DRAFT ISAP-V Attachment 5 and 6 1Oct2024.pdf

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)

Attachment 6

NOTICE TO TERMINATE ATD PARTICIPATION

ATD Field/Sub Office: ATD Officer:

TO: (Name of Contract Program Manager) Site Location:

This official notice serves to immediately terminate the following participant from ATD

Participant’s Full Name: A-Number: Termination Date and Time:

A. Departure Verified (Final Order of Removal—close in EARM within 72 hours of departure)

B. Relief/Benefit Granted ( Cancellation of Removal Adjustment of Status Asylum

Admission)

C. Pre-Order Program Absconder

D. Post-Order Program Absconder

E. Pre-Order Program Violator

F. Post-Order Program Violator

G. No Longer Required to Participate (check one)

Change of Venue Administrative Closure Transfer to Non-Detained Case Transferred to Another Field Office Proceedings Terminated Withholding of Removal Temporary Protected Status Deferred Action (e.g. DACA) Prosecutorial Discretion Convention Against Torture/Deferral of Removal Stay of Removal Granted (I-246) Unable to Remove in the Foreseeable Future

Other

H. Arrested by ICE for Removal (Final Order—Active Participant)

I. Pending Departure Verification (Final Order of Removal or Voluntary Departure)

J. Arrested by other Law Enforcement Agency

K. Medical or deceased

L. Departure Verified (Voluntary Departure Order – close in EARM within 72 hours of departure)

M. Departed the United States while in proceedings

N. Appeal Program Violator

O. Appeal Program Absconder

Comments:

Written Notification Date: Notification Method: (via FAX, telephone, in-person, email.)

Submit all two (2) pages to contractor office.