Client Monthly Report Probation and Parole

IDAHO DEPARTMENT OF CORRECTION
Client Monthly Report (Probation and Parole)
(Form last updated 2/08/22)

Client Name: IDOC #: Probation and Parole Officer Name: District:
Current Address and City: Employer Name:
Home Phone #: Cell Phone #: Employer Address and City:
Names of Other Adults Living in Your Home and Their
Relationship to You:
Supervisor Name:
# of Hours Worked: Rate of Pay (Per Hour):
List the Address of Any Storage Units You are Currently Using:
List the Social Networks You Belong to:
List All Email Addresses That You Use:

Vehicle #1 License Plate #: Year, Make, and Model: Color:
Vehicle #2 License Plate #: Year, Make, and Model: Color:
Vehicle #3 License Plate #: Year, Make, and Model: Color:

Did any of the following occur this month? Moved: Yes No ; Changed Employment: Yes No ; Had Contact with Law
Enforcement: Yes No
Did you have any contact with any other state, county, city, or federal agencies or authorities this month, such as Health and Welfare,
child protective services, juvenile probation, etc.? If so, who?
What treatment or counseling groups are you attending?
Location of treatment or counseling?
Counseling or group leader’s name(s):
List all prescription drugs/medications you are taking:
What is your misdemeanor or federal probation and parole officer’s name? Monthly Income
Amount
Received
Amount
Received
Child Support $ Wages (yours) $
Food Stamps $ Wages (your significant other) $
Public Assistance $
All other monthly Income (tax refund,
loans, pawns, etc.) $
Total Amount Received $
Monthly Expenses Amount Paid Amount Paid
Cable Television Payments $ Food $
Car Payments $ Gas and/or Transport $
Child Support Payments $ Insurance Payments $
Church $ Medical Bill Payments $
Cigarettes $ Phone (home and/or cell) Payments $
Clothing $ Rent or Mortgage Payments $
Cost of Supervision (COS) Payments $ Restitution Payments $
Daycare Payments $ Treatment or Counseling $
Entertainment $ Utility Payments (electric, gas, etc.) $
Fines (court-ordered) $ All other monthly expenses $
Total Amount Paid $
I certify that the above information is correct and accurate. I understand that providing false or misleading information may result in a
Report of Violation being submitted or other disciplinary action.

Client’s Signature Date
Important Things to Remember!
• You must get written permission from your supervising probation and parole officer (PPO) before traveling outside the state of Idaho.
• You must get verbal permission from your supervising PPO to travel outside the counties in your assigned district, which include the
following counties:
• You cannot move without obtaining your supervising PPO’s permission in advance.
• You cannot change or quit your job without obtaining your supervising PPO’s permission in advance. • You cannot quit or miss any of your treatment, counseling, or programming sessions without obtaining your supervising PPO’s
permission in advance.
• You must immediately notify your supervising PPO of any new arrests or law enforcement contacts you have had.