An Application for Pardon Consideration is attached, along with an information sheet. It is
important that all items on the Application be answered and returned to the address
listed below. The information you provide will help you to present yourself as a responsible
and productive citizen. The Pardon and Parole Board will review this information in making
a decision on your application. The process takes approximately six months to complete.
If you live in the state of Oklahoma, a Probation and Parole Officer of the Department of
Corrections will conduct the investigation. You should be completely open and honest with
the investigating Officer. Information you might consider negative will not necessarily hurt
your application. It may serve to show how you were able to overcome a problem and
actually improve your chances of receiving a Pardon.
If you live in another state, authorities in your home state will be asked to verify the
information you have submitted. A local criminal record check will also be requested. The
process may take longer than six months for applicants living in another state.
After the investigation is completed and returned to our office, your Application will be
submitted to the Pardon and Parole Board for their consideration on the next available docket
(the Board meets once each month). If you receive a favorable recommendation from a
majority of the Board members, that recommendation will be forwarded to the Governor’s
office for a final decision. You will be notified in writing of the Board’s recommendation
and the Governor’s decision. Please note the process takes approximately six months to
complete; however, in some instance it can take longer.
Please contact this office by mail or telephone if you have any questions.
Send the completed Application package to:
General Counsel
Attn: Pardons
First National Center
120 N. Robinson Ave., Suite 900W
Oklahoma City, Oklahoma 73102-7436
Phone: (405) 602-5863
The Governor of the State of Oklahoma may pardon only Oklahoma convictions. The
Governor cannot pardon a federal criminal offense or an offense from another state. If you
are seeking a pardon for a conviction in another state you should contact that state. If you are
seeking a pardon for a federal conviction, you should contact the Office of the Pardon
Attorney, Department of Justice, 1425 New York Ave., N.W. Suite 1100, Washington , D.C.
20530.
PARDON INFORMATION
In order for a Pardon to be effective, it must include all Oklahoma District Court felony and
misdemeanor convictions, and District Court traffic convictions, which involved drugs or
alcohol. If you have cases, which have been pardoned before, these do not need to be
included in your application. The Governor of the state of Oklahoma cannot pardon Federal
cases or convictions from another state.
Under Oklahoma law, a Pardon will not clear your record . It does not prevent your
criminal record from being considered when decisions are made concerning employment or
other matters. Even if you are granted a pardon, your record may continue to affect you. A
person who was under 18 years old at the time his or her offense was committed and who
has received a pardon may seek to have their record expunged , see 22 O.S. § 18(5).
Any person convicted of a nonviolent felony that has received a pardon for the offense and
has not been convicted of any other misdemeanor or felony and has no felony or
misdemeanor charges pending, may after ten (10) years have passed (since the conviction)
file a motion for expungement , see 22 O.S. § 18(7).
If you are recommended for a pardon by the Pardon and Parole Board, your file will then be
sent to the Governor for consideration. The Board’s recommendation must be approved by
the Governor for a pardon to be granted. You will be notified of the decision of the Board
and the Governor.
The effects of a Pardon listed below concern Oklahoma law (this is a partial list, if you have
a specific question feel free to contact our office). If you reside in another state, the effects
may be different.
EMPLOYMENT
Many professions require licenses. The licensing agency for each profession operates under
different laws and policies. Some agencies will not issue you a license even if you are
pardoned, some will consider you only if you receive a pardon, and others do not require a
pardon.
If you are considering applying for a pardon in order to obtain a particular type of
employment or a license, you should first check with the employer or licensing agency to see
if it would be helpful to do so.
Even if you receive a pardon, you must still answer “Yes” if asked if you have been
convicted of a felony or misdemeanor on an employment application. You can add however,
that you have been pardoned. A pardon does not remove the conviction from your
record.
LIQUOR LICENSES
To be eligible for a liquor license, you must be pardoned on ALL felonies (Oklahoma, other
states and Federal). You must also be pardoned on all alcohol-related District Court
misdemeanor convictions from Oklahoma and any other state. Your spouse, partner,
partner’s spouse, employees, corporate officers, and directors cannot legally obtain a liquor
license if you have not been pardoned.
VOTING
If you receive a Pardon you will be allowed to register to vote. However, without a pardon
you cannot vote for a period equal to the length of your sentence. For example, if you were
convicted and given a two-year sentence on January 1, 2000, you cannot vote until January 1,
2002. For more information contact the State Election Board at (405) 521-2391.
HOLDING PUBLIC OFFICE
If you have been convicted of any felony (or misdemeanor involving embezzlement), you
cannot seek or hold any state, county or city office (including school board offices) for 15
years after the completion of your sentence unless you have received a pardon. For more
information contact the State Election Board at (405) 521-2391. Your city or town may also
have other regulations regarding eligibility to hold office.
