Republic of the Philippines

Republic of the Philippines

Department of Justice

Parole & Probation Administration

Region I

San Carlos City Parole and Probation OfficeSCORE SHEET DETERMINING THE CASE CLASSIFICATION AND

THE LENGTH OF PROBATION PERIODFACTORSPOINTSFACTORSPOINTS

I. LEGAL (50 points)C. Payment of Civil Liability (15 points)

A. Offense (20 points)No Civil Liability/Civil Liability Waived/ Civil Liability instantly paid

1. Nature of Offense0

Installment Payment of Civil Liability within the period of probation

Mala Prohibita15

Mala in se3Installment extending period of probation

10

2. Manner of Commission of the OffensePayment of Civil Liability subject to writ of execution

15

Ignorance/Victim of circumstances2

By Imprudence3Sub-Total for Legal Factors

On Impulse4

With Forethought5II. PSYCHO-SOCIAL (50 points)

3. Extent of ParticipationA. Individual Characteristics and Personality Problems (30 points)

Accessory3

Accomplice41. Present Age

Principal5

75 and above0

4. Prior Record60-74 .5

45-591

No prior derogatory record030-441.5

No pending case nor previous conviction but with one (1) derogatory record129 and below2

2. Civil Status

One (1) pending case or one (1) previous conviction or two (2) other derogatory records or criminal involvement3

Married 0.4

Single 0 .8

Widow/Widower 1.2

Two (2) pending cases or two (2) previous convictions or three (3) or more derogatory records or criminal involvement5With Common Law Spouses 1.6

Separated3

3. Academic/Vocational Skills

Three (3) pending cases or three (3) previous convictions or four (4) or more derogatory records or criminal involvement7

Adequate Skills able to handle everyday requirements

0

Low Skills level causing minor adjustment problems1

Minimal Skills level causing serious adjustment problems

B. Length of Sentence (15 points)2

One Year or Less 54. Employment

1-0-1 to 2-0-0 7

2-0-1 to 3-0-0 9Satisfactory employment for one (1) year or longer; secured employment, no difficulties reported.

3-0-1 to 4-0-011

4-0-1 to 5-0-0130

5-0-1 to 6-0-015Unsatisfactory employment; or employed but has adequate job skills

1

FACTORSPOINTSFACTORSPOINTS

Unemployed and virtually unemployable; needs training2 Pattern of two or more incidents

in past year2

11. Client Responsibility

5. Financial Management

Good self understanding with

Long standing pattern of self-sufficiency; no current difficulties corresponding behavior (responsible)0

0 Partial understanding with behavior based

Situational or minor difficulties1 on that understanding (moderately1

Severe difficulties may include garnishment, bad checks and bankruptcy responsible)

2 Little or no understanding of himself or2

societys expectations (irresponsible)

6. Emotional Stability12. Alcohol Usage/Problem

Exceptionally well-adjusted; accepts responsibility for actions; no symptoms of emotional instability; appropriate emotional responses No interference with functioning0

Occasional abuse; some disruption of

0 functioning2

Frequent abuse; serious disruption;

Symptoms limit but do not prohibit adequate functioning, e.g. excessive anxiety1 needs treatment3

13. Other Drug Usage/Problem

Symptoms prohibit adequate functioning, e.g. lashes out of retreats into self2 No interference with functioning02

Occasional abuse; some disruption of

functioning

Frequent abuse; serious disruption;

7. Mental Ability needs treatment3

Able to function independently014. Social Identification

Needs some assistance; potential for adequate adjustment

1 Mainly with positive individuals0

Deficiencies severely limit independent functioning2 Mainly with delinquent individuals1

B. Social/ Environmental Factors

8. Health (20 points)

Sound physical and mental health; seldom gets ill 1. Stability of Residence ( during the last

0 10 years)

Handicap or illness interferes with functioning or recurring basis

1 Stable0

Serious handicap or chronic illness needs frequent medical care Occasional Change ( at most 3 times )1

2 Frequent Change ( 4 to 6 times)2

No Stability ( More than six times)3

9. Attitude

2. Marital/Family Relationships

Motivated to change, receptive to assistance

0 Relationships and support are

Dependent or unwilling to accept responsibility exceptionally strong0

1

Rationalizes behavior; negative; not motivated to change Some disorganization or stress but

2 potential for improvement is evident1

10. Aggressive/Assaultive Major disorganization or stress is

present3

No demonstrated aggressive behavior in past year

0

Prior incident in past year1

FACTORSPOINTSFACTORSPOINTS

3. Family Reputation in the Community6. Economic Status

More than adequate0

Very Satisfactory0 Adequate1

Satisfactory1 Inadequate2

Fair Poor

4. Companions/Peer Associations2 Below poverty level3

3

Sub-total for Psycho-social Factors

Good support and influence; Total Point Score

no adverse relationships0

Associations with occasional negative results

Associations almost completely

Negative Length of Probation Period

1

3

Case Classification

5. Community Acceptance

Community is willing and able to

give its full support to him0

REMARKS:

Community has reservations about supporting him

Community is afraid of him

does not accept him3

5

Prepared by: ________________________________

Investigating Officer

Approved by:

DANILO G. CORPUZ

Chief Probation and Parole Officer

********************************************************************************************REFERENCE TABLE FOR CASE CLASSIFICATIONTOTAL POINT SCORELENGTH OF PROBATION PERIODDEGREE OF SUPERVISION

For those sentenced to imprisonment of One Year or LessAll other Cases

Below 283 months6 monthsMinimum/NTN

29-406 months1 yearMinimum

41-521 year2 yearsMedium

53-641 year and 3 months3 yearsMedium

65-761 year and 6 months4 yearsMedium

77-881 year and 9 months5 yearsMaximum

88 above2 years6 yearsMaximum