Parole Revocation-Advisal And Waiver Form (ICAOS) {CRM-290}

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA 92101 CENTRAL DIVISION, COUNTY COURTHOUSE, 220 W. BROADWAY, SAN DIEGO, CA 92101 IN RE PETITION FOR REVOCATION OF PAROLE PAROLEE SUPERIOR COURT CASE NUMBER PL CDCR NUMBER PAROLE REVOCATION ­ ADVISAL AND WAIVER FORM (ICAOS) Parolee, by initialing and signing below, certifies (initial all that apply): 1. I request a continuance of the pre-hearing conference with counsel and agree to waive any time requirements for holding retaking/probable cause hearings. 2. My attorney has reviewed with me and I understand the Petition for Revocation of Parole, including the parole violation(s) and/or absconding allegations contained therein. 3. I have been advised and understand I am charged with absconding from supervision, and the sending state has requested a probable cause hearing. 4. I have been advised and understand that I am charged with committing three or more significant violations of parole, and I have the right to a probable cause hearing on all alleged violations. 5. I have been advised and understand that, if a probable cause hearing is held, I have the rights to: have the hearing conducted by a neutral and detached hearing officer on whether I am subject to retaking; written notice of the alleged parole violation(s); disclosure of non­privileged or non­confidential evidence regarding the alleged violation(s); the opportunity to be heard in person and to present witnesses and documentary evidence relevant to the alleged violation(s); and the opportunity to confront and cross­examine adverse witnesses, unless the hearing officer determines that a risk of harm to a witness exists. 6. I have been advised and understand that I may waive a probable cause hearing, and that by doing so I will also be waiving the rights listed in line 5 above. 7. I have been advised and understand that, in order to waive my right to a probable cause hearing, I must also admit at least one significant violation of the terms or conditions of my parole. 8. I have been advised and understand that any evidence or record generated during a probable cause hearing may be forwarded to the sending state. 9. I hereby waive my right to a probable cause hearing and admit that I absconded from my parole supervision I committed significant parole violation number(s) _______, as alleged on the Petition for Revocation of Parole. I agree to return to the sending state for further proceedings. 10. I understand that, if found subject to retaking by the sending state, I will remain in custody until picked up by the sending state. 11. Other: . Date: Type or print name Date: Signature of Parolee Type or print name SDSC CRM-290 (New 10/16) Mandatory Form Signature of Attorney PAROLE REVOCATION ­ ADVISAL AND WAIVER FORM (ICAOS) American LegalNet, Inc. www.FormsWorkFlow.com