IN THE ______________________
(Justice Court, Justice Court of Record, Municipal Court, City Court, City Court of Record)
 COUNTY OF _____________________, STATE OF MONTANA
                  (County)   

State of Montana

vs. 

________________________________
		Defendant.	
Case No:   	_____________________
                      
Community Service Work Log

You are responsible for finding a location to complete your community service.  The location must be a non-profit organization.  Examples: Food Bank, Library, Thrift Stores, Senior Center, County Nursing Home, Habitat for Humanity, Animal Shelters, Soup Kitchen, Religious Organizations.  

NOTICE:  Any individual who is under 18 cannot drive as part of community service.

# of hours sentenced __________		#of hours instead of fines ___________ 
Must complete a minimum of _______ per month	Complete by _________________
Turn in work log by ________ of each month or appear the following ______________ at ___________________  ___. m.
	
Date	Location Name	Location Phone #	Community Work Site Supervisor Signature 	Total Hours Worked Ex. 3 ½ hours	

					

					
					
TOTAL HOURS		
 
For office use only
Initials:  _______ 	Date: ___________ 	_____ hours credited 	  Sentenced _______ balance										  for $____________  in fines