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Probation
Supervision Report
Name:*
Probation Officer:*
Carolyn Clifton
Joe Goodrid
Andrea Turner
Mary Zakrzewski
Address:*
Apt.
City:*
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Zip:*
Birthday: (mm/dd/yy)
Is this a new address?
Yes
No
Home #:
Work #:
Mobile #:
Name of person you are living with:*
Relationship:*
Do they know you are on probation?
Yes
No
Are you a student?
Yes
No
If yes, where?
Name of employer:
Position:
Does your employer know you are on probation?
Yes
No
Hourly rate/salary:
Do you plan to take another job in the next 30 days?
Yes
No
If yes, explain:
Do you receive government assistance?
Yes
No
Weekly/monthly amount:
Do you receive food stamps?
Yes
No
Weekly/monthly amount:
Do you plan to leave the state or country in the next 30 days?
Yes
No
If yes, explain:
Have you had any police contact/arrests since your last report?
Yes
No
Have you received any traffic tickets or other violations since your last report?
Yes
No
If yes, explain:
Do you have any pending cases with other courts?
Yes
No
If yes, court:
Offense:
Are you on probation/parole with another department?
Yes
No
If yes, name of court and probation/parole officer:
If you have any special problems or wish to make any comments, indicate below:
The above information is true to the best of my knowledge.
e-mail address:
Submit
*Required
Did You Know?
The City of Southfield was the first city in the State of Michigan to hold a Dr. Martin Luther King, Jr. Peace Walk Celebration in commemoration of the first national holiday observance in 1986.
The City of
Southfield
has more than 700 acres of park land as well as two public nine-hole golf courses.
Southfield Flower Day was developed by the Mayor and City Council to promote curb appeal and beautification efforts throughout the City of
Southfield
.
There are 32 miles of rivers and streams in
Southfield
, and the City hosted the 1
st
annual Rouge River Cleanup over 35 years ago.
Related Links
State Court Administrative Office approved forms
Oakland County Courts