Community Service Order

COMMUNITY SERVICE ORDER

Issuing Authority:

Case Number:    Date of Order:

WHEREAS

WHEREAS, Participant Name: (hereinafter referred to as "Participant") has been adjudicated or otherwise found eligible for community service in connection with the offense described below;

WHEREAS, Offense / Violation: ; the court or issuing authority has determined that community service is appropriate as part of disposition, sentencing, or administrative resolution;

WHEREAS, the parties desire to set forth the scope, schedule, supervision, fees, and conditions applicable to the Participant's community service obligations;

SCOPE OF WORK

SERVICE REQUIREMENTS

Total Required Community Service Hours:    Maximum Hours Per Day:

Reporting Requirement:

PAYMENT TERMS

Administrative Fee Amount: $    Payment Due Date:

Payment Schedule / Installments:

Late Fee: ; Late payments that remain outstanding beyond 30 days may result in additional administrative actions consistent with this Order.

TERM AND TERMINATION

Start Date:    End Date:

Notice Period for Termination by Issuing Authority (days):

Termination for Cause: The Issuing Authority may terminate or modify this Order for failure to comply with scheduled hours, failure to report, misconduct at the work site, or falsification of records. Prior to termination for cause, the Participant will be provided notice and an opportunity to cure unless immediate action is required to protect public safety.

CONFIDENTIALITY

Records concerning the Participant's performance under this Order, including hours completed, evaluations, and related case notes, shall be maintained by the Issuing Authority and the Site Supervisor. Such records will be treated as case records and may be disclosed only to persons with a legitimate need consistent with applicable law. Unauthorized public dissemination of personally identifying information regarding the Participant is prohibited except as required by law.

COMPLIANCE AND REMEDIES

Compliance will be verified by documentation submitted by the Site Supervisor and accepted by the Issuing Authority. In the event of noncompliance, the Issuing Authority may impose additional hours, fines, suspension of credited time, requirement to perform alternative service, or referral for further proceedings as authorized by law.

GOVERNING LAW

This Order shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Order constitutes the entire understanding between the Issuing Authority and the Participant with respect to the Participant's community service obligations in the referenced case. No oral statements or prior written materials not expressly incorporated herein shall have any force or effect.

ADDITIONAL PROVISIONS

Participant Address:

Participant Date of Birth:    Identification Number (if any):

Certification: By signing below, the Participant acknowledges receipt of this Order, agrees to comply with its terms, and understands that failure to comply may result in additional sanctions permitted by law. The Issuing Authority certifies that the conditions set forth herein have been lawfully imposed.

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