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SB Sheriff SWAP Form
Santa Barbara County Sheriff's Office
>
SB Sheriff SWAP Form
Sheriff SWAP form
Step
1
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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
Reset signature
Signature locked. Reset to sign again
Date
09/29/2023
Name
(Required)
First
Middle
Last
Date Of Birth
(Required)
MM slash DD slash YYYY
Place Of Birth
(Required)
Age
(Required)
Sex
(Required)
Male
Female
Other
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)
Married
D/P
Single
Div
Sep
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
MM slash DD slash YYYY
On or Before
CID#
Date Received
MM slash DD slash YYYY
Booking #
# of Days
Date Given
MM slash DD slash YYYY
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
MM slash DD slash YYYY
Commitment Date
MM slash DD slash YYYY
Interview & Investigation Notes
Placement
Approved
Denied
By
Date
MM slash DD slash YYYY
Please check the appropriate box for each question
1. Are you willing and physically able to perform manual labor?
(Required)
Yes
No
Explain
(Required)
2. Do you have any injuries now?
(Required)
Yes
No
Explain
(Required)
3. Do you have any medical condition which would prevent you from performing manual labor?
(Required)
Yes
No
Explain
(Required)
4. Have you ever been advised to have a surgical operation which has not been performed, or are you considering any elective surgery?
(Required)
Yes
No
Explain
(Required)
5. Are you currently under treatment by a doctor?
(Required)
Yes
No
Explain
(Required)
6. Have you ever been diagnosed as having a mental disorder?
(Required)
Yes
No
Explain
(Required)
7. Do you take any prescription medication at this time?
(Required)
Yes
No
Explain
(Required)
8. Do you currently have any cases pending in any criminal court?
(Required)
Yes
No
Explain
(Required)
9. Have you ever been arrested for any offenses related to violence; sexual misconduct; arson; child molestation; escape; drug usage, possession and/or sales; failure to appear for SWAP?
(Required)
Yes
No
Explain
(Required)
10. FEMALES ONLY: Are you pregnant or have you recently delivered or miscarried?
(Required)
Yes
No
Explain
(Required)
I understand that incomplete, inaccurate, or falsified information above may be grounds for disqualification from the Alternative Sentencing Program.
(Required)
Signature
(Required)
Reset signature
Signature locked. Reset to sign again
Participant's Name
(Required)
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)
Reset signature
Signature locked. Reset to sign again
Custody Deputy
Reset signature
Signature locked. Reset to sign again
Interview
Name
(Required)
CII#
(Required)
Country ID#
(Required)
Were you using drugs or under the influence when arrested for you current offense?
(Required)
Yes
No
Have you ever been in formal treatment for drugs such as counseling, outpatient, inpatient, residential?
(Required)
Yes
No
Do you think you would benefit from getting treatment for drugs?
(Required)
Yes
No
Think of your school experiences when you were growing up.
Did you complete your high school diploma or GED?
(Required)
Yes
No
What was your final grade completed in school?
(Required)
What was your usual grades in high school?
(Required)
A
B
C
D
Did Not Attend
Were you ever suspended or expelled from school?
(Required)
Yes
No
Did you fail or repeat a grade level?
(Required)
Yes
No
Please think if your past experiences, job experiences, and financial situation.
Do you have a job?
(Required)
Yes
No
Do you currently have a skill, trade or profession at which you usually find work?
(Required)
Yes
No
Can you verify your employment or school (if attending)?
(Required)
Yes
No
How much have you worked or been enrolled in school in the last 12 months?
(Required)
12 Months Full-time
12 Months Part-time
6+ Months Full-time
0 to 6 Months Pt/F
Right now, do you feel you need more training in a new job or career skill?
(Required)
Yes
No
Right now, if you were to get (or have) a good job how much would you rate your chance of being successful?
(Required)
Good
Fair
Poor
How hard is it to find a job ABOVE minimum wage compared to others?
(Required)
Easier
Same
Harder
Much Harder
Government photograph identification
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Proof of Residency
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
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
Court paperwork
Drop files here or
Select files
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Sheriff's Roundup
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