New York State – Department of Corrections and Community Supervision
POST-INTERVIEW FACILITY STAFF WORKSHEET
FORM 9028 (rev. 05/11)
NAME:______________________________ DIN:________________ NYSID:____________________
OPEN DATE OR EARLIER UPON RECEIPT ELIGIBLE FOR SUPERVISION FEE: YES TRANSIT CASE: (YES/NO)
OF APPROVED FIELD INVESTIGATION: ❑
EEC: ISSUED DENIED NON-CERT N/A
❑ WARRANT AND PROGRAM ❑ CPDO/ECPDO ❑ WARRANT
COMMENTS:
CONFIDENTIAL COMMENTS: (YES/NO)
GES CODE SPECIAL CONDITIONS (CHECK ALL CONDITIONS IMPOSED)
SC01 ❑ 1. I WILL SEEK, OBTAIN AND MAINTAIN EMPLOYMENT AND/OR AN ACADEMIC/VOCATIONAL PROGRAM
SC02 ❑ 2. I WILL SUBMIT TO SUBSTANCE ABUSE TESTING AS DIRECTED BY THE P.O.
SC03 ❑ 3. I WILL PARTICIPATE IN A SUBSTANCE ABUSE TREATMENT PROGRAM AS DIRECTED BY THE P.O.
SC04 ❑ 4. I WILL PARTICIPATE IN AN ALCOHOL ABUSE TREATMENT PROGRAM AS DIRECTED BY THE P.O.
SC05 ❑ 5. I WILL NOT CONSUME ALCOHOLIC BEVERAGES.
SC06 ❑ 6. I WILL NOT FREQUENT ANY ESTABLISHMENT WHERE ALCOHOL IS SOLD OR SERVED AS ITS MAIN BUSINESS WITHOUT
THE PERMISSION OF THE P.O.
SC07 ❑ 7. I WILL NOT OPERATE ANY MOTOR VEHICLE, APPLY FOR, RENEW, OR POSSESS ANY DRIVERS LICENSE WITHOUT THE
WRITTEN PERMISSION OF THE P.O.
SC08 ❑ 8. I WILL ABIDE BY A CURFEW ESTABLISHED BY THE P.O.
SC09 ❑ 9. I WILL SUPPORT MY DEPENDENT CHILDREN.
SC10 ❑ 10. I WILL PARTICIPATE IN ANTI AGGRESSION/ANTI VIOLENCE COUNSELING AS DIRECTED BY THE P.O.
SC11 ❑ 11. I WILL COOPERATE WITH A MENTAL HEALTH EVALUATION REFERRAL, AND FOLLOW UP TREATMENT AS DIRECTED BY
THE P.O.
SC12 ❑ 12. I WILL PARTICIPATE IN SEX OFFENDER COUNSELING/TREATMENT AS DIRECTED BY THE P.O.
SC13 ❑ 13. I WILL HAVE NO CONTACT WITH ANY PERSON UNDER THE AGE OF EIGHTEEN WITHOUT WRITTEN PERMISSION OF
THE P.O.
SC14 ❑ 14. I WILL COMPLY WITH ALL CASE SPECIFIC SEX OFFENDER CONDITIONS TO BE IMPOSED THE P.O.
SC15 ❑ 15. I WILL NOT ASSOCIATE IN ANY WAY OR COMMUNICATE BY ANY MEANS WITH (VICTIM) WITHOUT THE PERMISSION OF
THE P.O.
SC16 ❑ 16. I WILL NOT ASSOCIATE IN ANY WAY OR COMMUNICATE BY ANY MEANS WITH (ASSOCIATE) WITHOUT THE
PERMISSION OF THE P.O.
SC17 ❑ 17. I WILL NOT ASSOCIATE IN ANY WAY OR COMMUNICATE BY ANY MEANS WITH (OTHER) WITHOUT THE PERMISSION OF
THE P.O.
SC18 ❑ 18. I WILL COOPERATE WITH ALL MEDICAL REFERRALS AND TREATMENT RECOMMENDATIONS.
SC19 ❑ 19. I WILL PARTICIPATE IN DOMESTIC VIOLENCE COUNSELING AS DIRECTED BY THE P.O.
