Ariz. R. Crim. P. form 6
_________________ COURT _____________________County, Arizona
STATE OF ARIZONA Plaintiff -vs- _____________________ _____________ _____________ Defendant (FIRST, MI, LAST) Booking Number Date of Birth | RELEASE ORDER | |||||||||||
LINE# COMPLAINT NO. | VIOLATION CODE | NF | ORR | PSR | 3P | BOND | BA | UB | DB | SB | CB | NB |
1 | $ | |||||||||||
2 | $ | |||||||||||
3 | $ | |||||||||||
4 | $ | |||||||||||
5 | $ | |||||||||||
(NF=Charge not filed; ORR=Own recognizance release; PSR=Pretrial supervision release; 3P=Third party custody; Bond=Amount of bond; BA-Bond applies; UB=Unsecured bond; DB=Deposit bond; SB=Secured bond; CB=Cash bond; NB=Non-bailable)
If you are released from jail, you must follow all release conditions and appear at court as indicated below:
MANDATORY AND STANDARD CONDITIONS OF YOUR RELEASE:
[X] 1. Appear at_________________(Court name and address) court on:_______________________ (Date) at ______ (Time] a.m./p.m., Courtroom:______ for _______________________________________________________and attend all future court hearings.
[X] 2. Violate no federal, state or local criminal laws.
[X] 3. Not leave the state of Arizona without written permission from the court.
[ ] Defendant may leave the state of Arizona provided defendant returns for court dates.
[X] 4. Diligently pursue any appeal if released from custody after judgment and sentence have been imposed.
[ ] 5. Maintain contact with your attorney.
[ ] 6. Provide a current address and phone number to the court and to your attorney and immediately notify both of any changes.
[ ] 7. Not threaten or initiate any type of contact with the alleged victim(s).
[ ] 8. Not drive a motor vehicle without a valid driver's license in your possession.
[ ] 9. Not threaten or initiate any type of contact with any person as specified here:________.
[ ] 10. Not possess weapons as specified here:_______________________________________________________________.
[ ] 11. Not possess or have contact with any animal.
[ ] 12. Not consume any alcoholic beverages.
[ ] 13. Not go to scene of the alleged crime.
[ ] 14. Not go to locations as specified here: ____________________________
[ ] 15. Comply with 3rd party custody release conditions as specified here:____________________________________.(See 3rd party obligations in this document.)
[ ] 16. Contact probation or parole Officer.
[ ] 17. Electronic monitoring, if available, (mandatory if charged with a felony offense under Chapters 14 or 35.1 of Title 13 or 13-3212)
[ ] 18. Other:____________________________________________________________.
ADDITIONAL CONDITIONS FOR YOUR PRETRIAL SUPERVISION RELEASE (PSR):
[ ] 19. Comply with the assigned pretrial supervision program as specified here:_____.
[ ] 20. Provide a current address and phone number to Pretrial Services immediately and notify of any changes.
FINANCIAL CONDITIONS OF RELEASE: If you cannot post an appearance bond of $ __________ you will remain in custody until your next court hearing on_________________________________.
IF YOU VIOLATE THIS ORDER: You have the right to be present at your trial and at all other proceedings in your case. IF YOU FAIL TO APPEAR THE COURT MAY ISSUE A WARRANT FOR YOUR ARREST AND/OR HOLD THE TRIAL OR PROCEEDING IN YOUR ABSENCE. IF CONVICTED, YOU WILL BE REQUIRED TO APPEAR FOR SENTENCING. IF YOU FAIL TO APPEAR, YOU MAY LOSE YOUR RIGHT TO A DIRECT APPEAL. |
If you violate any condition of a bond, the court may order the bond and any related security deposit forfeited to the State of Arizona. In addition, the court may issue a warrant for your arrest upon learning of any violation of the conditions of release. After a hearing, if the court finds that you have not complied with the release conditions, the court may modify the conditions or revoke the release altogether.
If you are released on a felony charge, and the court finds the proof evident or the presumption great that you committed a felony during the period of release, the court must revoke your release. You may also be subject to an additional criminal charge, and upon conviction you could be punished by imprisonment in addition to the punishment which would otherwise be imposable for the crime committed during the period of release. Upon finding that you violated conditions of release, the court may also find you in contempt of court and sentence you to a term of imprisonment, a fine, or both.
ACKNOWLEDGEMENT: I fully understand and will comply with all release conditions indicated above and further understand the consequences should I violate any part of this order.
__________________________________________________
Current Address where you live Apt. No.
__________________________________________________
Address where you receive mail if different from current address
(___)__________________ Phone No. | (___)___________________ Phone No. |
_X_________________ Defendant Signature Date | _X_________________ Judicial Officer Date |
THIRD PARTY OBLIGATIONS
YOU MUST comply with the following obligations if the defendant has been placed in your custody while the case is pending in court.
A. Supervise the defendant in accordance with all of the release conditions.
B. Make every effort to assure that the defendant is present for a 11 scheduled court hearings.
C Make every effort to assure that the defendant will contact Indigent Defense Services to determine indigency status.
D. Notify the court immediately in the event the defendant violates any conditions of release or disappears.
As Third Party Custodian appointed by the Court, I understand and accept these obligations.
_____________________________ Third Party Custodian Date | (___)______________ Phone No. |
____________________ Address _____________________ City, State Zip |
WARNING
IF YOU WILLFULLY VIOLATE ANY OF THESE OBLIGATIONS, THE COURT MAY HOLD YOU INCONTEMPT AND IMPOSE A JAIL SENTENCE, FINE, OR BOTH, AND YOU MAY LOSE YOUR RIGHT TO APPEAL
Ariz. R. Crim. P. form 6