R84 i Final

12/01/2020

OMB 1110-0051 

R-84 (i) 

 

1) Is the subject currently serving a term of probation? 

2)  Please provide the underlying offense associated with the probation violation.

 

3)  Are there court ordered firearm restrictions? 

4)  Is the subject undergoing active drug testing? If so, did the subject fail a drug test within the past year and on what date and for what substance? 

5)  Please provide a copy of the subject’s bond restrictions, if applicable. 

6)  Please provide the court date. 

7)  Please provide all applicable documentation. 

8)  Please provide a final disposition (Judgement, Sentencing Order, Docket Sheet, Complaint, Judgement and Commitment, Disposition Report, Conviction) 

9)  Please provide level of conviction (felony, misdemeanor, violation, summary, etc.) and the degree (felony 1^st, misdemeanor 2^nd, etc.) 

10)  What is the statute and subsection of the convicting offense? 

11)  Please advise if the subject is under indictment/information for a felony or misdemeanor with a maximum punishment that exceeds two years.  If under indictment or information, please provide the date the subject was placed under indictment or information. 

12)  Please provide a copy of the police/incident report with full narrative.  If applicable, please provide any associated/referenced reports.   

13)  Please submit all supporting documentation regarding this individual along with your agency’s response.