District Court Probation Officer Referral Form

Probation Officer Name(Required)

Probationer Email(Required)

Court(Required)

Case Number(Required)

Offense(Required)

Client Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

ETRS Educational Programs (Virtual Options provided)

Alcohol Education 2-day (13.0 hrs / $200)

Alcohol Education 1-day (6.5 hrs / $120)

Anger/Aggression Management 2-day (13.0 hrs / $200)

Anger/Aggression Management 1-day (6.5 hrs / $120)

ETRS Programs (Virtual Options provided)

CBT-Concentrate on Better Thinking/Positive Options - $200 (8 Sessions, utilizes interactive journaling)

Economic Crime (Retail Fraud/Theft) - $120 for 7.5 hrs

Domestic Abuse 1 Day Orientation ($100) + 26 weeks ($30/week)

Outpatient Relapse Prevention Program (14 weeks) - $500

ETRS Evaluations + Assessments (Virtual Options provided)

Substance Abuse Assessment (includes 4-panel drug screen) - $150

Driver's License Appeal (includes 12-panel drug screen) - $350

Domestic Violence Assessment - $100

Mental Health Assessment - $200

Will you allow your probationer to take a virtual class?(Required)

Yes

No - it must be in person

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Virtual Classes Available!

With approval from probation.