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TRAVEL REQUEST FORM

Travel must be approved by the treatment court team and submitted no later than the Friday before your phase report date. Applications received for dates that occur before your next report date willnot be reviewed unless there are extraordinary circumstances (death in the family, etc.). You may submit your request to Kara Hartman.
FILL OUT THIS FORM COMPLETELY. YOU MUST BE IN COMPLIANCE WITH ALL SPECIALTY COURTREQUIREMENTS AND BE SANCTION-FREE A MINIMUM OF 60 DAYS BEFORE YOUR REQUEST WILL BE CONSIDERED.
REASON FOR TRAVEL
METHOD OF TRAVEL
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All terms and conditions of probation remain in effect while you are traveling, including drug and alcohol testing. You will need to contact the local District Court or Police Department before you leaveto arrange for your testing needs. You are responsible for providing documentation of out-of-towntesting to the Specialty Court upon your return. You will be responsible for the payment of this testing.
YOU ARE REQUIRED to provide proof of your travel at your next scheduled court session. Receipts for food, lodging, gas, transportation will be accepted. Permission to travel by this court does not guarantee your entry into any other country.
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