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 TRANSFER PROBATION 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 supervision of my probation be transferred to:
						 County.  
3.	I understand that the cost of supervision in the new county will be: $			  per month.
  Attached is copy of a signed Request for Transfer of Supervision form.
  I do not have a signed copy of the Request for Transfer of Supervision form. 
4.	I request that this transfer begin on:(date) 						,
and continue until:  
 the end of my probation. 
or  (date) 					.
5.	I request that a hearing be set in this matter. 	
Reasons for Request: (select all that apply)
 I am moving to 					county.
 I now have a job in 				county.
 Other, explain: 																									

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