SC20 ❑ 20. I WILL COMPLY WITH ALL COURT ORDERS INCLUDING THOSE ORDERING FINES, SURCHARGES, AND/OR RESTITUTION.
SC21 ❑ 21. I WILL NOT BE MEMBER OF ANY GANG OR ASSOCIATE WITH ANY KNOWN GANG MEMBER OR ATTEND ANY GANG
ACTIVITY OR FUNCTION. I WILL NOT WEAR, DISPLAY, POSSESS, DISTRIBUTE OR USE ANY GANG INSIGNIA OR
MATERIAL.
SC22 ❑ 22. I WILL NOT ACT IN ANY FIDUCIARY CAPACITY WITHOUT THE PERMISSION OF THE P.O.
SC23 ❑ 23. I WILL NOT HAVE A CHECKING, SAVINGS, DEBIT, OR CREDIT CARD ACCOUNT WITHOUT THE PERMISSION OF THE P.O.
SC24 ❑ 24. I WILL NOT BE INVOLVED IN ANY GAMBLING OR GAMBLING RELATED ACTIVITY WITHOUT THE PERMISSION OF THE
P.O.
SC25 ❑ 25. I WILL PARTICIPATE IN A DWI VICTIM IMPACT PANEL AS DIRECTED BY THE P.O.
SC26 ❑ 26. I WILL COMPLY WITH ALL ORDERS OF PROTECTION.
SC27 ❑ 27. OTHER
SC28 ❑ 28. I WILL ABIDE BY THE MANDATORY CONDITION IMPOSED BY THE SEXUAL ASSAULT REFORM ACT, CHAPTER 1 OF THE
LAWS OF 2000 ("SARA").
SC29 ❑ 29. I WILL PROPOSE A RESIDENCE TO BE APPROVED BY THE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION AND WILL
ASSIST THE DEPARTMENT IN ANY EFFORTS IT MAY MAKE ON MY BEHALF TO DEVELOP AN APPROVED RESIDENCE.
SC30 ❑ 30. I WILL RESIDE ONLY IN THE RESIDENCE APPROVED BY THE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION.
SC31a ❑ 31. I WILL PROCEED DIRECTLY TO THE ICE WARRANT AND IF RELEASED PRIOR TO THE MAXIMUM EXPIRATION DATE OF MY
SENTENCE OR IF RELEASED PRIOR TO THE POST-RELEASE SUPERVISION MAXIMUM EXPIRATION (PRSME) DATE, I WILL,
WITHIN 24 HOURS OF MY RELEASE, REPORT TO THE AREA OFFICE AS NOTED ON MY CERTIFICATE OF RELEASE. IF
DEPORTED, I UNDERSTAND THAT I CANNOT RE-ENTER TO UNITED STATES UNLESS MY RE-ENTRY IS AUTHORIZED UNDER
8 U.S.C. 1326. IF I AM CONVICTED OF ILLEGALLY RE-ENTERING THE UNITED STATES, 8 U.S.C. 1326 AUTHORIZES THE UNITED
STATES DISTRICT COURT TO IMPOSE A FINE, PERIOD OF IMPRISONMENT UP TO TEN (10) YEARS, OR BOTH.
SC31b ❑ 31. I FURTHER UNDERSTAND THAT I CANNOT RE-ENTER THE UNITED STATES PRIOR TO THE MAXIMUM EXPIRATION DATE OF MY
SENTENCE, UNLESS I RECEIVE PRIOR WRITTEN PERMISSION FROM THE NEW YORK STATE BOARD OF PAROLE. ALSO, I
FULLY UNDERSTAND THAT RE-ENTRY TO THE UNITED STATES, PRIOR TO THE MAXIMUM EXPIRATION OF MY SENTENCE, MAY
BE THE BASIS FOR A REVOCATION OF MY RELEASE.
SC32 ❑ 32. I WILL NOT USE OR POSSESS ANY MEDICATIONS OR SUPPLEMENTS DESIGNED OR INTENDED FOR THE PURPOSE OF
ENHANCING SEXUAL PERFORMANCE OR TREATING ERECTILE DYSFUNCTION WITHOUT THE WRITTEN PERMISSION OF MY
PAROLE OFFICER AND THE APPROVAL OF HIS OR HER AREA SUPERVISOR.
