crj 150 week 7

CRJ150_Wk7_Preparing_a_Presentence_Investigation_Report_Worksheet1.pdf

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CRJ150 Week 7 Assignment:

Preparing a Pre-sentence Investigation Report

In 3-4 sentences, what is the purpose of a PSI report? Please include what the report is used for and why it is needed.

In 3-4 sentences, what part of the criminal justice system uses information from a PSI report and how does that agency use it?

Please answer the following two questions, and then fill in the PSI report using 45-50 pieces of information from the media activity. Write "n/a" to indicate where information was not given.

Supplement to PROB 1 (NYEP - 11/22)

Page 1 of 16

CLIENT INFORMATION PACKET

Having been convicted in the United States District Court, the Probation Department is required to complete a presentence investigation report for the court. The presentence investigation report will contain factual information relevant to your sentencing, including information regarding your personal history. To assist in that process, please complete this packet in its entirety. The information contained in this packet will be discussed with you in detail during the presentence interview and will be relied upon for the completion of your presentence investigation report. You may utilize additional pages to provide the requested information, if necessary.

In addition to incorporating the information contained in this packet and obtained from you during the presentence interview, your presentence investigation report will indicate the documentation you provided for corroborative purposes. As such, please provide photocopies (electronic photocopies preferred) of the below-noted documentation (if applicable).

 Birth certificate(s), for you and children  Immigration documents/naturalization certificate, if applicable.  Marriage certificate(s)/divorce decree(s)  Social Security card/ SSI benefits letter  Personal & corporate tax returns for past 3 years  Driver’s license and current car registration(s)  School records, including diplomas and any professional licenses or certifications  Any paperwork to confirm past AND present employment and other sources of income

(i.e.: paystubs, W-2 forms /welfare/disability award letters)  Medical records and prescription(s) list (from pharmacy), if currently under treatment for

any physical or psychiatric problems  Most recent bank statements for all accounts, investment account statements, credit card

bills and car/school loan payments.  Apartment lease or mortgage note, or other means to verify housing costs.  Resume.

Last Name First Name Middle Name Social Security Number

Supplement to PROB 1 (NYEP - 11/22)

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UNITED STATES DISTRICT COURT Federal Probation System

SUPPLEMENT TO WORKSHEET FOR PRESENTENCE REPORT

PERSONAL IDENTIFICAITON

Name(s): (List every name you have used, e.g., name given at birth, name given at adoptions, nickname, alias, names used as a result of marriage, etc).

Date of Birth: Age: Place of Birth:

Race: ☐White ☐ Black ☐ American Indian/Alaskan Native Hispanic Origin: ☐Yes ☐No ☐ Asian or Pacific Islander ☐ Other

Sex: SSN: Immigration Status:

Country of Citizenship: Other ID #:

Current Legal Address: ____________________________________________________ (Number and Street, Apartment Number if applicable)

_________________________________________________________ (City) (State) (Zip)

Current Residence Address: ☐ Same as above ☐ Rent ☐Own

____________________________________________________ (Number and Street, Apartment Number if applicable)

_________________________________________________________ (City) (State) (Zip)

Pretrial Officer Name (if applicable):

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Supplement to PROB 1 (NYEP - 11/22)

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RESIDENCE HISTORY (Please indicate the last three locations you resided, other than your current address)

Address: ____________________________________________________________________ Number/Street/Apartment Number (if applicable) City/State/Zip ☐ Rented ☐ Owned

Dates Resided: Address: ____________________________________________________________________ Number/Street/Apartment Number (if applicable) City/State/Zip ☐ Rented ☐ Owned

Dates Resided: Please summary residence history: City/State/Country, Approximate Dates Resided.

Supplement to PROB 1 (NYEP - 11/22)

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PARENT/SIBLING INFORMATION

Name Age Residence (City/State)/Phone #

Occupation

Health

Father

Mother

SIBLINGS

Supplement to PROB 1 (NYEP - 11/22)

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ADDITIONAL FAMILY DATA

Provide contact information for any stepparents, adoptive parents, adopted siblings, guardians, etc. (if applicable), or any other relevant family data.

Supplement to PROB 1 (NYEP - 11/22)

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MARITAL/ROMANTIC RELATIONSHIP HISTORY

☐ Presently single and no marital/relationship history. Name Age Residence

(City/State)/ Phone #

Occupation/ Income

Dates of Relationship

# of Children

From: To:

Supplement to PROB 1 (NYEP - 11/22)

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CHILDREN (Parent/Guardian of minor children will be contacted by the U.S. Probation Department)

☐ No Children Child 1 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No Child 2 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No Child 3 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No Child 4 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No

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CHILDREN (continued)

Child 5 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No Child 6 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No Child 7 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No Child 8 Name: Age: Name of Other Parent/Guardian: Address (City/State, if not residing with you): Student: ☐ Yes ☐ No Custody: ☐ Yes ☐ No Employed: ☐ Yes ☐ No Financial Support Provided: ☐ Yes ☐ No

Supplement to PROB 1 (NYEP - 11/22)

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PHYSICIAL CONDITION

☐ Healthy and no history of health problems. List the date(s) and cause(s) of any serious chronic illnesses and medical conditions (past and present). For any prior hospitalizations, be sure to indicate where and for how long. List all current prescriptions. Name, address, and telephone number for all physicians.

