in county of (specify): and sentenced to (specify sentence):
The supervised person was originally convicted of the following offenses:
CONVICTION INFORMATION:3.
on (date):
in case numbers (specify):
COURT/CASE NUMBER:
SUPERVISING AGENCY NUMBER:
PETITION FOR REVOCATION
Date of birth:
IN THE MATTER OF (name of supervised person):
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
E-MAIL ADDRESS (Optional):
FAX NO. (Optional):
TELEPHONE NO.:
FOR COURT USE ONLY
SUPERVISING AGENCY (Name and address):
CR-300
PAROLE (Pen. Code, §§ 3000.08, 1203.2)
PRCS (Pen. Code, §§ 3455, 1203.2)
PROBATION (
Pen. Code, § 1203.2) MANDATORY SUPERVISION
(Pen. Code, §§ 1170(h)(5)(B), 1203.2)
• Before filing this form, petitioner should consult local rules and court staff to schedule the hearing in item 1.
• Petitioner must note whether the petition applies to a parole (beginning July 1, 2013), postrelease community supervision, probation,
or mandatory supervision matter by marking the appropriate check box above.
INSTRUCTIONS
If an interpreter is needed, please specify the language:
Location (if different than court address above):
Dept.:Time:Date:
HEARING INFORMATION: A hearing on this petition for revocation has been scheduled as follows:1.
(Governmental)
(Family Law --Governmental)
(Governmental)
www.courts.ca.gov
PETITION FOR REVOCATION
(Pen. Code, §§ 1170(h)(5)(B), 1203.2, 3000.08, and 3455)
Form Approved for Optional Use
Judicial Council of California
CR-300 [Rev. January 1, 2015]
SIGNATURE OF PETITIONERNAME AND TITLE OF PETITIONER
By
Date:
I declare under penalty of perjury and to the best of my information and belief that the foregoing is true and correct.
SPECIAL PAROLE STATUS (check this box only if the supervised person is subject to parole under Penal Code section 3000.1):
7.
The supervised person is on parole under Penal Code section 3000.1. If the court determines that the person has violated
parole, the court is required to remand the person to the custody of CDCR for future parole consideration. (Pen. Code, §
3000.08(h).)
The circumstances of the alleged violation are (if more space is needed, please use Attachment to Judicial Council Form (MC-025)):
SUMMARY: The supervising agency established probable cause for the alleged violation on (date):
6.
SPECIFIC TERMS AND CONDITIONS: Petitioner alleges that the supervised person has violated the following terms and
conditions of supervision (if more space is needed, please use Attachment to Judicial Council Form (MC-025)):
5.
Supervision is scheduled to expire on (i.e., the controlling discharge date is) (date):
Name of current supervising agent or officer:
The supervised person was released on supervision on (specify date):
SUPERVISION INFORMATION:4.
Booking number (if any):
(specify location):
CUSTODY STATUS (Select one):
2.
not in custody
in custody
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