STATE OF NEW JERSEY DEPARTMENT OF CORRECTIONS RULES AND RESPONSIBILITIES OF INMATES ON EMERGENCY MEDICAL HOME CONFINEMENT (EMHC) *Revised April 22, 2020 I ___________________________________________understand that I shall be subject to the following conditions as established by the New Jersey Department of Corrections: 1. I am expected to return to the correctional facility no later than the time stipulated on my approved EMHC plan. 2. I am to remain at the residence the entire time, except for medical emergencies. Unauthorized absence from the approved residence constitutes an escape. 3. I am to notify the New Jersey Department of Corrections of any unusual circumstances or problems within one hour of occurrence using the telephone number below 4. I am required to make TWO accountability contact calls, via telephone Contact: 1-833-520-1051 • • I am required to call every day twice per day at the time noted below I am required to call at the times designated in GROUP: ________ Groups 1 A-B 5:00am 5:00pm Group 6 L-M 7:30am 7:30pm Based on the 1st letter in your last night Group 2 Group 3 Group 4 C-D E-F G-H 5:30am 6:00am 6:30am 5:30pm 6:00pm 6:30pm Group 7 Group 8 Group 9 N-O-P Q-R-S T-U-V 8:00am 8:30am 9:00am 8:00pm 8:30pm 9:00pm Group 5 I-J-K 7:00am 7:00pm Group 10 W-X-Y-Z 9:30am 9:30pm 5. I understand I shall be considered an escapee according to the following criteria: a) When I fail to return to the correctional facility at the specified date and time. b) When I fail to make the required calls at the designated times. 6. I am to obey all laws and local ordinances. 7. I am to refrain from possessing any firearm as defined in N.J.S.A. 2C39:1f, for any purpose. 8. I am to refrain from possessing any weapon enumerated in N.J.S.A. 2C:39-1.r. 1 Initial p 9. I am to refrain from the purchase, use, possession, distribution, or administration of any narcotic drug, controlled danger substances analog as defined in N.J.S.A. 2C35-11, or any paraphernalia as defined in N.J.S.A. 2C:36-1 related to such substances, except as prescribed by a physician. 10. I am to submit to drug and alcohol testing at any time, as directed by the NJDOC. 11. I am to report any contact with local law enforcement. 12. I am to refrain from any contact with the victims of my offenses and/or the victim’s relatives. 13. I am to have my inmate identification card in my possession at all times. 14. I am not permitted to do the following while on emergency medical home confinement: a) Leave the State of New Jersey; b) Give or accept money or anything of value from other inmates, members of other inmates' families, friends; c) Deviate from the approved furlough plan; d) Purchase, possess, and use alcoholic beverages, illegal substances or any non-over the counter drugs not prescribed, to include marijuana; e) Introduce or attempt to introduce contraband into the correctional facility; f) Commit or attempt to commit any delinquent or criminal acts; g) Open any bank or charge accounts or purchase any items on installment payments; h) Operate a motor vehicle; i) Leave home confinement to engage in any public activities, meetings, discussions or demonstrations; j) In line with Department of Correction’s regulations, enter into the legal contract of marriage unless a prior application for permission has been made and granted from the New Jersey Department of Corrections. 15. I am to comply with any condition established within an order granting emergency relief, a temporary or final restraining order or protective order, issued by the appropriate court, pursuant to the Preventions of Domestic Violence Act, N.J.S.A. 2C:25-17 et seq., the Sexual Assault Survivor Protection Act of 2015, N.J.S.A. 2C:14-13 et seq., or the provisions of similar Federal or state statutes. 16. I am to refrain from behavior that results in the issuance of a final restraining order or protective order pursuant to the Preventions of Domestic Violence Act, N.J.S.A 2C25-17 et seq., the Sexual Assault Survivor Preventions Act of 2015, N.J.S.A. 2C:14-13 et seq., or the provision of similar statues. Medical Care: I understand I am to provide the attached medical care notification to the medical provider in the event I need medical attention. 2 Initial p STATE OF NEW JERSEY DEPARTMENT OF CORRECTIONS RULES AND RESPONSIBILITIES OF INMATES ON EMERGENCY MEDICAL HOME CONFINEMENT (EMHC) I certify that I have read and understood all of the rules and responsibilities governing my participation in the Emergency Medical Home Confinement Program. I understand that my failure to abide by these rules and responsibilities will result in the loss of my participation and/or further disciplinary action. Also, I agree to submit to urinalysis, if requested, when I return from EMHC. _________________________________________ _____________________ Inmate Signature Date I certify that the above signed inmate has been given the rules and responsibilities of the EMHC Furlough Program and that he/she has indicated understanding and agreement with these rules and responsibilities. _______________________________________ ___________________ Staff Witness Date 3 Initial p