Your Name: 
Mailing Address: 

Phone:
Email (if any):	
IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 					
MOTION TO CHANGE COST OF SUPERVISION AND 
REQUEST FOR HEARING
	
State of Idaho 
vs. 
Your Name:	
			Case #:							
1.	I am currently on probation in this case.
2.	I request that the cost of supervision: 
 be waived. 
 be reduced to $				  per month.
3.	Reasons I am unable to pay the cost of supervision:
 I have been ordered to pay these costs for multiple cases.
 I am unable to pay the current cost. 
  Other.  Please explain: 																						
4.	My probation officer:
  supports this request.
  does not support this request.

Your Signature:						 Date:					

CERTIFICATE OF SERVICE
	
I certify that on (date) 				 I served a copy of this document to: (name all parties in the case other than yourself)

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)

						
(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)

	

Typed/printed name

Signature