R84 c Final

 

12/01/2020

OMB 1110-0051 

R-84 (c) 

 

1) Please provide a copy of the incident report, field test, and any lab/test results. 

2)  Was the offense alcohol or drug related? 

3)  Please provide the drug type/amount/weight if applicable. 

4)  Did the subject admit to possessing/using a controlled substance? 

5)  Please provide the statute and subsection for which the subject was convicted? 

6)  If drug related, please provide the specific substance the subject was convicted of possessing or of being under the influence? 

7)  Please provide a final disposition (Judgement, Sentencing Order, Docket Sheet, Complaint, Judgement and Commitment, Disposition Report, Conviction) 

8)  Please provide level of conviction (felony, misdemeanor, violation, summary, etc.) and the degree (felony 1^st, misdemeanor 2^nd, etc.) 

9)  What is the statute and subsection of the convicting offense?

 

10)  Please advise if the subject is under indictment/information for a felony or misdemeanor with a maximum punishment that exceeds two years.  If under indictment or information, please provide the date the subject was placed under indictment or information. 

11)  Please provide a copy of the police/incident report with full narrative.  If applicable, please provide any associated/referenced reports.  

 

12)  Please submit all supporting documentation regarding this individual along with your agency’s response.