UCJ OFFER/WORKSHEET

Case Name: _______________________ Atty: _________________ DDA: _______ Date: __________ Page ____of ____
UCJ OFFER/WORKSHEET
SUMMARY: Stipulated Sentence
Plea Case#_________________ Ct(s) ____________ Waive Prelim/Indictment Dismiss Ct(s) ________
Plea Case#_________________ Ct(s) ____________ Waive Prelim/Indictment Dismiss Ct(s) ________
Plea Case#_________________ Ct(s) ____________ Waive Prelim/Indictment Dismiss Ct(s) ________  Cont. next page
CASE INFORMATION:
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Case # _______________ Count # ________ Charge _____________________
Plea: Guilty No Contest Admit __________________
Disposition: Convicted Deferred
Sentence Type: Sentence PV Diversion Deferred Violation Merged with ________________
 SENTENCING DETAILS (6):
 Non Guidelines: Suspended Imposition OR Suspended Execution: _________ Agency: Jail
 Guidelines: Grid Block ______ /______ (________)
 Special Factors: 137.700 (BM11) 161.610 (Firearm) Vic ‹ 12 137.712 (BM11 Exception)
137.717 (Presumptive Property Sentence) Other: _______________________________
 Departure: Dispositional – Up OR Down Durational – Up OR Down
Stipulated
Substantial and Compelling Reason(s):___________________________________________________
 PROBATION (5):
(Court Staff: Enter probation time standard)
 Supervised Bench Duration:_______ Non-Probation Violation: Continue Extend ______ Revoke
 General Conditions All apply  All apply EXCEPT: ___________ ___________ ___________
 Special Conditions (packages/codes): ___________ ___________ ___________ ___________
___________ ___________ ___________ ___________
 Comments: _____________________________________________________________________________
 INCARCERATION (3):
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Location: DOC Jail PSRB Duration: ___________  Remand OR Report by date/time: ___________
Concurrent OR Consecutive: With previously imposed sentences OR With case/count: _____________
Comment: ______________________________________________________________________________
NOT eligible for (if box NOT marked eligibility assumed):  ORS 137.752 (Alt Sanctions Felony ≤ 12 mo. or Misd)
 137.750 (Leave/Reduction/Work Release/Release Programs)  Alt Incarceration (Felony > 12 mo 137.751 and 421.508(4))
 Comments: _____________________________________________________________________________________
 Post-Prison Supervision: Duration: _____________________
 STATUTORY PROVISIONS (7):
 Blood/Buccal Sample Blood Sample for DNA testing HIV Blood Draw Sex Off Reg Other __________
 LICENSE SUSPENSION (4):
 Duration: ____________
Life
Permanent
Suspend
Revoke Other __________________
 FEES (2):
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Fine/Fee: ____________ $_______ Fine/Fee: ____________ $______ Fine/Fee: ____________ $______
Attorney Fees: $__________Waive Stip Restitution: $________ Compensatory Fine: $________
Victim name, address (list each victim separately)____________________________________  Attached
60 days to submit restitution
Comments:__________________________________________________
Joint and several liability with __________________________________Case #_____________________
REV: 1/8/2015
TERMS OF PLEA OFFER
Acceptance of this offer is contingent upon a waiver of ORS 137.106(1).
The Court must reinstate any dismissed counts in the event that plea is withdrawn or judgment of conviction
is subsequently reversed, vacated, or set aside.
Standard for all cases: CAA fees for all counts; no participation in Oregon Medical Marijuana Program if on
probation; pay any/all restitution
This offer is conditioned upon the facts of this case, any representations made by counsel, the accuracy of the
defendant’s criminal history, factors which may affect the defendant’s grid block under sentencing guidelines
and upon the defendant’s willingness to accept responsibility for the criminal episode. See ORS 135.432(4);
ORS 135.415.
This offer is REVOKED upon defendant’s first rule 7, Motion, Failure to Appear, new criminal activity,
institutional rule violation, or release agreement violation, unless specifically extended by the Deputy District
Attorney assigned to the case.
Enclosed is your discovery. We will provide additional reports as they become available. If there are any
problems concerning discovery, please contact me immediately. A copy of the computerized criminal history
is included in discovery. Law regulates the use of this record. The District Attorney shall not be held
responsible for its improper dissemination. Please provide reciprocal discovery as required by law.
All recommended probation packages are available for review at
http://courts.oregon.gov/Marion/MaterialsAndResources/pages/barupdates.aspx
REV: 1/8/2015