Form PB1 "Home Plan Form" - Pennsylvania

What Is Form PB1?

This is a legal form that was released by the Pennsylvania Board and Probation and Parole - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the Pennsylvania Board and Probation and Parole;
  • 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 printable version of Form PB1 by clicking the link below or browse more documents and templates provided by the Pennsylvania Board and Probation and Parole.

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Download Form PB1 "Home Plan Form" - Pennsylvania

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Reentrant
DOC #
Parole #
Date
Potential Home Provider Information (To be filled out by reentrant)
Name
Relationship
Address
Phone #
Landlord Name
Landlord Phone #
Questions to Ask the Potential Home Provider (To be filled out by parole staff)
Question
YES
NO
Do you own any firearms you are not willing to relinquish while the reentrant is
residing in your home?
-If YES, do not submit the plan for investigation.
Do you reside in Section 8 or receive any federal housing assistance?
-If YES, is the reentrant formally listed on the lease agreement?
-If NOT on the lease agreement, do not submit for investigation.
Is the owner/landlord of the property aware the reentrant wants to reside at this
property and have they been made aware of the reentrant’s current criminal
conviction and criminal history?
-If YES, contact the owner/landlord
-If NO, advise home provider that they are to inform the owner/landlord
of the
situation prior to the investigation being conducted. Do not submit home plan until
this is verified.
Does anyone in the residence have open (felony) criminal charges or a bench
warrant in place?
-If YES, do not submit home plan
st
1
Attempt:
Message left via:
nd
2
Attempt:
Message left via:
Information verified by:
Date:
PB 1 | rvsd. 04.2020
Reentrant
DOC #
Parole #
Date
Potential Home Provider Information (To be filled out by reentrant)
Name
Relationship
Address
Phone #
Landlord Name
Landlord Phone #
Questions to Ask the Potential Home Provider (To be filled out by parole staff)
Question
YES
NO
Do you own any firearms you are not willing to relinquish while the reentrant is
residing in your home?
-If YES, do not submit the plan for investigation.
Do you reside in Section 8 or receive any federal housing assistance?
-If YES, is the reentrant formally listed on the lease agreement?
-If NOT on the lease agreement, do not submit for investigation.
Is the owner/landlord of the property aware the reentrant wants to reside at this
property and have they been made aware of the reentrant’s current criminal
conviction and criminal history?
-If YES, contact the owner/landlord
-If NO, advise home provider that they are to inform the owner/landlord
of the
situation prior to the investigation being conducted. Do not submit home plan until
this is verified.
Does anyone in the residence have open (felony) criminal charges or a bench
warrant in place?
-If YES, do not submit home plan
st
1
Attempt:
Message left via:
nd
2
Attempt:
Message left via:
Information verified by:
Date:
PB 1 | rvsd. 04.2020