PROPERTY RIGHTS
A felony conviction does not prevent your from owning property, with one exception. A
person convicted of Murder First Degree, Murder Second Degree, or Manslaughter First
Degree cannot inherit property from the victim nor receive proceeds from the victim’s
insurance. A pardon will not change this.
FIREARMS
Any person that has been convicted of a nonviolent felony and who has received a full and
complete pardon is eligible to possess a firearm, pursuant to 21 O.S. Supp. 2000, § 1283(B).
It is not possible for a person convicted of a violent felony to possess a firearm, even with a
pardon (see 21 O.S. Supp. 2000, § 1283(A)).
There may be Federal laws that apply to you. For more information contact the Bureau of
Alcohol, Tobacco, and Firearms, which is a division of the U.S. Department of the Treasury.
FUTURE FELONY CONVICTION
A pardon will not prevent prior convictions from being considered if you are later convicted
of a felony. Your previous record may be used in the sentencing process even if the offense
has been pardoned.
WHY SHOULD I APPLY?
A pardon has little direct effect under Oklahoma law. However, it can be useful in helping
you to present yourself as a responsible citizen. A pardon serves as recognition that you have
adjusted well to society since completing your sentence.
IN ORDER TO QUALIFY FOR CONSIDERATION YOU MUST MEET THE
FOLLOWING CONDITIONS:
1. You have been convicted of a violation of Oklahoma law, either a felony or a
misdemeanor.
2. No pending charges.
3. Not currently in jail or prison.
4. You must have discharged all sentences, successfully completed parole or a
suspended sentence, OR completed five years under supervision on the current
case(s).
5. You cannot have been considered or investigated for a pardon within the past year.
REASON FOR SEEKING PARDON
In answering question 27, you should state the specific purpose for which you are seeking a
pardon and, if applicable, attach any relevant documentary evidence that indicates how a
pardon will help you accomplish that purpose (such as citations to applicable provisions of
statutes or regulations, or copies of letters from appropriate officials of state agencies,
professional associations, licensing authorities, etc.). In addition, you should bear in mind
that a Governor's pardon is ordinarily a sign of forgiveness and is granted in recognition of
the applicant's acceptance of responsibility for the crime and established good conduct for a
significant period of time after conviction or release from confinement. A pardon is not a
sign of vindication and does not connote or establish innocence. For that reason, when
considering the merits of a pardon application, the Pardon and Parole Board takes into
account the applicant's acceptance or responsibility, remorse, and atonement for the
offense(s).
ADDITIONAL ARREST RECORD
In answering question 7, you must disclose any additional arrest or charge by any civilian or
military law enforcement authority, including any federal, state local, or foreign authority,
whether it occurred before or after the offense(s) for which you are seeking pardon. Your
answer should list every violation, including traffic violations that resulted in an arrest or
criminal charge, such as driving under the influence. Your failure to disclose any such arrest,
whether or not it resulted in conviction, may be construed as falsification of the application.
CREDIT STATUS AND CIVIL LAWSUITS
In response to questions 17 through 20, you must list all delinquent credit obligations,
whether or not you dispute them. You must also list all civil lawsuits in which you were
named as a party, whether as a plaintiff or defendant, including bankruptcy proceedings.
You must also list all unpaid tax obligations, whether federal, state or local. You may submit
explanatory material in connection with any of these matters (such as an agree method of
payment).
CHARACTER REFERENCES
At least three character affidavits must accompany the application. If you submit more than
three, you should designate the three persons whom you consider to be primary references.
The affidavit forms provided are preferred. However, letters of recommendation may be
substituted if they contain the full name, address, and telephone number of the reference,
indicate a knowledge of the offense(s) for which you are seeking a pardon, and bear a
notarized signature. Persons related to you by blood or marriage cannot be used as primary
character references.
APPEAL OF DENIAL
You will be notified when a final decision is made on your application. There is no appeal
from the Board or Governor's decision to deny a pardon application. The Board and the
Governor are not required to give specific reasons for denial. Therefore the reason for a
denial is not available from the Pardon and Parole Board or their staff. If your application is
denied, you may submit a new application for consideration one year from the date of denial.
