Supervision Fee Form

Supervision Fee Form

 

Name_________________________________AO#________________________
DOB_________________ Are you a sex offender ?_______________________
What years did you report between 2001-2009___________________________
__________________________________________________________________
Which office or offices did you report to between those years ?____________
__________________________________________________________________
What was your monthly fee?__________________________________________
Were you ever sanctioned, revoked, jailed, punished or threatened in any way
for not paying your supervision fees?__________________________________
__________________________________________________________________
__________________________________________________________________
How can we contact you? Once you are in the system I can only find you if
you are incarcerated once you go on probation or parole I lose you so please
give us a relative or other address of someone who will know how to find you.
Otherwise you will have to contact us periodically to find out how the class
action is going.

 

 

Thank you for your help.

Connections Box 4142 Bozeman, MT 59772

406-813- 8209