Schedule Change Request Schedule Change Request Changes take effect within two business days or one business day if you selected the “RUSH” option. If you are placing your calls on hold for more than 5 days and requesting that we stop your billing during this time, you will be required to fill out a reinstatement form when you are ready to reinstate your scheduled monitoring. NO EXCEPTIONS. Any time calls are placed on for more than 5 days, you will be required to make up these days. A completion letter will only validate the days in which your were monitored. If you are granted court permission to have these days included in your time and your are not required to make them up you will be required to submit the proper documentation to our office. NO EXCEPTIONS Enrollee Name* First Last Email* You must enter your email address so that we can send you a confirmation that we have received this request.Enrollee ID Number*This is the number you were assigned when you enrolled into the program. This is the same number you use when calling into the system.Date change to take place* Suspend Monitoring?*YESNOSelect YES if you are checking into a hospital, treatment facility or approved travel. NOTE: This option will extend your monitoring and a new completion date will given once you are active again. Otherwise, make your permanent or temporary change below.Description*Give a description of why you need your monitoring suspended and when you expect to get back on the program. NOTE: if you suspend your schedule for more than 2 days, your account will become inactive and you will be required to complete a reinstatement form.Type of Schedule Change?*TemporaryPermanentTime Zone*HawiiPacificMountainCentralEasternPorto RicoDescribe your schedule change request including the times:*NOTE: We ONLY need to know the times you will be at home. (Not work, school, travel, etc.)NOTE: We will make the schedule change as per your request. However, it is your responsibility to ensure that any schedule change or modification that you request is in compliance with your conditions of home incarceration. We do not have the authority to override what your court ordered activities should be. It is typical for the courts to allow you travel time to and from work, school, court ordered meetings, etc. However, anything out of the ordinary should be approved by the court or your supervising agent. By clicking the submit button below, you are requesting us to change your curfew schedule. You also understand that a fee of $20.00 will be charged after submitting this form. If the card fails to process, we will not proceed with modifying your schedule.NOTE: IT CAN TAKE UP TO 1 BUSINESS DAY TO UPDATE YOUR SCHEDULE UNLESS YOU PAY THE RUSH FEE AND IT WILL NOT TAKE EFFECT UNTIL YOUR CURRENT SCHEDULE EXPIRES. COMPLETING THIS FORM DOES NOT MEAN YOUR SCHEDULE HAS BEEN CHANGED. YOU WILL RECEIVE AN EMAIL ONCE YOUR SCHEDULE HAS BEEN CHANGED. NOTE: IT IS YOUR RESPONSIBILITY TO HAVE US CHANGE YOUR SCHEDULE. WE DO NOT GIVE PERMISSION TO CHANGE SCHEDULES.* I agree to the Conditions of a schedule change Choose Type of Schedule Change Fee*Schedule Change - No RUSH $20.00Schedule Change - RUSH $30.00Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Captcha This iframe contains the logic required to handle Ajax powered Gravity Forms.