---
type: court_doc
id: "court_sdny_81_13"
court: "SDNY"
case_no: "23-cr-00118"
doc_number: 81
doc_type: "EXHIBIT"
filed_date: "2023-06-05"
lang: "en"
machine_translated: false
url: "https://mubeitech.com/en/court/court_sdny_81_13"
json_url: "https://mubeitech.com/api/court/court_sdny_81_13"
---
# Guo Wengui / Miles Guo — criminal case · EXHIBIT · ECF #81-13

**Pretrial Services Report Worksheet — United States v. Yanping Wang, SDNY 1:23-cr-00118 ECF #81 (filed June 5, 2023). Court's pretrial services intake worksheet documenting defendant's personal, family, citizenship, education, employment, and financial information for judicial assessment.**


EXHIBIT K

United States v. Yanping Wang, Case No.: S1 23-CR-118 (AT)
Worksheet for Pretrial Services Report

PACTS Client ID No.:　Cir/Dist/Docket/Defendant No:　31　Arrest Date:

Interviewing Officer:　Jessica Aguilar.　Interview Date:　3/15/23.

CLIENT PERSONAL DATA - General

Prefix:　Title: (Dr., PhD., etc.)

Court Name: First　Yanping　Middle　Last　Wang　Generation
SSN/EIN:　State Identification No.:　FBI No.:
Register/Marshal's No.:　ICE (INS) No.:　Driver's License No.: (Include state)

CLIENT PERSONAL DATA - Alternate Names and Ids (If more than four, attach list)

First　Middle　Last　Generation

Evelyn　[X] Also Known
[ ] Alternate Name　[ ] Maiden Name
[ ] True Name
[ ] Also Known
[ ] Alternate Name　[ ] Maiden Name
[ ] True Name
[ ] Also Known
[ ] Alternate Name　[ ] Maiden Name
[ ] True Name
Alternate IDs: (List any other alien numbers, state ID numbers, SSNs, DOBs)
2 friends from China. Wayne, Tao Cao. yes. Bond cosigned.
Distinguishing Characteristics: (Scars, tattoos, etc.)
212 826 8882. card. Royat

CLIENT PERSONAL DATA - Demographics

Sex: (Check one)　Race: (Check one)　Hispanic: (Check one)　Eye Color:　Height:　Weight:

[X] Female　[ ] American Indian or Alaska Native　[ ] Hispanic　[ ] Blue　5' 1"　140
[ ] Male　[X] Asian　[X] Non-Hispanic　[X] Brown　Age: (Redacted)　Date of Birth: (Redacted)
[ ] Unknown　[ ] Black or African American　[ ] Unknown　[ ] Green　Hair Color:
[ ] Native Hawaiian or Other Pacific Islander　[X] Hazel　[X] Black　[ ] Blonde
[ ] Other Race　[ ] Other　[ ] Brown　[ ] Grey
[ ] Unknown　Written: Black/Brown　[ ] None　[ ] Other
[ ] White　[ ] Red　[ ] White

Place of Birth:　(Redacted)　Country of:　(Redacted)

Citizenship: (Check one)　Additional Citizen Information:
[X] Citizen of Another Country　[X] Permanent Resident [ ] Refugee
[ ] U.S. Citizen [ ] Naturalized US Citizen　[ ] Temporary Visa [ ] Illegal Alien
[ ] U.S. National [ ] Unknown　[ ] Unknown
Do you possess a passport/visa?　[X] Yes [ ] No　Location:　FBI seized. Chinese passport.
Country of Citizenship:　China.　Date Naturalized:
Pending approval. Asylum.
Have you traveled outside the U.S.? [X] Yes [ ] No
Countries:　Purpose:
Date Immigrated to the United States:　April/May 2017.　Date Entered United States:

CLIENT PERSONAL DATA - Remarks

Singapore, Hong Kong, Europe, England, France. Before 2017.

PS2
(Rev. 10/09)

(Rev. 10/09)　10801

CLIENT PERSONAL DATA - Addresses
Phone (Residence):　Phone (Mobile):
City:　State:　County:　Phone (Pager/Fax):
Address Type:
Residence
Legal Address　Date Moved to This Address (From Date):
E-Mail:
Time in Community of Residence: DAYS / MONTHS / YEARS (circle one)
C Mailing Address　2020　- Begin.

