SchuylkillCounty Adult Probation/Parole Department
300 North Third Street
Pottsville, Pa17901
Phone: (570) 628-1288
Fax (570) 628-1009
Joseph Szlegia Neil Stefanisko
Chief Probation Officer Deputy Chief Probation Officer
ELECTRONIC MONITORING PACKET
AFTER RECEIVING THIS PACKET YOU MUST IMMEDIATELY CONTACT PAIGE WEBBER TO SCHEDULE AN APPT AT ADULT PROBATION PHONE: 570-628-1231.
FILL OUT EVERYTHING IN THIS PACKET PRIOR TO MEETING WITH PAIGE WEBBER.
FAILURE TO FILL OUT THIS PACKET & CONTACT PAIGE WEBBER WILL RESULT IN YOUR ELECTRONIC MONITORING BEING DENIED.
WHAT YOU MUST HAVE FOR ELECTRONIC MONITORING:
A BASIC PHONE LINE (LAN) W/NO SERVICES
- The phone line CANNOT be digital, but a basic LAN through Verizon or Frontier.
- Comcast, Windstream, Magic Jack & Service Electric are NOT permitted
- The phone line CANNOT have DSL, dial-up internet, call waiting, caller ID, call forwarding, etc…
ADVANCED PAYMENT IS DUE THE DAY OF YOUR PLACEMENT ON ELECTRONIC MONITORING
- The cost of Electronic Monitoring is $12/day regardless of the type of equipment you’re on.
- If your sentence is 30 days or less then you MUST pay for the entirety of your sentence.
- A $25 or $75 hook-up fee will be accessed depending on the type of equipment you are placed on.
- Cash, checks & money orders are accepted
Payable to the SchuylkillCounty Treasurer
Don’t mail payment, unless instructed
NO ALCOHOL IN THE RESIDENCE!
NO GUNS OR DANGEROUS WEAPONS IN THE RESIDENCE!
THE DAY OF YOUR EM PLACEMENT
MAKE SURE YOUR PHONE LINE HAS A DIAL TONE.
HAVE THE AREA IN WHICH THE EQUIPMENT IS BEING PLACED READY FOR INSTALLATION
- Two power outlets are needed
- Have a 2x2 ft. table available for equipment
- Make sure the area is well lit
- Make sure the area is CLEAN
HAVE ALL ALCOHOL, GUNS & DANGEROUS WEAPONS REMOVED.
RESTRAIN ANY UNFRIENDLY PETS.
HAVE PAYMENT READY FOR OFFICER
HAVE QUESTIONS PREPARED FOR OFFICER
HAVE ANY SCHEDULED APPOINTMENTS WRITTEN & PREPARED FOR OFFICER
IF YOU ARE EMPLOYED, PROVIDE THE OFFICER WITH A LETTER FROM EMPLOYER:
- Have a supervisor type & sign a letter on the company letterhead.
- Your name, job title & work hours must be included.
- You must be a legal employee of the company (paying taxes).
LEAVING ON HOUSEARREST
HOUSE ARREST IS A SUBSTITUTE FOR PRISON, SO YOU ARE TO REMAIN IN YOUR HOUSE.
YOU ARE TO ONLY LEAVE IF GIVEN ADVANCED PERMISSION FROM ADULT PROBATION.
YOU WILL BE GIVEN PERMISSION TO LEAVE FOR THE FOLLOWING REASONS:
- Work
- Doctor’s Appointments
- Legal Appointments
Other reasons (property maintenance, banking, shopping, etc…) will be approved on a need basis
PLACING A SCHEDULE
Call the Schedule Request Number: 570-628-1234
- Leave a detailed message stating the following:
Your name & the time & location of appt.
A contact # for another party to verify
- Call at least 48-72 hours in advance to secure your appt. Don’t call last minute!!
- You must be contacted by Probation & given permission to leave.
If you do not hear from Probation then you cannot leave!
For Emergencies call: 1-877-801-0171
- This is a numeric pager system to leave your phone # on, so Probation can call you back.