SC33 ❑ 33. I WILL PARTICIPATE IN THE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION’S POLYGRAPH PROGRAM AS DIRECTED BY
PAROLE OFFICER. I UNDERSTAND THAT THIS WILL INCLUDE PERIODIC POLYGRAPH SESSIONS CONSISTING OF A PRE-EXAMINATION
INTERVIEW, POLYGRAPH EXAMINATION, AND POST-TEST INTERVIEW WITH THE POLYGRAPH EXAMINER OR MY PAROLE OFFICER.
SC34 ❑ 34. PRIOR TO RELEASE, I SHALL PROVIDE A SAMPLE, APPROPRIATE FOR DNA TESTING, TO BE INCLUDED IN THE NEW YORK
STATE DNA INDEX PURSUANT TO 9 NYCRR 6192.1(W).
SC35 ❑ 35. I WILL NOT USE THE INTERNET TO ACCESS PORNOGRAPHIC MATERIAL, ACCESS A COMMERCIAL SOCIAL NETWORKING
WEBSITE, COMMUNICATE WITH OTHER INDIVIDUALS OR GROUPS FOR THE PURPOSE OF PROMOTING SEXUAL RELATIONS
WITH PERSONS UNDER THE AGE OF EIGHTEEN, AND COMMUNICATE WITH A PERSON UNDER THE AGE OF EIGHTEEN
UNLESS I RECEIVE WRITTEN PERMISSION FROM THE BOARD OF PAROLE TO USE THE INTERNET TO COMMUNICATE WITH A
MINOR CHILD UNDER EIGHTEEN YEARS OF AGE WHO I AM THE PARENT OF AND WHO I AM NOT OTHERWISE PROHIBITED
FROM COMMUNICATING WITH.
New York State – Department of Corrections and Community Supervision
POST-INTERVIEW FACILITY STAFF WORKSHEET
FORM 9028 (rev. 05/11)
NAME:______________________________ DIN:________________ NYSID:____________________
SC36 ❑ 36. I SHALL NOT BE RELEASED UNTIL SUCH TIME AS ANY RESIDENCE THAT HAS BEEN OR MAY BE APPROVED ON MY BEHALF CAN
BE EVALUATED BY THE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION TO DETERMINE ITS APPROPRIATENESS IN
LIGHT OF ANY DETERMINATIONS MADE BY A COURT OF COMPETENT JURISDICTION PURSUANT TO ARTICLE 10 OF THE MENTAL
HYGIENE LAW.
SC37a ❑ 37. PURSUANT TO THE AUTHORITY CONFERRED UPON THE NEW YORK STATE BOARD OF PAROLE UNDER SECTION 70.45(3) OF
THE N.Y. PENAL LAW TO IMPOSE CONDITIONS OF RELEASE UPON AN INDIVIDUAL SERVING A DETERMINATE SENTENCE WHO
IS TO BE RELEASED TO THE JURISDICTION OF THE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION TO SERVE A
PERIOD OF POST-RELEASE SUPERVISION, IT IS HEREBY DETERMINED THAT AS A CONDITION OF YOUR POST-RELEASE
SUPERVISION, YOU
SC37b ❑ 37. SHALL BE TRANSFERRED TO AND PARTICIPATE IN THE PROGRAMS OF A RESIDENTIAL TREATMENT FACILITY, AS THAT TERM
IS DEFINED BY N.Y. CORRECTION LAW SS2(6) FOR A PERIOD OF TIME DEEMED APPROPRIATE BY THE DEPARTMENT OF
CORRECTIONS AND COMMUNITY SUPERVISION, BUT I NO EVENT SHALL SUCH PERIOD EXCEED SIX MONTHS FROM THE DATE OF YOUR
ENTRANCE INTO SAID RESIDENTIAL TREATMENT FACILITY.
SC38 ❑ 38. YOU SHALL NOT BE RELEASED UNTIL THE BOARD OF PAROLE AND DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION ARE
INFORMED OF THE SEX OFFENDER RISK LEVEL THAT HAS BEEN OR WILL BE ESTABLISHED BY A COURT OF COMPETENT
JURISDICTION PURSUANT TO CORRECTION LAW 168-N.