Defendant Lives With?　11000
Name on Lease/Mortgage;
P
0　IC.　Name on Utilities:　Monthly Payment;
Have you ever lived outside the state/country? O Yes O No
Explain:　Do you own any firearms?
Are there any firearms where you live?　ONO
O Yes
O Yes
DNO
Any dogs or dangerous animals where you live? [ Yes
D-No
Other/Prior Residences　Start Date　End Date　With Whom?

an　Since 2017

(Check box if living with defendant)　CLIENT PERSONAL DATA - Collateral Contacts
(Family, Friends, Other Frequent Contacts, etc.)
Name/Age　Relationship/Frequency
of Contact　Citizenship
Status　Address and
Phone Number　Miscellaneous Notes/
Occupation
CM

0　out
Not

PS2 (Rev. 10/09)

(Rev. 10/09)MARITAL HISTORY (Including cohabitation)

(Check box if living with defendant)

Current Marital Status: (Current Personal Data/Profile)　[ ] Cohabitating [X] Divorced [ ] Married [ ] Separated [ ] Single [ ] Widowed [ ] Unknown

Name　Marital Status　Citizenship　Address/Telephone No.　Dates of Marriage　No. of Children

[ ] Current:　2 3 years ago. -
2006 -

CHILDREN

(Check box if living with defendant)

Name/Age of Children　Children Live With Whom?　Citizenship　Address/Telephone No.　Frequency of Contact　Support?

[ ] Son (10)　China - w/ exhusband.　2018-detained family no contact since then
[ ]
[ ]
[ ]

EDUCATION　MILITARY HISTORY

Education Level: (Client Personal Data/Profile)　Branch of Service:
[ ] No High School Diploma/GED　[ ] Associate's Degree [ ] Unknown　Dates of Service:
[ ] Graduate Equivalency　[ ] Bachelor's Degree [ ] Some College　Type of Discharge:
[ ] Vocational/Apprentice Graduate　[X] Master's Degree　Were you court-martialed?　[ ] Yes [ ] No
[ ] High School Diploma　[ ] Doctorate　Was any disciplinary action taken?
Date Education Obtained/Last Year Attended:　2005, 2007. - in china.
Name/Location of Current School:
Grade Completed:
Certificates/Degrees:　American Chinese Politics Culture, History.

English Language Skills: (Client Personal Data/Profile)

[ ] Fluent in English as Primary Language　[X] Mute - Fluent in International Sign Language
[ ] Fluent in English as Secondary Language　[ ] Mute - Limited or No Fluency in International Sign Language
[ ] Limited Fluency in English　[ ] Unknown
[ ] No Fluency in English　Primary Language (if not English)
Primary language - Chinese.

PS2
(Rev 10/09)

Current Employment / Unemployment (Client Personal Data)

Is the defendant currently employed? O Yes
If No, skip to unemployment section below　O No　Company Name:
nemblo　O Self-Employed?
Sep 1. 1947

Address: (Street)　City:
State:　Zip Code:　County:
Start Date:　Hours Per Week:　Phone No .:
Occupation:　Gross Income for This Employment:
Job Title:　સ્ત્રે　Hourly
Semi-Monthly
Weekly
Monthly
I
How Long Employed?　Work Hours:　Biweekly　Yearly
Can you return to your job?　Does your employer know about your arrest?　O Yes　D No
O Yes
O No　O Unknown　Can your employer be contacted?　O Yes
D No
Supervisor's Name:　Supervisor's Title:　Supervisor's Phone No .:　Supervisor's Cell/Pager No .:
UNEMPLOYMENT DATA
Unemployment Start Date:　If unemployed, reason for unemployment/reasons for leaving is required
Reasons for Unemployment:　Reasons for Leaving:
C Caregiver
D
Court Order

Disabled
E
O Other:
Homemaker
Looking for Work (Code as not excused in PACTS)　Long-Term Treatment
Retired
Student　Position Ended
Arrested
Fired for Misconduct
O Retired
Fired Poor Performance
Unknown
Q Quit w/Out Job Arranged
Incarcerated
I
Started Full Time Educ/Vocational
Laid Off
Moved Residence
Other
E
L
Vocational/Training Skills: (Check all that apply) (Client Personal Data/Profile)
O Finance
O Architecture and Engineering
O Arts, Design, Entertainment and Media
O Healthcare
O Child/Adult Care
C Community and Social Services
Computers and Mathematics
Laborer
C Construction and Extraction
□ Cosmetology/Barber
Legal
D Data Processing - Education, Training,
O Management
Library Science　0 Food/Lodging Services
O Janitorial/Cleaning Service

