Form 8-5 - Order Of Fact-Finding And Disposition (Page 4 of 5) in pdf

Form 8-5 - Order Of Fact-Finding And Disposition Page 4

Form 8-5 page 4

necessary by your probation officer.

___ 14.

Obey the directions given by the probation officer to insure compliance with the Conditions

of Probation.

___ 15.

Pay restitution or reparation in the amount of $

to [specify]:______________ for the

benefit of the following person(s)[specify]:

_____________________ to begin on [specify date] :____________________

at the rate of $

per month and to be paid in full by [specify date]__________

___ 16.

Sign Release of Information.

___ 17.

Other:

“ ORDERED that the Judgment against the Respondent be and the same is suspended for a period

of [specify]:

months upon the following terms and conditions [check applicable

provisions; see 22 NYCRR §205.74(a)]:

___ 1.

Stay away from the residence of the following person(s) [specify]:

___ 2.

Stay away from the place of employment or place of education attended by the following

person(s) [specify]: .

___ 3.

Do not have any physical, visual, written, telephone, e-mail, fax or other electronic or other

contact with the following person(s) [specify]:

; and

do not directly or indirectly cause or encourage anyone else to have such contact with such

person(s).

___ 4.

Do not repeat the conduct that was adjudicated a family offense at the fact-finding hearing.

___ 5.

Cooperate in seeking to obtain and in participating in [check applicable boxes]:

“ evaluation and treatment [specify]: “ medical “ psychiatric

“ alcoholism “ drug abuse

“ other [specify]:__________

“ employment counseling “ family counseling “ child guidance services

“ batterer's educational program designated to help end violent behavior

____6.

Permit information to be obtained by the Court from any person or agency providing

evaluation, treatment or services specified in ¶5, above.

___ 7.

Allow medical or psychiatric treatment to be furnished to the following person(s) [specify]:

___ 8.

Cooperate with the person against whom the family offense was committed, the head of the

household, or parent, in maintaining the home or household.

___ 9.

Pay restitution or reparation in the amount of $

to [specify]: ____________ for the

benefit of the following person(s) [specify]: _______________________

to begin on [specify date]: ___________ at the rate of $

per month and to be

paid in full by [specify date]

___ 10.

Other [specify]:

“ And it is further ORDERED that [specify]:

Dated:

ENTER:

_____________________________

JUDGE OF THE FAMILY COURT

Form 8-5 - Order Of Fact-Finding And Disposition Page 4

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