R84 j Final

12/01/2020

OMB 1110-0051 

R-84 (j) 

 

1)  Did the subject enter a plea of guilty prior to set aside/dismissal/diversion? If yes, please provide copy of court documentation.

 

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

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

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

5)  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. 

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

 

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