Nevada Parole Risk Assessment Form

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NEVADA PAROLE RISK ASSESSMENT

________________________________ ______________ _____________________ _________


Name ID Number Location Date

Static Risk Factors Pts Dynamic Risk Factors Pts


1. Age at First Arrest (juvenile or adult) 7. Current Age
24 years or older 0 41 and above -1
20-23 years 1 31 - 40 0
19 years or younger 2 21 - 30 1
2. Prior Prob/Parole Revocation (juv. or adult) Under 21 2
No parole or probation revocations 0 8. Active Gang Membership

One or more (including gross misdemeanors) 2 No (none or suspect) 0


3. Employment History (prior to arrest) Yes (member or associate) 2
Satisfactory full-time employment >1 year 0 9. DOC certified edu/voc/treat program
Employed less than full-time/full-time < 1 year 1 Yes (during current term of incarceration) -1
Unsatisfact. employment/unemployed /unemployable 2 No 0
4. Offense for Current or Prior Convictions 10. Disciplinary Conduct - Past Year
All others 0 No Misconduct of any Kind -1
Any Property Offense, Robbery, Forgery, etc. 2 One Misconduct of any Kind 0
5. History of Drug/Alcohol Abuse Two Misconducts of any Kind 1
None 0 Three or More Misconducts of any Kind 2
Some use, no severe disruption of functioning 1 11. Current Custody Level
Frequent abuse, serious disruption of functioning 2 Minimum -1
6. Gender Medium 0
Male 1 Maximum or Disciplinary Segregation 2
Female 0 Total Dynamic Risk Score
Total Static Risk Score Total Score (Static+Dynamic Score)

_____Low Risk = 0-5 points _____Medium Risk = 6-11 points _____High Risk = 12+ points or 8 points on Dynamic factors

The risk assessment is based on the static and dynamic factors that are applicable at the time of a parole hearing. A change in status
following the hearing that may impact the risk factors shall not be the basis for an appeal for re-computation. A prisoner will only
be granted a re-hearing if a factor is misapplied at the time of the hearing, and a correction would cause a deviation from the guideline
recommendation.

Parole Risk Assessment - Updated 11/1/2012

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