Ogemaw County, MI

dolehantyt@ocmi.us

806 W. Houghton Avenue, West Branch, MI, 48661, US

989-516-9020

82nd District Court Ogemaw County Monthly Probation Check-In

Has your email address changed in the last 30 days?

Has your phone number changed in the last 30 days?

Phone Number

Who do you live with?

Are you a student?

What is your current employment status?

If you chose "Other" above, please explain

If you are employed, What company do you work for and what type of work do you do?

Are you currently taking any medications, vitamins or supplements?

Have you used any drugs or alcohol since your last report? If yes, explain.

Have you drug tested since your last report? If yes, when and where?

Are you currently participating in any of the following programs? (Check all that apply)

Mental Health Counseling

Substance Use Counseling

Medically Assisted Treatment

Support Meetings (AA, NA, Al-Anon, Smart)

Domestic Violence Classes

Anger Management

Other

None

Do you currently have any upcoming appointments? If so when?

Please upload proof of attendance for any programming, testing, support meetings and/or community service since your last report.

Click Here to Upload

Have you had police contact since your last report to probation? If yes, explain.

Comments: Please enter any additional information you feel would be helpful for the Probation Department to know.

Do you need the probation department to contact you?

Yes

By submitting this report, you are acknowledging, under penalty of perjury, the responses to these questions are true to the best of your knowledge, information, and belief.

I agree

I disagree

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

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