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§ 6-207 Uniform Conditions of Supervised Probation

Part 6: Probation

Chapter 2: Adult Services

A. Definitions. In this section the following definitions apply: “Court” means the superior court or limited jurisdiction court. “Presiding judge” means the presiding judge of the superior court in each county.

B. Applicability. Based on the administrative authority provided by Article VI, Section 3 of the Arizona Constitution, the attached form and the following procedures shall govern the uniform conditions of supervised probation imposed by the superior court.

C. Purpose. The attached uniform conditions of supervised probation form is adopted and incorporated as Appendix A in order to ensure consistency among courts and probation departments.

D. General Administration.

1. The presiding judge shall ensure all judges within their jurisdiction use the uniform conditions of supervised probation form for cases assigned to the superior court probation department for supervision.

2. Courts shall impose the uniform conditions of supervised probation on the following:

a. Probationers sentenced by the superior court to supervised probation using the attached adopted form, which may be amended pursuant to subsection D(3)(a).

b. Probationers referred by a limited jurisdiction court to the superior court probation department for supervision.

c. Probationers accepted for supervision in Arizona through the Interstate Compact for Adult Offender Supervision.

3. The forms shall be duplicated and used by courts as follows:

a. Each superior court shall duplicate the uniform conditions of supervised probation form as adopted, except that formatting changes are permitted. If a court changes a condition, the change shall be documented on the form. When special conditions are imposed in addition to those specified, they shall be listed under condition 15, or attached in a separate document.

b. Probation departments shall duplicate forms that include, at a minimum, conditions 1 through 9 and provide to the limited jurisdiction court for cases referred by a limited jurisdiction court to the superior court probation department for supervision. The limited jurisdiction court, in conjunction with the probation department, may add additional conditions.

c. Probation departments shall duplicate forms that include, at a minimum, conditions 1 through 9 for probationers accepted for supervision in Arizona through the Interstate Compact. Probation departments may add additional conditions.

4. A superior court shall use only the currently approved uniform conditions form when continuing probation. Adopted by Administrative Order 2002-08, effective January 11, 2002. Amended by Administrative Order 2004-01, effective January 7, 2004. Amended by Administrative Order 2006-22, effective December 31, 2005. Amended by Administrative Order 2007-85, effective January 1, 2008. Amended by Administrative Order 2007-95, effective January 1, 2008. Amended by Administrative Order 2010-45, effective April 14, 2010. Amended by Administrative Order 2018-92, effective October 3, 2018. Amended by Administrative Order 2022-138, effective November 2, 2022, with the new forms in use no later than March 1, 2023. Amended by Administrative Order 2024-37, effective February 7, 2024, with the new forms in use no later than July 1, 2024. Amended by Administrative Order 2025-22, effective January 29, 2025, with the new form in use July 1, 2025 through December 31, 2032. Amended by Administrative Order 2025-156, effective September 26, 2025. Amended by Administrative Order 2026-151, effective September 12, 2026. DISTRIBUTION: Original – Court File, Copies – APD, Defendant Revision 2024 Page 1 Section 6-207: Uniform Conditions of Supervised Probation Appendix A Uniform Conditions of Supervised Probation Form IN THE SUPERIOR COURT OF THE STATE OF ARIZONA UNIFORM CONDITIONS OF SUPERVISED PROBATION STATE OF ARIZONA COUNTY/DIVISION:_______________________________

v. ____________________________________________ CR: ______________________________________________ § 13-901.01 Offense: 1st 2nd Ineligible OFFENSE(S):_______________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ The Court is suspending imposition/execution of sentence and, under the supervision of the Adult Probation Department (APD), PLACING the defendant on probation for a period of _____ year(s) month(s) days lifetime to begin _______/________/_______ upon absolute discharge from prison for a separate offense or upon release from prison for felony DUI (____ months; _____ days credit for time served) REINSTATING the defendant on probation for a period of _____ year(s) month(s) days lifetime to begin _____/_____/_____ with a revised expiration date of_____/_____/_____ REQUIRING the defendant be incarcerated in the county jail for _____ days, with credit for _____ days to begin_____/_____/_____ (____am/pm) not released until ____/____/____ (____am/pm) early release upon______________________________________ eligible for work release as an intermediate sanction implemented by the APD in consecutive or nonconsecutive intervals as approved by the court and ORDERING the defendant to pay assessments listed in the attached Financial Order and Judgment and abide by the following CONDITIONS OF PROBATION:

