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Drug Offenders Reinstatement Of Federal Benefits AO 249 - Official Federal Forms
| Drug Offenders Reinstatement Of Federal Benefits Form. This is a national form and can be used in Administrative Office - Criminal Federal District . |
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AO 249 (Rev. 01/09) Drug Offender's Reinstatement of Federal Benefits UNITED STATES DISTRICT COURT for the __________ District of __________ United States of America ) ) ) ) ) v. Case No. Sentencing Date: Defendant DRUG OFFENDER'S REINSTATEMENT OF FEDERAL BENEFITS The defendant has successfully completed a supervised drug rehabilitation program, or has in good faith tried to gain admission to such a program but was unable to do so because of its cost or inaccessibility, or has otherwise been rehabilitated. IT IS ORDERED: Under 21 U.S.C. ยง862(c), the defendant's federal benefits suspended by the court on a conviction for the distribution or possession of a controlled substance are reinstated. Date: Judge's signature Printed name and title City and state of defendant's residence: Last four digits of SSN: Year of birth: The clerk of court is responsible for sending a copy of this form to: U.S. Department of Justice - Office of Justice Programs Attn: Denial of Federal Benefits Program 810 Seventh Street, NW Washington, D.C. 20531 American LegalNet, Inc. www.FormsWorkflow.com
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