- Health complications, structural issues at home, being late from an appt., etc… are emergencies.
- Work schedule changes WILL NOT constitute an emergency!
COURT OF COMMON PLEAS OF SCHUYLKILLCOUNTY
ADULT PROBATION/PAROLE DEPARTMENT
CONDITIONS GOVERNING THE ELECTRONIC SURVEILLANCE PROGRAM
NAME: CASE NO.:
In order to participate in the Electronic Surveillance Program of SchuylkillCounty,
I agree to abide by the following rules and conditions of the Program:
1.I agree to abide by the curfew restrictions imposed by the Program.
2.I agree to remain at my residence at all times except when I have permission
to leave my house. The only exception will be in case of an emergency or in
agreement in advance with the Probation Department.
3.The residence to which I am confined is , ,____
and my telephone is ( ) - .
4.The duration of my electronic monitoring is from to .
5. I agree to be monitored by computer technology which requires me to wear a
non-removable anklet and have a monitoring device installed to my home
telephone. I will be required to wear an anklet 24 hours a day for the entire
monitoring period. I understand I cannot have a portable, or cordless
phones, call waiting or forwarding, an answering machine attached to
my phone, Caller I.D., and Internet or Web TV connected to my phone line.
6. I will allow access to my home to authorized officers of the SchuylkillCounty
Adult Probation/Parole Department throughout my monitoring period.
7. I agree that the equipment used for monitoring is my responsibility and I will
be held accountable for any damage sustained to said equipment or its
theft. I have been issued PTU No. TRANSMITTER No.
and VB No.
8.I understand that the purpose of the monitoring equipment is to alert SchuylkillCounty personnel if I should violate my agreement. I agree that the loss of a receiving signal, an out of order signal and/or a tamper signal shall constitute a violation and a warrant for my arrest may be issued. I further agree that the program's computer printout may be used as evidence in a Court of Law to prove said violation.
9.I understand I cannot consume, possess or have in my place of residence alcoholic beverages or drugs and that I will be subject to random alcohol and drug tests. I understand that I cannot possess or have in my place of residence drug paraphernalia.
10.I understand the fee for said program shall be my responsibility and I am
required to submit payment at a rate of per day and an activation fee
of prior to installation. I understand that payments will be collected by the
officer assigned to my case. I understand that cash, check or money orders are
acceptable forms of payments. *** Checks and Money Orders are made
payable to SchuylkillCounty Treasurer *** ***Do not send payments by
mail***
11. I understand I must comply with all municipal, county, state and federal
criminal laws. I will notify the Probation Department immediately of any
arrest or investigation by law enforcement agencies.
12. I understand I must refrain from assaultive behavior.
13. I understand I must refrain from owning or possessing any firearms or other
dangerous weapons.
14. I understand I must abstain from all types of Products containing alcohol, including but not limited to Mouthwash, Medicines, Alcohol, Household Cleaners, Disinfectants, Lotions, Cologne, Body Washes, Perfumes, or other Hygiene products that contain alcohol.
15. I understand that I must answer all phone calls to my residence regardless of time
or frequency. I understand I must follow all instructions as directed by the
monitoring center and the Adult Probation Office in order to insure compliance
with the Electronic Surveillance Equipment.
EMERGENCY PAGER NUMBER: 1-877-801-0171
I hereby acknowledge that the above agreement has been explained to me and that non-compliance with any of these restrictions or rules may result in my being committed to the Schuylkill County Prison as a violator. I fully understand the penalties if I should violate.
