SB Sheriff SWAP Form

Thank you for your interest in the Santa Barbara Sheriffs Office Electronic Monitoring I Sheriff's Work Alternative Programs. The court does not guarantee acceptance into these programs, Sheriff's Office personnel determine program eligibility. If you don't speak English, you must bring an interpreter (18 years or older) to your interview and if you are accepted, the nterpreter must accompany you through the booking process.

You must reside in the Tri-Counties (San Luis Obispo County, Santa Barbara County, or Ventura County) while participating in the program. If you reside outside the Tri-Counties, . your application will be considered on a case-by-case basis. Participants may work outside of the Tri-Counties area, but must return daily to an address within the Tri-Counties unless supervisor approval has been received.

Please follow the instructions below. You must complete this application completely in blue or black ink.

You must turn in the following documents with this application:

Valid government photograph identification

Proof of residency (current address on valid government ID OR an item of mail addressed to the applicant which lists the address of residence, such as a utility bill or government correspondence OR a copy of a lease/rental agreement signed by the property owner OR proof of property ownership).

Original copies of all court paperwork detailing sentence requirements for applicant.

This includes probation terms and conditions.

Failure to provide any of these documents may result in program disqualification.

Office Use Only

Signature

Date

09/29/2023

Name(Required)

First Middle Last

Date Of Birth(Required)

Place Of Birth(Required)

Age(Required)

Sex(Required)

Weight(Required)

Height(Required)

Eyes(Required)

Hair(Required)

Driver's License Number(Required)

Social Security(Required)

Cell Phone(Required)

Home Phone(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Mailing Address

select

Select if your mailing address is different than your physical address

Mailing Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Married Status(Required)

Spouse's Name(Required)

Email(Required)

Number of Dependents(Required)

Emergency Contact Person(Required)

Relationship(Required)

Contact Person Phone(Required)

Present Employer(Required)

How Long(Required)

Employer's Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Employer's City(Required)

Employer's Phone(Required)

Supervisor's Name(Required)

Your Job(Required)

Work Site Address

Work Site Address is different from Employer's Address

Select this to enter in a Work Site Address that is different from your Employer's Address entered above.

Work Site Address(Required)

Street Address Address Line 2 City State ZIP Code

Work Hours(Required)

Days Off(Required)

Are you on Probation ( formal or informal )?(Required)

Yes

No

Are you on Parole?(Required)

Yes

No

Probation/Parole Officer Name(Required)

Probation/Parole Officer Contact Number(Required)

Military(Required)

Yes

No

Branch(Required)

Is your license suspended/revoked?(Required)

Yes

No

Restricted(Required)

Yes

No

How will you get to work, etc.?(Required)

Car/Motorcycle(Required)

Ride

Bus

Bicycle

Walk

Do you have any medical/mental health conditions?(Required)

Yes

No

Are you currently taking any prescription medications?(Required)

Yes

No

Health Condition(Required)

Prescription Details(Required)

List all illegal substances used in the last five(5) years (this includes marijuana) and the last date(s) of use

ACCEPTANCE TO THE ALTERNATIVE SENTENCING PROGRAMS IS NOT A GUARANTEE

Office Use Only

Booking Date

On or Before

CID#

Date Received

Booking #

# of Days

Date Given

By

Case Information

Arresting Agency

Case

Fel.

Charges

Misd.

Arresting Agency

Case

Fel.

Charges

Misd.

Arresting Agency

Case

Fel.

Charges

Misd.

Arresting Agency

Case

Fel.

Charges

Misd.

1/2 Time 1/3 Time Sentence Credits

Case #

Days to Serve

GT/WT Credit

Court Credit

Early Release Credit

Case #

Days to Serve

GT/WT Credit

Court Credit

Early Release Credit

Case #

Days to Serve

GT/WT Credit

Court Credit

Early Release Credit

Case #

Days to Serve

GT/WT Credit

Court Credit

Early Release Credit

Estimated Release Date

Commitment Date

Interview & Investigation Notes

Placement

Approved

Denied

By

Date

Electronic Monitoring and Sheriff's Work Alternative Program (SWAP) Rules

Acceptance into Alternative Sentencing Programs is a PRIVILEGE. The participant will serve their jail sentence in a way not available to most county inmates. Abuse of the privilege or violation of the law or program rules may result in removal from the program and the participant will serve the remainder of their sentence in the county jail. The participant understands the Probation Department will provide supervision during the full duration of any electronic monitoring period.(Required)

Initials

The participant will contact our office if there is any change in the information given on their original application.(Required)

Initials

The participant agrees to obey all laws and report any law enforcement contact to our office while participating in the program and/or during the application process.(Required)

Initials

With full knowledge of my rights, I do hereby waive the issuance and service of a warrant of extradition, and do hereby waive all other procedures incidental to extradition proceedings, and do hereby voluntarily consent to return to the State of California and submit myself here and now to the custody of such legal authority who will transport me to the jurisdiction of the State of California to face the said charges against me in that jurisdiction.(Required)

