Form NPP JSF0005 "Presentence Investigation Questionnaire" - Nevada

What Is Form NPP JSF0005?

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 September 10, 2019;
  • 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 JSF0005 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 JSF0005 "Presentence Investigation Questionnaire" - Nevada

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Division of Parole and Probation
Presentence Investigation Questionnaire
Interviewed by Specialist:
Date:
Name:
Criminal Case No:
Sentence Date:
Time:
NPP OFCPhone No:
A Presentence Investigation has been ordered by the Court. Please complete this questionnaire
accurately and completely. Deliberate falsehoods or misrepresentation will be reported to the Court.
NPP Fax Phone No:
Office Address
E-mail:
At the time of your interview, please bring the following documents (in the event of a phone interview, please mail
copies ASAP):
• Driver's License/ID Card
• Educational Degrees
• Proof of Residence
• Most recent paycheck stub
• Alien Registration Card
• Proof of Mental Health/Substance abuse program attendance
• Armed Forces Papers (DD214)
Be prepared to pay the following fees to the Clerk of Court on the date of sentencing:
• $25 Court and $3 DNA Administrative Assessment Fee (all cases)
• $35 Domestic Battery or $60 Chemical Analysis Fee, if applicable
• $150 Genetic Marker Testing Fee (if your offense mandates DNA testing)
IMPORTANT: Children (under 18) are not allowed inside a Nevada Parole and Probation office
IF YOU ARE GRANTED PROBATION
• You will be required to pay $30 per month supervision fees for the entire term of probation
• The first two months fees ($60) must be paid within the first 30 days of the probation grant
• Fees must be paid by check or money order - CASH IS NOT ACCEPTED
• Make the check or money order payable to: Nevada Division of Parole and Probation
• Name and social security no. must be printed clearly on the check or money order
IF YOU INTEND TO RESIDE IN A STATE OTHER THAN NEVADA
• It may take two, or over fifty (50) business days to receive reporting instructions, please plan accordingly
• Reporting instructions may be denied by the receiving state, delaying the process
• Reporting instructions must be accepted by the receiving state prior to being permitted to leave Nevada
• The first two months fees ($60) must be paid in advance, and prior to leaving the state
• Once formally accepted in the receiving state for supervision, no new Nevada supervision fees are paid
• You may be required to pay supervision fees by the receiving state in amount determined by that state
NOTE:
Corrections to this report are in accordance with NRS 176.156 (refer to page 11.)
Page 1 of 11
NPP JSF0005 (B) PSIQ
09/10/2019
Division of Parole and Probation
Presentence Investigation Questionnaire
Interviewed by Specialist:
Date:
Name:
Criminal Case No:
Sentence Date:
Time:
NPP OFCPhone No:
A Presentence Investigation has been ordered by the Court. Please complete this questionnaire
accurately and completely. Deliberate falsehoods or misrepresentation will be reported to the Court.
NPP Fax Phone No:
Office Address
E-mail:
At the time of your interview, please bring the following documents (in the event of a phone interview, please mail
copies ASAP):
• Driver's License/ID Card
• Educational Degrees
• Proof of Residence
• Most recent paycheck stub
• Alien Registration Card
• Proof of Mental Health/Substance abuse program attendance
• Armed Forces Papers (DD214)
Be prepared to pay the following fees to the Clerk of Court on the date of sentencing:
• $25 Court and $3 DNA Administrative Assessment Fee (all cases)
• $35 Domestic Battery or $60 Chemical Analysis Fee, if applicable
• $150 Genetic Marker Testing Fee (if your offense mandates DNA testing)
IMPORTANT: Children (under 18) are not allowed inside a Nevada Parole and Probation office
IF YOU ARE GRANTED PROBATION
• You will be required to pay $30 per month supervision fees for the entire term of probation
• The first two months fees ($60) must be paid within the first 30 days of the probation grant
• Fees must be paid by check or money order - CASH IS NOT ACCEPTED
• Make the check or money order payable to: Nevada Division of Parole and Probation
• Name and social security no. must be printed clearly on the check or money order
IF YOU INTEND TO RESIDE IN A STATE OTHER THAN NEVADA
• It may take two, or over fifty (50) business days to receive reporting instructions, please plan accordingly
• Reporting instructions may be denied by the receiving state, delaying the process
• Reporting instructions must be accepted by the receiving state prior to being permitted to leave Nevada
• The first two months fees ($60) must be paid in advance, and prior to leaving the state
• Once formally accepted in the receiving state for supervision, no new Nevada supervision fees are paid
• You may be required to pay supervision fees by the receiving state in amount determined by that state
NOTE:
Corrections to this report are in accordance with NRS 176.156 (refer to page 11.)
