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Forms

RELEASES OF INFORMATION

OASAS Consent to Release of Information Concerning Chemical Dependence Treatment

Livingston County Basic Information Request

Release of Health Information Pursuant to HIPAA

Impaired Driver System (IDS)


IGNITION INTERLOCK DEVICE (IID) 

Vehicle Owner Affidavit

Vehicle Access and Operation by Others

Ignition Interlock Acknowledgement From Employer

Financial Disclosure Form

Special Conditions for Offender Owned Business Vehicle

Owner Authorization to Install IID


VICTIM FORMS

Victim Impact Statement-General

Victim Impact Statement-Correctional Facilities

Victim Impact Statement-Insurance Companies

Victim Impact Statement-Financial Institutions

Victim Impact Statement-Drug Task Force

Victim Impact Statement-Schools

Victim Change of Address Form


PRE-TRIAL

Initial Pre-Trial Questionnaire


INVESTIGATIONS

COMPAS Risk Assessment

Investigation Questionnaire

Adoption Questionnaire


SUPERVISION

Supervision Reporting Form (Mail-In)

COMPAS Risk Assessment

EHM Schedule Request

Initial Reporting Questionnaire


JUVENILES

PINS General Referral Form

PINS Truancy Referral


CERTIFICATE OF RELIEF 

Certificate of Relief Application

Certificate of Relief


COURTS

Court Disposition Form 

Court Order for Investigation

PSI Waiver

PPI Waiver

Adult Probation Transfer Form

Adult Interim Probation Transfer Form


MISCELLANEOUS

Intern Application

  1. Adult Services
  2. Juvenile Services
  3. Specialized Services
  4. Victim Services
  5. Financial Information
  6. Certificate of Relief From Disabilities
  7. Additional Resources
  8. Records Request
  9. Probation Statistics
  10. Report Probation Non-Compliance
  11. Frequently Asked Questions
  12. Forms
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  1. Livingston County Government Center               6 Court Street               Geneseo, NY 14454               Phone: 585-243-7000               Email Us
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