Appendix H-11.  


DP 2.2(5.74)
COURT ORDER FOR INVESTIGATION AND REPORT
DATE: _________
TO: NAME OF PROBATION AGENCY
FROM: JUDGEem; COURT PART (DOCKET# OR
INDICTMENT# OR
PETITION#)
DEFENDANT'S/RESPONDENT'S NAME LAST FIRST M.I
DATE OF BIRTH/AGE
 
ADDRESS:
 
 
NO.
 
STREET
 
APT. NO.
 
CITY/BOROUGH/VILLAGE
CONVICTED OF
(CRIMINAL MATTERS)
 
OR ADJUDICATED AS:
 
OR (FAMILY COURT MATTERS)
DATE OF CONVICTION/ADJUDICATION: __/ __/__
 
MO.
 
DAY
 
YR.
BY: PLEA □
 
TRIAL □
 
OR ADJUDICATION □
CUSTODY STATUS: ________ BAIL □ R.O.R. □ DETENTION □
RETURN DATE: __ /__ / __
 
MO.
 
DAY
 
YR.
SPECIFIC INSTRUCTIONS:
□ INSTRUCTED TO REPORT TO PROBATION DEPARTMENT ON date AT (specify a.m. or p.m.) time
 
OR
□ TO AWAIT CONTACT BY PROBATION DEPARTMENT
BY: _____________
NOTE: PLEASE ATTACH COPY OF INFORMATION/PETITION, STATEMENT, R.O.R REPORT, FINGERPRINT RECORD, ETC.