TCCA
Community Corrections
IN THE CRIMINAL COURT OF TENNESSEE FOR THE 30TH JUDICIAL DISTRICT AT MEMPHIS
STATE OF TENNESSEE DIVISION: ______
VS. ______DOCKET #: ______
This cause, being heard on ______, 20______in aforesaid Court, before the undersigned Judge
and the above named Defendant, having on the ______day of ______, ______, been convicted of the
offense(s) of ______and on said date having been sentenced to a
term of ______year(s) in the Shelby County Correctional Center or the Tennessee Department of Correction.
IT APPEARING however, to the satisfaction of the Court that the Defendant is eligible to serve this sentence in accordance with the terms of the Tennessee Community Corrections Act.
IT IS THEREFORE ORDERED AND ADJUDGED that said Defendant is to hereby serve this sentence in the community based alternative of the Community Corrections Program for a period of ______year(s), such being subject to the provisions of the laws of the State of Tennessee.
The Defendant is to serve SHOCK INCARCERATION of ______before release or ______
WEEKEND TIME, as a condition of the Community Corrections sentence.
IT IS FURTHER ORDERED that the Defendant shall comply with the following general and specific conditions of the Community Corrections Program.
THE OFFENDER SHALL:
1. Obey the laws of the State of Tennessee and the United States, or any state in which s/he may be, as well as all city or county ordinances.
2. Report all arrests, citations or tickets, regardless of disposition, to the Case Officer.
3. Not receive, own, possess, ship or in any way transport any firearms or ammunition.
4. Procure the consent of his/her Case Officer before changing residence or employment.
5. Make a full and truthful report to his/her Case Officer in person and/or writing as directed and carry out all instructions given by the Case Officer, whether oral or written.
6. Not use intoxicants of any kind, or use intoxicating drugs or alcohol, or abuse prescription medications, or frequent places where intoxicants are sold, dispensed or used.
7. Allow the Case Officer to visit his/her home, employment site or elsewhere, at times to be arranged by the Case Officer.
8. If the Case Officer is not accessible, always direct communication to a Supervisor.
9. Work at a lawful occupation with verifiable wages and support self and/or family to the best of his/her ability.
10. Pay a Fine of $______and Court Costs at the rate of $______per month.
11. Pay RESTITUTION as follows:
Total amount: $______at the rate of $______per month.
Victim: ______
12. Perform ______hours of Community Service Work at a nonprofit organization.
13. Submit to random drug/alcohol screens as required.
14. Attend alcohol, drug or psychological evaluation and/or treatment as required.
15. Not leave Tennessee for any reason, for any length of time, unless granted permission by the Court.
16. Allow a Case Officer and/or any law enforcement officer to conduct a search of person, property or dwelling without the necessity
of a search warrant.
17. Pay a $15.00 per month Supervision Fee and a $30.00 per month CCF fee.
18. Observe all instructions given by the Community Corrections Program.
19. Display appropriate dress and behavior while in the Community Corrections office or while engaging in a
Community Corrections activity.
20. Provide a biological specimen for DNA analysis submitted to TBI pursuant to TCA 40-35-321 at the one time cost of $37.
21. Observe special conditions imposed by the Court listed below:
VIOLATION OF ANY TERMS OF THE PROGRAM MAY BE SUFFICIENT CAUSE FOR REVOCATION
THIS TCCA SENTENCE EXPIRES THE ______DAY OF ______, 20______.
DONE AND ORDERED IN OPEN COURT THIS ______DAY OF ______, 20_____.
Honorable: ______, Judge of the Criminal Court, 30th Judicial District
I HAVE READ OR HAVE HAD READ TO ME THE CONDITIONS OF SENTENCING UNDER THE COMMUNITY CORRECTIONS ACT. I FULLY UNDERSTAND AND AGREE TO COMPLY WITH THEM. I HEREBY WAIVE EXTRADITION RIGHTS AND PROCESS AND AGREE TO RETURN TO TENNESSEE IF AT ANY TIME THE JUDGE DIRECTS ME TO DO SO OR I HAVE A WARRANT FOR MY ARREST. I FURTHER UNDERSTAND THAT IF REVOKED FROM COMMUNITY CORRECTIONS, THE COURT MAY RESENTENCE ME TO INCARCERATION, FOR ANY PERIOD OF TIME UP TO THE MAXIMUM SENTENCE PROVIDED FOR THE OFFENSE COMMITTED PURSUANT TO TCA 40-36-106(e)(4). I WILL REPORT WITHIN 48 HOURS TO: SUITE 501 3100 WALNUT GROVE ROAD MEMPHIS, TN 38111 901-452-7449.
OFFENDER SIGNATURE: ______PHONE: ______
ADDRESS:______DOB: ______SSN: ______
ATTORNEY FOR DEFENSE: ______PHONE:______
ASSISTANT DISTRICT ATTORNEY GENERAL: ______
FILED: ______BY: ______