Fill and Sign the 2221 D Evin E St R Eet Su it E 600 Form

State of South Carolina Department of Probation, Parole and Pardon Services MARK SANFORD Governor SAMUEL B. GLOVER Director 2221 DEVINE STREET, SUITE 600 POST OFFICE BOX 50666 COLUMBIA, SOUTH CAROLINA 29250 Telephone: (803) 734-9220 Facsimile: (803) 734-9440 The Pardon Application has three (3) components: written letters of reference; information from the applicant and payment of an application fee. As to the letters of reference, written in support of your pardon, you must list the name, address and home and work telephone numbers for each reference you secure. Each reference must be signed and recently dated by the writer. Application forms must be filled out completely, signed and dated by you, the applicant. Be certain to complete the Release of Information section of the application. S. C. Code of Laws 17 -25-322: an offender may not be granted a pardon until all restitution and collection fees* are paid in full. NOTE: It will be the applicants responsibility to attach to the Pardon Application a certified statement from the appropriate authority reflecting that all restitution and collection fees* have been paid in full. A one hundred dollar ($100.00), non-refundable fee must accompany an Application for Pardon. The fee must be in the form of a money order or cashiers check and made PAYABLE to: The South Carolina Department of Probation, Parole and Pardon Services. If the fee does not accompany the pardon applicati on, the application will be returned to the sender. The application process is approximately seven (7) to nine (9) months from the time the pardon application is received until a pardon hearing date is scheduled for in-state applicants. The process may take longer for the applicant who is an out-of-state resident. If you have any questions, please feel free to contact me at (803) 734-9265. Sincerely, Gwendolyn A. Bright Director of Parole Board Support Services * Restitution and collections fees refer to money ordered by the Court to be paid to victim/victims. If you were not ordered to pay restitution you do not have to complete this part. Form 1118 (T em plate) Page 1 of 4 South Carolina Department of Probation, Parole and Pardon Services Pardon Application Package Pardon Fact Sheet Definition: Pardon means that an individual is fully forgiven from all the legal consequences of his crime and of his conviction, direct and collateral, including the punishment, whether of imprisonment, pecuniary penalty or whatever else the law has provided. Guidelines for Determining Eligibility for Pardon: The Board of Paroles and Pardons shall determine if the individual is eligible for a pardon after reviewing the pardon application based upon the following criteria: Probationers: Probationers are eligible to be considered for a pardon anytime after disch arge from supervision, provided all restitution and collection fees have been paid in full. Parolees: Parolees are eligible to be considered for a pardon: 1) Anytim e after the successful com pletion of five years under supervision; 2) Anytime after the date of discharge of successful completion of the maximum parole period, if less than five years. No person will be granted a pardon unless all restitution and collection fees have b een paid in full. Persons Discharged from a Sentence: Anytim e after the date of discharge, provided all restitution and collection fees have been paid in full. Inmates with Terminal Illness: Anytime after the inmate is afflicted with a terminal illness with a life expectancy of one year or less. The Board will decide, based upon the application and findings, whether or not the evidence comprises a terminal illness with a life expectancy of less than one year. Two separate doctors statements documenting life expectancy must be attached to the application. All restitution and collection fees must be paid in full. Inm ates: Anytim e prior to becom ing parole eligible upon proof of th e m ost extraordinary circum stances. The Board will decide, based upon the application and findings, whether or not the evidence comprise s the most extraordinary circumstances. All restitution and collection fees must be paid in full. THE BOARDS' DECISION SHALL BE THE FINAL DETERMINATION OF PARDON ELIGIBILITY. Order of Pardon : An Order of Pardon shall be signed by at least two thirds of the members of the Board . Upon a favorable consideration by the Board, the Director of the Departm ent of Probation, Parole and Pardon Services shall issue a Pardon Certificate. A pardon order obtained by fraud is void. Civil Rights Restored upon Pardon: A pardon shall fully restore all civil rights lost as a result of a conviction, which shall include the right to:1 ) Register to Vote; 2) Vote; 3) Serve on a jury; 4) Hold public office, except as provided in Section 16-13-210; 5) Testify without having the fact of the conviction introduced for impeachment purposes except to the extent provided by rule 609 of the South Carolina Rules of Evidence ;6) Not have testim ony excluded in a legal proceeding if convicted of perjury; 7) Be licensed for any occupation requiring a license. NOTE: It should be noted that an individual regains the rights to r egister to vote and to vote when the entire sentence has been satisfied. S.C Code §7-5-120 (B)(3) provides that a person is disqualified from being reg istered or voting if he is convicted of a felony or offenses against the election laws, unless the disqualification has been removed by service of the sentence, including probation and parole time unless sooner pardoned. Commonly Asked Questions: 1) Does a pardon clear (expunge) my record? No. When completing a job application, the conviction should be listed and then indicate that the conviction was pardoned. 