Application Of Probation Form – Fill Out and Use This PDF

The Application of Probation form, officially known as CFJ-515A Rev. 6/2021, is a document provided by the Michigan Department of Corrections Office of the Parole Board. It is a petition to the Governor for a pardon after probation, parole, or discharge, detailing the petitioner's conviction(s) in the State of Michigan and providing supportive information. To embark on the journey of potentially changing one's life through legal forgiveness, consider filling out this form by clicking the button below.

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Application Of Probation Form PDF Details

The Application for Pardon After Probation, Parole, or Discharge, as delineated in the Michigan Department of Corrections' form CFJ-515A (Rev. 6/2021), serves as a pivotal conduit for individuals seeking to petition the Governor for pardons concerning prior convictions within the State of Michigan. Detailing a range of personal to specific conviction-related information, this form requires petitioners to provide extensive background details, including but not limited to, identity verification, marital status, and a comprehensive rundown of their criminal history. Moreover, it prompts an introspective account of each conviction for which a pardon is sought, supplemented by any additional criminal records, thereby insisting on a holistic presentation of the petitioner's past and continued societal reintegration efforts. The form not only situates itself as a procedural necessity for those seeking legal forgiveness but also underscores the importance of transparent and thorough documentation—ranging from statutory eligibility for expungement to personal narratives of rehabilitation, community engagement, and the substantive negative impacts of convictions on one’s life. Through this structured application process, the form facilitates a pathway towards clemency, emphasizing both accountability and the potential for redemption, pivotal for those advocating for a second chance within the legal framework of Michigan’s justice system.

Question	Answer
Form Name	Application Of Probation Form
Form Length	6 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 30 sec
Other names	your michigan pardon get, application for pardon, rev michigan department, michigan pardon i

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CFJ-515A

Rev. 6/2021

MICHIGAN DEPARTMENT OF CORRECTIONS

OFFICE OF THE PAROLE BOARD

APPLICATION FOR PARDON

AFTER PROBATION, PAROLE OR DISCHARGE

I hereby petition the Governor, as provided by law, for a pardon for the following conviction(s) in the State of Michigan and submit the following information in support of this application:

1.Name: ___________________________________________ Telephone #: (_____)______- ________

Address: __________________________________________________________________________

Marital Status: ( ) Married ( ) Divorced ( ) Single	( ) Widowed	Number of Dependents:	______
2. * Date of Birth: ___________ Place of Birth: _________________		U.S. Citizen: ( ) Yes	( ) No
SS#: _____-____-_____ Sex: ( )Male ( )Female	Race: ________ Michigan Prison #: _________

(* Information under question # 2 above used for identification and statistical purposes only)

3.Pursuant to statute, if you have been convicted of not more than one offense you may file an application with the convicting Court for the entry of an order setting aside the conviction. A person is not rendered ineligible for filing an application if they have also been convicted of not more than 2 minor offenses in addition to the offense for which the person files an application. “Minor Offense” means a misdemeanor or ordinance violation for which the maximum permissible imprisonment does not exceed 90 days, for which the maximum permissible fine does not exceed $1,000.00, and that it is committed by a person who is not more than 21 years of age.

Have you reviewed the statutory criteria in 1965 PA 213, MCL 780.621 - MCL 780.624, seeking expungement/setting aside of the conviction of that crime? ( ) Yes ( ) No

(Statutes can be found on the Michigan Legislative website at www.michiganlegislature.org)

4.If your answer to question #3 was “Yes” but you have not sought expungement, please follow the directions in #5 below. If you have sought expungement and were denied, give the reasons for the denial:

_________________________________________________________________________________

5.If your answer to question #3 was “Yes” but you have not yet sought expungement, please review the expungement criteria identified in 1965 PA 23, MCL 780.621 – MCL 780.624, unless the date and/or nature of your conviction renders expungement inapplicable. Then, you must file an Application To Set Aside Conviction in the Court where your conviction occurred. The Parole Board will not process this Application For Pardon After Parole Or Discharge where expungement is available to the petitioner as an appropriate remedy.

6.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 a former marriage, aliases, and nicknames):

_________________________________________________________________________________

7.List the title of the crime(s) for each Michigan conviction for which you are requesting a pardon, stating whether it was a felony (F) or misdemeanor (M) (example: Home Invasion (F); Retail Fraud (M)), and provide the additional information. Note: The convictions listed must match the information on the required State of Michigan criminal records documentation (ICHAT).

	Crime Title	Sentence	Court Name & Location	Judge	Discharge
	(felony (F) or	(length of jail/prison term, fine,	(District Ct. & City or Circuit Ct.	(name)	Date
	misdemeanor (M))	probation, etc.)	& County) (examples: 36th Dist. Ct.	& Docket Number
		& Date of Sentence	– Detroit; 13th Circuit Ct. –
			Leelanau County)

(1)

(2)

(3)

(4)

Have you attached the required ICHAT that can be obtained electronically from the Michigan State Police website (https://apps.michigan.gov/Home/Login)? ( )Yes ( ) No

If you selected “No”, the application will not be processed.

8.Provide a complete and detailed account of each conviction listed under #7 above, for which you seek a pardon. Number each description in the same order as the crime is listed above. Describe all relevant factual circumstances. Attach additional pages if necessary to provide a full account:

_________________________________________________________________________________

9.Do you have any additional criminal convictions (juvenile or adult) other than those listed under #7 above? ( )Yes ( ) No

10.If the answer to #9 is “Yes,” list the title of the crime for each conviction, stating whether it was a felony (F) or misdemeanor (M) (example: Home Invasion (F); Retail Fraud (M)), and provide the following information. Note: The convictions listed must match the information on the required State of Michigan criminal records documentation (ICHAT).

