AO 246 Probation Order Under 18 U.S.C. – 3607

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AO 246 (Rev. 11/16)  Probation Order Under 18 U.S.C. § 3607	
U	NITED 	S	TATES 	D	ISTRICT 	C	OURT	
for the
__________ District of __________
United States of America )
)
)
)
) v.
Case No.	
Defendant	
PROBATION ORDER UNDER 18 U.S.C. § 3607
The defendant having been found guilty of an offense described under 21 U.S.C. § 844, and it appearing that the
defendant (1) has not, prior to the commission of such offense, been convicted of violating a federal or state law relating to
controlled substances, and (2) has not previously been the subject of a disposition under this subsection,
IT IS ORDERED: The defendant is placed on probation as provided in 18 U.S.C. § 3607 for a period of
without a judgment of conviction first being entered.  The defendant must comply with
the conditions of probation set forth on the next page of this order.
Date:	
Judge’s signature
Printed name and title	
Defendant’s Consent
I have read the proposed probation order under 18 U.S.C. § 3607 and the conditions of probation, including the
special conditions above.  I understand that if I violate any conditions of probation, the court may enter a judgment of
conviction and proceed as provided by law.  I consent to the entry of the order.
I also understand that, if I have not violated any condition of my probation, the court, without entering a judgment
of conviction, (1) may dismiss the proceedings and discharge me from probation before the expiration of the term of
probation, or (2) must dismiss the proceedings and discharge me from probation at the expiration of the term of probation.
I also understand that, if I was under age 21 at the time of the offense, I am entitled to have the record of my
arrest and conviction expunged upon application.
 
Date:	
Defendant’s signature
Signature of defendant’s attorney
Printed name of defendant’s attorney

AO 246 (Rev. 11/16)  Probation Order Under 18 U.S.C. § 3607 (Page 2)	
PROBATION
You are hereby sentenced to probation for a term of:
MANDATORY CONDITIONS
1. You must not commit another federal, state or local crime.
2. You must not unlawfully possess a controlled substance.
3. You must refrain from any unlawful use of a controlled  substance. You must submit to one drug test within 15 day	
s o	f placement on probation and 	at least two periodic drug tests thereafter, as determined by 	the court.	
G
The above drug testing condition is suspended, b ased on the court's determination that you pose a 
low risk of future substance abuse. 	
(check if applicable)	
4. GYou must cooperate in the collection of DNA as directed by the probation officer. 	(check if applicable)	
5. GYou must comply with the requirements of the Sex Offender Registration and Notification Act (42 U.S.C.
§ 16901, et seq .) as directed by the probation officer, the Bureau of Prisons, or any state sex offender registration agency in the 
location where you reside, work, are a student, or were convicted of a 
qu	
alifying offense.(check if applicable)	
6. GYou must participate in an approved program for domestic violence. 	(check if applicable)	
7. GYou must make restitution in accordance with 18 U.S.C. §§ 2248, 2259, 2264, 2\
327, 3663, 3663A, and
3664. 	
(check if applicable)	
8. You must pay the assessment imposed in accordance with 18 U.S.C. § 3013.
9. If this judgment imposes a fine, you must pay in accord ance with the Schedule of Payments sheet of this
judgment.
10. You must notify the court of any material change in  your economic circumstances that might affect your ability
to pay restitution, fines, or special assessments.
You must comply with the standard conditions that have  been adopted by this court as well as with any other
conditions on the attached page.

AO 246 (Rev. 11/16)  Probation Order Under 18 U.S.C. § 3607 (Page 3)	
STANDARD CONDITIONS OF SUPERVISION
As part of your probation, you must comply with the following standard conditions of supervision.  These conditions
are imposed because they establish the basic expectations for your behavior while on supervision and identify the
minimum tools needed by probation officers to keep informed, report to the court about, and bring about improvements
in your conduct and condition. 
1. You must report to the probation office in the federal judicial district where you are authorized to reside within 
72 hours of the time you were sentenced, unless the probation officer instructs you to report to a different 
probation office or within a different time frame. 
2. After initially reporting to the probation office, you will receive instructions from the court or the probation 
officer about how and when you must report to the probation officer, and you must report to the probation 
officer as instructed.
3. You must not knowingly leave the federal judicial district where you are authorized to reside without first 
getting permission from the court or the probation officer.
4. You must answer truthfully the questions asked by your probation officer.  
5. You must live at a place approved by the probation officer. If you plan to change where you live or anything 
about your living arrangements (such as the people you live with), you must notify the probation officer at least 
10 days before the change. If notifying the probation officer in advance is not possible due to unanticipated 
circumstances, you must notify the probation officer within 72 hours of becoming aware of a change or 
expected change.
6. You must allow the probation officer to visit you at any time at your home or elsewhere, and you must permit 
the probation officer to take any items prohibited by the conditions of your supervision that he or she observes 
in plain view.
7. You must work full time (at least 30 hours per week) at a lawful type of employment, unless the probation 
officer excuses you from doing so.  If you do not have full-time employment you must try to find full-time 
employment, unless the probation officer excuses you from doing so. If you plan to change where you work or 
anything about your work (such as your position or your job responsibilities), you must notify the probation 
officer at least 10 days before the change. If notifying the probation officer at least 10 days in advance is not 
possible due to unanticipated circumstances, you must notify the probation officer within 72 hours of becoming 
aware of a change or expected change.
8. You must not communicate or interact with someone you know is engaged in criminal activity.  If you know 
someone has been convicted of a felony, you must not knowingly communicate or interact with that person 
without first getting the permission of the probation officer.
9. If you are arrested or questioned by a law enforcement officer, you must notify the probation officer within 72 
hours.
10. You must not own, possess, or have access to a firearm, ammunition, destructive device, or dangerous weapon 
(i.e., anything that was designed, or was modified for, the specific purpose of causing bodily injury or death to 
another person such as nunchakus or tasers). 
11. You must not act or make any agreement with a law enforcement agency to act as a confidential human source 
or informant without first getting the permission of the court.
12. If the probation officer determines that you pose a risk to another person (including an organization), the 
probation officer may require you to notify the person about the risk and you must comply with that 
instruction.  The probation officer may contact the person and confirm that you have notified the person about 
the risk. 
13. You must follow the instructions of the probation officer related to the conditions of supervision.
U.S. Probation Office Use Only
A U.S. probation officer has instructed me on the conditions specified by the court and has provided me with a written
copy of this judgment containing these conditions. For further information regarding these conditions, see Overview of
Probation and Supervised Release Conditions, available at: www.uscourts.gov	
.
Defendant's Signature Date

AO 246 (Rev. 11/16)  Probation Order Under 18 U.S.C. § 3607 (Page 4)	
ADDITIONAL SUPERVISION CONDITIONS