1. I will obey all criminal laws.

2. I will comply with the APD written regulations to help me establish a law-abiding lifestyle.

3. I will report to my probation officer as directed by the APD, and within 72 hours of any of the following: a.) any contact with law enforcement; and b.) sentencing or release from incarceration or residential treatment.

4. I will actively participate in treatment and other programs of assistance and will sign a release or consent document to allow the APD to exchange information related to my progress.

5. I will provide my current address to the APD, reside at the location approved by the APD, and provide the APD safe, unrestricted access to my place of residence.

6. I will request and obtain APD approval before leaving the state.

7. I will submit to drug and alcohol testing as directed by the APD.

8. I will not possess weapons, including firearms and ammunition, nor use anything to threaten or cause bodily harm or property damage.

9. I will allow the search and seizure of my person and property by the APD without a search warrant. SPECIAL CONDITIONS:

10. I will not have any contact with the victim(s) in any form, unless approved in writing by the APD.

11. I will prioritize payment of restitution to the victim(s) prior to making discretionary expenditures.

12. I will complete a total of _____ hours of community restitution as implemented by the APD.

13. I will self-report to the county jail as required above.

14. I will not consume or possess alcoholic beverages. DISTRIBUTION: Original – Court File, Copies – APD, Defendant Revision 2024 Page 2

15. I will comply with the following requirement(s) of the Court or attached Special Conditions: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Intensive Probation Sex Offender Gang Domestic Violence Drug/DUI Court Mental Health Veterans Court ______________ Based upon the defendant’s agreement to abide by the Conditions of Supervised Probation set forth, above, as well as my review and approval of such conditions, I hereby impose and order that these conditions are in effect. _______________________________________________ Judge of the Superior Court Date RECEIPT AND ACKNOWLEDGMENT: I acknowledge receipt of the conditions of probation and any attachments added. I understand that by not abiding by the conditions of probation my probation could be revoked and the Court may sentence me in accordance with the law. In addition, I waive extradition for any probation revocation proceedings in this matter. Defendant Signature Date Phone Email Defendant’s Address Apt. City State Zip IN THE SUPERIOR COURT OF THE STATE OF ARIZONA FINANCIAL JUDGMENT AND ORDER STATE OF ARIZONA COUNTY/DIVISION:

v. CR: ☐ Reinstatement Commencing: ☐ Today’s Date ☐ FINANCIAL SANCTIONS DISTRIBUTION: Original – Court File, Copies – APD, Defendant Revision 2026 Page 1 TOTAL MONTHLY PAYMENT ☐ Restitution A.R.S. § 13-804 ☐ Joint/Several A.R.S. § 13-804(F) Joint/Several with: ______________________________________________ ☐ $20.00 Time Payment Fee A.R.S. § 12-116 ☐ Probation Fees A.R.S. § 13-901 ☐ Extradition Fee A.R.S. § 13-3870.02 ☐ Interstate Compact Fee ICAOS Rule 4.107(a) ☐ Fine A.R.S. § 13-801/802/821 ☐ ____% Surcharge A.R.S. §§ 12-116.01, 12-116.02 ☐ 10% Clean Elections Fund A.R.S. § 16-954(A) ☐ 1% Surcharge A.R.S. § 16-976(C) ☐ $20.00 Probation Assessment A.R.S. § 12-114.01 ☐ $13.00 Crime Penalty Assessment A.R.S. § 12-116.04(A) ☐ $_______ Victims’ Right Enforcement Assessment A.R.S. § 12-116.09 ☐ $9.00 Victims’ Right Fund Assessment A.R.S. § 12-116.08 ☐ $20.00 First Responder’s Supplemental Death Benefit A.R.S. § 12-116.12 ☐ Other: ☐ Other: ☐ Other: Total: Financial Addendum: ☐ DV ☐ DUI ☐ Sex Offender Total Monthly Payment Amount ALL PAYMENTS TO BEGIN ☐30 DAYS ☐90 DAYS AFTER SENTENCING, RELEASE OF CONFINEMENT, RESIDENTIAL TREATMENT, OR ON DATE OF _________________. * Pursuant to A.R.S. § 13-902(C), the court may extend the period of probation if the restitution condition is not satisfied. * Pursuant to ACJA 6-201.01 and 6-202.01, modification of monthly payments as income changes during the supervision period permitted, based upon the probationer’s ability to pay. * Pursuant to A.R.S. § 13-805, at the time the defendant completes the period of probation or absconds from probation of the defendant’s sentence, the court shall enter into a criminal restitution order in favor of the state for the unpaid balance. * Pursuant to A.R.S. § 12-116.09 the Victims’ Right Enforcement assessment is $2.00 for offenses committed prior to September 26, 2025, and $4.00 for offenses committed on or after September 26, 2025. Defendant Date Judge of the Superior Court Date Defendant’s Address City State Zip Phone IN THE SUPERIOR COURT OF THE STATE OF ARIZONA FINANCIAL JUDGMENT AND ORDER STATE OF ARIZONA COUNTY/DIVISION:

