 |
New York Codes Rules Regulations (Last Updated: March 27,2024) |
 |
TITLE 22. Judiciary |
|
|
Subtitle D. Forms |
|
|
Chapter VI. Forms for Use in Courts Exercising Criminal Jurisdiction |
|
|
15 Elimination or relaxation of conditions of probation |
|
Form 15 (Elimination or Relaxation of Conditions of Probation) 1/87 ELIMINATION OR RELAXATION OF SPECIFIED CONDITIONS OF PROBATION APPLICATION STATE OF NEW YORK ) ) ss.: COUNTY OF __ ) _________, being duly sworn, deposes and says: I am a probation officer with the Department of Probation. I am responsible for [County] supervising the probation of [Name of Probationer] who was convicted of (adjudicated a youthful offender for the act of) [Date of conviction], on [Name of Court] by the __, and was sentenced by [Name of Judge/Justice] to __. Based upon the following ( ) new information ( ) change in circumstances , pursuant to C.P.L. §§ 410.20 and 410.40, the Department [County] of Probation respectfully requests that probationer's conditions of probation be modified as follows (Signature) Sworn to before me this __ day of __, 19. Notary Public - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - COURT ORDER The above application by the Department [County] of Probation is granted to the extent that, effective as of __ 19 , the conditions of probation are modified as follows Judge (Justice) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOTICE TO PROBATIONER YOU HEREBY ARE NOTIFIED THAT YOUR CONDITIONS OF PROBATION HAVE BEEN MODIFIED AS SET FORTH IN THE ABOVE ORDER, EFFECTIVE AS OF THE DATE SPECIFIED IN SUCH ORDER. Notification mailed ( ) served upon ( ) probationer: __, 19 |