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United States Probation Office

Southern District of Georgia

Tony Graham, Chief U.S. Probation Officer

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Local Forms

The following forms currently are approved for use in this district.

Acknowledgment of Conduct Resulting in Loss of Acceptance of Responsibility

Affidavit for Appointment of Counsel (CJA23)

AO-078 -- Application for Federal Employment

Approval to Institute a Presentence Report

Authorization for Release of Information (General)

Authorization for Release of Medical Information

Authorization for Release of Social Security Record

Authorization for Release of Substance Abuse/Mental Health Information

Court Supervised Reentry Program

Customer Consent and Authorization for Access to Financial Records During Supervision

Explanation of the Presentence Report

Financial Investigation Packet

Map of the Southern District of Georgia

Monthly Supervision Report

Monthly Supervision Report (Sex Offender)

PCRA Offender Self-Assessment

Position of the Parties with Respect to Sentencing Factors

Pretrial Services Notice to Defendant (PS1)

Worksheet for Presentence Report (PROB1)

Worksheet for Pretrial Services Report (PS2)

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