2) Does one need a pardon to register to vote or to vote? No. Once the sentence is fully satisfied, you automatically regain your right to vote. 3) How long will the entire pardon process take? The application process is lengthy since all the references and information must be verified. On average, it takes about seven (7) to nine (9) months from the time the pardon application is received until a pardon hearing date is scheduled for in-state applicants. The process can take much longer for the applicant who is an out-of-state resident. Cases are scheduled in the order in which completed investigations are received. If the person who is applying for a pardon has been: laid off or faced with possible job termination pending the results of a pardon hearing, they must so indicate on the application under "Reason for Reques ting Pardon," and attach statements concerning the circumstances. 4) Does a pardon clear me from registering as a sex offender? No, a pardon will not relieve you of the requirements of continuing to register as a sex offender. Mail Application to: SCDPPPS, P.O. Box 50666, Columbia, SC 29250 Form 1118 (T em plate)Page 2 of 4 South Carolina Department of Probation, Parole and Pardon Services Pardon Application Package P res ent N am e N am e Indic ted U nder Social Security # Date of Birth Daytime Phone # Evening Phone # Address Reason for Requesting a Pardon Street City State Zip Code LIST ALL SOUTH CAROLINA CONVICTIONS [Do not list parking tickets or minor traffic offenses] Conviction DateCounty of Conviction LIST ANY PENDING CHARGES YOU HAVE IN SOUTH CAROLINA Offense DateCounty of Offense LIST ALL OT HER ARRESTS AND CONVICTIONS NOT LISTED ABOVE [Convictions or pending charges in other states] FAILURE TO COM PLETE THIS SECTION M AY CONSTITUTE FRAUD AND INVALIDATE ANY PARDON GRANTED. Offense DateState and County of Conviction ADDRESSES FOR THE PAST FIVE YEARS Street CityState LIST ALL EM PLOYM ENT FOR THE PAST FIVE YEARS Company Address and phone number Date Beginning/Ending M ail Application to: SCDPPPS, P.O. Box 50666, Colum bia, SC 29250 Form 1118 (Template) Page 3 of 4 South Carolina Department of Probation, Parole and Pardon Services Pardon Application Package List three people , not related by blood or m arriage, w ho s upport your pardon and attac h a s igned, rec ently dated s tatem ent from eac h that s ets forth their support for your pardon. These people will be contacted concerning your pardon application. APPLICANT M UST ATTACH WRITTEN STATEM ENTS OR APPLICATION FORM WILL BE RETURNED N am e A ddres sC ity/S tate H om e P hone # W ork P hone # I m eet the pardon eligibility guidelines in that: [c hec k ap prop riate b ox] G I have been dis c harged from probation s upervis ion and any or all res titution and c ollec tion fees have been paid in full. G I have been dis c harged from m y sentenc e without having been on probation or parole and any or all res titution and c ollec tion fees h ave been paid in full. G I am a parolee and have s uc c es s fully c om pleted five years under s upervis ion and any or all res titution and c ollec tion fees h ave been paid in full. G I have been dis c harged after s uc c es s fully c om pleting m y m axim um parole period and any or all res titution and c ollec tion f ees have been paid in full. Check if applicable: G I am an inmate not presently eligible for parole and can produce evi dence comprising the most extraordinary circumstances. (Attach a list of the mo st extraordinary circ um s tanc es and the supporting evidenc e.) Inm ates who pass ed their firs t parole eligibili ty date should not apply. NOTE: Any restitution and collection fees must be paid in full on current offense and on any other offense. G I was previously considered for pardon and rejected on _____________________________________________________ . D ate G I, the applicant have attac hed c ertified s tatem ents from the appropriate authority ref lec ting that an y and all res titution and c ollec tion fees h ave been paid in full. General Release of Information To W hom It May Concern: I hereby authorize any agent or other authorized repres entative of the S outh C arolina D epartm ent of P robation, P arole and P ardon S ervic es bearing this releas e. or copy thereof. within one year of its date, to obtain any inform ation in your files pertaining to m y grievanc e rec ord s . em ploym ent, m ilitary, c redit. medical or educational records including, but not limited to, academic. job performa nce, achievement, attendance. athletic. personal history and disciplinary records. I hereby direct you to release such information upon request of the bearer . This release is executed with full knowledge and understanding that the inform ation will be us ed in c onnec tion with m y pardon inves tigation by the bearer and will be dis s em inated to th os e individ uals or agenc ies direc tly involved in this pardon determination or to fulfill other obligations imposed by law, regulation or executive order. I hereby release you, as t he custodian of such records, an d an y s c hool. c ollege, univers ity or other ed uc ational ins titution, hos pital, or other rep os itory of m ed ic al rec ords , c red it bureau, c on s um er rep orting ag en c y, pers onnel, both individually and collectively, from any and all liability for dam ages of wh atever kind, whic h m ay at any tim e res ult to m e, m y heirs , m y fam ily or as s oc iates bec aus e of c om plianc e with this authorization and reques t to releas e inform ation, or any attem pt to c om ply with this r eleas e. A photoc opy of this release shall be treated as an original. Should there be any question as to the v alidity of this release. you may contact me as indicated below. Full Name [Signature] Full Name [Printed] S ocial S ecurity # D ate D aytim e P hone # E vening P hone # Current Address NOTARY [U se seal if out of state] Sworn to me this _____________ day of __________________,________________. S treet Full Nam e [Signature] Full Nam e [Printed] City State Zip Code My commission expires: You are hereby advised the inform ation contained on the pardon application will be verified. If any of it is of a sensitive nature which m ight lead to the dam aging of your current status (such as contacting neighbors, em ployers. etc.) please advise in order tha t appropriate steps m ay be taken to m inim ize this risk. NO TE: If applying on behalf of someone else, indicate your authority to file this application. I CERTIFY THAT ALL THE CONTENTS OF THE ABOVE APPLICATION ARE TRUE AND CORRECT. S ignature D ate Form 1118 (Template) (rev. 1/20/2006) Page 4 of 4