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United States Probation & Pretrial Services
Western District of Pennsylvania
Sara A. Romig, Chief U.S. Probation Officer
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Vendor Resources
All Forms
Vendor Forms
1. AO-0213 Vendor Information/TIN Certification
2. PROB 11B Authorization To Release Confidential Information - Substance Abuse Programs
3. PROB 11I Authorization to Release Confidential Information - Mental Health Programs
4. PROB-46 Monthly Treatment Report
5. Daily Treatment Log
6. Urinalysis Testing Log
7. Vendor Travel Log
8. Treatment Services Invoice
9. Program Discharge Summary Profile Yearly