D
Landscape/Ground Maintenance
O Other
Life, Physical, and Social Science　Military Service
O Office/Clerical/Administrative Support
Production/Assembly
Sales
Tradesman (Electrician/Plumber/Mechanic)
Transportation and Material Moving
O Farming, Fishing, Forestry
PREVIOUS EMPLOYMENT/UNEMPLOYMENT
Start and End Dates
Name of Employer/
Unemployed　Address of Employer　Nature of Work, Hours Per Week,
Salary, Reason for Leaving

PS2 (Rev. 10/09)

FINANCIAL INFORMATION

ASSETS　LIABILITIES　BALANCE　MONTHLY
PAYMENT
Cash　સ્તિ　nork.　Rent or Mortgage Payment
Savings Account　સ્ત્રે　500　,000　Other Mortgage
Checking Accoupt or San San Fen　ਦਿੱਤੇ　400,000　Past Due/Pending Foreclosure?
Stocks/Bonds/Retirement Accounts?　O Yes No　O No
O Yes
Describe:　ਦਿੱਤੇ
Utilities　OLOTY
Groceries
Child Care
Other Accounts　6　Child Support (Ordered or
ക　Voluntary?)
સ્ક્રન　Alimony
Valuable Property (collections, jewelry, etc.) \$　Personal Loans
Business Assets　S　Business Liabilities
Motor Vehicles - Ownership　Motor Vehicles - Loans/Leases
Year　Make　Model　Amount　Creditor

Real Estate:　171　milion e　Auto Insurance
Date Purchased:　Total Credit Card Debt
Address:　School Loans
Current Market Value　8　Outstanding Medical Bills
Equity　S　Outstanding Taxes/Fines/Restitution
Down Payment　ಕಾ　Other Debts/Monthly Expenses
Have you ever filed for bankruptcy?　O Yes O No　Type of Bankruptcy
Location of　Year Filed:　Amount Discharged:
EMPLOYMENT INCOME:　Other Source of Income: (Client Personal Data/Employment)

Yearly/Monthly/Weekly \$　Alimony　ಕ್ಕಿ
Payback on Loans
ਚਰੇ
Retirement Pension
S
Child Support　Disability Insurance/
S
Severance Pay
ਦਿੱਤੇ
PAYMENT METHOD: (Circle One)
Check
Cash　Commission　Other　Employee Benefit
Trust
ਉ
Dividend　8　Unemployment Comp.
SPOUSE/SIGNIFICANT OTHER'S　Family Support　ਦਰ
Unknown
OCCUPATION:　Food Stamps　ਦੇ ਰੋ
Other　S
Investments　ನಿ
Social Security (retirement)
Yearly/Monthly/Weekly
Lawsuit Payout
ક્ક્　Social Security (disability)　S
Yearly/Monthly/Weekly
ಕ್ಕೆ
NOTES:　As taxes　1,500 per month.

PS2
(Rev 10/09)

(Rev. 10/09)

HEALTH

Physical Health

Brief Description: Healthy　Current Insurance Carrier:
Physical Health Status: (Client Personal Data/Profile)
[ ] Minor Medical Problems Only　[ ] Diagnostic Evaluation or Specific Treatment in Progress
[X] Significant Medical Disorder (Under control but follow-up care required)　[ ] None
[ ] One or More Chronic or Recurrent Medical Problems　[ ] Unknown
[ ] Uncontrolled Significant Disorder
Names of Medications and Reason(s) for Use:
Mental Health