v. CR: ☐ Reinstatement Commencing: ☐ Today’s Date ☐ ADDENDUM TO FINANCIAL SANCTIONS DISTRIBUTION: Original – Court File, Copies – APD, Defendant Revision 2026 Page 2 TOTAL DUI ☐ DUI Fine A.R.S. §§ 28-1381, 28-1382, 28-1383 1st Offense ☐ $250 (DUI) ☐ $250 (Ext DUI) ☐ $500 (Ext DUI >.20) ☐ $750 (Agg DUI) 2nd Offense ☐ $500 (DUI) ☐ $500 (Ext DUI) ☐ $1000 (Ext DUI >.20) ☐ Prison Construction & Operations Fund A.R.S. § 41-1651 1st Offense ☐ $500 (DUI) ☐ $1000 (Ext DUI) ☐ $1500 (Agg DUI) 2nd Offense ☐ $1250(DUI) ☐ $1250 (Ext DUI) ☐ Public Safety Equipment Fund A.R.S. § 41-1723* 1st Offense ☐ $500 (DUI) ☐ $1000 (Ext DUI) ☐ $1500 (Agg DUI) 2nd Offense ☐ $1250(DUI) ☐ $1250 (Ext DUI) ☐ $4.00 Law Enforcement Equipment Fund Assessment A.R.S. § 12-116.10+ ☐ $250.00 DUI Abatement Fund A.R.S. §§ 28-1382, 28-1383, 28-1304 ☐ $______ the 1st day and $_____ each day thereafter DUI Incarceration Cost A.R.S. § 28-1444+ Domestic Violence ☐ $50.00 Family Offense Assessment A.R.S. § 12-116.06 ☐ $50.00 Address Confidentiality Program Assessment A.R.S. § 12-116.05 Sex Offense ☐ __________ Monthly GPS Monitoring Fee A.R.S. § 13-902(G) ☐ $250.00 Sex Offender Monitoring Violation Fund A.R.S. § 13-3824(B)** ☐ $250.00 Sex Offender Registration Fee A.R.S. § 13-3821(Q) ☐ $500.00 DCAC/Sexual Assault Assessment A.R.S. § 12-116.07+++ ☐ $50.00 Address Confidentiality Program Assessment A.R.S. § 12-116.05~ Total Monthly Payment Included on Page One *For offenses occurring after August 12, 2005 +Court may waive or reduce incarceration costs due to financial hardship or eligible for mitigation **For A.R.S. § 13-3821(J) Failure to Update ID and/or Required On-line Identifier +++For DCAC or sexual assault offenses with sentencing dates on or after January 1, 2012 ~ For certain offenses with sentencing dates on or after January 1, 2012 Defendant Date Judge of the Superior Court Date Defendant’s Address City State Zip Phone