Attachment 5 - Add Participant Form 2025-08-15.pdf
PDF 562 KB Posted
- Attached to
- Intensive Supervision Appearance Program V Solicitation Federal contract opportunity
- Solicitation number
- 70CDCR25R00000018
- Issued by
- Immigration and Customs Enforcement
About this file
This document is an ATD (Alternative to Detention) Participant Enrollment Form from U.S. Immigration and Customs Enforcement (ICE). The two-page form is designed to capture comprehensive enrollment details for individuals in ICE's alternative detention program, with sections for participant biographical information, referral sources, and program tracking. Key enrollment options include technology tracking methods (GPS or Biometric Reporting), service options like office and home visits, and program-specific monitoring such as residence verification, court tracking, and alert management. The form requires selection of technology tracking (weekly or monthly), allows for different supervision levels, and must be submitted to the contractor's office with both pages completed.
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Text version
Attachment 5
U.S. Immigration and Customs Enforcement
ATD PARTICIPANT ENROLLMENT FORM
ATD Location: Case DCO: EARM Case ID: A-Number:
Participant Biographical Information Last Name: First Name: A-Number:
DOB (under 18 not eligible) COC Gender: □M □F □U
Alien Address City State Zip Code
Phone Number ( ) Cell Phone ( )
Referral Source:
□CAP □Fugitive Ops □Detained □Non-Detain □HSI □Other (Explanation Required)
□CBP □USCIS
□Pre-Order (Notice to Appear) □Post-Order (VD/Final Order of Removal) □Appeal (Pending with the BIA)
Officer to Determine Supervision Levels on a Case by Case Basis
Technology Options (Selection of a Technology is a Requirement):
□GPS or □Biometric Reporting (□ Weekly □Monthly)
ECMS PROGRAM OPTION (Must be within contractual distance limit) □
Service Options (where Available) with Frequency:
Y N
□ □ Office Visits *: □Week □2 Weeks □4 Weeks □ 8 Weeks □ 12 Weeks
□ □ Home Visits*: □2 Weeks □4 Weeks □8 Weeks □ 12 Weeks
□ □ Program Enrollment & Orientation* (Installation of Technology and Program Explanation)
□ □ Residence Verification* (within 48 hours of enrollment)
□ □ Court Tracking* (Tracking of Court Case and Reminder Call to Participant before Court)
□ □ Alert Management* (GPS, and Biometric Alerts)
*If not contracted, this function is the responsibility of the ATD Officer.
Submit all two (2) pages to contractor office.
DEPARTMENT OF HOMELAND SECURITY
U.S. Immigration and Customs Enforcement
Alien appeared at Intake/Orientation for enrollment on at (Date) (Time)
Date ERO Case Officer Authorizing Enrollment (Name and Title)
File details come from the government source that posted it. Updated .