Current Mental Health Status: (Check all that apply)
[X] No evidence of a current or past mental health condition (No evidence of current or past mental health condition)
[ ] History of a mental health condition. No active symptoms. (Documented history of mental health condition; no current active symptoms)
[ ] Mental health condition requiring ongoing treatment. (Reported active symptoms and requires treatment)
[ ] Has been in therapy within the last 12 months for a mental health condition. (Has sought or been in some form of treatment)
[ ] Currently taking medication for a mental health condition (psychotropic drug). (Taking meds for management of active symptoms)
[ ] Has seen a physician within the last 12 months for a mental health condition. (Sought treatment through a physician for active symptoms)
[ ] Has been hospitalized within the last 24 months for a mental health condition. (Has been hospitalized due to condition)
Have you ever seen a doctor for any emotional or psychiatric problems? [ ] Yes [X] No [ ] Unknown If yes, when, where, and last visit?
Have you ever been hospitalized for emotional problems? [ ] Yes [X] No [ ] Unknown If yes, when and where?
Have you ever thought of or attempted suicide? [ ] Yes [X] No [ ] Unknown If yes, when, and what method was used or thought of?
Do you have current thoughts of suicide, hearing voices, or seeing things? [ ] Yes [ ] No [ ] Unknown If yes, explain.
Have you ever been prescribed medication for emotional or psychiatric problems? [ ] Yes [ ] No [ ] Unknown
If yes, name of medication(s) and how long you used it:
Do you have a history of gambling? [ ] Yes [X] No [ ] Unknown
If yes, describe the type of gambling activities, frequency, and amount:
Do you have a history of domestic violence? [ ] Yes [X] No [ ] Unknown Explain:
Mental Health Treatment

Dates　Name of Program　Location　Purpose　Inpatient/Outpatient　Completed? If no, why?
[ ] Yes [ ] No
[ ] Yes [ ] No

PS2 (Rev. 10/09)

SUBSTANCE ABUSE HISTORY (Client Personal Data/Profile)

Drug Use　Indicate Drugs of
1st, 2nd, and 3rd Choice　Current　History of　Age Use
Began　Last
Used　Frequency Used
Alcohol　SOCIAL: Yes / No　☐　☐　Few wk.
don't ago.
Amphetamines　☑　☑　25-30.　Socially.
Benzodiazepines　☐　☐
Cannabinoids　☐　☐
Club/Designer Drugs　☐　☐
Cocaine　☐　☐
Hallucinogens (PCP,　☐　☐
Heroin　☐　☐
Methamphetamines　☐　☐
Prescription Opiates　☐　☐
Other　☐　☐
Substance Abuse Status:

O No substance abuse/dependence history (No evidence of current/historical substance abuse/dependence)

D Sustained remission (Counting today, defender has demonstrated > 12 months of abstinence following history of substance abuse or dependence) D Early remission (Counting today, defender has demonstrated >1 month of abstinence following history of substance abuse or dependence)

O Actively abusing substances (Defendant does not meet the criteria for dependences in the past month and meets one of the following: a) Substance use resulting in a failure to fulfilm at work, school or home; b) Substance use in situations where it is plysically hazardous; c) Substance use related legal problems; d) Continued substance use despite that it causes relationship conflicts )

D Actively dependent on substances (The defendant has abused substances in the following: a) Tolerance: a need for increased anounts of a substance to adiminished effect with continued use of the same anount of the substance; b) Withdrawn! Physical illness associated with not taking the substance to avoid this ilhess; c) The substance is aken in larger anounts and over a longer period than intended; d) There is a desire or unsuccessful effort to reduce or control usage; e) A great trying to obtain, use or recover from use; f) Social, recreational or occupational activities are given use; g) Substance use is continued despite the knowledge of having a problem

Substance Abuse Treatment

Substance Abuse Treatment History
(Check all that apply)　Current　History of　Notes
Inpatient Treatment　0
Outpatient Treatment　D　D
Self-Help (AA/NA)　10　D
Confined Treatment Program (BOP)　0　0

Dates　Name of Program　Location　Purpose　Inpatient/
Outpatient　Type of Discharge
(Satisfactory/Unsatisfactory)

If a drug test were taken today, would'it reveal any illegal substance or medications? @ Unknown
If so, what illegal drugs/medications?
Would you like to receive treatment? [ Yes = [ No
ADDITIONAL NOTES

PS2
(Rev. 10/09)

(Rev. 10/09)

Computer Information

Do you have a computer in your home?  □ Yes  □ No　Was the computer seized?  □ Yes  □ No

What type of computer do you have?　What operating system do you have on the computer?

Do you have a PDA, Palm, Cell Phone with internet access?　If used for employment, does employer monitor internet usage and have an
□ Yes  □ No  If Yes, What?　internet policy statement?

