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download usarec form 1037 pdf

If individual,
, has any type of record please complete the following:
Date:
(Name)
Technical
name of
offense for
which tried
Date
of
offense
Date
of trial or
hearing
Disposition to
include sentence
(also list charges
amended or reduced
to a lesser charge)
Indicate whether
probation was
supervised or
unsupervised
What are the conditions
of probation (including
unsupervised probation)
or conditional release
Was guilty
entered in
court records
Inclusive
date(s) of
civil custody
(jail time)
Maximum penalty
when committed
by an adult
Tried as an
adult or
juvenile
Remarks and recommendation (include ability to work with others, character, family background, etc):
Is there any pending court action?
Have all fines (and/or restitution) been paid?
Name of Agency:
USAREC Form 1037, 1 Jun 2009 (Reverse)
Yes
No
Yes
No
Signature:
NA
Official Title:
V3.10