Texas Pardon for Innocence Application

APPLICATION FOR CONDITIONAL PARDON

TEXAS BOARD OF PARDONS & PAROLES

Date:

NOTICE TO APPLICANT

Please read the application instructions carefully, and complete the application accordingly.

Submission of incomplete applications or applications that do not comply with instructions may result in the Board’s Clemency Section soliciting you in writing for the correct documentation.

Failure to comply with instructions will delay processing.

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For your records, make copies of all documentation that you submit to the Board’s Clemency Section.

Due to the inability to retain records for extended time periods for incomplete applications, we are advising you NOT to provide originals of personal items, including but not exclusive to photos, transcripts, birth and other certificates, achievement awards, licenses, literature, social security and other identification cards or items, notebooks or binders, and clemency proclamations. You may in lieu of originals provide copies of these documents with your submitted application.

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INSTRUCTIONS & CHECKLIST

Mail completed applications to:

TEXAS BOARD OF PARDONS AND PAROLES

ATTN: CLEMENCY SECTION

8610 SHOAL CREEK BLVD.

AUSTIN, TX 78757

1. Submit a completed application form. Please respond to all items. If necessary, use “N/A,” “Unknown,” “None,” or “Do not remember.”

2. Applications must be typed or printed legibly in black or blue ink.

3. Certified court documentation for each adult conviction for which you are requesting a Conditional Pardon and currently serving time in the Texas Department of Criminal Justice – Correctional Institutions Division (TDCJ-CID).

4. Offense (arrest) reports for each adult conviction for which you are requesting a Conditional Pardon and currently serving time in the TDCJ-CID.

5. Complete the attached application form as presented. Do not alter the presentation of this application either through reformatting or rewriting.

6. The application must be signed and dated by the applicant.

7. Compliance with Board Rule 143.22.

• If the Board recommends a conditional pardon, the Governor makes the final decision.

• If the Board of Pardons and Paroles or the Governor denies the application, the individual may not file another application before the first anniversary of the date of the denial.

• Please let us know of any change of address or telephone number.

• On the Application Page 1 of 6, A. Demographic Information, where asked to provide the applicant’s current name, input the full name as it might appear on a Governor’s proclamation.

GENERAL INFORMATION

Definition - A Conditional Pardon is a form of clemency which serves to release the grantee from the conditions of his or her sentence and/or any disabilities imposed by law thereby, subject to the conditions contained in the clemency proclamation.

A. DEMOGRAPHIC INFORMATION

B. ADDRESSES

Previous Addresses

List all previous physical addresses since age 18. Do not use post office boxes.

C. EMPLOYMENT

Provide a comprehensive adult employment history beginning with your present employment and working backwards.

D. STATUS

E. JUSTIFICATION FOR CLEMENCY CONSIDERATION

State the reasons and circumstances for requesting a conditional pardon.

F. CERTIFICATION BY APPLICANT

Please read the following statements carefully and indicate your understanding and acceptance by signing in the space provided. This application must be signed.

I hereby give my permission to the Board of Pardons and Paroles or its designated agent to make any inquiry and receive any information of record that it may deem proper in the investigation of this application for clemency; and

I understand that compliance with these requirements is sufficient for the Board's consideration of this application, but compliance does not necessarily mean that favorable action will result.

I hereby swear upon my oath that I am the subject herein named and the facts contained in this application are true and correct.

CRIMINAL HISTORY INFORMATION

Provide information on all present offenses for which you were convicted and are currently serving time in the Texas Department of Criminal Justice – Correctional Institutions Division (TDCJ-CID). List one conviction per page.

SUBJECT’S VERSION

Describe in your own words the factual circumstances of the offense. Responses such as “N/A,” “Unknown,” or “None” are not acceptable for this section.

CONDITIONAL PARDON CHECKLIST

Before submitting your application, please ensure that you have complied with all application instructions and have reviewed the checklist information provided on this page.

Did you review your eligibility for conditional pardon consideration by reviewing board rules governing conditional pardons? Yes No

Did you complete the application form as instructed? Yes No

Did you provide appropriate certified court documentation for all convictions for which you are requesting a conditional pardon? Yes No

Did you provide offense/arrest reports for all convictions for which you are requesting a commutation of sentence? Yes No

TEXAS BOARD OF PARDONS AND PAROLES RULES

§143.22. Consideration of Request - The board will consider a request for conditional pardon only in limited circumstances and only after minimum statutory parole eligibility has been attained.