Who is your internet service provider?　How do you access the internet?

What purpose do you use the computer?　Anyone else in the home use a computer and for what purpose?

What peripheral devices do you have?　Note:

SELF-REPORTED CRIMINAL HISTORY (including juvenile adjudications)

Date Arrested/Age　Agency/Location　Offense Charged and Bail　Disposition or Next Court Date

Probation/Parole History?
□ Yes  □ No　Where?　Any violations?

Probation/Parole Officer's Name, Address, and Telephone

Are you a member of, or have you ever been in a gang?　□ Yes  □ No

Gang Name　Initiation Date　When did you get out?

Will this information bring harm to you or your family?　□ Yes  □ No

INTAKE - Prior Tab

Prior Failures to Appear:　Prior Escapes:　Prior Abscondings:

Prior Record　Charges (No.)　Convictions (No.)　Drugs (No.)　Violent (No.)　Pending Cases (No.)

Misdemeanors
Felonies

INVESTIGATION - General Tab (Complete when an investigation is completed)

Docket No.: (e.g., 1:07M101 or 1:07CR101)　Defendant No.:　Type of Investigation:

□ Pretrial Services
□ Material Witness  □ Pretrial Diversion

Investigation Officer:　Date Assigned:　Date Due:　Date Report Submitted:

Temporary Duty?  □ Yes  □ No

Judicial Officer: (Leave blank if pretrial diversion)　Jurisdictional Authority:
□ Court (District Court)  □ Other District
□ Magistrate  □ U.S. Attorney (Use for PTD)

PS2 (Rev. 10/09)

INTAKE - Opening Tab

Case Activation　Assigned Officer:　Juvenile? □ Yes □ No　Sealed? □ Yes □ No
Was the instant offense committed while under the criminal justice system? □ Yes □ No
Was the case diverted post-charge? □ Yes □ No
Referral Type:　Type of Case: (Intake Type)　Charging Document:
□ Arrest
 □ Summons
 □ Verbal Notice
 □ Writ-Release Not Possible
□ Diversion
 □ Material Witness
 □ Pretrial Services
□ Citation
 □ Complaint
 □ Indictment
□ Information
□ Not Applicable
□ Violation Petition

Rule 5 Transfer In? □ Rule 20 Transfer In? □ Courtesy In? □ Yes
Transfer District:　Transfer District Docket No.:　Transfer District PACTS No.:

Arrest is used when: 1) the defendant appears in court following an arrest, with or without a warrant, 2) the defendant turns himself/herself in or self-surrenders on a warrant. Writ is used when the defendant appears in federal court but remains under the jurisdiction of another agency

with no eligibility for release within 90 days. If the defendant appears pursuant to a writ but is eligible for release within 90 days, use "arrest." Verbal Notice is used when the defendant's appearance in court is not a result of any of the above procedures-for example, if the defendant voluntarily appears in court pursuant to agreement and no formal summons, warrant, or writ has been issued.

INTAKE - Interview/Report Tab

Interview Status:
□ Interviewed
□ Refused Interview
□ Unable to Interview
□ Not Applicable　When was a bail report submitted?
(N/A if Report Type = None)
□ Pre-Initial Hearing
□ Pre-Detention Hearing
□ Post-Release　How was the bail report submitted?
(N/A if Report Type = None)
□ Oral
□ Written
Report Type:
□ Full
□ Modified (Illegal Re-Entry Only)
□ Addendum (Rule 5)
□ None　PSO Recommendations: (Final)
□ Detention
□ Release With Supervision
□ Release Without Supervision　AUSA Recommendations: (Final)
□ Detention
□ Release With Supervision
□ Release Without Supervision
Defense Counsel's Name and Telephone No.:

AUSA's Name and Telephone No.:

ADDITIONAL NOTES

PS2

(Rev. 10/09)
INTAKE - Offense Tab/Charged Offense
Class of Offense:

□ Felony-Class A - life or death

Check ONE appropriate Charge Classification/Category/Subcategory for the charged offense:

- □ Misdemeanor-Class A 1 year or less but more than 6 months □ Misdemeanor-Class B - 6 months or less but more than 30 days
- □ Misdemeanor-Class C 30 days or less but more than 5 days
- □ Infraction 5 days or less, or no imprisonment is authorized
- □ Felony-Class B 25 years or more
- □ Felony-Class C Less than 25 years but 10 or more years
- □ Felony-Class D Less than 10 years but 5 or more years
- □ Felony-Class E Less than 5 years but more than 1 year

