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  EDNY Probation


  MAIN OFFICE
  147 Pierrepont Street
  Brooklyn, NY 11201
  (347)534-3400
  (347)534-3509-fax

  QUEENS OFFICE
  90-02 161st Street
  Jamaica, NY 11432
  phone-(718)374-8800
  fax-(718)487-5830

  USPO Brian J. Kelly
  90-02 161st Street
  Jamaica, NY 11432
  phone-(718)374-8819
  fax-(718)487-5830
 
TRAVEL REQUEST

Based upon your current status, all requests to travel out of this District require approval by the Probation Department. International travel requires additional approval by the Sentencing Judge or Parole Commission.

Complete this form fully and accurately and hit the submit button below. All requests will be given due consideration.

YOU DO NOT HAVE PERMISSION TO TRAVEL UNTIL YOU RECEIVE VERBAL CONFIRMATION.

NAME:

ADDRESS:

TELEPHONE-Home:

TELEPHONE-Work:

Dates of Travel:

Purpose of Travel:

Travel Companions:


DESTINATION
ADDRESS (include country):

TELEPHONE:

Name of Party (and relationship) to be visited:


Method of Travel: (If flying, include airline flight #, airport, scheduled time of arrival & departure. If traveling by car, include make, model and plate number of vehicle.)


Other Information:











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