Criminal

Bucks County Adult Probation and Parole

Employment Change Form

An important part of probation/parole supervision is keeping your PO informed of changes in your situation. One possible change could be your employment/unemployment, or how you support yourself (Public Assistance, Social Security, Workman's Compensation, etc.). The form below was created as a tool for you to be able to clearly report such a change to your PO.

Please choose a PO from the box below and complete the displayed form.

Press the Send to PO button to have the information submitted to your probation/parole officer.

It is important that all information requested be completed and that it be submitted in a timely manner.

Recipient	Select Officer Marc S. Kauffman Robert E. Bair Linda S. Brandt Judith Buch Ray Buraczewski Edward J. Chromiec Francis V. Crumley Jennifer R. Farren Rachel J. Fassbender Paul L. Ferlise Leslie M. Funair Eric M. Gordon Warren Grant Ellyn Hadon Bradley E. Halter Robert E. Hamlin Kay Harrison Lisa M. Hearn Leon Hennessey Sean P. Hines Baron J. James Monica Jay
Your Name:
Email Address:
Social Security:
Employer:
New Address2:
City/Town:
State:
Zip:
Work Phone:
When will you work? (Mon-Fri, Off Wed, Shift Work)
When will you get paid?
When will change be effective?

Other Comments: