REINSTATEMENT OF FEDERAL BENEFITS FREE LEGAL FORMS

O AO 249 (Rev. 11/07) Reinstatement of Federal Benefits UNITED STATES DISTRICT COURT District of UNITED STATES OF AMERICA REINSTATEMENT OF FEDERAL BENEFITS Case Number: Sentencing Date: V. (Name of Defendant) City/State of Defendant's Residence: Last Four Digits of Defendant's Soc. Sec. No.: Defendant’s Year of Birth: SUSPENSION OF PERIOD OF INELIGIBILITY PURSUANT TO 21 U.S.C. § 853a(b)(1)(B) The defendant’s ineligibility for federal benefits which was imposed by the district court in the above case is hereby suspended because the defendant: G has successfully completed a supervised drug rehabilitation program. G has otherwise been rehabilitated. G has made a good faith effort to gain admission to a supervised drug rehabilitation program, but has been unable to do so because of the inaccessibility or unavailability to pay for such a program. OR REINSTATEMENT OF BENEFITS FOLLOWING COMPLETION OF CONDITIONS IMPOSED PURSUANT TO 21 U.S.C. § 853a(c)(B) G The defendant has successfully completed a drug treatment and testing program and/or community service in accordance with the judgment in the above case. Accordingly, the defendant’s eligibility for federal benefits which was denied in the case is hereby reinstated. Date Signature of Judge Name and Title of Judge THE CLERK OF COURT IS RESPONSIBLE FOR SENDING A COPY OF THIS FORM TO: U.S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROGRAMS, WASHINGTON, D.C. 20531 Print Save As... Export as FDF Retrieve FDF File Reset