Please enable JavaScript in your browser to complete this form.
Application/Software Request Page
Please enable JavaScript in your browser to complete this form.
Your Name
*
First
Last
An email will be send to this address with the information you submit
*
Phone
Supervision Type
Supervision Type
Probation
Parole
Pretrial
Treatment Only
Other
Supervision County
*
Supervision County
ACTC
Adams
Arapahoe
Arapahoe (Pre-Trial)
Boulder
Boulder Pretrial
Chaffee
Cheyenne County
Community Corrections
Core Civic
Delta
Denver
Douglas
El Paso
Elbert
Fremont
Garfield
Grand
Jefferson
Larimer
LCCC (Larimer County Community Corrections)
Mesa
Moffat
Morgan
Out of State
Park
Parole
Pitkin
Pretrial (Jefferson)
Prowers County
Pueblo
Rio Blanco
Routt
Summit
Treatment Only
US
Weld
Other
Supervising Officials Name(s)
*
Supervising Officer's Email (If filled out this response will be copied to them)
Software/Application Information
Device Type
*
Android Phone
Windows Computer
Macintosh Computer
Android Tablet
Software or application name.
*
Website / URL
Explain why you need this application or software
Explain how you will avoid supervision violations if applications/software is approved
Do these requested items have the capability to do any of the following:
*
Chat capabilities
Potential to show bare sexual organs
Contain any sexual stimulating material
Allow downloading or uploading any content
Unknown
Have these been approved by any of the following:
*
Probation/Parole Officer
Therapist
Case Manager
Other
None of the above
Other Supervision
I understand AJ Monitoring does not grant approval and this must be approved by my supervision team?
*
Yes
No
I understand AJ Monitoring does not approve or deny any software. I understand I will still need approval from my supervision team before downloading or installing any software. I understand this process may take up to three weeks before an answer is obtained.
*
I understand
Name
Submit