Citation: (In CM/ECF format)

Charge
Classification　Charge Category　Charge
Subcategory　Charge
Classification　Charge Category　Charge
Subcategory

Drugs　Continuing Criminal Enterprise
Distribution/Trafficking
Drug Paraphernalia
Import/Export
Manufacture/Cultivation
Possession
Possession While in Prison
Other
Use of a Communication
Facility　Heroin
Other Opiate
Methamphetamine
Cocaine
Marijuana
MDMA
Prescription Drugs
Other Drugs
Near School　Traffic /
DWI　Driving Under the Influence
Driving While License
Susp/Revoked
Drunken Driving
General Traffic
Leaving Scene of Accident
Reckless Driving
Obstruction
/ Escape　Bribery
Contempt of Court
Detention of Material Witness
Escape
Evidence Tampering
Failure to Appear
General Obstruction
Harboring Fugitive
Juror Tampering
Mail Obstruction
Misprision of a Felony
Obstruct Justice
Offense Committed While on
Release
Perjury
Resisting Arrest
Witness Tampering　Immigration
/ Customs　False Statements in
Application of Passport
False Statements
Fraudulent Papers
Illegal Entry
Illegal Re-Entry
Illegal Re-Entry After
Deportation
Impersonation of U.S.
Citizen
Misuse of Passport
Other Immigration
Smuggling Aliens
Smuggling Goods into U.S.
Public
Order　Accessory After the Fact
Adulteration of Food or Drug
Contraband in Prison
Civil Disorder
Contributing to Delinquency of
Minor
Criminal Mischief
Damage to Property
Destruction of Mail
Disorderly Conduct
Environmental Violations
Game Conservation Act
Interference with Flight Crew
Lewd Conduct
Misrepresentation of U.S.
Employee
National Parks Violation
Open Container Violation
Prostitution
Public Intoxication
Trespassing
Other Public Order　Weapons /
Firearms　Armed Career Criminal
Concealed Weapon
Drug Crime of Violence
During Drug Offense
Export of Weapons/
Munitions
Export / Import
Felon in Possession
Import Explosives
Interstate Shipment
Other Unlawful Possession
Other Weapon
Possession in Prison
Sell to Unauthorized Persons
Selling Defaced Firearms
Supplied to Drug Traffickers
Transportation of Stolen
Weapons
Use/Distribution of
Explosives

O Animal Cruelty
ಿ Arson　O Access Device
D Concealment of Assets
Copyright Infringement

Assault　Aggravated
□ Attempted Murder
General
ロ Simple
With Battery　Counterfeiting　Currency
G General
O With Weapon　Embezzlement　Bank
Postal
G General
□ Bank Robbery　O Armed
O Unarmed　Engaging in Monetary
Transactions
Export/Import Monetary
Burglary　O Bank
General
O Postal
O Residential　Instrument
ロ Failure to Pay Child Support
False Claims
O False Financial Statements
ロ Food Stamp Violation
O Violence /　□ Child Exploitation　O Financial
Sex Offenses　D Child Molestation
Child Trafficking　Offenses　Forgery　O Checks
O Instrum /
D Domestic Violence
O Extortion, Threats　Securities
O General
O Failure to Register Sex
Offender　□ Fraud　O Bank
D General Sex Offense　O Bankruptcy
General Violence
ロ Human Trafficking　C Computer
C Credit Card
O Kidnapping　್ General
O Healthcare
Housing
Identity
O Manslaughter　General
ロ Vehicular　O Passport
O Securities
O First　D Wire
O Murder　D Second　O Gambling / Lottery
General　Interstate Transactions
O Misuse of Social Security No
D Money Laundering
D Negligent Homicide
O Poss. Of Child Pornography　D Receiving Stolen Property
ロ Satellite Piracy
D Racketeering　O Structuring Transactions to
Rape　Avoid Rpt　Evasion
0 Armed　O Tax　O Failure File
Robbery　General
D Motor Vehicle　G General
Liquor
Unarmed　Trafficking
Contraband
Cigarettes
O Sexual Abuse
D Sexual Abuse of Minor
O Stalking　o Theft　O Auto
D Threatening Communications　Bank
O Transportation for Prostitution
□ Transportation of Minor　Firearms
Dealer
D Violation of Restraining Order　General
Ident. Docs
Identity
O Mail
O Transportation Stin Property
O Worthless Checks

