nlY 141. SNI•i ll 2 (Personal )(isn't). of lkfendant) ‘ledical clearance Ilium licensed physician). it necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. if completed O Copy Of Uletainens). if issued O Copy of Writ. if applicable K Correctional facility discharge papas.

fficer Only is cusm-312 (Personal History of Defendant) edical clearance (from licensed physician), if necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. ircompleted 0 Copy of Deuiner(s). if issued O Copy of Writ. if applicable K Correctional facility discharge papers.

fficer Only 1Sc 1.1SM-312 (Personal History of Defendant) edical clearance (from licensed physician), if necessary opy of Arrest Woman. if issued Copy of Complaint. Information. or Indictment. if completed K Copy of Detainer(s). if issued El Copy of Writ, if applicable D Correctional facility discharge papers

Officer Only 'USM-3 I 2 (Personal History of Defendant) edical clearance (from licensed physician). if necessary opy of Arrest Warranl if issued Copy of Complaint. Information. or Indictment. if compkted O Copy of Detainer(s). if issued K Copy of Writ. if applicable • Correctional facility discharge papers.

g Weer Only 4 USM-3I 2 (Personal I lima,- of I>efendant) Medical clearance (Rom licensed ph)skirad. if TICIX&W) opy of Arrest Warrant. it' issued Copy of Complaint. Information. or Indictment. if completed K Copy of (Maine/Isl. Jr issued K Copy of Writ. if applicable K Correctional facility discharge papers.

g (Wirer Only *USM-3I2 (Personal History of Defendant) Medical clearance (from licensed physician). if necessary opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment. if completed C3 Copy of Deminerts I. if issued O Copy of Writ. if applicable O Correctional facility discharge papers

cer Only 4 USM-312 (Personal History of Defendant) Medical clearance (from licensed physician). ii'necessaly ip 'opy of Arrest Warrant. if issued Copy of Complaint. Information. or Indictment, if completed O Copy of Detainer(s). if issued O Copy of Writ. if applicable O Correctional facility discharge papers.