Supplement to PROB 1 (NYEP - 11/22)

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MENTAL AND EMOTIONAL HEALTH

☐ No history of mental or emotional health problems, and no history of treatment for such problems.

Describe any past or present mental, emotional, or gambling problems. Include the diagnosis of any problems (if known) and the dates of any treatment. List the name and address of the treatment provider(s).

List all current prescriptions.

Supplement to PROB 1 (NYEP - 11/22)

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SUBSTANCE ABUSE

☐ No history of alcohol or drug use and no history of treatment for substance abuse ☐ Declines to discuss alcohol or drug use. NOTE: Failure to discuss issues relating to alcohol and drug use could preclude you from treatment programs within the BOP. Describe in detail history of substance abuse and treatment. (Overdose, daily cost to support habit, frequency and quantity of use, treatment programs and dates). Substance First Used Last Used How Often/How much? Alcohol

Marijuana

Powder Cocaine

Crack Cocaine

Heroin

Opiates

Other (please specify)

Which substance did you use most frequently?

Which substance(s) has/have caused you the most issues/problems?

Describe in detail history of substance abuse treatment. (Indicate name/dates and duration of programs and if successfully completed or not.)

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Supplement to PROB 1

(NYEP - 11/22)

Page 12 of 16

EDUCATION AND VOCATION SKILLS

Highest Education Level: Fluent Language(s):

Name of School City/State/Country Dates Attended Degree, Diploma or

Certificate Received

From:

To:

From:

To:

From:

To:

From:

To:

From:

To:

From:

To:

Do you have any specialized training or professional licenses?

☐Yes ☐No If yes, please describe below.

MILITARY

☐ None.

Branch of

Service

Service Number Date Entered Date

Discharged

Discharge Type

Highest

Rank

Rank at Separation Decorations/Awards VA Claim Number

Summarize Military Service.

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Supplement to PROB 1 (NYEP - 11/22)

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EMPLOYMENT HISTORY

Dates Name/Address of Employer Title/Position; Reason for Leaving

From: Position/Title:

Reason for Leaving: To: Present Weekly Hours:

Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From: Position/Title:

Reason for Leaving: To: Weekly Hours:

Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From: Position/Title:

Reason for Leaving: To: Weekly Hours:

Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From: Position/Title:

Reason for Leaving: To: Weekly Hours:

Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From: Position/Title:

Reason for Leaving: To: Weekly Hours:

Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

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vdr

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Supplement to PROB 1 (NYEP - 11/22)

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EMPLOYMENT HISTORY (continued)

From:

Position/Title: Reason for Leaving:

To: Weekly Hours: Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From:

Position/Title: Reason for Leaving:

To: Weekly Hours: Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From:

Position/Title: Reason for Leaving:

To: Weekly Hours: Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From:

Position/Title: Reason for Leaving:

To: Weekly Hours: Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

From:

Position/Title: Reason for Leaving:

To: Weekly Hours: Gross Salary: ☐ Weekly ☐ Biweekly ☐ Annually

Supplement to PROB 1 (NYEP - 11/22)

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EMPLOYMENT HISTORY (continued) Please summarize all additional prior employment prior to the last 10 years. Please indicate dates of prior unemployment and means of financial support during that time.

Supplement to PROB 1 (NYEP - 11/22)

Page 16 of 16

ACCEPTANCE OF RESPONSIBILITY STATEMENT ☐ Declined to provide a statement regarding the offense. Statement regarding the offense:

Blank Page
Blank Page

Last Name: Roberts
First Name: Paul
Middle Name: William
P2-1: n/a
Date of Birth_af_date:
Age:
POB:
Sex: male
Social Seccurity NUmber: 123-45-6789
Country of Citizenship:
Other ID: n/a
Current Legal Address:

City:

State:

Zip Code:

Same as Current Residence?: Yes
Rent or Own: Choice3
Pretrial Officer Name: Roth
Residence History 1:

0:
1:
2: n/a

Rent or Own 1: Rented
Dates Resided 1:

0: n/a

Rent or Own 2: Rented
Rent or Own 3: Off
Residence History:
Text3:

0: Anthony Roberts
1:

0: Joyce Roberts
1:

0:
1: Sylvia Anderson
2: n/a
3:
4:
5:
6:
7:
8:
9:
10:

Text4:

Text5:

0: 28 Daydream Ave Birmingham AL 35005
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:

Text6:

0:
1: Elementary school teacher
2:
3:
4:
5:
6:
7:
8:
9:
10:

ADDITIONAL FAMILY DATA:
Single-No Marital: Off
Text11:

0: Huntsville, AL 256-123-4567
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:

Text12:

0: May 2013
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:

0: present
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:

Child 1:

Name:
Age:
OtherParentName:
Address:

