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Get 8 Referral Form

Ity Corrections Program Date: Referred by: Address: Phone: Offender Information: Name: Address: Case No. Current charge(s): Phone: SSN: Attorney: DOB: Bond: Judge: Next Court Date: Prosecutor: An individual must meet the following criteria in order to be referred to the Drug Court Program: Eligible: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Current charge is community control sanction eligible. Offender is charged with a felony offense of the 3rd, 4th or 5th degree. Offender is charged.

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