Page 1 of 11
NPP JSF0005 (B) PSIQ
09/10/2019
Division of Parole and Probation
Presentence Investigation Questionnaire
Defendant Information
Name:
Social Security No.:
Residence address:
Number
Street
City
State
Zip
(If homeless enter "none" )
Mailing address:
Number
Street
City
State
Zip
Yes
No
Years/months at current residence:
Have you ever been homeless?
Nevada resident?
How long have you lived in Nevada in years/months?
Yes
No
State issued from:
Drivers License/Identification Number:
Phone No. (Home):
(Work):
(Cell):
E-mail Address(s):
Alias (Maiden name):
Alias (Prior married):
Alias (Other):
Age:
Place of Birth:
Date of Birth:
Are you a U.S. Citizen?
Yes
No
If not, of what Country?
Have you applied for U.S. citizenship?
Yes
No
Are you married to a U.S. citizen?
Yes
No
Alien Registration Number:
Permanent
Temporary
Are you seeking political asylum in the U.S.?
Primary Language:
Other Languages:
Height:
Weight:
Hair Color:
Eye Color:
Sex:
White-Non Hispanic
Black-Non Hispanic
Hispanic
Asian
Native American
Other
Race:
Distinguishing Marks
Scar or Tattoo
Location
Description
Scar or Tattoo
Location
Description
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Scar
Tattoo
Attorney Name:
Phone:
Retained
Appointed
Public Defender
NPP JSF0005 (B) PSIQ
Page 2 of 11
09/10/2019
Division of Parole and Probation
Presentence Investigation Questionnaire
Family Information
Briefly describe your childhood. For example: Did your mother and father live together? Did you have regular
contact with other extended family members, such as grandparents, cousins, aunts and uncles? Were you abused or
neglected? Was there any drug or alcohol abuse present? Was either parent ever incarcerated? Was Social Services
involved in your family? Include any information you think explains why you developed into the person you are:
No
Yes
Have any members of your immediate family ever been in prison or on probation?
If you answered yes above, please complete the following:
Name
Relationship
Crime
When
Where
Where did you grow up?
List immediate family members and relationship (ie: mother, sister, brother,) contact (yes or no):
Name
Relationship
Address
Phone No.
Contact
Marital status, are you currently (select one):
Single
Married
Separated
Divorced
Name of current spouse/partner:
Yes
No
How many years/months have you been together?
Do you live together?
Prior spouse/partner relationships (please complete below. Note: for time together use years/months)
Name
Together (y/m)
Address
Phone No.
(if known)
Page 3 of 11
NPP JSF0005 (B) PSIQ
09/10/2019
Division of Parole and Probation
Presentence Investigation Questionnaire
Family Information (continued)
Information on Children (please complete below)
1
2
Name
Age
Address
Relation
Date of Birth Gender
Custody
1
List the legal custodian (who has legal custody?)
2
List the child's relation to you, i.e., biological/natural child, stepchild, adopted child
Yes
No
Have you been court ordered to pay child support for any of your children?
If yes, what is the monthly payment amount required?
Are your wages being garnished for child support?
Yes
No
Yes
No
Is any child support past due?
If yes, explain
Yes
No
Are any of your dependents or their guardians receiving welfare benefits?
If yes, from where? (county, state, SNAP, etc.)
Yes
No
Does anyone other than your spouse/partner or children listed above live with you now?
If yes, complete the following:
Name
Date of Birth
Are there any weapons in your home?
Yes
No
If yes, complete the following:
Weapon type
Location
Owner
With whom do you keep contact other than family?
Name
Address
Phone
Years/Months known
NPP JSF0005 (B) PSIQ
09/10/2019
Page 4 of 11
Division of Parole and Probation
Presentence Investigation Questionnaire
Employment
Your employment status is:
Employed
Unemployed
Retired
Disabled
Homemaker
No
Yes
Were you employed at the time of the instant offense?
If you selected employed or unemployed above, please provide how long in years and months:
Current Employer:
Supervisor:
Address:
Phone No.:
Job Title:
Hours per week:
Salary per month:
Reason for leaving:
Date Started:
Date terminated:
Former Employer:
Supervisor:
Address:
Phone No.:
Job Title:
Hours per week:
Salary per month:
Reason for leaving:
Date Started:
Date terminated:
Former Employer:
Supervisor:
Address:
Phone No.:
Job Title:
Hours per week:
Salary per month:
Reason for leaving:
Date Started:
Date terminated:
Financial
Assets and Liabilities
Assets: List assets below. Include real estate, vehicles, jewelry, collectibles, electronics, savings, cash, etc. In the
description, provide the address for real estate; provide make, model, license and state for vehicles; provide the bank/
credit union and account type (savings, checking, retirement, etc.) for accounts
Asset
Description
Value
Total Asset Value:
$0
Liabilities: List liabilities below. Include loans, child support, medical bills, legal fees, credit cards, etc.
Liability
Description
Value
Total Liabilities:
$0
Page 5 of 11
NPP JSF0005 (B) PSIQ
09/10/2019