Pretrial GPS Monitoring Check-In Form
Please complete this form to report your daily or periodic status for the GPS monitoring program.
Full Name
*
First Name
Last Name
Participant ID or Case Reference
*
Check-In Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Location (Address or Description)
*
GPS Device Status
*
Working properly
Not working
Intermittent issues
Battery/Charging Status
*
Fully charged
Partially charged
Low battery
Charging now
Are you wearing or carrying your GPS device as required?
*
Yes, as required
No, temporarily removed (explain below)
Other (explain below)
Tamper Alerts or Technical Issues Detected?
*
No issues
Tamper alert received
Device error message
Physical damage to device
Other technical issue (describe below)
Were you in compliance with your approved schedule since your last check-in?
*
Yes, fully compliant
No, exceptions occurred (explain below)
Did you have any approved travel or curfew exceptions?
*
No exceptions
Yes, travel exception
Yes, curfew exception
Other (explain below)
Incident or Reason for Missed Check-In (if applicable)
Additional Notes or Comments
Submit Check-In
Should be Empty: