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Checklist Evaluating Pretrial House Arrest Applicant MAG 95-04 - Georgia
| Checklist Evaluating Pretrial House Arrest Applicant Form. This is a Georgia form and can be used in Criminal Magistrate Court Gwinnett Local County . |
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Checklist Evaluating Pretrial House Arrest Applicant Sheriffs Department Defendant: Inmate # DOB: Race: W Af.Amer. Hispanic Asian A Indian Sex [ ] Male [ ] FemaleThe defendant is presently in pretrial custody at the Gwinnett Detention Center on the following charges. **At this timethe House Arrest Program is only available to defendants held on Magistrate Court warrants. Offense(s) Warrant # Notification to Victim Pursuant to O.C.G.A. 17-17-1, et.seq., Crime Victims Bill of Rights, the victim has been given notice that the defendantis being considered for the Pretrial House Arrest Program. Victims Name: Date Notified: Person Giving Notice: Response of Victim, if any: -1- W:\Magforms\MAG 95-04 Checklist GCSD<<<<<<<<<********>>>>>>>>>>>>> 2 Criminal History & Final Review I have reviewed the following: A. criminal history of the defendant; B. current charges pending against the defendant; C. data collected by the House Arrest Provider to evaluate defendant. Based on that review, if the defendant was placed on House Arrest, does the defendant presently: Pose a significant risk of flight? [ ] Yes [ ] No Pose a significant threat or danger to any person, [ ] Yes [ ] No the community or property of the community? Pose a significant risk of committing a new felony [ ] Yes [ ] No pending trial? Pose a significant risk of intimidating witnesses or [ ] Yes [ ] No obstructing justice? FINAL RECOMMENDATION BY SHERIFFS DEPARTMENT In my opinion, based on facts presently known, I hereby [ ] do recommend; [ ] do not recommend; consideration by the court of this defendant for placement in the Pretrial House Arrest Program. Signature: Date: Printed Name: Badge No: -2- W:\Magforms\MAG 95-04 Checklist GCSD
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