request is made; this is due in full prior to any transfer request being sent. Please indicate the program you would like your client screened for. Do not indicate multiple programs unless you have previously discussed this with the Work Release Coordinator and/or Home Detention Intake Analyst. I understand Defendant's Date of Birth(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Defendant PhoneDefendant Email Is the defendant currently incarcerated?(Required) Yes No Reason for Referral(Required)InitialReturn to SupervisionVOPCourtesy SupervisionOffensesCause Number(Required) Offense(Required) Level/Class of Offense(Required) Next Court Date(Required) Cause Number Offense Level/Class of Offense Next Court Date Cause Number Offense Level/Class of Offense Next Court Date Cause Number Offense Level/Class of Offense Next Court Date Cause Number Offense Level/Class of Offense Next Court Date Cause Number Offense Level/Class of Offense Next Court Date Is there a plea agreement?(Required) Yes No Related Documents Drop files here or Select files Max. file size: 512 MB, Max. files: 8. ALL of the following supplemental information is REQUIRED with submission of your referral: *For an INSTANT OFFENSE – Order Finding Probable Cause, Charging Information, Probable Cause Affidavit/Police Report, Plea Agreement (if available), PSI (if available) *For a PROBATION VIOLATION – ALL pending Violations, Conditions of Probation, Sentencing Order/Judgment of ConvictionCommentsReferral Source(Required)Courts/Probation/ProsecutorOther Community Corrections AgencyDefense AttorneyReferral Name(Required) Referral Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Referral Phone(Required)Referral FaxReferral Email(Required) Consent(Required) I confirm that this information is accurate and completeUntitled First Choice Second Choice Third Choice Programs, Services, & Resources Advisory Board Community Transition Day Reporting Forensic Diversion Forms Referral Form GPS Monitoring M.A.T. Pre-Trial Supervision Sleep Time Monitoring Work Release Boone County Drug Court Our Office Hours Mon-Fri 8am-4pm 127 West Main St, Suite #200 Lebanon, IN 46052 Michael Nance Executive Director Phone: 765-482-2484 Fax: 765-483-6026 [email protected] ~|elegant-themes~|elegant-themes-icon~| Looking for Someone? Visit our office directory. Board Members Visit Office Directory ~|elegant-themes~|elegant-themes-icon~| Meetings & Events Visit our calendar and read previous meeting minutes. Meetings & Events Page Boone County Government. All Rights Reserved.