THE FOLLOWING ITEMS MUST BE SENT IN WITH YOUR APPLICATION:
1. Certified Judgment and Sentence on each conviction (obtainable from the Court
Clerk in the County of conviction; copies must bear the County Seal);
2. Current credit report;
3. Proof of employment (if you are not employed, be sure that is stated in the
Application);
4. Proof of residence (current receipt for rent or mortage payments; if you are not
making payments, be sure that is stated in the Application);
5. Certified statement from the Court Clerk that all fines and Court costs (including
restitution) have been paid (must bear the County Seal, see Item 1.).
A PPLICATION FOR P ARDON
A FTER C OMPLETION OF S ENTENCE 1
Please read the accompanying instructions carefully before completing the application.
Type or print the answers in ink. Each question must be answered fully, truthfully, and
accurately. If the space for any answer is insufficient, you may complete the answer on
the optional continuation page or on a separate sheet of paper and attach it to the
application. You may attach additional documentation that you believe is relevant to
your application. The submission of any false information is grounds for immediate
denial of the application.
The undersigned applicant requests a pardon and in support thereof states as follows:
1. Full Name: _____________________________________________________
First Middle Last
Address:_______________________________________________________
Number Street City State Zip
Code
Telephone Nubmer:_________________Driver's License No.____________ 2
(include area code)
Date and place of birth:__________________________________________
Sex:______
State in full every other name by which you have been known, including the
name under which you were convicted, the reason for your use of another
name, and the dates during which you were so known ( i.e., include your
maiden name, name by former marriage, aliases, and nicknames) .
Are you a United States citizen? yes no
If you are not a U.S. citizen, state your nationality and your alien
registration number. If you are a naturalized U.S. citizen, state the
date and place of your naturalization.
1
To be eligible to apply, an application must have discharged all sentences, including supervision, or
successfully completed five consecutive years of supervision immediately prior to application, unless
convicted of Murder First Degree. Any cases from other jurisdictions must also meet these criteria, even
though not included in the consideration. Any person convicted of Murder First Degree must have served
twenty consecutive years under supervision immediately prior to application.
2
Failure to provide your Social Security Number will NOT prejudice your application.
Have you ever applied for a pardon before? yes no
If yes, state the date you previously applied. ____________________________________
Offense(s) for which Pardon is Sought 3
Please review footnote 1 on page one of the application to make sure
you are eligible to apply for a pardon. You must meet the eligibility
criteria on all convictions. Failure to meet the eligibility criteria will
result in the application being denied/returned to you.
2. Applicant was convicted on a plea of ___________________ in the District
(guilty, not guilty, or nolo contendere)
Court of ____________________ of the crime of:
(County)
(specifc ofense as named on the Judgment & Sentencen and statute
violated, if known)
and was sentenced on ______________, _________ to:
(month/day) (year)
imprisonment for _______________________________,
probation for __________________________________,
a fne of $n______________________________________,
restitution of $n____________________________________.
Applicant was ________ years of age when the ofense was committed.
3. Applicant began serving the sentence of ( imprisonment or
probation) on
_____________, ________ and discharged the sentence on ______________, ______.
(month/day) (year) (month/day)
(year)
Applicant ( did or did not) appeal the conviction.
4. Indicate the date(s) on which the fne or restitution was paid. If the
fne or restitution has not been paid in full, you are not allowed to apply for a pardon.
3
Questions 2 through 6 must be answered for every Oklahoma conviction. You must apply for a pardon on
all Oklahoma convictions. If additional space is needed you may use the optional continuation page or
attach separate pages when answering questions 2 thought 6 for multiple convictions.
5. If you appealed your conviction or sentence, provide the date of the
decision(s) by the Court of Criminal Appeals. Also provide citations to any
published judicial opinion(s), and a copy of any unpublished opinion(s), if
available.
6. Provide a complete and detailed account of the ofense(s). You are
expected to describe in your own words the relevant factual circumstances
of the ofense(s). Do not simply repeat the description of the ofense
contained in the Criminal Information or Judgment and Sentence, or rely on
the statutory citation alone. If the conviction resulted from a plea
agreement, you should describe the full extent of your involvement in the
criminal conduct, in addition to the charge(s) to which you plead guilty. If
you need more space, use the optional continuation page.
Prior and Subsequent Criminal Record
7. Aside from the ofense for which you seek pardon, have you ever
been arrested, taken into custody, held for investigation or questioning,
charged by any law enforcement authority, or convicted in any court, either
as a juvenile or an adult, for any other incident? yes no
For each such incident, state the following: the date, the nature of the
charge, the relevant facts, the law enforcement authority involved, the
location, and the disposition of the incident. You must list every
incident, including trafc violation. You are expected to describe in
your own words the relevant facts of each incident. Any omission will
be considered a false statement and will be grounds for denial of your
application.
