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253-589-0224
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vehm@2wm.com
564-888-2977
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Permitted Activity Plan – Vancouver
Home
/ Permitted Activity Plan – Vancouver
Step
1
of
10
10%
VAN PAP REGULAR
Permitted Activity Regular
Amend Previously Submitted Activities
Urgent Medical Activity
You are notifying 2 Watch of your medical activity. Must submit this form AND call our office at:
564-888-2975
Please take care of your medical situation. Hope all is well. Keep 2 Watch updates by calling 564-888-2975. Provide proof afterwards
Name (as shown on ID or court order)
*
First
Last
Phone
*
Your Email
*
Court/Probation Permitted Activity
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Employment (if 'under the table' work, must be permitted by the court)
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify) Proof Required
Select the Permitted Activity
Employment (if 'under the table' work, must be permitted by the court)
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify) Proof Required
Select the Permitted Activity
Employment (if 'under the table' work, must be permitted by the court)
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other. Must explain and Proof Required
OTHER please specify, when, where, duration. proof of approval
*
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
1. Do you need to create another activity?
Yes
No
Permitted Activity
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
2. Do you need to create another permitted activity?
Yes
No
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
3. Do you need to create another activity?
Yes
No
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
4. Do you need to create another activity?
Yes
No
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
5. Do you need to create another activity?
Yes
No
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
6. Do you need to create another activity?
Yes
No
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
7. Do you need to create another activity?
Yes
No
Date of the Activity
MM slash DD slash YYYY
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
Select the Permitted Activity
Work (if under the table - must be court-approved). Proof Required
Business Owner and Licensed Operator. Proof Required
Treatment, Counselling Self-help AA/NA. Proof Required
Court Appearance, Attorney, Probation. Proof Required
Grocery 2hrs including drive time 1x weekly. Proof Required
Medical Appointment. Proof Required
Religious Activity per Court Order. Proof Required
On-Campus School. Proof Required
Other (Must Specify). Proof Required
OTHER please specify, when, where, duration. proof of approval
Address or General Location of Permitted Activity
Street Address
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
Time Activity Start
:
Hours
Minutes
AM
PM
AM/PM
Time Activity End
:
Hours
Minutes
AM
PM
AM/PM
Time Leave Home
:
Hours
Minutes
AM
PM
AM/PM
Time Return Home
:
Hours
Minutes
AM
PM
AM/PM
I submit this activity request knowing that the activities and the times listed are compliant with the order of the court for my case. Validation of this request is incumbent upon me to disclose and provide copies of documents, receipts, payroll time sheets, confirmation of medical appointments for all court-authorized activities. I understand that failure to provide this information when requested will result in program violation and possible removal. All court appearances and court-authorized activities must be scheduled. Report to 2WM office after court unless in custody.
Signature
*
Today's Date
*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
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