SC39a ❑ 39. I WILL HAVE NO CONTACT DIRECTLY, INDIRECTLY, THROUGH THIRD PARTY, ELECTRONICALLY OR BY INITIATION OR
RESPONSE WITH ________________, I WILL ONLY HAVE CONTACT WITH ANY MINOR CHILDREN IN COMMON WITH
________________ WITH APPROVAL AND SUPERVISION OF A FAMILY COURT ORDER OF THE PERMISSION OF THE PAROLE
OFFICER. I WILL ENTER, COMPLETE, AND COMPLY WITH A DOMESTIC VIOLENCE OFFENDERS PROGRAM AS DIRECTED BY
THE PAROLE OFFICER. I WILL ENTER, COMPLETE, AND COMPLY WITH A PARENTING COURSE AS DIRECTED BY THE PAROLE
OFFICER.
SC39b ❑ 39. I WILL NOT RESIDE WITH ANY PARTNER WITHOUT PRIOR WRITTEN PERMISSION OF THE PAROLE OFFICER. I WILL
IMMEDIATELY PROVIDE THE PAROLE OFFICER OF THE CONTACT INFORMATION FOR ANY AND ALL RELATIONSHIPS I BECOME
INVOLVED IN. I WILL PROVIDE A COPY OF ANY ACTIVE ORDER OF PROTECTION ISSUED AGAINST ME OR FOR MY
PROTECTION TO THE PAROLE OFFICER WITHIN 48 HOURS OF BEING SERVED WITH THE ORDER. I WILL COMPLY WITH ANY
AND ALL “ACTIVE” ORDERS OF PROTECTION.
SC40a ❑ 40. I WILL NOT OWN, USE, POSSESS, PURCHASE OR HAVE CONTROL OF ANY COMPUTER, COMPUTER RELATED MATERIAL,
ELECTRONIC STORAGE DEVICES AND/OR THE INTERNET UNLESS I OBTAIN PRIOR WRITTEN PERMISSION FROM MY PAROLE
OFFICER. FURTHER MORE, IF APPROVED:
IF I AM PERMITTED BY MY PAROLE OFFICER TO POSSESS A COMPUTER AT MY RESIDENCE, PERMISSION WILL BE GRANTED
FOR ONLY ONE COMPUTER.
I WILL PROVIDE ALL PERSONAL, BUSINESS, PHONE, INTERNET SERVICE PROVIDER, AND/OR CABLE RECORDS TO MY
PAROLE OFFICER UPON REQUEST.
SC40b ❑ 40. I WILL PROVIDE COPIES OF FINANCIAL DOCUMENTS TO MY PAROLE OFFICER UPON REQUEST. THESE DOCUMENTS MAY
INCLUDE, BUT ARE NOT LIMITED TO, ALL CREDIT CARD BILLS, BANK STATEMENTS, AND INCOME TAX RETURNS.
I WILL PROVIDE ALL USER ID’S AND PASSWORDS REQUIRED TO ACCESS THE COMPUTER, MY C.M.O.S. AND BIOS,
INTERNET SERVICE PROVIDER, ANY/ALL EMAIL ACCOUNTS. INSTANT MESSAGING ACCOUNTS, ANY REMOVABLE ELECTRONIC MEDIA,
INCLUDING BUT NOT LIMITED TO MEDIA SUCH AS SMART CARDS, CELL PHONES, THUMB DRIVES AND WEB VIRTUAL STORAGE.
SC40c ❑ 40. I WILL PROVIDE MY PAROLE OFFICER WITH MY PASSWORD AND USER ID FOR ANY APPROVED DEVICE.
I ACKNOWLEDGE THAT INDIVIDUALS WHO HAVE ACCESS TO MY COMPUTER SYSTEM AND/OR OTHER COMMUNICATION OR
ELECTRONIC STORAGE DEVICES WILL ALSO BE SUBJECT TO MONITORING AND/OR SEARCH AND SEIZURE. I AGREE TO BE
FULLY RESPONSIBLE FOR ALL MATERIAL, DATA, IMAGES AND INFORMATION FOUND ON MY COMPUTER AND/OR OTHER
COMMUNICATION OR ELECTRONIC STORAGE DEVICES AT ALL TIMES.