Initials

While on the program the participant must not possess, use or consume any kind of illegal drugs or alcohol. Participant will not go to places alcohol is served, unless authorized by Probation or ASB staff. The use of prescribed medication is allowed, but must be presented to the ASB staff at the interview and/or booking day prior to being placed on EM. If the medication is prescribed during the EM period, Probation will be notified immediately. The use of marijuana, even with a medicinal card, is not allowed while on the program. The participant must be able to successfully pass a screening test for drugs and alcohol on their booking day and while on the program.(Required)

Initials

The participant may be required at any time, while on the program, to submit to a drug and alcohol test. Failure to submit to a test or testing positive for drugs or alcohol may result in removal from the program and the participant may be placed into jail custody. The participant agrees to allow law enforcement staff to enter their residence in order to enforce the terms and conditions of EM or SWAP. Participant is subject to search and seizure of their person, property, residence and vehicle without warrant or probable cause for the purpose of verifying compliance with program rules.(Required)

Initials

The participant must reside in the Tri-Counties (San Luis Obispo County, Santa Barbara County, or Ventura County) while participating in the program. The participant may work outside of the Tri-Counties area, but must return daily to an address within the Tri-Counties (unless SBSO Lieutenant or Probation Supervisor approval has been received).(Required)

Initials

SWAP Specific Rules

The participant is responsible for arranging their own transportation to the work site. Failure to arrange transportation is NOT an excusable absence.(Required)

Initials

The participant agrees to appear for work at the time and place as directed until the completion of their sentence. The participant will contact the office and/or work site immediately if unable to report for any reason. Participant understands that if they fail to appear as promised, they are guilty of violating Section §4024.2(b) of the Penal Code, a misdemeanor, and the court may issue a warrant for their arrest.(Required)

Initials

I Agree(Required)

Electronic Monitoring Specific Rules

The Electronic Monitoring program requires the participant to provide proof of residence, a functioning phone either cellular or residential, and have adequate access to electrical service for the purpose of charging their device. The participant may or may not be employed, may attend school, and may have a verifiable medical condition.(Required)

Initials

Once on the program, the participant is allowed to leave their residence with prior written approval on their schedule form by Probation staff. All other requests not listed on their schedule form require approval by the Probation staff. Schedule changes must be approved 24 hours in advance, by Probation staff, for the change to be made. Failure to return to the residence or contact Probation staff as to a reason for the delay may result in removal from the program and the participant may be charged with escape pursuant to section §4532 of the California Penal Code.(Required)

Initials

I Agree(Required)

Probation staff will conduct random checks of the residence, work place or school of the participant.(Required)

Initials

The participant, once on the program, will be required to wear a transmitter on their ankle and may have a monitoring unit connected in their residence. Destruction, removal of the device, or rendering the device inoperable (including allowing the battery to expire) without prior authorization will be considered a felony escape and is subject to prosecution in accordance with §4532 of the California Penal Code.(Required)

Initials

All program equipment, once issued, is the responsibility of the participant. If any equipment is damaged, stolen or lost, the participant will be required to pay the actual cost of replacing the equipment.(Required)

Initials

The ankle strap and transmitter are water resistant, shockproof and lightweight. The transmitter will not be immersed in any liquid such as pools, baths, Jacuzzis, lakes or the ocean. The monitoring unit will be installed and used as directed by the Probation staff on the participant's booking day.(Required)

Initials

Upon completion of their jail sentence, the participant will return all electronic monitoring equipment to the Probation staff.(Required)

Initials

I have read, or had read to me, and have received a copy of the above program and equipment requirements and conditions. I fully understand what is expected of me and the possible consequences of any failure to comply with any of the above rules. I agree to release the Santa Barbara Sheriff's Office and the Santa Barbara County Probation Department; its personnel; the device vendor; monitoring center; SWAP work site, and its personnel from any liability associated with my participation in the program. I further understand that failure to follow program guidelines may result in additional monitoring and restrictions or my immediate return to custody without warrant or court order to serve the balance of my sentence.(Required)

Print Name(Required)

Enter in your full name

Participant Signature(Required)

Custody Deputy

Sheriff SWAP form

Failure to provide any of these documents may result in program disqualification.

Office Use Only

Date

ACCEPTANCE TO THE ALTERNATIVE SENTENCING PROGRAMS IS NOT A GUARANTEE

Office Use Only

Case Information

1/2 Time 1/3 Time Sentence Credits

Please check the appropriate box for each question

Electronic Monitoring and Sheriff's Work Alternative Program (SWAP) Rules

SWAP Specific Rules

Electronic Monitoring Specific Rules

Interview

Think of your school experiences when you were growing up.

Please think if your past experiences, job experiences, and financial situation.

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