AO 199A (Rev. )  Order Setting Conditions of Release Page 1 of Pages
UNITEDSTATESDISTRICTCOURT
for the
__________ District of __________
United States of America)
)
)
)
)v.
Case No.
Defendant
ORDER SETTING CONDITIONS OF RELEASE
IT IS ORDERED that the defendant’s release is subject to these conditions:
The defendant must not violate federal, state, or local law while on release.
The defendant must cooperate in the collection ofa DNA sample if it is authorized by  U.S.C. § .
The defendant must advise the court or the pretrial services office or supervising officer in writing before making
any change of residence or telephone number.
The defendant must appear in court as required and, if convicted, must surrender as directed to serve a sentence that
the court may impose.
The defendant must appear at:
Place
on
Date and Time
If blank, defendant will be notified of next appearance.
(5)The defendant must sign an Appearance Bond, if ordered.              District of ColumbiaCase 1:21-cr-00078-EGS   Document 16   Filed 02/16/21   Page 1 of 3AO 199B (Rev. 12/11)  Additional Conditions of Release Page of Pages
ADDITIONAL CONDITIONS OF RELEASE
IT IS FURTHER ORDERED that the defendant’s release is subject to the conditions marked below:
( ) (6) The defendant is placed in the custody of:
Person or organization
Address (only if above is an organization)
City and state Tel. No.
who agrees to (a) supervise the defendant, (b) use every effort to assure the defendant’s appearance at all court proceedings, and (c) notify the court immediately
if the defendant violates a condition of release or is no longer in the custodian’s custody.
Signed:
Custodian Date
( ) (7) The defendant must:
( ) (a) submit to supervision by and report for supervision to the ,
telephone number , no later than .
( ) (b) actively seek employment
( ) (c) continue or start an education program.
( ) (d) surrender any passport to:
( ) (e) not obtain a passport or other international travel document.
( ) (f) abide by the following restrictions on personal association, residence, or travel:
( ) (g) avoid all contact, directly or indirectly, with any person who is or may be a victim or witness in the investigation or prosecution,
including:
( ) (h) get medical or psychiatric treatment:
( ) (i) return to custody each at o’clock after being released at o’clock for employment, schooling,
or the following purposes:
( ) (j) maintain residence at a halfway house or community corrections center, as the pretrial services office or supervising officer considers
necessary.
( ) (k) not possess a firearm, destructive device, or other weapon.
( ) (l) not use alcohol ( ) at all ( ) excessively.
( ) (m) not use or unlawfully possess a narcotic drug or other controlled substances defined in 21 U.S.C. § 802, unless prescribed by a licensed
medical practitioner.
( ) (n) submit to testing for a prohibited substance if required by the pretrial services office or supervising officer.  Testing may be used with random
frequency and may include urine testing, the wearing of a sweat patch, a remote alcohol testing system, and/or any form of prohibited
substance screening or testing.  The defendant must not obstruct, attempt to obstruct, or tamper with the efficiency and accuracy of prohibited
substance screening or testing.
( ) (o) participate in a program of inpatient or outpatient substance abuse therapy and counseling if directed by the pretrial services office or
supervising officer.
( ) (p) participate in one of the following location restriction programs and comply with its requirements as directed.
( ) (i) Curfew.  You are restricted to your residence every day ( ) from to , or ( ) as 
directed by the pretrial services office or supervising officer; or
( ) (ii) Home Detention.   You are restricted to your residence at all times except for employment; education; religious services; medical,
substance abuse, or mental health treatment; attorney visits; court appearances; court-ordered obligations; or other activities
approved in advance by the pretrial services office or supervising officer; or
( )(iii)Home Incarceration.   You are restricted to 24-hour-a-day lock-down at your residence except for medical necessities and
court appearances or other activities specifically approved by the court. 
( ) (q) submit to location monitoring as directed by the pretrial services office or supervising officer and comply with all of the program
requirements and instructions provided.
( )You must pay all or part of the cost of the program based on your ability to pay as determined by the pretrial services office or
supervising officer.
( ) (r) report as soon as possible, to the pretrial services office or supervising officer, every contact with law enforcement personnel, including
arrests, questioning, or traffic stops.
( ) (s)
 USACase 1:21-cr-00078-EGS   Document 16   Filed 02/16/21   Page 2 of 3Case 1:21-cr-00078-EGS   Document 16   Filed 02/16/21   Page 3 of 3