At the bottom of this page is an image of a form for the sex offender rules of supervision for probation, intermediate punishment, and parole used in Adams County, PA. 

Use

The form is used by the Department of Probation Services and the defendant. A probation officer or other representative will require the defendant to sign the form if the court has imposed "sex offender" rules or conditions as part of the sentence.

Reference

These Rules are incorporated into Local Rule 705.1, which has been adopted by the Court.

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