Administrative Reporting

Pretrial Administrative Reporting

  • This form is only to be used if you have been accepted into the administrative level of supervision with Dauphin County Pretrial Services. Any other use of this will not count towards your regular reporting instructions.

Instructions: Complete this form in full on the first (1st) day of the month and the fifteenth (15th) day of the month (grace period of 2 days).

Be sure to include any contact information changes.

First Name:

Last Name:

Date of Birth:



Do you know your next court date?
  YES                     NO

*All Responses by Pretrial Services will be by email