Provision of Advice to Courts The header will auto-populate e.g. if Iwi and Hāpu are not applicable to the offender, this will not display on the report. Users will be able to modify parts of this section to reflect any new offending and sentencing dates. Date: PRN: Name: Date of Birth: Address: Ethnicity: Iwi: Age: Hāpu: Counsel: Sentence Indication: Sentencing Court: Sentencing Date: Offences: This section will highlight the considerations the Judge needs to be aware of when sentencing the offender. It will contain information which is relevant to the offending and identify immediate issues which need to be addressed obtained from the offender and other parties in the presentence interview process. Key Considerations: Recommendation: Probation Officer: Offender Name Any issues which require further explanation/information will be provided on the subsequent pages under the relevant headings. The recommendation for the sentence(s) will be found on the first page. The proposed special conditions for the recommended sentence(s) and other available sentences will be found on the final page of this report. Service Centre: 1 This table will only populate if any offending related factors have been identified by the Probation Officer. IDENTIFIED Offending Related Factor IDENTIFIED Offending Related Factor Relationships Drug Use Lifestyle Gambling Friends Violence Attitudes Sexual Arousal Alcohol Use Other Headings Review of Domestic and Cultural circumstances Relationships Income, Work Skills and Education Lifestyle Friends and Associates Attitudes Use of Alcohol Use of Drugs Gambling Violence Sexual Arousal (Offending Related) Emotional Well Being Risk of Harm to Self These headings will be populated if selected by a Probation Officer to provide evidence and support the key considerations section of the report. Physical Health Reparation and Offers to Make Amends Electronic Monitoring Considerations Ability to Comply Likelihood of Re-offending Risk of Harm to Others Sources of Information Attachments Offender Name 2 Reparation Considerations (delete if reparation report not required) Current Status of Liable Co-Offenders Emotional Harm These headings will be populated if a reparation report is required Financial Loss Total Reparation Sources of Information Attachments Sentence Recommendation: Other possible sentencing options Fine Community Work Supervision Intensive Supervision Community Detention Home Detention Imprisonment Offender Name The recommended sentence and proposed special conditions will populate on this page. Only those sentences which may be available for the offender as indicated by the Probation Officer will appear in the box below. Proposed special conditions If a fine is available for the offence, outline the outstanding amount and whether an arrangement to pay the fines is currently in place. Outline how many hours the Court can impose and whether hours are outstanding. The PO to make a recommendation to allow assessment for Basis Work and Living Skills (BWLS). Recommend special conditions for a sentence of supervision or intensive supervision based on the needs of the offender, choose either supervision or intensive supervision but not both. Recommend special conditions for a sentence of supervision or intensive supervision based on the needs of the offender. choose either supervision or intensive supervision but not both. Enter address details and curfew conditions proposed for the offender. Special conditions for a sentence of home detention and what term is available to be imposed (if the offender is currently on strength). The proposed length (six months past the Sentencing Date) and the special conditions for any release conditions. Include whether leave to apply for cancellation of imprisonment and substitution for home detention would be appropriate. 3