Sex Offender Supervision Agreement

IDAHO DEPARTMENT OF CORRECTION
Sex Offender Supervision Agreement
Updated 09/25/2024
Defendant Name: ________________________ Case Number(s): ________________________

Below are the terms and conditions of supervision requested by the Idaho Department of Correction
(IDOC). These conditions are provided to you at sentencing. Your initials acknowledge your
understanding of each condition(s) listed below.

1. _____ I will comply with the sex offender registration requirements of Idaho Code Title 18, Chapter 83.
2. _____ I agree to obtain a specialized sex offender evaluation. The evaluator and my Sex Offender
Treatment Provider (SOTP) must be on the approved Sex Offender Management Board provider list. I
will comply with all requirements of the treatment program and actively participate in treatment,
including following provider instructions regarding possession or viewing of any material (e.g., pictures,
movies, websites) that act as a stimulus for my sexual behavior and guidance around entering into
appropriate romantic or sexual relationships. I will not change treatment programs without prior
approval of my supervising Probation/Parole Officer (PPO).
3. _____ I agree to pay the financial obligations incurred for my counseling and treatment.
4. _____ If my instant offense was internet related, or as instructed by my supervising officer, I will not
subscribe to, use, nor have access to internet service, including e-mail or any other internet material
without the permission of my supervising PPO and SOTP. I will not use any form of password-
protected files, or other methods that might limit access to or change the appearance of data images
or other computer files.
5. _____ I will not engage in illegal sexual behavior.
6. _____ If required by the facts of my instant offense, psycho-sexual evaluation, or as directed by my
supervising officer, I will not form an intimate relationship with any person who has physical or shared
custody of a child(ren) under 18 years of age, nor will I reside or stay at a residence where minor
children frequent or reside, except as approved by my supervising PPO and SOTP. I will further not
initiate, maintain, or establish contact with any person under 18 years of age.
7. _____ As directed by my supervising officer and treatment provider, I will not live near, frequent, loiter,
or go near places where minors or victims of choice congregate (e.g., parks, playgrounds, schools,
video arcades, swimming pools, daycares, libraries, churches, special events) or any other risky areas
as identified by my supervising PPO consistent with statewide restrictions. A request for exception
must be submitted on a Sex Offender Supervision Activity Request and approved in writing by my
supervising PPO.
8. _____ I will provide complete and truthful information for any psychological and/or physiological
assessment that is conducted at the request of my supervising PPO or SOTP.

Supervised Client Signature Date:
Supervised Client Name (printed)
Witness Signature Date:
Witness Name (printed)