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United States Probation Office
Western District of Oklahoma
Sean Bernhard, Chief Probation Officer
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Forms
Post Conviction Supervision Forms
A
Community Service Log
Employment Search Log
Monthly Supervision Report
Travel Request
Financial
48B-Monthly Cash Flow Statement
48E-Authorization to Access Financial Records
48EZ-Net Worth Short Form
48EZ-S-Net Worth Short Form (48EZ-s-Instrucciones Para Completar La Declaracion Patrimonial Formulario Abreviado
Net Worth Statement
Release
11A-Authorization to Release Military Information
11B-Authorization to Release Drug Abuse Information
11B-S-Authorization to Release Drug Abuse Information (11B-S-Autorizacion Para Revelar Informacion Confidencial Programas En Contra De Abuso De Drogas)
11E-Authorization to Release Substance Abuse Information
11G-Authorization to Release Information(Private Person or Organization)
11G-Authorization to Release Information(Private Person or Organization) (11G-S-Autorización Para Revelar Información(Organización O Persona Privada)
11H-Authorization to Release Information(State or Federal Government)
11H-S-Authorization to Release Information(State or Federal Government) (11H-S-Autorizacion Para Que El Gobierno (Estatal O Federal) Revele Informacion)
11I-Authorization to Release Mental Health Information
11I-S-Authorization to Release Mental Health Information (11I-S-Autorizacion Para Revelar Informacion Confidencial Programas De Tratamiento Para La Salud Mental)
Presentence Investigation Forms
A
72-Declaration of Victim Losses
Worksheet for Presentence Report
Financial
48A-Request for Net Worth Statement Financial Records
48A-S-Request for Net Worth Statement Financial Records (48A-S-Solicitud De Informacion Financiera Relativa A La Declaracion Patrimonial)
48B-Monthly Cash Flow Statement
48C-Request for Monthly Cash Flow Statement Financial Records
48D-Declaration of Net Worth and Cash Flow Statments
48E-Authorization to Access Financial Records
48EZ-Net Worth Short Form
48EZ-S-Net Worth Short Form (48EZ-s-Instrucciones Para Completar La Declaracion Patrimonial Formulario Abreviado
48F-Request For Self Employment Records
Net Worth Statement
Release
11A-Authorization to Release Military Information
11E-Authorization to Release Substance Abuse Information
11G-Authorization to Release Information(Private Person or Organization)
11G-Authorization to Release Information(Private Person or Organization) (11G-S-Autorización Para Revelar Información(Organización O Persona Privada)
11H-Authorization to Release Information(State or Federal Government)
11H-S-Authorization to Release Information(State or Federal Government) (11H-S-Autorizacion Para Que El Gobierno (Estatal O Federal) Revele Informacion)
11I-Authorization to Release Mental Health Information
11I-S-Authorization to Release Mental Health Information (11I-S-Autorizacion Para Revelar Informacion Confidencial Programas De Tratamiento Para La Salud Mental)
Pretrial Forms
A
Pretrial Diversion Monthly Report
PS6-Authorization to Release Information to PTS Officer
PS6-S-Authorization to Release Information to PTS Officer-Spanish (PS-6-Autorización para liberar información oficial de PTS)
PS6B-Authorization to Release Information-Drug or Alcohol Program
PS6B-S-Authorization to Release Information-Drug or Alcohol Program (PS6B-S- Autorización para liberar Information-Drug o Programa de Alcohol)
PS6D-Authorization to Release Information-Mental Health Program
PS6D-Authorization to Release Information-Mental Health Program (PS6D-S-Autorización para liberar Information-Mental Programa de Salud)
Vendor Forms
A
Daily Log
Invoice Part A and B
Monitoring Report rvsd 9-2022
Monthly Treatment Report
Quarterly Discharge Summary
State Auditor Release Form
UA Central Speciment Log
UA CHAIN OF CUSTODY FORM 2021
Financial
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