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IDAHO DEPARTMENT OF CORRECTION <br />Sex Offender Supervision Agreement <br />Updated 09/25/2024 <br />Defendant Name: ________________________ Case Number(s): ________________________ <br /> <br />Below are the terms and conditions of supervision requested by the Idaho Department of Correction <br />(IDOC). These conditions are provided to you at sentencing. Your initials acknowledge your <br />understanding of each condition(s) listed below. <br /> <br />1. _____ I will comply with the sex offender registration requirements of Idaho Code Title 18, Chapter 83. <br />2. _____ I agree to obtain a specialized sex offender evaluation. The evaluator and my Sex Offender <br />Treatment Provider (SOTP) must be on the approved Sex Offender Management Board provider list. I <br />will comply with all requirements of the treatment program and actively participate in treatment, <br />including following provider instructions regarding possession or viewing of any material (e.g., pictures, <br />movies, websites) that act as a stimulus for my sexual behavior and guidance around entering into <br />appropriate romantic or sexual relationships. I will not change treatment programs without prior <br />approval of my supervising Probation/Parole Officer (PPO). <br />3. _____ I agree to pay the financial obligations incurred for my counseling and treatment. <br />4. _____ If my instant offense was internet related, or as instructed by my supervising officer, I will not <br />subscribe to, use, nor have access to internet service, including e-mail or any other internet material <br />without the permission of my supervising PPO and SOTP. I will not use any form of password- <br />protected files, or other methods that might limit access to or change the appearance of data images <br />or other computer files. <br />5. _____ I will not engage in illegal sexual behavior. <br />6. _____ If required by the facts of my instant offense, psycho-sexual evaluation, or as directed by my <br />supervising officer, I will not form an intimate relationship with any person who has physical or shared <br />custody of a child(ren) under 18 years of age, nor will I reside or stay at a residence where minor <br />children frequent or reside, except as approved by my supervising PPO and SOTP. I will further not <br />initiate, maintain, or establish contact with any person under 18 years of age. <br />7. _____ As directed by my supervising officer and treatment provider, I will not live near, frequent, loiter, <br />or go near places where minors or victims of choice congregate (e.g., parks, playgrounds, schools, <br />video arcades, swimming pools, daycares, libraries, churches, special events) or any other risky areas <br />as identified by my supervising PPO consistent with statewide restrictions. A request for exception <br />must be submitted on a Sex Offender Supervision Activity Request and approved in writing by my <br />supervising PPO. <br />8. _____ I will provide complete and truthful information for any psychological and/or physiological <br />assessment that is conducted at the request of my supervising PPO or SOTP. <br /> <br />Supervised Client Signature Date: <br />Supervised Client Name (printed) <br />Witness Signature Date: <br />Witness Name (printed) <br />