Victorian Numbered Regulations

CORRECTIONS REGULATIONS 2009 (SR NO 40 OF 2009) - SCHEDULE 4

SCHEDULE 4

Sch. 4

FORM 1

Regulations 83 and 84

PAROLE ORDER

TO

(Christian Names or Given Names) (Surname in BLOCK letters )

of (Address)

You were convicted of

Now the Adult Parole Board directs that you be released on parole

on the day of on the following conditions:

1.     That you do not break any law.

2.     That you notify a community corrections officer of any change of address or employment within 48 hours of the change.

3.     That you do not leave the State of Victoria without the written permission of the Regional Manager.

4.     That you carry out the lawful instructions of community corrections officers.

5.     That you are under the supervision of a community corrections officer.

6.     That you report as and when directed by the community corrections officer.

7.     That you make yourself available for interview by the community corrections officer at such time and place as directed by the community corrections officer.

In addition to the above conditions, from the date of your release on parole

until the following conditions also apply:

8.     That you report at least twice a week to the supervising community corrections officer.

9.     That you be employed or undertake an approved educational or training programme.

10.     That if you are not employed, or in an approved educational or training programme you undertake unpaid community work as directed by the Regional Manager.

The following special conditions also apply to this Order:

( if applicable, insert special conditions )

The Adult Parole Board may change the conditions of this Order at any time. It is a condition of this Order that if the Board does change this Order and the changes are explained to you, you must sign (when asked to do so) a declaration acknowledging that the changes have been explained to you.

You are still under sentence. The Adult Parole Board may cancel your parole order at any time before the end of the parole period or at any later time if you are sentenced to imprisonment for more than 3 months in respect of one or more offences committed during the parole period.
Sch. 4

Otherwise, if you observe the conditions of the Parole order, your parole will expire on:

Within 2 clear working days you are required to report to the following Community Corrections Centre:

Dated this day of 20

For and on behalf of the Adult Parole Board

Member/Secretary of the Adult Parole Board

INSTRUCTIONS

(Office use only)

1.     One signed copy of this Order is to be retained at the prison as authority for release.

2.     One copy is to be handed to the prisoner on release.

3.     One copy is to be retained by the Regional Manager of the above Community Corrections Centre.

4.     One copy is to be retained by the Adult Parole Board.

FORM 2

DECLARATION BY PERSON GRANTED PAROLE

I, ( name, in block letters, of person granted parole ) declare that I have been given an explanation of the conditions of my parole and I undertake to comply with them.

Signed     Dated

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