B IOGRAPHICAL I NFORMATION
8. Current marital status: never married married divorced
widowed separated. For each marriage, state the following: name of spouse,
date and place of marriage, and if applicable date and place of divorce. If you need
more space, use the optional continuation page(s).
name of spouse date/place of marriage
date/place of divorce
9. If you have minor children, but do not have custody of one or more of
them, indicate whether and to whom you pay child support, whether your
payments are current, and, if not, the reason for your failure to pay and
any agreements you have made to satisfy your payment obligation.
10. List all schools you have attended since your conviction, beginning
with the most recent and working backward. Indicate the type of degree or
diploma received or anticipated and the date or completion. If you need
more space, use the optional continuation page.
11. Provide the full address of every place you have lived in the past fve
years, beginning with the present and working backward. All time periods
must be accounted for. List the physical location; do not use a post ofce
box as an address. If you live(d) in an apartment complex, list your
apartment number. If you need more space, use the optional continuation
page.
12. List all periods of employment and unemployment since the
conviction or release from incarceration, beginning with the present and
working backward. All time periods must be accounted for. List all full and
part-time work, self-employment, and any period of unemployment. For
any period of unemployment, indicate your means of support. If you need
more space, use the optional continuation page.
a. Since your conviction, have you been fred or left a job following
allegations of misconduct or unsatisfactory job performance? yes no
b. Have you ever failed to list your conviction, or any other arrest, on
any employment or other application where such information was
requested? yes no
If you answered yes to either of the above questions, provide the
employer's name, address and telephone number, and explain fully
below. If you need more space, use the optional continuation page.
S UBSTANCE A BUSE AND M ENTAL H EALTH I NFORMATION
13. Have you ever used any illegal drug(s) or abused prescription drugs
or alcohol? yes no
If yes, identify the drug(s) used, the dates of drug or alcohol abuse, and the
frequency of such use. If you need more space, use the optional continuation page.
14. Have you ever been involved in the illegal manufacture, sale, or
distribution of drugs other than the ofense(s) for which you seek a pardon?
yes no
If yes, provide complete details of your involvement. If you need more space, use
the optional continuation page.
15. Have you ever sought or participate in counseling, treatment, or a
rehabilitation program for drug use or alcohol use? yes no
If yes, identify the dates of dates of treatment or counseling and the name of the
treatment provider. If you need more space, use the optional continuation page.
16. Have you ever consulted with a mental health professional
(psychiatrist, psychologist, or counselor), or with another health care
provider, concerning a mental health related condition? yes no
If yes, specify the nature of the condition and the dates of treatment as well as the
name of the treatment provider. If you need more space, use the optional
continuation page.
C IVIL AND F INANCIAL I NFORMATION
17. Are you currently in default or delinquent in any way in the payment
or discharge of any debt or fnancial obligation imposed upon you? yes
no
If yes, state the amount of the debt, the name of the creditor, the reason for the
failure to pay, and the terms of any agreement you have made to satisfy the
obligation.. If you need more space, use the optional continuation page.
18. Have any liens (including federal or state tax liens) been fled against
you? yes no
If yes, state the amount of the lien, the name of lien holder, the reason the lien was
imposed and the current status of the lien.. If you need more space, use the optional
continuation page.
19. Have you ever been a party in a civil lawsuit? yes no
If yes, identify the court in which it was fled, the case number, the nature of the
dispute and the fnal disposition. If you need more space, use the optional
continuation page.
20. Have you ever fled for the discharge of your debts in bankruptcy?
yes no
If yes, state the court in which the petition was fled, the case number, the amount of
debt sought to be discharged, the fnal disposition and the date of disposition.. If you
need more space, use the optional continuation page.
21. Do you have any pending judicial or administrative proceedings with
the federal, state or local governments? yes no
If yes, state the name of the authority involved, the jurisdiction in which the
proceeding is pending, the case number, the nature of the proceeding, and the
current status of the matter. If you need more space, use the optional continuation
page.
Military Record
22. Have you ever served in the armed forces of the United States? yes
no
Dates of service:_________________________________________
Branch(es):_____________________________________________
Serial Number:__________________________________________
Type of Discharge:_______________________________________
Decorations (if any):______________________________________
If you were other than Honorably Discharged, describe in detail the factual
circumstances surrounding your discharge. If you need more space, use
the optional continuation page. Attach a copy of you separation papers
(Form DD-214), if available.
23. While serving in the armed forces, did you receive non-judicial
punishment, or were you the defendant in any court-martial? yes no
If yes, state fully the nature of the charge, the relevant facts, the disposition of the
proceedings, and the date thereof. If you were convicted of an ofense by court-
martial, provide a copy of the court-martial promulgating order. If you need more
space, use the optional continuation page.
