Form NPP OFS035 "Offender Program Acknowledgement" - Nevada

What Is Form NPP OFS035?

This is a legal form that was released by the Nevada Department of Public Safety - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Nevada Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NPP OFS035 by clicking the link below or browse more documents and templates provided by the Nevada Department of Public Safety.

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Download Form NPP OFS035 "Offender Program Acknowledgement" - Nevada

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Division of Parole and Probation
Offender Program Acknowledgement
Name:
Social Security No:
DOB:
Substance Abuse
Impulse Control
Anger Management
Mental Health
Referral type:
Domestic Violence
Adult Education
Other
I acknowledge that I am required to obtain an Evaluation, Counseling, Educational Program, Class and/or
Training. I acknowledge that I MUST contact a service provider, arrange for services and begin prior
to
. I understand that that it is my responsibility to provide documentation of completion
and/or monthly updates to the Division of Parole and Probation. I further understand that failure to comply
shall result in sanctions being imposed, up to and including revocation proceedings.
THE DIVISION OF PAROLE AND PROBATION DOES NOT ENDORSE OR RECOMMEND ANY
SPECIFIC SERVICE PROVIDERS. THE INCLUDED PROVIDER LIST IS FOR GENERAL
INFORMATION ONLY. ALL SERVICE PROVIDERS LICENSED WITH THE STATE OF NEVADA
ARE ACCEPTED.
(Regional provider lists may also be obtained online at npp.dps.nv.gov)
Offender Signature
Date
Referring Officer Printed Name
Date
Referring Officer Signature
NPP OSF035 (A) Offender Program Acknowledgment
08/2018
Division of Parole and Probation
Offender Program Acknowledgement
Name:
Social Security No:
DOB:
Substance Abuse
Impulse Control
Anger Management
Mental Health
Referral type:
Domestic Violence
Adult Education
Other
I acknowledge that I am required to obtain an Evaluation, Counseling, Educational Program, Class and/or
Training. I acknowledge that I MUST contact a service provider, arrange for services and begin prior
to
. I understand that that it is my responsibility to provide documentation of completion
and/or monthly updates to the Division of Parole and Probation. I further understand that failure to comply
shall result in sanctions being imposed, up to and including revocation proceedings.
THE DIVISION OF PAROLE AND PROBATION DOES NOT ENDORSE OR RECOMMEND ANY
SPECIFIC SERVICE PROVIDERS. THE INCLUDED PROVIDER LIST IS FOR GENERAL
INFORMATION ONLY. ALL SERVICE PROVIDERS LICENSED WITH THE STATE OF NEVADA
ARE ACCEPTED.
(Regional provider lists may also be obtained online at npp.dps.nv.gov)
Offender Signature
Date
Referring Officer Printed Name
Date
Referring Officer Signature
NPP OSF035 (A) Offender Program Acknowledgment
08/2018