	Crime Title	Sentence	Court Name & Location	Judge	Discharge
	(felony (F) or	(length of jail/prison term, fine,	(District Ct. & City or Circuit Ct.	(name)	Date
	misdemeanor (M))	probation, etc.)	& County, Federal District)	& Docket Number
		& Date of Sentence	(examples: 36th Dist. Ct.- Detroit;
			13th Circuit Ct.- Leelanau County;
			U.S.Dist.Ct.Western
			Dist.MI.)(Include State if other
			than Michigan)

(1)

(2)

(3)

(4)

11.Do you have any pending criminal charges in any jurisdiction? ( ) Yes ( ) No

12.If the answer to # 11 is “Yes”, list the charges, location of the charges and explain the circumstances:

_______________________________________________________________________________

13.Provide the following information on all schools you have attended, starting with high school:

	School Name	Location	Dates Attended	Degrees/Diplomas
				Awarded
(1)

(2)

(3)

(4)

14.List all periods of employment and unemployment since the conviction or release from incarceration on the most recent crime you are seeking a pardon for, beginning with the present and working backward. All time periods must be accounted for. For any periods of unemployment, list your means of support:

(1)

Employer

Address & Phone #

Type of

Work/Position

Start/End

Date

Reason for

Leaving

(2)

(3)

(4)

(5)

(6)

(7)

(8)

15. Have you ever served in the Armed Forces of the United States? ( ) Yes ( ) No

16.If the answer to #15 is “Yes”, please provide the following information and a copy of your DD214:

Dates of Service: ___________________________ Branch(es): __________________________

Serial Number: ____________________ Type of Discharge & Date: _______________________

Decorations (if any): _____________________________________________________________

17.If you were other than honorably discharged, describe in detail the factual circumstances surrounding your discharge:

_______________________________________________________________________________

18.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

19.If the answer to #18 is “Yes”, state the nature of the license and the circumstances surrounding action taken:

_______________________________________________________________________________

20.Describe any charitable or civic activities in which you have been engaged, awards you have been presented or contributions you have made to the community, since the most recent conviction for which you are seeking a pardon. You may include the names of any organization(s) in which you have participated, the time periods of your participation, your role in these activities, and the name, phone number and address of any person from each organization who is familiar with your involvement:

_______________________________________________________________________________

21.State your reasons for seeking a pardon. Include specific information on how your life has been negatively impacted by the convictions for which you are seeking a pardon. Attach any documentation you have supporting your claim. (Examples include but are not limited to employment, denial of entry in the military, education, impact on family life, housing, volunteerism, etc.). If you are seeking a pardon in order to avoid deportation, please attach all relevant documentation supporting your immigration status, including any order(s) or documents issued by the U.S. Citizenship and Immigration Services and/or Homeland Security.

_______________________________________________________________________________

I swear or affirm under oath, as evidenced by my signature, that I have read the foregoing application and can attest that the contents thereof to be true based upon my knowledge, information or belief.

Signature of Petitioner: ___________________________________________

Date: _______________

Notary, in accordance with 2003 PA 238, MCL 55.261 et seq.:

On this _____ day of _______________, ________, the petitioner, ________________________________

personally appeared before me, is known to me to be the person who signed the foregoing petition either from personal knowledge or from satisfactory evidence.

Notary Public, State of _________________, County of _________________.

Acting in the County of __________________________________.

My Commission Expires _________________________________.

Filing Instructions:

1.Submit the original and one copy of the application and all supporting documentation, which can include character references. Both copies of the application must have the signature of the petitioner (or if incapacitated, the person applying for the petitioner) and the Notary’s stamp and signature.

2.Complete all items and questions fully, using additional sheets as necessary.

3.Mail the application and supporting documentation to:

Michigan Department of Corrections

Office of the Parole Board

Pardon and Commutation Coordinator

Post Office Box 30003

Lansing, Michigan 48909

4. Keep one copy for your records.

How to Edit Application Of Probation Form Online for Free

It is possible to fill in application for pardon instantly in our online PDF editor. To make our editor better and simpler to utilize, we consistently come up with new features, taking into consideration feedback coming from our users. To get the ball rolling, take these basic steps:

Step 1: First of all, access the editor by pressing the "Get Form Button" in the top section of this page.

Step 2: When you access the PDF editor, you will get the document ready to be filled in. Aside from filling in different blanks, you can also perform several other actions with the file, such as writing custom words, editing the initial textual content, adding images, affixing your signature to the form, and much more.

Filling out this document calls for care for details. Make certain all required fields are filled out correctly.

1. The application for pardon necessitates specific information to be inserted. Ensure that the next blanks are finalized:

How you can complete application michigan expungement form step 1

2. Once this array of fields is complete, you need to include the needed details in If your answer to question was, and If your answer to question was in order to proceed further.

Writing section 2 of application michigan expungement form

3. The next segment is rather straightforward, State in full every other name by, List the title of the crimes for, Crime Title felony F or, misdemeanor M, Sentence, length of jailprison term fine, probation etc, Date of Sentence, Court Name Location District Ct , Detroit th Circuit Ct , Leelanau County, Judge name, Discharge, Date, and Docket Number - each one of these form fields needs to be filled in here.

probation etc, Docket Number, and Court Name Location District Ct of application michigan expungement form

4. Your next subsection will require your involvement in the subsequent places: Have you attached the required, and Provide a complete and detailed. Make sure that you enter all of the requested information to go forward.

application michigan expungement form writing process shown (stage 4)

Always be really mindful when completing Have you attached the required and Have you attached the required, because this is the part in which most users make errors.

5. Because you approach the completion of this document, there are actually a few extra requirements that must be satisfied. Notably, should be filled in.

Best ways to fill in application michigan expungement form stage 5

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Application Of Probation Form – Fill Out and Use This PDF

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