Student1: No
Employed1: Yes
No Children: Off
Child 5:

Name:
Age:
Address:
OtherParentName:

Student5: Off
Employed5: Off
Custody5: Off
Financial Support Provided5: Off
Child 6:

Name:
Age:
Address:
OtherParentName:

Student6: Off
Employed6: Off
Custody6: Off
Financial Support Provided6: Off
Child 7:

Name:
Age:
Address:
OtherParentName:

Student7: Off
Employed7: Off
Custody7: Off
Financial Support Provided7: Off
Child 8:

Name:
Age:
Address:
OtherParentName:

Student8: Off
Employed8: Off
Custody8: Off
Financial Support Provided8: Off
Child 4:

Name:
Age:
OtherParentName:
Address:

Student4: Off
Employed4: Off
Custody4: Off
Financial Support Provided4: Off
Child 3:

Name: n/a
Age:
Address:
OtherParentName:

Student3: Off
Employed3: Off
Custody3: Off
Financial Support Provided3: Off
Child 2:

Name:
Age:
OtherParentName:
Address:

Student2: No
Employed2: Yes
Custody2: NO
Financial Support Provided2: NO
Custody1: NO
Financial Support Provided1: NO
No Health History: Off
Chronic Illnesses List: In 2020...
Current Prescriptions List:
Physicians List: Huntsville Hospital Physician Care at Oakwood: Psychiatric and Counseling Services:
No Mental Health History: Off
mental, emotional, or gambling problems: In 2018...
Current Prescriptions-Mental:
No Alcohol and Drug Use History: Off
Declines to discuss alcohol and drug use: Off
FirstUsed1:

0:
1:
2: n/a
3: n/a
4: n/a
5: In 2020 after developing chronic back pain
6:
7:
8:

Text7:

0:
1: Shortly before graduating college
2:
3:
4:
5: About a week ago
6:
7:
8:

HowMuchHowOften1:

0:
1: While in high school, it was about every other week. In college, it was a weekly occurence
2:
3:
4:
5: Prescribed 30-day supply at a time. Take as needed for pain. Typically one dose per day.
6:
7:
8:

Subs1:

6: n/a
7: n/a
8: n/a

Substance use most frequently:

0: alcohol
1: alcohol
2:

School1:

0: Online
1: Auburn, AL, USA
2:
3:
4:
5:

0: 1/2023
1: 8/2006
2: 9/2002
3:
4:
5:

0: present
1: 5/2010
2: 6/2006
3:
4:
5:

specialized training: No
Service Branch:

Fluent Languages: English
No MIlitary: Off
Weekly Hours:

6:
7: 35
8:
9:
10:
5: 40
1a: 40
2:
3: up to 70 hours per week
4:

Gross Salary:

4: $
6:
7: $400.00 + tips
8:
9:
1a: $55,000.00
2: $2,000.00
3:
5: $32,000.00
10:

Emp6: TJ Maxx 975 Airport Rd Huntsville, AL
EmpPos6:
EmpLeave6: Laid off
EmpDateF6: November 2009
EmpDateP6: September 2011
EmpDateF7:
Emp7: The Steaming Cajun Restaurant 317 Pelham Ave Hunstville, AL
EmpPos7:
EmpLeave7:
EmpDateP7:
EmpDateF8:
Emp8:
EmpPos8:
EmpLeave8:
EmpDateP8:
EmpDateF9:
Emp9:
EmpPos9:
EmpLeave9:
EmpDateP9:
EmpDateF10:
Emp10:
EmpPos10:
EmpDateP10:
EmpLeave10:
Salary1: Annually
EmpDateF2: October 2018
Emp2:
EmpPos2:
EmpDateP2: May 2021
EmpLeave2:
Salary2: Biweekly
EmpDateP5: November 2014
EmpDateF5: September 2011
Emp5:
EmpPos5:
Salary5: Annually
EmpLeave5:
EmpDateF3:
Emp3:
EmpPos3:
EmpDateP3:
EmpDateF1a: June 2021
Emp1a: Bradford Manufacturers 4100 Corporation Dr. Huntsville, AL
EmpPos1a:
EmpDateP1a:
EmpLeave1a: n/a
EmpDateF4:
Emp4: The Home Depot
EmpPos4:
EmpLeave4: Resigned after hours were cut
EmpDateP4:
Salary4: Weekly
Salary3: Annually
EmpLeave3:
Salary6: Biweekly
Salary7: Weekly
Salary8: Off
Salary9: Annually
Salary10: Off
Emp Histoy:

0: All emplyment provided since college.
1: n/a

Declined Offense Statement: Off
Offense Statement:
Text9:

0:
1: n/a
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:

Text10:

American Indian/Alaskan Native: Off
Black: Off
Whit: Yes
Hispanic Origin: NO
Asian or Pacific Islander: Off
Other: Off
Ammigration Stats: []
Legal Address:
Highest Education Level: [Undergraduate Degree]
Degree, Diploma or Certificate:

0:
1:
2: High School diploma
3:
4:
5:

Text1:
Text2: