Fairfield County Municipal Court
PH: 740-687-6621
FAX: 740-681-5014
136 West Main Street
Post Office Box 2390
Lancaster, Ohio 43130
Daily Court Hours:
8:00am - 4:00pm
Monday-Friday
Valeda A. Slone - Clerk of Court

Probation Report

Officer: *
Elizabeth George
Jeni Rhymer
Erica Lanning
Matt Schein
Duffy Arter
Mindy Conrad
Halley Graham
Sarah Haley
Tamara Bartek
Charles Rispress
Jeff McCartney 

Personal Information:

First Name: *
Last Name: *
Middle Initial:
Case Number: *
Email: *
Social Security Number: *
Address: *
City: *
Zip: *
Phone/Cell Number: *
Secondary Phone:

Employment Information:

Employer:
Name of Supervisor:
Work Address:
City:
Zip:
Work Phone Number:

Criminal Information and Counseling Information:

Have you recieved any new charges? *
If Yes, Where:
If Yes, please give further information:

Are you attending counseling? *
If Yes, Where:
If Yes, please give further information:

Are you attending AA meetings?
If yes, please have slips ready for officer's review.
Are you a military veteran?
Are you currently recieving VA benefits?
Notes
Anti-Spam Measure: *

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