You only need to fill this out once. If you have completed this form in the past, please skip.
You only need to fill this out once. If you have completed this form in the past, please skip.
Please email the completed and signed form to CCIOCAREQUEST@nycourts.gov and CC the hiring manager/supervisor. You will need to e-sign the document (instructions below).
In signing this form, you are agreeing to use information from this database for the following limited approved purpose: the administration of pretrial services in Richmond, Kings, and Bronx Counties (Supervised Release Program). |
Please do NOT type or print your name as a signature. |
