Module 49: Determinate/Indeterminate PRS Violator with 2 Parole/CR/Merit Releases and a New Consecutive Indeterminate Term

First Name (replace)
Last Name (replace)
NYS ID# * (replace)
DIN # (optional)
Date Received on Prior Sentence (Original)
Date Received on Prior Sentence (Current)
Date Paroled/Merit Release (Original)
Date Paroled/Merit Release (Current)
Jail Time Credit (Prior DIN#) yrs mts days
Parole Jail Time Credit yrs mts days
Prior Determinate Term yrs mts days
Current Indeterminate Minimum Term yrs mts
Current Indeterminate Maximum Term yrs mts
Jail Time Credit (Current DIN#) yrs mts days
Today's Date*
Post Release Supervision Term yrs mts
Declared Delinquent (Prior Sentence)
Declared Delinquent (New Sentence)
Merit Release

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