Administrative Reporting

This form is only to be used if you have been accepted into the administrative level of supervision with Dauphin County Pretrial Services. Any other use of this will not count towards your regular reporting instructions.

Instructions: Complete this form in full on the first (1st) day of the month and the fifteenth (15th) day of the month (grace period of 2 days).

Be sure to include any contact information changes.

Last Name

First Name

Date of Birth

Phone

Do you know your next court date?

Comments/Updates

*All Responses by Pretrial Services will be by email