Occupational Licensing
24. Have you ever been denied any type of business or professional
license, had any such license revoked, or had reinstatement of any such
license denied?
yes no
If yes, attach a copy of the document(s) evidencing the action and state below the
name of the authority taking the action. If you need more space, use the optional
continuation page.
25. Have you ever been granted any type of business or profession
license or received the reinstatement of any such license that had been
revoked? yes no
If yes, attach a copy of the document(s) evidencing the action and state below the
name of the authority taking the action. If you need more space, use the optional
continuation page.
Charitable and Community Activities
26. Describe any charitable or civic activities in which you have been
engaged, or other contributions you have made to the community, since
your conviction. In this regard, you may include the names of any
organizations in which you have participated, the time periods of your
participation, your role in these activities.
If you need more space, use the optional continuation page.
Reason(s) for Seeking a Pardon
27. State in full your reasons for seeking a pardon. Please keep in mind
that a pardon is ordinarily a sign of forgiveness, not vindication. If you
need more space, use the optional continuation page.
Certification and Personal Oath
I hereby certify that all answers to the above questions and all statements
contained herein are true and correct to the best of my knowledge, information, and
belief. I understand that any intentional misstatements of material facts contained in
this application may cause adverse action on my application for pardon.
In making application for a pardon from the Governor of the State of
Oklahoma, I do solemnly swear that I will be a law-abiding citizen and that I take this
obligation freely and without any mental reservation whatsoever.
Respectfully submitted this ________ day of _______________, _____________.
(day) (month) (year)
____________________________________
(signature of applicant)
Subscribed an sworn before me this ______ day of ______________, _________.
(day) (month) (year)
( seal) ____________________________________
Notary Public
My commission expires: _________________________________
O PTIONAL C ONTINUATION P AGE
List question number for each response.
Character Affidavit
on behalf of
(print or type name of applicant)
In support of the application of the above named applicant for a Pardon from the
Governor of the State of Oklahoma, I, _________________________________________
( print or type name of afant)
residing at _______________________________________________________________
Number Street City State Zip code
_________________________, whose occupation is ____________________________,
(telephone no., with area code)
certify that I have personally known the applicant for ______ years. Except as
otherwise indicated below, applicant has behaved since the conviction in a moral and
law-abiding manner. My knowledge of applicant's reputation, conduct and activities,
including whether the applicant has been arrested or had any other trouble with the
public authorities and has been steadily employed, is as follows:
I do solemnly swear that the foregoing information is true and correct to the
best of my knowledge, information and belief.
______________________________
( Signature of Afant)
Subscribed an sworn before me this ______ day of ______________, _________.
(day) (month) (year)
( seal) ____________________________________
Notary Public
My commission expires: _________________________________
Authorization for Release of Information
Carefully read this authorization to release information about you, then complete,
sign and date it in ink.
I authorize any duly accredited representative of the Oklahoma Pardon and
Parole Board or the Oklahoma Department of Corrections, to obtain any information
relating to my activities from schools, residential management agents, employers,
criminal justice agencies, retail business establishments, courts, or other sources of
information. This information may include, but is not limited to, my academic,
residential, achievement, performance, attendance, disciplinary, employment history,
criminal history, arrest, conviction, including the pre-sentence investigation report, if
any, medical, psychiatric/psychological, health care, and fnancial and credit
information.
I understand that, for fnancial or lending institutions and certain other
sources of information, a separate specifc release may be needed (pursuant to their
request or as may be required by law), and I may be contacted for such a release at
a later date.
I further authorize the Oklahoma Pardon and Parole Board or the Oklahoma
Department of Corrections, any other authorized state agency, to request criminal
record information about me from criminal justice agencies for the purpose of
determining my suitability for a Pardon.
I authorize custodians of records and sources of information pertaining to me
to release such information upon request of any duly accredited representative of the
Oklahoma Pardon and Parole Board or the Oklahoma Department of Corrections or
any state agency authorized above regardless of any previous agreement to the
contrary. I understand that the information released by records custodians and
sources of information is for ofcial use by the State of Oklahoma only for the
purposes of processing my application for a pardon, and my be re-disclosed by the
State of Oklahoma only as authorized by law.
Copies of this authorization that show my signature are as valid as the original
release signed by me. This authorization is valid for one (1) year from the date
signed.
________________________________
Signature (in ink, blue or black)
________________________________ _______________________________
Full Name (typed or printed) Date signed
Other names used
Street Address
City State Zip code Phone No. (with area code)
