IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				

In the Interest of: 
(Your Name): 				,

A Juvenile.		
Case #: 					

ORDER AMENDING CONDITIONS
OF PROBATION & TRANSFERRING SUPERVISION

IT IS ORDERED that the terms of probation in this case are amended as follows: 

1.	Supervision of Juvenile’s probation is transferred to: 			County, Idaho.  
2.	This transfer shall begin on (date) 						, and continue until (date) 						.
3.	The cost of supervision shall be: $				 per month.
4.	All other conditions of probation shall remain in effect.
5.	All court documents related to the transferred case(s) will be made available to the receiving county’s juvenile probation department.
6.	Amended/Additional Conditions: 																																				                                                                                             .

Date: 											
							Judge

CLERK’S CERTIFICATE OF SERVICE
	
I certify that a copy of this Order was served to: 

County Prosecutor’s Office:

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)

•	By United States mail
•	By personal delivery
•	By fax (number) 			
•	By email to: 
						
(if allowed)
	
Juvenile:

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax (number) 			
•	By email to: 
						
(if allowed)

Date:						

	Deputy Clerk