______Signature
______
Probation/Parole Officer
______Paige Webber
Date
PLEASE FILL IN ALL INFORMATION TO THE BEST OF YOUR ABILITY
NAME:ADDRESS: ______
D.O.B.: / / S.S.N.: - - RACE:______
HEIGHT: WEIGHT: PHONE (HOME): ( ) -
HAIR COLOR: EYE COLOR: PHONE (CELL): ( ) -______
PLACE OF BIRTH:
FAMILY HISTORY(INCLUDE NAMES, ADDRESSES, AND PHONE NUMBERS OF ALL IMMEDIATE FAMILY)
FATHER: (NAME) MOTHER: ____(NAME)
(ADDRESS) _____(ADDRESS)
(PHONE) (PHONE)
STEPPARENTS (IF ANY)
SIBLINGS: (BROTHERS OR SISTERS) * INCLUDE NAMES AND LOCATION *
SPOUSE / GIRLFRIEND / BOYFRIEND: (INCLUDE NAME, ADDRESS, TELEPHONE #)
______
CHILDREN: (INCLUDE ALL NAMES, GENDER, I.E. SON/DAUGHTER, AGES, AND RESIDENCE/CONTACT)
DOGS / PETS: (INCLUDE TYPE OF ANIMAL AND BREED, IE. DOG-PIT BULL)
______
______
EMPLOYMENT/INCOME:(If you are unemployed/disabled, please include the amount of your monthly payment)
EMPLOYER: ADDRESS: ______
PHONE: WORK CONTACT: ____
SALARY: (PER PAY)HOURS/WEEK: SHIFT :
EDUCATION INFO:
HIGH SCHOOL:
GRADUATE: YES / NO (PLEASE CIRCLE)SCHOOL NAME:
IF YES, YEAR: LOCATION:
IF NO, GED: YES / NO (CIRCLE)LOCATION:
COLLEGE/TRADE SCHOOL:
DID YOU ATTEND: YES / NO SCHOOL NAME:
DID YOU GRADUATE: YES / NO LOCATION:
YEAR: MAJOR:
MILITARY INFO:( Specify if you were in the military at any time or are currently in the military)
YES / NO BRANCH:
YEARS OF SERVICE: TO DISCHARGE TYPE:
HEALTH INFO: (CIRCLE ONE) EXCELLENT/GOOD/FAIR/POOR
List any physical or mental health problems/conditions below:MEDICATIONS: Please list
List Primary care Physician:______
SUBSTANCE ABUSE:
ANY PAST OR PRESENT DRUG AND/OR ALCOHOL PROBLEMS (YES/NO):______
If yes, explain & LIST DATE OF LAST USE:
______
______
______
SCARS/MARKS/TATTOOS/PIERCINGS: (LIST BELOW – Please indicate where and what)
DRIVER’S INFO:
DRIVER’S LICENSE I.D. NUMBER: VEHICLE MAKE: _____ VEHICLE MODEL: YEAR: VEHICLE COLOR:
LICENSE PLATE #:______
PRIOR RECORD: (LIST ALL ADULT / JUVENILE CONVICTIONS)
WERE YOU EVER ON ADULT PROBATION / PAROLE: (YES/NO) ______
IF YES FOR WHAT: ______
______
DO YOU HAVE FIREARMS IN YOUR RESIDENCE (YES/NO) ______
AGREEMENT TO PROVIDE TRANSPORTATION
I, ______, agree to provide transportation to
______,a house arrest client of the SchuylkillCounty Probation’s Electronic Monitoring Department.
I agree that the ride will be only as indicated above and direct with no changes of the route or stops to be made, unless the above client has permission from the Schuylkill County Adult Probation Electronic Monitoring Department.
I also state that my driver’s license, vehicle registration, and proof of insurance are VALID.
______
SIGNED DATE
NAME OF DRIVER:______
ADDRESS: ______
TELEPHONE NUMBER: ______
CAR – YEAR: ______
MAKE: ______
MODEL: ______
COLOR: ______
PLATE #:______
INSURANCE COMPANY: ______
POLICY NUMBER: ______
DRIVER’S LICENSE #:______
I HAVE NO OUTSTANDING WARRANTS AT THIS TIME. Yes ( ) No ( )
IF YES EXPLAIN: ______
****ATTACH A PHOTOCOPY OF YOUR VALID DRIVER’S LICENSE, VEHICLE REGISTRATION, AND PROOF OF INSURANCE. ***