SC40d ❑ 40. I WILL NOT CREATE OR ASSIST DIRECTLY OR INDIRECTLY IN THE CREATION OF ANY ELECTRONIC BULLETIN BOARD SYSTEM,
SERVICES THAT PROVIDE ACCESS TO THE INTERNET, OR ANY PUBLIC OR PRIVATE COMPUTER NETWORK WITHOUT PRIOR
WRITTEN APPROVAL FROM MY PAROLE OFFICER.
I WILL NOT USE ANY FORM OF ENCRYPTION, CRYPTOGRAPHY, STEGANOGRAPHY, COMPRESSION AND/OR OTHER METHOD
THAT MIGHT LIMIT ACCESS TO, OR CHANGE THE APPEARANCE OF, DATA AND/OR IMAGES WITHOUT PRIOR WRITTEN
APPROVAL FROM MY PAROLE OFFICER.
SC40e ❑ 40. I WILL NOT ATTEMPT TO CIRCUMVENT, ALTER, INHIBIT, OR PREVENT THE FUNCTIONING OF ANY MONITORING OR LIMITING
EQUIPMENT, DEVICE OR SOFTWARE THAT HAS BEEN INSTALLED BY OR AT THE BEHEST OF, OR IS BEING UTILIZED BY, THE
DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION FOR THE PURPOSES OF RECORDING, MONITORING OR LIMITING MY
COMPUTER OR INTERNET USE AND ACCESS, NOR WILL I TAMPER WITH SUCH EQUIPMENT, DEVICE OR SOFTWARE IN ANY WAY.
SC40f ❑ 40. I WILL COOPERATE WITH UNANNOUNCED EXAMINATIONS DIRECTED BY MY PAROLE OFFICER OF ANY AND ALL COMPUTER(S)
AND/OR OTHER ELECTRONIC DEVICE(S) TO WHICH I HAVE ACCESS. THIS INCLUDES ACCESS TO ALL DATA AND/OR IMAGES
STORED ON HARD DISK DRIVES, FLOPPY DISKETTES, CD ROMS, OPTICAL DISKS, MAGNETIC TAPE, CELL PHONES, AND/OR
ANY STORAGE MEDIA WHETHER INSTALLED WITHIN A DEVICE OR REMOVABLE.
I WILL INSTALL OR ALLOW TO BE INSTALLED, AT MY OWN EXPENSE, EQUIPMENT AND/OR SOFTWARE TO MONITOR OR LIMIT
COMPUTER USE.
SC41A ❑ 41. YOU SHALL INSTALL AND MAINTAIN, IN ACCORDANCE WITH THE PROVISIONS A&B OF SECTION 1198 OF THE N.Y. VEHICLE AND
TRAFFIC LAW, AN IGNITION INTERLOCK DEVICE IN ANY MOTOR VEHICLE OWNED OR OPERATED BY YOU DURING THE PERIOD OF
YOUR COMMUNITY SUPERVISION. THIS CONDITION DOES NOT AUTHORIZE YOU TO OPERATE A MOTOR VEHICLE IN THE EVENT YOUR
LICENSE OR PRIVILEGE TO OPERATE A MOTOR VEHICLE HAS BEEN REVOKED OR SUSPENDED
SC41B ❑ 41. PURSUANT TO THE PROVISIONS OF THE VEHICLE AND TRAFFIC LAW OR THE LAWS OF ANY OTHER STATE. YOU MAY OBTAIN A
LICENSE TO OPERATE A MOTOR VEHICLE ONLY WITH THE PRIOR WRITTEN PERMISSION OF YOUR PAROLE OFFICER. IF YOU
POSSESS A LICENSE TO OPERATE A MOTOR VEHICLE, YOU MAY OPERATE A MOTOR VEHICLE ONLY WITH THE PRIOR WRITTEN
PERMISSION OF YOUR PAROLE OFFICER AND IN ACCORDANCE WITH THIS CONDITION OF RELEASE.
SC42 ❑ 42. I WILL SUBMIT TO PHOTO IMAGING EVERY 90 DAYS, OR WHENEVER DIRECTED BY MY PAROLE OFFICER OR OTHER REPRESENTATIVE
OF THE N.Y.S. DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION.
