MAINE DEPARTMENT OF CORRECTIONS HOLDING FACILITY/SDA MONTHLY POPULATION REPORT Facility: Month/Year: Completed By: Please Date/ Ethnicity Juvenile Only Date/ Check Sex Time In Secure (Hours Held) Time Released One: DOB Custody Name: Offense Most Race Released to: Emergency Hispanic? Nonsecure Detention Example: Last, First Serious Juvenile Example: Female Example: Adult Male xx/xx/xx-xxxx xx/xx/xx xx/xx/xx-xxxx (Date –Time) (Date –Time) Race: A=Asian B=African American C=Caucasian H=Hispanic I=American Indian O=Other
MAINE DEPARTMENT OF CORRECTIONS HOLDING FACILITY/SDA MONTHLY POPULATION REPORT Facility: Month/Year: Completed By: Name: Last, First DOB Example: xx/xx/xx Please Check One: Offense Most Serious Sex Race Ethnicity Hispanic? Date/ Time In Secure Custody Example: xx/xx/xx-xxxx (Date –Time) Date/ Time Released Example: xx/xx/xx-xxxx (Date –Time) Released to: Juvenile Only (Hours Held) Adult Juvenile Male Female Nonsecure Emergency Detention Race: A=Asian B=African American C=Caucasian H=Hispanic I=American Indian O=Other
FORM%20(Monthly%20Report).docx