Final Disposition Report (R-84)

9/22/2017
OMB 1110-0051
R-84 (a)
1) Please provide a final disposition conviction level (felony, misdemeanor,
violation, summary, etc.).
2) Please provide the level or degree of felony or misdemeanor.
3) If case is still pending, please advise if subject is under Felony
Indictment/Information. If under indictment or information, please provide the
date the subject was placed under indictment or information.
4) Please provide the court date.
5) Please provide the specific statute/subsection of conviction.
6) Please provide the sentence completion date.
7) Please provide the convicting dollar amount if applicable.
8) Was a pardon, restoration of rights, or set aside granted?
9) Please provide all applicable documentation.