New York State – Department of Corrections and Community Supervision
POST-INTERVIEW FACILITY STAFF WORKSHEET
FORM 9028 (rev. 05/11)
NAME:______________________________ DIN:________________ NYSID:____________________
DID THE COMMISSIONER MENTION ANY OF THE FOLLOWING AS A REASON FOR DENIAL (CHECK ALL THAT APPLY):
❑ ABSCONDED/REMOVED/FAILED IN TEMP/WORK RELEASE PROGRAM; FURLOUGH FAILURE
❑ SERIOUS DISCIPLINE HISTORY OR RECENT DISCIPLINE PROBLEM; KEEPLOCK; SHU; TIER I, II, OR III
❑ FAIL TO DEAL WITH ALCOHOL/DRUG PROBLEM OR FURTHER TREATMENT; ASAT
❑ EXTREME/EXCESSIVE USE OF VIOLENCE AGAINST VICTIM(S) (BY INCARCERATED INDIVIDUAL AND/OR ACCOMPLICES)
❑ PREYED UPON A PARTICULARLY VULNERABLE VICTIM(S) (CHILD-ELDERLY-DISABLED)
❑ HISTORY OF PROBATION/PAROLE FAILURES
❑ INVOLVED WEAPON USAGE/SHOTGUN
❑ HISTORY OF ASSAULTIVE BEHAVIOR
❑ LENGTHY PRIOR CRIMINAL BEHAVIOR
❑ REFUSED TO APPEAR (INTERVIEWED IN ABSENTIA)
❑ NEEDS TO PARTICIPATE IN PSYCHOTHERAPY; MSE, MHSE; MENTAL STATUS EVALUATION; MENTAL HEALTH STATUS EVALUATION
❑ ACQUIRE GED OR ADDITIONAL ACADEMIC/VOCATION SCHOOLING
❑ SHOWS NO REMORSE OR RECOGNITION OF GUILT
❑ FURTHER INSTITUTIONAL PROGRAM (WHEN COMMISSIONER HAS NOT SPECIFIED)
❑ DA/JUDGE IS OPPOSED TO INCARCERATED INDIVIDUALS RELEASE
❑ OFFENSE INVOLVED LARGE QUANTITIES OF DRUGS
❑ MULTIPLE VICTIM
❑ BIZARRE NATURE OF OFFENSE
❑ MULTIPLE OFFENSES/MULTIPLE COUNTS
❑ OFFENSE WAS AMONG A SERIES OF OFFENSES
❑ OFFENSE COVERED LONG SPAN OF TIME
❑ HIGH DEGREE OF SOPHISTICATION INVOLVED IN OFFENSE(S)
❑ ALTHOUGH VICTIM WAS INITIATOR
❑ ALTHOUGH INVOLVEMENT OF OFFENSE WAS MINIMAL
❑ SERIOUSNESS OF THE OFFENSE
❑ INVOLVED LARGE AMOUNT OF MONEY
❑ MORE THAN ONE PERPETRATOR/ACTING IN CONCERT WITH OTHERS
❑ ESCALATION OF CRIMINAL BEHAVIOR
❑ DESPITE MINIMAL PRIOR CRIMINAL BEHAVIOR
❑ UNSATISFACTORY PAROLE PLAN
❑ PATTER OF SIMILAR OFFENSES
❑ OFFENSE INCLUDED SEXUAL ABUSE
❑ CAUSED DEATH OF VICTIM
❑ RESENTENCE/COURT ORDER
❑ PIE CREDIT
❑ NEEDS SEX OFFENDER COUNSELING
❑ INVOLVEMENT IN OFFENSE BY COERCION/DURESS
POSTPONEMENTS:
❑ COMPLETION OF RECORDS
❑ INCARCERATED INDIVIDUAL NOT PRODUCED
❑ PSYCHIATRIC REPORT; MSE; MHSE; MENTAL STATUS EVALUATION; MENTAL HEATH STATUS EVALUATION
❑ NO CONSENSUS
❑ NO SENTENCING MINUTES
❑ INCARCERATED INDIVIDUAL REFUSAL
❑ PAROLE BOARD COMMISSIONER RECUSAL
❑ REQUIRES AN INTERPRETER
❑ REASONABLE ACCOMMODATION REQUIRED
