TBI Application Diversion Form PDF Details

In the landscape of the criminal justice system, the TBI Application for Diversion stands as a critical juncture for individuals facing charges, embodying a potential path towards an alternative resolution. This document, integral for those eligible, paves the way for offenders to engage in either pretrial or judicial diversion, contingent upon specific qualifications outlined within. Through its detailed sections, the form captures crucial information about the defendant, including name, docket number, court date, date of birth, sex, race, and social security number, in addition to specifics about the offenses to be diverted. Eligibility for diversion hinges on a comprehensive background check facilitated by the TBI, examining prior convictions or diversions and arrests lacking final dispositions. The application delineates requisite communication channels between the district attorney or assistant district attorney and the defense attorney or defendant, ensuring proper procedural adherence. Notably, the form emphasizes that its completion does not guarantee diversion eligibility but confirms a records assessment's findings under Tennessee's diversion statutes. Such an intricate process underscores the significance of the TBI Diversion Application in offering a rehabilitative alternative to conventional sentencing, marking a pivotal step in the defendant's journey through the judicial system.

QuestionAnswer
Form Name TBI Application Diversion Form
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names tbibackgrounds tbi tn gov diversions, tbi diversions, tbi diversion request, tennessee diversion application form

Form Preview Example

APPLICATION FOR CERTIFICATION OF ELIGIBILTY FOR DIVERSION

COUNTY

COURT

 

 

DIVISION

JUDGE

 

□ Circuit □ Criminal

□ Sessions

 

 

DEFENDANT'S NAME

 

 

 

DOCKET #

COURT DATE

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

SEX/RACE (B / I / A / W)

 

SOCIAL SECURITY NUMBER

TYPE OF DIVERSION

 

 

 

 

 

□ Pretrial □ Judicial

OFFENSES TO BE DIVERTED:

1.______________________________________________________________ Date of Arrest: ______/_______/_______ □Felony □Misdemeanor

2.______________________________________________________________ Date of Arrest: ______/_______/_______ □Felony □Misdemeanor

3.______________________________________________________________ Date of Arrest: ______/_______/_______ □Felony □Misdemeanor

NAME AND PHONE NUMBER OF DISTRICT ATTORNEY OR ASSISTANT DISTRICT ATTORNEY TO WHOM RESPONSE SHOULD BE SENT

FAX NUMBER

ADDRESS

NAME AND PHONE NUMBER OF DEFENSE ATTORNEY OR PRO SE DEFENDANT TO WHOM RESPONSE SHOULD BE SENT

FAX NUMBER

ADDRESS

CERTIFICATION OF ELIGIBILITY FOR DIVERSION

I hereby certify that, pursuant to Tenn. Code Ann. §38-6-118(b), a query of the TBI Expunged Criminal Offender and Pretrial Diversion Database has been conducted pursuant to the above authorized request, and based upon the results of that query:

1. [ ] The defendant has not had a prior disqualifying felony or misdemeanor conviction.

[] The defendant has a prior disqualifying felony or misdemeanor conviction.

[] The defendant has a prior arrest for which no disposition has been entered.

2. [ ] The defendant has not previously been granted diversion.

[] The defendant has been granted diversion before.

3. [ ] The defendant has a prior expunction due to a diversion.

[] The defendant has a prior expunction due to 40-3-101(g).

________________________________________

_________________________

Records Processing Unit, TBI

Date

PLEASE NOTE THAT THIS DOES NOT CONSTITUTE A CERTIFICATION THAT THE DEFENDANT IS ELIGIBLE OR INELIGIBLE FOR DIVERSION UNDER TCA 40-35-313 OR TCA 40-15-105. THIS IS ONLY A CERTIFICATION THAT A RECORDS CHECK OF THE TBI EXPUNGED CRIMINAL OFFENDER AND PRETRIAL DIVERSION DATABASE HAS REVEALED QUALIFYING OR DISQUALIFYING INFORMATION UNDER THE CRITERIA SET OUT IN THE DIVERSION STATUTES REFERENCED ABOVE.

 

JUDGMENT OF PRETRIAL DIVERSION OR JUDICIAL DIVERSION

 

Comes now the District Attorney General for the State and Defendant with counsel of record for entry of judgment.

 

On the _______ day of ______________________________, _______________

 

 

OFFENSE INDICTED

OFFENSE CLASS

OFFENSE DIVERTED

OFFENSE CLASS

The defendant is sentenced to

[ ] pretrial diversion [ ] judicial diversion

for the following period:

_______years, _______months, _______ days. Effective: ___________________________________________

________________________

_________________________

________/_______/_________

JUDGE (Printed)

JUDGE (Signature)

ENTRY OF JUDGMENT DATE

_________________________

__________________________

__________________________

APPROVED FOR ENTRY

DISTRICT ATTORNEY

ATTORNEY FOR DEFENDANT

BI- 0200

Rev. 08/12

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The best way to prepare tbi application form stage 2

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Writing segment 3 of tbi application form

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