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Important Update:
Tempe passed new rules for bike and scooter riders, find out what you need to know here.

Monthly Report

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Human Services

Community Supervision

480-350-5400

3500 South Rural Road, Suite 202

Tempe, AZ 85282

1
Name
 *
2
Case Number
3
Date
4
Program
 *
5
Counselor
 *
6
Current address and phone number
 *
Current address and phone number
7
Are you employed?
 *
Are you employed?
8
If yes, number of hours per week
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Are you enrolled in school?
 *
Are you enrolled in school?
10
If yes, number of credit hours/program attending
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Have you had any police contact or arrests since your last appointment?
 *
Have you had any police contact or arrests since your last appointment?
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If yes, explain
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What progress have you made toward your program requirements? (Attach any certificates of completion)
 *
Please email documentation (certificates of completion, progress reports, proof of community service, etc.) to THSAdmin@tempe.gov
14
Do you have any questions or concerns?
If you would like to schedule an appointment with your counselor or make a payment, please call during normal business hours at 480-350-5400
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I have answered the above questions full and truthfully,
 *
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