PS2
(Rev. 10/0

RELEASE/DETENTION ORDERS

Hearing　Order Date　Release/Detention
Outcome　Type of Bond
(if released)　Release Date　Detained Due to/
Judge Issuing Order
Initial　O Released
Detained　C Collateral Bond
D Percentage Bond
O Personal
Recognizance
0 Surety Bond
O Unsecured Bond　Temporary Detention
O Held for Detention Hearing
Consent to Detention
Preventive Detention
D Flight O Danger O Both
JUDGE:
Detention (if held)　O Released
D Detained　□ Collateral Bond
D Percentage Bond
O Personal
Recognizance
Surety Bond
O Unsecured Bond　Preventive Detention
O Flight O Danger O Both
Consent to Detention
JUDGE:
PSA SUPERVISION
Date Released to Pretrial
Supervising Officer:
Supervision:　Courtesy Pretrial Services
Out?
O Yes
D No　District Providing Courtesy Pretrial
Services or Courtesy Diversion
Supervision: Supervision
PTD Expiration Date:
PTD Months:
COURT-ORDERED RELEASE CONDITIONS
Check all conditions that were ordered by
the court: (See PACTS Conditions Module
for definitions)
TREATMENT/COUNSELING/
TRAINING-RELATED CONDITIONS
D Substance Abuse Evaluation ----------
D Drug Treatment
O Alcohol Treatment Only
D Substance Abuse Testing
D No Illegal Use of Controlled Substances
O No Excessive Alcohol Use
O No Tampering with Substance Abuse Test
Alcohol Abstinence
O Mental Health Treatment
D Sex Offender Assessment
D Sex Offender Treatment
Life Skills Counseling
Education/Training Requirements
O Other Treatment/Training/Education
O Mental Health Evaluation
DNA Testing
SEARCH/SEIZURE/COMPUTER
O Search/Seizure
Computer Search
Computer/Internet Restrictions　SUPERVISION REPORTING/
CUSTODIAN CONDITIONS
O Third-Party Custody:
D Cosigned by: Cost
O Pretrial Services Supervision
D Report Change of Address
P Personal Reporting Frequency
Amount:
D Daily O Weekly @ Monthly
Q Quarterly O Yearly
Telephone Reporting Frequency
Amount:
D Daily = Weekly = Monthly
Q Quarterly □ Yearly
D Report to Law Enforcement
FINANCIAL/SERVICES RELATED
CONDITIONS
O Restitution \$
C Community Services Hours
D Other Financial Obligations
O Other Service Obligations
OTHER
O Other condition　LOCATION/EMPLOYMENT
ASSOCIATION RESTRICTIONS
Location Monitoring - Program
specify one in each column for monitoring
O Home Incarc
D Voice Verification
O Home Detention ORF
C Curfew - - - - -
O Passive GPS
□ Active GPS
GPS
□ RF/GPS Combo
O Not Specified
Location Monitoring - Other
O Stand Alone Monitoring
Re-Entry Center - Full Time
Re-Entry Center - Part Time
D Work Release From Secure Facility
D Residential Requirements/Restrictions
Travel Restrictions
Weapons Restrictions
O No Possession of Pornographic Material
O Obtain/Maintain Employment
Surrender Passport
O Obtain No New Passport
O Employment Requirements/Restrictions
No Contact With Victim/Witness
D No Contact With Minors
Association Restrictions
0 Report Contact With Law Enforcement
O Other Location/Employment/
Association Restrictions

PS2
(Rev. 10/09)

INTAKE-Closing

Closing Date:　Disposition: □ Acquitted □ Close-Courtesy Only □ Deferred Judgment □ Dismissed
□ Diversion Denied □ Diversion Terminated by Gov't □ Execution of Sentence
□ Found NGBRI □ Fugitive FTA □ Other □ PTD Satisfied □ Transferred Out
Transfer District:　Docket No.:　Defendant No.:　Voluntary Surrender Date:
ADDITIONAL NOTES
Notes: