Module 11: Returned Absconder/AWOL with Consecutive New Term

First Name (replace)
Last Name (replace)
NYS ID# * (replace)
DIN # (optional)
Prior Release Date*
Date Failed to Return*
Date Received at DOCCS on New Term*
Prior Maximum Expiration Date*
New Minimum Term* yrs mts
New Maximum Term* yrs mts
Jail Time (New) (in days)*
Prior Term Max Sentence yrs mts